An Investigational Immuno-therapy Study of Ulocuplumab in Combination With Low Dose Cytarabine in Patients With Newly Diagnosed Acute Myeloid Leukemia

Sponsor
Bristol-Myers Squibb (Industry)
Overall Status
Terminated
CT.gov ID
NCT02305563
Collaborator
(none)
70
38
4
52.2
1.8
0

Study Details

Study Description

Brief Summary

The purpose of this study is to determine the safety and effectiveness of ulocuplumab in combination with low dose cytarabine in the treatment of Newly Diagnosed Acute Myeloid Leukemia (AML).

Condition or Disease Intervention/Treatment Phase
Phase 1/Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
70 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Phase 1/2, Open-label Randomized Study of Ulocuplumab (BMS-936564) in Combination With Low Dose Cytarabine in Subjects With Newly Diagnosed Acute Myeloid Leukemia
Actual Study Start Date :
Jan 27, 2015
Actual Primary Completion Date :
Jun 4, 2019
Actual Study Completion Date :
Jun 4, 2019

Arms and Interventions

Arm Intervention/Treatment
Experimental: Ulocuplumab + low dose Cytarabine

Ulocuplumab + low dose Cytarabine (LDAC) Phase 1 (escalation cohort) - closed for enrollment

Drug: BMS-936564
Other Names:
  • Ulocuplumab
  • MDX-1338
  • Drug: Cytarabine

    Experimental: Ulocuplumab Dose A + low dose Cytarabine

    Ulocuplumab Dose A + low dose Cytarabine Phase 2 (expansion cohort)

    Drug: BMS-936564
    Other Names:
  • Ulocuplumab
  • MDX-1338
  • Drug: Cytarabine

    Experimental: Ulocuplumab Dose B + low dose Cytarabine

    Ulocuplumab Dose B + low dose Cytarabine Phase 2 (expansion cohort)

    Drug: BMS-936564
    Other Names:
  • Ulocuplumab
  • MDX-1338
  • Drug: Cytarabine

    Other: low dose Cytarabine only

    Low Dose Cytarabine only Phase 2 (expansion cohort)

    Drug: BMS-936564
    Other Names:
  • Ulocuplumab
  • MDX-1338
  • Drug: Cytarabine

    Outcome Measures

    Primary Outcome Measures

    1. Number of Participants With Dose-Limiting Toxicities (DLTs) in Treatment Cycle 1 - Phase 1 [From first dose to end of cycle 1 (28 days)]

      Safety data evaluated for DLTs. DLTs and all other toxicities were defined and evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.03 (NCI CTCAE v4.03). DLTs were defined based upon events that were considered to be related to ulocuplumab in combination with LDAC and that occurred during the first cycle of drug administration (28 days).

    2. Number of Participants With Adverse Events (AEs) - Phase 1 [From first dose to 30 days post last dose]

      The number of participants with an on-study adverse event (AE). Safety data are evaluated for AEs, defined and evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.03 (NCI CTCAE v4.03).

    3. Number of Participants With >= Grade 3 AEs - Phase 1 [From first dose to 30 days post last dose]

      The number of participants with an on-study adverse event >= Grade level 3. Safety data are evaluated for >= Grade 3 AEs, defined and evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.03 (NCI CTCAE v4.03).

    4. Number of Participants With AEs Leading to Discontinuation - Phase 1 [From first dose to 30 days post last dose]

      The number of participants with an on-study adverse event (AE) leading to discontinuation. Safety data are evaluated for AEs leading to discontinuation, defined and evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.03 (NCI CTCAE v4.03).

    5. Number of Participants With Serious Adverse Events (SAEs) - Phase 1 [From first dose to 30 days post last dose]

      The number of participants with an on-study serious adverse event (SAE). Safety data are evaluated for SAEs, defined and evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.03 (NCI CTCAE v4.03).

    6. Number of Deaths - Phase 1 [From first dose to 30 days post last dose]

      The number of participants who died.

    7. Number of Participants With Laboratory Abnormalities - Phase 1 [From first dose to 30 days post last dose]

      The number of participants with an on-study laboratory abnormality. Safety data are evaluated for laboratory abnormalities, defined and evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.03 (NCI CTCAE v4.03). grades 1, 2, 3, 4, 5, unknown, with 5 being the worst outcome

    8. Best Overall Response (BOR) - Phase 2 [From first dose until a minimum follow-up of up to 2 months]

      The phase 2 primary endpoint was based on the rate of Complete Remission (CR/CRi) prior to the initiation of any alternative therapy (including any subsequent ulocuplumab 800 mg for participants in the LDAC alone arm). The phase 2 primary analysis was conducted after all participants had an opportunity for 6 months of follow-up. Complete remission rate: CR + CRi, confidence interval based on the Clopper and Pearson method. CR = complete response CRi = complete response, incomplete blood count

    Secondary Outcome Measures

    1. Best Overall Response (BOR) - Phase 1 [From first dose until a minimum follow-up of up to 2 months]

      Investigator assessed best overall response prior to the initiation of any alternative therapy for Phase 1 participants.

    2. Number of Participants With AEs - Phase 2 [From first dose until a minimum follow-up of up to 2 months]

      The number of participants with an on-study adverse event (AE). Safety data are evaluated for AEs, defined and evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.03 (NCI CTCAE v4.03).

    3. Number of Participants With AEs Leading to Discontinuation - Phase 2 [From first dose until a minimum follow-up of up to 2 months]

      The number of participants with an on-study adverse event (AE) leading to discontinuation. Safety data are evaluated for AEs leading to discontinuation, defined and evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.03 (NCI CTCAE v4.03).

    4. Number of Participants With SAEs - Phase 2 [From first dose until a minimum follow-up of up to 2 months]

      The number of participants with an on-study serious adverse event (SAE). Safety data are evaluated for SAEs, defined and evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.03 (NCI CTCAE v4.03).

    5. Number of Deaths- Phase 2 [From first dose until a minimum follow-up of up to 2 months]

      The number of participants who died. Safety data are evaluated for deaths, defined and evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.03 (NCI CTCAE v4.03).

    6. Number of Participants With Laboratory Abnormalities - Phase 2 [From first dose until a minimum follow-up of up to 2 months]

      The number of participants with an on-study laboratory abnormality, assessed from Grade 1-4 Serum Chemistry, Electrolytes, and Hematology Laboratory Test results, with grade 4 being the worst. Safety data are evaluated for laboratory abnormalities, defined and evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.03 (NCI CTCAE v4.03).

    7. Number of Participants With Anti-drug Antibodies (ADA) Positive for Ulocuplumab - Phases 1 and 2 [From first dose until a minimum follow-up of up to 2 months]

      Serum samples from ulocuplumab treated participants were evaluated for the presence of anti-ulocuplumab antibodies

    8. Maximum Observed Serum Concentration (Cmax) - Phases 1 and 2 [Cycle 1 Day 1]

      The Pharmacokinetic (PK) parameters are assessed for ulocuplumab following study drug administration EOT = end of treatment Measure type and method of dispersion are Geometric mean and %CV, respectively

    9. Trough Observed Serum Concentration (Ctrough) - Phases 1 and 2 [Days 1, 8, 15 for cycle 1; Days 8, 15 for cycle 2; Days 1, 8 for cycles 3-5; Day 1 every 4th cycle thereafter; EOT; 30 days post last dose (follow-up)]

      The Pharmacokinetic (PK) parameters are assessed for ulocuplumab following study drug administration. EOT = end of treatment Measure type and method of dispersion are Geometric mean and %CV, respectively

    10. Time of Maximum Observed Ulocuplumab Serum Concentration (Tmax) - Phases 1 and 2 [Cycle 1 Day 1]

      The Pharmacokinetic (PK) parameters are assessed for ulocuplumab following study drug administration. EOT = end of treatment

    11. Area Under the Ulocuplumab Concentration-time Curve From Time Zero to the Last Quantifiable Concentration [AUC(0-T)] - Phases 1 and 2 [Cycle 1 Day 1]

      The Pharmacokinetic (PK) parameters are assessed for ulocuplumab following study drug administration. EOT = end of treatment AUC(0-T) calculated by log- and linear-trapezoidal summation Measure type and method of dispersion are Geometric mean and %CV, respectively

    12. Area Under the Ulocuplumab Concentration-time Curve in One Dosing Interval [AUC(TAU)] - Phases 1 and 2 [Cycle 1 Day 1]

      The Pharmacokinetic (PK) parameters are assessed for ulocuplumab following study drug administration. EOT = end of treatment Measure type and method of dispersion are Geometric mean and %CV, respectively

    13. Area Under the Ulocuplumab Concentration-time Curve From Time Zero to Infinity [AUC(INF)] - Phases 1 and 2 [Days 1, 8, 15 for cycles 1 and 2; Days 1, 8 for cycles 3-5; Day 1 every 4th cycle thereafter; EOT; 30 days post last dose (follow-up)]

      The Pharmacokinetic (PK) parameters are assessed for ulocuplumab following study drug administration. EOT = end of treatment AUC(INF) calculated by summing AUC(0-T) and the extrapolated area, computed by the quotient Clast/λz Measure type and method of dispersion are Geometric mean and %CV, respectively

    14. Elimination Half-life (T-HALF) - Phases 1 and 2 [Days 1, 8, 15 for cycles 1 and 2; Days 1, 8 for cycles 3-5; Day 1 every 4th cycle thereafter; EOT; 30 days post last dose (follow-up)]

      The Pharmacokinetic (PK) parameters are assessed for ulocuplumab following study drug administration. EOT = end of treatment T-HALF determined as 0.693/λz

    15. Total Body Clearance of Ulocuplumab (CLT) - Phases 1 and 2 [Days 1, 8, 15 for cycles 1 and 2; Days 1, 8 for cycles 3-5; Day 1 every 4th cycle thereafter; EOT; 30 days post last dose (follow-up)]

      The Pharmacokinetic (PK) parameters are assessed for ulocuplumab following study drug administration. EOT = end of treatment CLT calculated by dividing the total dose of ulocuplumab by its corresponding AUC(INF) value Measure type and method of dispersion are Geometric mean and %CV, respectively

    16. Volume of Distribution at Steady State (Vss) - Phases 1 and 2 [Days 1, 8, 15 for cycles 1 and 2; Days 1, 8 for cycles 3-5; Day 1 every 4th cycle thereafter; EOT; 30 days post last dose (follow-up)]

      The Pharmacokinetic (PK) parameters are assessed for ulocuplumab following study drug administration. EOT = end of treatment Measure type and method of dispersion are Geometric mean and %CV, respectively

    17. Overall Rate of Remission in Participants Treated With Ulocuplumab at Two Different Dose Levels 800 mg and 1000 mg in Combination With LDAC - Phase 2 [From first dose until a minimum follow-up of up to 2 months]

      This phase 2 secondary endpoint was based on the rate of Overall Remission (OR=PR+CR +CRi) prior to the initiation of any alternative therapy (including any subsequent ulocuplumab 800 mg for participants in the LDAC alone arm). The phase 2 analysis was conducted after all participants had an opportunity for 6 months of follow-up. Overall remission rate: CR + CRi, + PR confidence interval based on the Clopper and Pearson method. CR = complete response CRi = complete response, incomplete blood count PR = partial remission

    18. Duration of Response in Participants With CR/CRi Treated With Ulocuplumab at Two Different Dose Levels 800 mg and 1000 mg in Combination With LDAC - Phase 2 [From first dose until a minimum follow-up of up to 2 months]

      This phase 2 secondary endpoint was based on the duration of complete remission prior to the initiation of any alternative therapy (including any subsequent ulocuplumab 800 mg for participants in the LDAC alone arm). The phase 2 analysis was conducted after all participants had an opportunity for 6 months of follow-up.

    19. Rate of Complete Remission (CR/CRi) and Overall Rate of Remission in Participants Treated With LDAC Only - Phase 2 [From first dose until a minimum follow-up of up to 2 months]

      This phase 2 secondary endpoint was based on the rate of Complete Remission (CR/CRi) and rate of Overall Remission (OR=PR+CR +CRi) prior to the initiation of any alternative therapy (including any subsequent ulocuplumab 800 mg for participants in the LDAC alone arm). The phase 2 analysis was conducted after all participants had an opportunity for 6 months of follow-up. Overall remission rate: CR + CRi, + PR confidence interval based on the Clopper and Pearson method. CR = complete response CRi = complete response, incomplete blood count PR = partial remission

    20. Duration of Response in Participants With CR/CRi Treated With LDAC Only - Phase 2 [From first dose until a minimum follow-up of up to 2 months]

      This phase 2 secondary endpoint was based on the duration of complete remission prior to the initiation of any alternative therapy (including any subsequent ulocuplumab 800 mg for participants in the LDAC alone arm). The phase 2 analysis was conducted after all participants had an opportunity for 6 months of follow-up.

    21. Change From Baseline of Electrocardiogram (ECG) Endpoints: Heart Rate - Phases 1 and 2 [From first dose until a minimum follow-up of up to 2 months]

      Change from baseline of ECG endpoints Heart rate measured in beats per minute (bpm)

    22. Change From Baseline of Electrocardiogram (ECG) Endpoints: PR Interval - Phases 1 and 2 [From first dose until a minimum follow-up of up to 2 months]

      Change from baseline of ECG endpoints PR interval measured in milliseconds (msec)

    23. Change From Baseline of Electrocardiogram (ECG) Endpoints: QRS Interval - Phases 1 and 2 [From first dose until a minimum follow-up of up to 2 months]

      Change from baseline of ECG endpoints QRS interval measured in milliseconds (msec)

    24. Change From Baseline of Electrocardiogram (ECG) Endpoints: QT Interval - Phases 1 and 2 [From first dose until a minimum follow-up of up to 2 months]

      Change from baseline of ECG endpoints QT interval measured in milliseconds (msec)

    25. Overall Survival (OS) - Phases 1 and 2 [From first dose until a minimum follow-up of up to 2 months]

      OS is defined as the time between the first date of treatment and the date of death due to any cause. A participant who has not died was be censored at the last known alive date.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No

    For more information regarding BMS clinical trial participation, please visit www.BMSStudyConnect.com

    Inclusion Criteria:
    • Newly Diagnosed Acute Myeloid Leukemia (AML)

    • Considered inappropriate for intensive remission induction therapy by an investigator

    • Not eligible for stem cell transplantation

    Exclusion Criteria:
    • Acute promyelocytic leukemia

    • Current Myelodysplastic syndrome only subjects

    • Unstable angina or uncontrolled congestive heart failure

    • Any other malignancy, excluding basal or squamous cell carcinoma of the skin, in situ melanoma, cervical carcinoma in situ, localized prostate cancer, or superficial bladder cancer stage 0, from which the subject has not been disease-free for at least 3 years

    • Respiratory disease requiring continuous supplemental oxygen

    Other protocol defined inclusion/exclusion criteria could apply

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Ucla Center Health Sci Los Angeles California United States 90095-3075
    2 UF Health Cancer Center at Orlando Health Orlando Florida United States 32806
    3 Norton Cancer Institute Louisville Kentucky United States 40207
    4 NYU Langone Medical Center New York New York United States 10016
    5 Duke University Adult Bone Marrow Transplant Clinic Durham North Carolina United States 27705
    6 University Of Cincinnati Cincinnati Ohio United States 45219
    7 Cleveland Clinic Taussig Cancer Center Cleveland Ohio United States 44195
    8 The University Of Texas MD Anderson Cancer Center Houston Texas United States 77030
    9 Froedtert Hospital & Medical College of Wisconsin Milwaukee Wisconsin United States 53226
    10 Liga Paranaense De Combate Ao Cancer Erasto Gaertner Curitiba Parana Brazil 81520-060
    11 Instituto Do Cancer Mae De Deus / Cor Hospital Mae De Deus Porto Alegre RIO Grande DO SUL Brazil 90110-270
    12 Fundacao Pio Xii Hosp Cancer De Barretos Barretos Sao Paulo Brazil 14784-400
    13 IEP Sao Lucas Sao Paulo Brazil 01236-030
    14 Local Institution Sao Paulo Brazil 01246-000
    15 Local Institution Sao Paulo Brazil 05651-901
    16 Local Institution Halifax Nova Scotia Canada B3H 2Y9
    17 Local Institution Hong Kong China
    18 Local Institution Jerusalem Israel 91031
    19 Local Institution Tel Aviv Israel 94239
    20 Azienda Ospedaliero Universitaria Policlinico Vittorio Emanuele Catania Italy 95123
    21 Local Institution Milan Italy 20162
    22 Azienda Ospedaliera Di Rilievo Nazionale A. Cardarelli Napoli Italy 80131
    23 Local Institution Roma Italy 00133
    24 Local Institution Nagoya-shi Aichi Japan 4600001
    25 Local Institution Fukuyama-shi Hiroshima Japan 7200001
    26 Local Institution Isehara Kanagawa Japan 2591193
    27 Local Institution Hirakata-shi Osaka Japan 5731191
    28 Local Institution Bunkyo-ku Tokyo Japan 1138677
    29 Local Institution Shinagawa-ku Tokyo Japan 1418625
    30 Local Institution Shinjuku-Ku Tokyo Japan 1608582
    31 Local Institution Tachikawa Tokyo Japan 1900014
    32 Local Institution Seoul Korea, Republic of 06351
    33 Local Institution Seoul Korea, Republic of 06591
    34 Local Institution Bucharest Romania 020125
    35 Local Institution Kaohsiung Taiwan 833
    36 Local Institution New Taipei City Taiwan 235
    37 Local Institution New Taipei City Taiwan 25173
    38 Local Institution Taoyuan City Taiwan 33305

    Sponsors and Collaborators

    • Bristol-Myers Squibb

    Investigators

    • Study Director: Bristol-Myers Squibb, Bristol-Myers Squibb

    Study Documents (Full-Text)

    More Information

    Additional Information:

    Publications

    None provided.
    Responsible Party:
    Bristol-Myers Squibb
    ClinicalTrials.gov Identifier:
    NCT02305563
    Other Study ID Numbers:
    • CA212-016
    First Posted:
    Dec 2, 2014
    Last Update Posted:
    Sep 16, 2021
    Last Verified:
    Aug 1, 2021
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail 6 participants in Phase 1 and 64 participants in Phase 2 (70 in total) were assigned to treatment. 2 participants randomized to the LDAC-only arm in Phase 2 did not receive treatment. 68 participants in total (phases 1 and 2) were treated.
    Arm/Group Title ULO 600mg + LDAC - Ph1 ULO 800mg + LDAC - Ph1 ULO 800mg + LDAC - Ph2 ULO 1000mg + LDAC - Ph2 LDAC - Ph2
    Arm/Group Description Ulocuplumab (ULO) at 600mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Ulocuplumab (ULO) at 1000mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Low dose cytarabine (LDAC) - Phase 2 (Ph2) Participants in the LDAC only arm were permitted to add ulocuplumab 800 mg into their treatment regimen if they did not achieve complete remission (CR or complete remission with incomplete blood count recovery [CRi]) confirmed by blast count reduction after 4 treatment cycles or if they relapsed after achieving complete remission
    Period Title: Treatment Period
    STARTED 3 3 26 14 24
    COMPLETED 1 1 0 0 0
    NOT COMPLETED 2 2 26 14 24
    Period Title: Treatment Period
    STARTED 3 3 11 6 12
    COMPLETED 0 0 0 0 0
    NOT COMPLETED 3 3 11 6 12

    Baseline Characteristics

    Arm/Group Title ULO 600mg + LDAC - Ph1 ULO 800mg + LDAC - Ph1 ULO 800mg + LDAC - Ph2 ULO 1000mg + LDAC - Ph2 LDAC - Ph2 Total
    Arm/Group Description Ulocuplumab (ULO) at 600mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Ulocuplumab (ULO) at 1000mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Low dose cytarabine (LDAC) - Phase 2 (Ph2) Participants in the LDAC only arm were permitted to add ulocuplumab 800 mg into their treatment regimen if they did not achieve complete remission (CR or complete remission with incomplete blood count recovery [CRi]) confirmed by blast count reduction after 4 treatment cycles or if they relapsed after achieving complete remission Total of all reporting groups
    Overall Participants 3 3 26 14 24 70
    Age (Years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [Years]
    73.7
    (8.02)
    77.3
    (1.53)
    74.9
    (5.4)
    73.1
    (3.7)
    75.9
    (5.7)
    74.9
    (5.21)
    Age, Customized (Number) [Number]
    <70
    1
    33.3%
    0
    0%
    4
    15.4%
    3
    21.4%
    3
    12.5%
    11
    15.7%
    >=70
    2
    66.7%
    3
    100%
    22
    84.6%
    11
    78.6%
    21
    87.5%
    59
    84.3%
    Sex: Female, Male (Count of Participants)
    Female
    3
    100%
    0
    0%
    9
    34.6%
    7
    50%
    14
    58.3%
    33
    47.1%
    Male
    0
    0%
    3
    100%
    17
    65.4%
    7
    50%
    10
    41.7%
    37
    52.9%
    Ethnicity (NIH/OMB) (Count of Participants)
    Hispanic or Latino
    0
    0%
    Not Hispanic or Latino
    0
    0%
    Unknown or Not Reported
    0
    0%
    Race/Ethnicity, Customized (Count of Participants)
    White
    0
    0%
    0
    0%
    15
    57.7%
    4
    28.6%
    12
    50%
    31
    44.3%
    Black/African American
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Japanese
    3
    100%
    3
    100%
    6
    23.1%
    6
    42.9%
    4
    16.7%
    22
    31.4%
    Chinese
    0
    0%
    0
    0%
    2
    7.7%
    2
    14.3%
    3
    12.5%
    7
    10%
    Asian Indian
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Asian Other
    0
    0%
    0
    0%
    3
    11.5%
    0
    0%
    2
    8.3%
    5
    7.1%
    American Indian/Alaskan Native
    0
    0%
    0
    0%
    0
    0%
    1
    7.1%
    0
    0%
    1
    1.4%
    Native Hawaiian/Other Pacific Islander
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Other
    0
    0%
    0
    0%
    0
    0%
    1
    7.1%
    3
    12.5%
    4
    5.7%

    Outcome Measures

    1. Primary Outcome
    Title Number of Participants With Dose-Limiting Toxicities (DLTs) in Treatment Cycle 1 - Phase 1
    Description Safety data evaluated for DLTs. DLTs and all other toxicities were defined and evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.03 (NCI CTCAE v4.03). DLTs were defined based upon events that were considered to be related to ulocuplumab in combination with LDAC and that occurred during the first cycle of drug administration (28 days).
    Time Frame From first dose to end of cycle 1 (28 days)

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title ULO 600mg + LDAC - Ph1 ULO 800mg + LDAC - Ph1
    Arm/Group Description Ulocuplumab (ULO) at 600mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 1 (Ph1)
    Measure Participants 3 3
    Number [Participants]
    0
    0%
    0
    0%
    2. Primary Outcome
    Title Number of Participants With Adverse Events (AEs) - Phase 1
    Description The number of participants with an on-study adverse event (AE). Safety data are evaluated for AEs, defined and evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.03 (NCI CTCAE v4.03).
    Time Frame From first dose to 30 days post last dose

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title ULO 600mg + LDAC - Ph1 ULO 800mg + LDAC - Ph1
    Arm/Group Description Ulocuplumab (ULO) at 600mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 1 (Ph1)
    Measure Participants 3 3
    Number [Participants]
    3
    100%
    3
    100%
    3. Primary Outcome
    Title Number of Participants With >= Grade 3 AEs - Phase 1
    Description The number of participants with an on-study adverse event >= Grade level 3. Safety data are evaluated for >= Grade 3 AEs, defined and evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.03 (NCI CTCAE v4.03).
    Time Frame From first dose to 30 days post last dose

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title ULO 600mg + LDAC - Ph1 ULO 800mg + LDAC - Ph1
    Arm/Group Description Ulocuplumab (ULO) at 600mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 1 (Ph1)
    Measure Participants 3 3
    Number [Participants]
    3
    100%
    3
    100%
    4. Primary Outcome
    Title Number of Participants With AEs Leading to Discontinuation - Phase 1
    Description The number of participants with an on-study adverse event (AE) leading to discontinuation. Safety data are evaluated for AEs leading to discontinuation, defined and evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.03 (NCI CTCAE v4.03).
    Time Frame From first dose to 30 days post last dose

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title ULO 600mg + LDAC - Ph1 ULO 800mg + LDAC - Ph1
    Arm/Group Description Ulocuplumab (ULO) at 600mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 1 (Ph1)
    Measure Participants 3 3
    Number [Participants]
    0
    0%
    0
    0%
    5. Primary Outcome
    Title Number of Participants With Serious Adverse Events (SAEs) - Phase 1
    Description The number of participants with an on-study serious adverse event (SAE). Safety data are evaluated for SAEs, defined and evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.03 (NCI CTCAE v4.03).
    Time Frame From first dose to 30 days post last dose

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title ULO 600mg + LDAC - Ph1 ULO 800mg + LDAC - Ph1
    Arm/Group Description Ulocuplumab (ULO) at 600mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 1 (Ph1)
    Measure Participants 3 3
    Number [Participants]
    2
    66.7%
    1
    33.3%
    6. Primary Outcome
    Title Number of Deaths - Phase 1
    Description The number of participants who died.
    Time Frame From first dose to 30 days post last dose

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title ULO 600mg + LDAC - Ph1 ULO 800mg + LDAC - Ph1
    Arm/Group Description Ulocuplumab (ULO) at 600mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 1 (Ph1)
    Measure Participants 3 3
    Number [Participants]
    0
    0%
    0
    0%
    7. Primary Outcome
    Title Number of Participants With Laboratory Abnormalities - Phase 1
    Description The number of participants with an on-study laboratory abnormality. Safety data are evaluated for laboratory abnormalities, defined and evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.03 (NCI CTCAE v4.03). grades 1, 2, 3, 4, 5, unknown, with 5 being the worst outcome
    Time Frame From first dose to 30 days post last dose

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title ULO 600mg + LDAC - Ph1 ULO 800mg + LDAC - Ph1
    Arm/Group Description Ulocuplumab (ULO) at 600mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 1 (Ph1)
    Measure Participants 3 3
    ABSOLUTE NEUTROPHIL COUNT - grade 3
    0
    0%
    1
    33.3%
    ABSOLUTE NEUTROPHIL COUNT - grade 4
    3
    100%
    2
    66.7%
    ALANINE AMINOTRANSFERASE - grade 0
    2
    66.7%
    2
    66.7%
    ALANINE AMINOTRANSFERASE - grade 1
    1
    33.3%
    1
    33.3%
    ALBUMIN - grade 0
    1
    33.3%
    0
    0%
    ALBUMIN - grade 1
    0
    0%
    2
    66.7%
    ALBUMIN - grade 2
    2
    66.7%
    1
    33.3%
    ALKALINE PHOSPHATASE - grade 0
    2
    66.7%
    2
    66.7%
    ALKALINE PHOSPHATASE grade 1
    1
    33.3%
    1
    33.3%
    ASPARTATE AMINOTRANSFERASE - grade 0
    3
    100%
    2
    66.7%
    ASPARTATE AMINOTRANSFERASE - grade 1
    0
    0%
    1
    33.3%
    BILIRUBIN, TOTAL - grade 0
    3
    100%
    2
    66.7%
    BILIRUBIN, TOTAL - grade 2
    0
    0%
    1
    33.3%
    CALCIUM, TOTAL - grade 0
    1
    33.3%
    1
    33.3%
    CALCIUM, TOTAL - grade 1
    0
    0%
    1
    33.3%
    CALCIUM, TOTAL - grade 2
    2
    66.7%
    1
    33.3%
    CREATINE KINASE - grade 0
    3
    100%
    3
    100%
    CREATININE - grade 0
    2
    66.7%
    3
    100%
    CREATININE - grade 1
    1
    33.3%
    0
    0%
    FIBRINOGEN - grade 0
    1
    33.3%
    0
    0%
    GLUCOSE, FASTING SERUM - grade 0
    1
    33.3%
    1
    33.3%
    GLUCOSE, FASTING SERUM - grade 1
    2
    66.7%
    0
    0%
    GLUCOSE, FASTING SERUM - grade 2
    0
    0%
    2
    66.7%
    HEMOGLOBIN - grade 2
    1
    33.3%
    1
    33.3%
    HEMOGLOBIN - grade 3
    2
    66.7%
    2
    66.7%
    LEUKOCYTES - grade 0
    0
    0%
    1
    33.3%
    LEUKOCYTES - grade 3
    1
    33.3%
    1
    33.3%
    LEUKOCYTES - grade 4
    2
    66.7%
    1
    33.3%
    LIPASE, TOTAL (COLORIMETRIC ASSAY) - grade 0
    2
    66.7%
    1
    33.3%
    LIPASE, TOTAL (COLORIMETRIC ASSAY) - grade 1
    1
    33.3%
    0
    0%
    LIPASE, TOTAL (COLORIMETRIC ASSAY) - grade 3
    0
    0%
    2
    66.7%
    LYMPHOCYTES (ABSOLUTE) - grade 0
    0
    0%
    1
    33.3%
    LYMPHOCYTES (ABSOLUTE) - grade 1
    0
    0%
    1
    33.3%
    LYMPHOCYTES (ABSOLUTE) - grade 2
    2
    66.7%
    1
    33.3%
    LYMPHOCYTES (ABSOLUTE) - grade 3
    1
    33.3%
    0
    0%
    NEUTROPHILS (ABSOLUTE) - grade 3
    0
    0%
    1
    33.3%
    NEUTROPHILS (ABSOLUTE) - grade 4
    3
    100%
    2
    66.7%
    PHOSPHORUS, INORGANIC - grade 0
    3
    100%
    2
    66.7%
    PHOSPHORUS, INORGANIC - grade 3
    0
    0%
    1
    33.3%
    PLATELET COUNT - grade 3
    0
    0%
    1
    33.3%
    PLATELET COUNT - grade 4
    3
    100%
    2
    66.7%
    POTASSIUM, SERUM - grade 0
    1
    33.3%
    2
    66.7%
    POTASSIUM, SERUM - grade 1
    0
    0%
    1
    33.3%
    POTASSIUM, SERUM - grade 3
    2
    66.7%
    0
    0%
    SODIUM, SERUM - grade 0
    2
    66.7%
    1
    33.3%
    SODIUM, SERUM - grade 1
    0
    0%
    2
    66.7%
    SODIUM, SERUM - grade 3
    1
    33.3%
    0
    0%
    URIC ACID - grade 0
    3
    100%
    2
    66.7%
    URIC ACID - grade 1
    0
    0%
    1
    33.3%
    8. Primary Outcome
    Title Best Overall Response (BOR) - Phase 2
    Description The phase 2 primary endpoint was based on the rate of Complete Remission (CR/CRi) prior to the initiation of any alternative therapy (including any subsequent ulocuplumab 800 mg for participants in the LDAC alone arm). The phase 2 primary analysis was conducted after all participants had an opportunity for 6 months of follow-up. Complete remission rate: CR + CRi, confidence interval based on the Clopper and Pearson method. CR = complete response CRi = complete response, incomplete blood count
    Time Frame From first dose until a minimum follow-up of up to 2 months

    Outcome Measure Data

    Analysis Population Description
    All randomized participants
    Arm/Group Title ULO 800mg + LDAC - Ph2 ULO 1000mg + LDAC - Ph2 LDAC - Ph2
    Arm/Group Description Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Ulocuplumab (ULO) at 1000mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Low dose cytarabine (LDAC) - Phase 2 (Ph2) Participants in the LDAC only arm were permitted to add ulocuplumab 800 mg into their treatment regimen if they did not achieve complete remission (CR or complete remission with incomplete blood count recovery [CRi]) confirmed by blast count reduction after 4 treatment cycles or if they relapsed after achieving complete remission
    Measure Participants 26 14 24
    Number (95% Confidence Interval) [Percentage of participants]
    15.4
    513.3%
    7.1
    236.7%
    25.0
    96.2%
    9. Secondary Outcome
    Title Best Overall Response (BOR) - Phase 1
    Description Investigator assessed best overall response prior to the initiation of any alternative therapy for Phase 1 participants.
    Time Frame From first dose until a minimum follow-up of up to 2 months

    Outcome Measure Data

    Analysis Population Description
    All randomized participants
    Arm/Group Title ULO 600mg + LDAC - Ph1 ULO 800mg + LDAC - Ph1
    Arm/Group Description Ulocuplumab (ULO) at 600mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 1 (Ph1)
    Measure Participants 3 3
    Number [Participants]
    1
    33.3%
    3
    100%
    10. Secondary Outcome
    Title Number of Participants With AEs - Phase 2
    Description The number of participants with an on-study adverse event (AE). Safety data are evaluated for AEs, defined and evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.03 (NCI CTCAE v4.03).
    Time Frame From first dose until a minimum follow-up of up to 2 months

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title ULO 800mg + LDAC - Ph2 ULO 1000mg + LDAC - Ph2 LDAC - Ph2
    Arm/Group Description Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Ulocuplumab (ULO) at 1000mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Low dose cytarabine (LDAC) - Phase 2 (Ph2) Participants in the LDAC only arm were permitted to add ulocuplumab 800 mg into their treatment regimen if they did not achieve complete remission (CR or complete remission with incomplete blood count recovery [CRi]) confirmed by blast count reduction after 4 treatment cycles or if they relapsed after achieving complete remission
    Measure Participants 26 14 22
    Number [Participants]
    25
    833.3%
    14
    466.7%
    22
    84.6%
    11. Secondary Outcome
    Title Number of Participants With AEs Leading to Discontinuation - Phase 2
    Description The number of participants with an on-study adverse event (AE) leading to discontinuation. Safety data are evaluated for AEs leading to discontinuation, defined and evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.03 (NCI CTCAE v4.03).
    Time Frame From first dose until a minimum follow-up of up to 2 months

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title ULO 800mg + LDAC - Ph2 ULO 1000mg + LDAC - Ph2 LDAC - Ph2
    Arm/Group Description Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Ulocuplumab (ULO) at 1000mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Low dose cytarabine (LDAC) - Phase 2 (Ph2) Participants in the LDAC only arm were permitted to add ulocuplumab 800 mg into their treatment regimen if they did not achieve complete remission (CR or complete remission with incomplete blood count recovery [CRi]) confirmed by blast count reduction after 4 treatment cycles or if they relapsed after achieving complete remission
    Measure Participants 26 14 22
    Number [Participants]
    7
    233.3%
    3
    100%
    4
    15.4%
    12. Secondary Outcome
    Title Number of Participants With SAEs - Phase 2
    Description The number of participants with an on-study serious adverse event (SAE). Safety data are evaluated for SAEs, defined and evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.03 (NCI CTCAE v4.03).
    Time Frame From first dose until a minimum follow-up of up to 2 months

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title ULO 800mg + LDAC - Ph2 ULO 1000mg + LDAC - Ph2 LDAC - Ph2
    Arm/Group Description Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Ulocuplumab (ULO) at 1000mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Low dose cytarabine (LDAC) - Phase 2 (Ph2) Participants in the LDAC only arm were permitted to add ulocuplumab 800 mg into their treatment regimen if they did not achieve complete remission (CR or complete remission with incomplete blood count recovery [CRi]) confirmed by blast count reduction after 4 treatment cycles or if they relapsed after achieving complete remission
    Measure Participants 26 14 22
    Number [Participants]
    21
    700%
    8
    266.7%
    15
    57.7%
    13. Secondary Outcome
    Title Number of Deaths- Phase 2
    Description The number of participants who died. Safety data are evaluated for deaths, defined and evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.03 (NCI CTCAE v4.03).
    Time Frame From first dose until a minimum follow-up of up to 2 months

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title ULO 800mg + LDAC - Ph2 ULO 1000mg + LDAC - Ph2 LDAC - Ph2
    Arm/Group Description Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Ulocuplumab (ULO) at 1000mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Low dose cytarabine (LDAC) - Phase 2 (Ph2) Participants in the LDAC only arm were permitted to add ulocuplumab 800 mg into their treatment regimen if they did not achieve complete remission (CR or complete remission with incomplete blood count recovery [CRi]) confirmed by blast count reduction after 4 treatment cycles or if they relapsed after achieving complete remission
    Measure Participants 26 14 22
    Number [Participants]
    19
    633.3%
    10
    333.3%
    16
    61.5%
    14. Secondary Outcome
    Title Number of Participants With Laboratory Abnormalities - Phase 2
    Description The number of participants with an on-study laboratory abnormality, assessed from Grade 1-4 Serum Chemistry, Electrolytes, and Hematology Laboratory Test results, with grade 4 being the worst. Safety data are evaluated for laboratory abnormalities, defined and evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.03 (NCI CTCAE v4.03).
    Time Frame From first dose until a minimum follow-up of up to 2 months

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title ULO 800mg + LDAC - Ph2 ULO 1000mg + LDAC - Ph2 LDAC - Ph2
    Arm/Group Description Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Ulocuplumab (ULO) at 1000mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Low dose cytarabine (LDAC) - Phase 2 (Ph2) Participants in the LDAC only arm were permitted to add ulocuplumab 800 mg into their treatment regimen if they did not achieve complete remission (CR or complete remission with incomplete blood count recovery [CRi]) confirmed by blast count reduction after 4 treatment cycles or if they relapsed after achieving complete remission
    Measure Participants 26 14 22
    ALANINE AMINOTRANSFERASE (ALT), grade 1
    5
    166.7%
    5
    166.7%
    4
    15.4%
    ALANINE AMINOTRANSFERASE (ALT), grade 2
    0
    0%
    1
    33.3%
    2
    7.7%
    ALANINE AMINOTRANSFERASE (ALT), grade 3
    2
    66.7%
    2
    66.7%
    0
    0%
    ALKALINE PHOSPHATASE (ALP), grade 1
    9
    300%
    3
    100%
    8
    30.8%
    ALKALINE PHOSPHATASE (ALP), grade 2
    1
    33.3%
    5
    166.7%
    2
    7.7%
    ASPARTATE AMINOTRANSFERASE (AST), grade 1
    7
    233.3%
    8
    266.7%
    4
    15.4%
    ASPARTATE AMINOTRANSFERASE (AST), grade 2
    1
    33.3%
    0
    0%
    2
    7.7%
    ASPARTATE AMINOTRANSFERASE (AST), grade 3
    0
    0%
    1
    33.3%
    0
    0%
    BILIRUBIN, TOTAL, grade 1
    3
    100%
    2
    66.7%
    1
    3.8%
    BILIRUBIN, TOTAL, grade 2
    4
    133.3%
    3
    100%
    1
    3.8%
    BILIRUBIN, TOTAL, grade 3
    1
    33.3%
    0
    0%
    0
    0%
    CREATININE, grade 1
    7
    233.3%
    5
    166.7%
    6
    23.1%
    CREATININE, grade 2
    5
    166.7%
    2
    66.7%
    2
    7.7%
    CALCIUM, TOTAL, grade 1
    7
    233.3%
    3
    100%
    3
    11.5%
    CALCIUM, TOTAL, grade 2
    5
    166.7%
    5
    166.7%
    7
    26.9%
    CALCIUM, TOTAL, grade 3
    0
    0%
    1
    33.3%
    0
    0%
    PHOSPHORUS, INORGANIC, grade 1
    0
    0%
    0
    0%
    1
    3.8%
    PHOSPHORUS, INORGANIC, grade 2
    3
    100%
    2
    66.7%
    1
    3.8%
    PHOSPHORUS, INORGANIC, grade 3
    2
    66.7%
    0
    0%
    2
    7.7%
    PHOSPHORUS, INORGANIC, grade 4
    0
    0%
    1
    33.3%
    0
    0%
    POTASSIUM, SERUM, grade 1
    4
    133.3%
    3
    100%
    5
    19.2%
    POTASSIUM, SERUM, grade 2
    0
    0%
    1
    33.3%
    0
    0%
    POTASSIUM, SERUM, grade 3
    1
    33.3%
    2
    66.7%
    4
    15.4%
    POTASSIUM, SERUM, grade 4
    1
    33.3%
    1
    33.3%
    0
    0%
    SODIUM, SERUM, grade 1
    9
    300%
    3
    100%
    7
    26.9%
    SODIUM, SERUM, grade 2
    0
    0%
    1
    33.3%
    0
    0%
    SODIUM, SERUM, grade 3
    0
    0%
    3
    100%
    4
    15.4%
    HEMOGLOBIN, grade 2
    2
    66.7%
    4
    133.3%
    4
    15.4%
    HEMOGLOBIN, grade 3
    22
    733.3%
    10
    333.3%
    17
    65.4%
    PLATELET COUNT, grade 2
    0
    0%
    0
    0%
    1
    3.8%
    PLATELET COUNT, grade 3
    1
    33.3%
    1
    33.3%
    3
    11.5%
    PLATELET COUNT, grade 4
    23
    766.7%
    13
    433.3%
    17
    65.4%
    ABSOLUTE NEUTROPHIL COUNT, grade 1
    2
    66.7%
    1
    33.3%
    0
    0%
    ABSOLUTE NEUTROPHIL COUNT, grade 2
    0
    0%
    1
    33.3%
    1
    3.8%
    ABSOLUTE NEUTROPHIL COUNT, grade 3
    3
    100%
    0
    0%
    1
    3.8%
    ABSOLUTE NEUTROPHIL COUNT, grade 4
    18
    600%
    10
    333.3%
    16
    61.5%
    LEUKOCYTES, grade 1
    3
    100%
    0
    0%
    1
    3.8%
    LEUKOCYTES, grade 2
    3
    100%
    4
    133.3%
    0
    0%
    LEUKOCYTES, grade 3
    6
    200%
    4
    133.3%
    5
    19.2%
    LEUKOCYTES, grade 4
    8
    266.7%
    1
    33.3%
    10
    38.5%
    LYMPHOCYTES (ABSOLUTE), grade 1
    3
    100%
    4
    133.3%
    1
    3.8%
    LYMPHOCYTES (ABSOLUTE), grade 2
    7
    233.3%
    1
    33.3%
    7
    26.9%
    LYMPHOCYTES (ABSOLUTE), grade 3
    5
    166.7%
    0
    0%
    7
    26.9%
    LYMPHOCYTES (ABSOLUTE), grade 4
    0
    0%
    0
    0%
    1
    3.8%
    NEUTROPHILS (ABSOLUTE), grade 1
    1
    33.3%
    0
    0%
    0
    0%
    NEUTROPHILS (ABSOLUTE), grade 2
    1
    33.3%
    2
    66.7%
    1
    3.8%
    NEUTROPHILS (ABSOLUTE), grade 3
    3
    100%
    0
    0%
    1
    3.8%
    NEUTROPHILS (ABSOLUTE), grade 4
    18
    600%
    10
    333.3%
    16
    61.5%
    15. Secondary Outcome
    Title Number of Participants With Anti-drug Antibodies (ADA) Positive for Ulocuplumab - Phases 1 and 2
    Description Serum samples from ulocuplumab treated participants were evaluated for the presence of anti-ulocuplumab antibodies
    Time Frame From first dose until a minimum follow-up of up to 2 months

    Outcome Measure Data

    Analysis Population Description
    All participants treated with ulocuplumab
    Arm/Group Title ULO 600mg + LDAC - Ph1 ULO 800mg + LDAC - Ph1 ULO 800mg + LDAC - Ph2 ULO 1000mg + LDAC - Ph2
    Arm/Group Description Ulocuplumab (ULO) at 600mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Ulocuplumab (ULO) at 1000mg + low dose cytarabine (LDAC) - Phase 2 (Ph2)
    Measure Participants 3 3 21 14
    Number [Participants]
    0
    0%
    0
    0%
    6
    23.1%
    0
    0%
    16. Secondary Outcome
    Title Maximum Observed Serum Concentration (Cmax) - Phases 1 and 2
    Description The Pharmacokinetic (PK) parameters are assessed for ulocuplumab following study drug administration EOT = end of treatment Measure type and method of dispersion are Geometric mean and %CV, respectively
    Time Frame Cycle 1 Day 1

    Outcome Measure Data

    Analysis Population Description
    All treated participants who have evaluable PK profiles
    Arm/Group Title ULO 600mg + LDAC - Ph1 ULO 800mg + LDAC - Ph1 ULO 800mg + LDAC - Ph2 ULO 1000mg + LDAC - Ph2 LDAC - Ph2
    Arm/Group Description Ulocuplumab (ULO) at 600mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Ulocuplumab (ULO) at 1000mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Low dose cytarabine (LDAC) - Phase 2 (Ph2) Participants in the LDAC only arm were permitted to add ulocuplumab 800 mg into their treatment regimen if they did not achieve complete remission (CR or complete remission with incomplete blood count recovery [CRi]) confirmed by blast count reduction after 4 treatment cycles or if they relapsed after achieving complete remission
    Measure Participants 3 3 17 14 1
    Geometric Mean (Geometric Coefficient of Variation) [µg/mL]
    219.354
    (19)
    265.294
    (8)
    183.456
    (25)
    256.906
    (22)
    212.564
    (NA)
    17. Secondary Outcome
    Title Trough Observed Serum Concentration (Ctrough) - Phases 1 and 2
    Description The Pharmacokinetic (PK) parameters are assessed for ulocuplumab following study drug administration. EOT = end of treatment Measure type and method of dispersion are Geometric mean and %CV, respectively
    Time Frame Days 1, 8, 15 for cycle 1; Days 8, 15 for cycle 2; Days 1, 8 for cycles 3-5; Day 1 every 4th cycle thereafter; EOT; 30 days post last dose (follow-up)

    Outcome Measure Data

    Analysis Population Description
    All treated participants who have evaluable PK profiles
    Arm/Group Title ULO 600mg + LDAC - Ph1 ULO 800mg + LDAC - Ph1 ULO 800mg + LDAC - Ph2 ULO 1000mg + LDAC - Ph2 LDAC - Ph2
    Arm/Group Description Ulocuplumab (ULO) at 600mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Ulocuplumab (ULO) at 1000mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Low dose cytarabine (LDAC) - Phase 2 (Ph2) Participants in the LDAC only arm were permitted to add ulocuplumab 800 mg into their treatment regimen if they did not achieve complete remission (CR or complete remission with incomplete blood count recovery [CRi]) confirmed by blast count reduction after 4 treatment cycles or if they relapsed after achieving complete remission
    Measure Participants 3 3 22 13 1
    Cycle 1 Day 1
    0.100
    (0)
    0.100
    (0)
    0.100
    (0)
    0.100
    (0)
    0.100
    (NA)
    Cycle 1 Day 8
    5.308
    (89)
    75.890
    (30)
    10.321
    (85)
    17.766
    (79)
    39.609
    (NA)
    Cycle 1 Day 15
    21.748
    (91)
    125.797
    (18)
    37.263
    (66)
    61.250
    (64)
    175.315
    (NA)
    Cycle 2 Day 8
    41.630
    (NA)
    96.333
    (36)
    30.916
    (83)
    103.322
    (67)
    Cycle 2 Day 15
    72.104
    (NA)
    126.029
    (49)
    48.421
    (73)
    143.724
    (58)
    Cycle 3 Day 1
    78.218
    (NA)
    13.905
    (101)
    153.871
    (70)
    Cycle 3 Day 8
    85.993
    (NA)
    129.580
    (42)
    37.602
    (94)
    82.033
    (21)
    Cycle 4 Day 1
    80.409
    (64)
    4.012
    (145)
    212.793
    (NA)
    Cycle 4 Day 8
    112.048
    (NA)
    133.650
    (41)
    116.657
    (83)
    77.095
    (119)
    Cycle 5 Day 1
    32.621
    (NA)
    4.558
    (166)
    224.703
    (NA)
    Cycle 5 Day 8
    102.751
    (NA)
    124.996
    (48)
    34.783
    (137)
    202.552
    (NA)
    Cycle 9 Day 1
    35.144
    (110)
    187.930
    (NA)
    EOT
    0.100
    (NA)
    18. Secondary Outcome
    Title Time of Maximum Observed Ulocuplumab Serum Concentration (Tmax) - Phases 1 and 2
    Description The Pharmacokinetic (PK) parameters are assessed for ulocuplumab following study drug administration. EOT = end of treatment
    Time Frame Cycle 1 Day 1

    Outcome Measure Data

    Analysis Population Description
    All treated participants who have evaluable PK profiles
    Arm/Group Title ULO 600mg + LDAC - Ph1 ULO 800mg + LDAC - Ph1 ULO 800mg + LDAC - Ph2 ULO 1000mg + LDAC - Ph2 LDAC - Ph2
    Arm/Group Description Ulocuplumab (ULO) at 600mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Ulocuplumab (ULO) at 1000mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Low dose cytarabine (LDAC) - Phase 2 (Ph2) Participants in the LDAC only arm were permitted to add ulocuplumab 800 mg into their treatment regimen if they did not achieve complete remission (CR or complete remission with incomplete blood count recovery [CRi]) confirmed by blast count reduction after 4 treatment cycles or if they relapsed after achieving complete remission
    Measure Participants 3 3 17 7 1
    Median (Full Range) [hour (H)]
    1.850
    1.933
    1.500
    2.117
    2.03
    19. Secondary Outcome
    Title Area Under the Ulocuplumab Concentration-time Curve From Time Zero to the Last Quantifiable Concentration [AUC(0-T)] - Phases 1 and 2
    Description The Pharmacokinetic (PK) parameters are assessed for ulocuplumab following study drug administration. EOT = end of treatment AUC(0-T) calculated by log- and linear-trapezoidal summation Measure type and method of dispersion are Geometric mean and %CV, respectively
    Time Frame Cycle 1 Day 1

    Outcome Measure Data

    Analysis Population Description
    All treated participants who have evaluable PK profiles
    Arm/Group Title ULO 600mg + LDAC - Ph1 ULO 800mg + LDAC - Ph1 ULO 800mg + LDAC - Ph2 ULO 1000mg + LDAC - Ph2 LDAC - Ph2
    Arm/Group Description Ulocuplumab (ULO) at 600mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Ulocuplumab (ULO) at 1000mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Low dose cytarabine (LDAC) - Phase 2 (Ph2) Participants in the LDAC only arm were permitted to add ulocuplumab 800 mg into their treatment regimen if they did not achieve complete remission (CR or complete remission with incomplete blood count recovery [CRi]) confirmed by blast count reduction after 4 treatment cycles or if they relapsed after achieving complete remission
    Measure Participants 3 3 17 7 1
    Geometric Mean (Geometric Coefficient of Variation) [µg.h/mL]
    9455.529
    (10)
    21158.725
    (9)
    8152.698
    (50)
    13744.382
    (37)
    16502.463
    (NA)
    20. Secondary Outcome
    Title Area Under the Ulocuplumab Concentration-time Curve in One Dosing Interval [AUC(TAU)] - Phases 1 and 2
    Description The Pharmacokinetic (PK) parameters are assessed for ulocuplumab following study drug administration. EOT = end of treatment Measure type and method of dispersion are Geometric mean and %CV, respectively
    Time Frame Cycle 1 Day 1

    Outcome Measure Data

    Analysis Population Description
    All treated participants who have evaluable PK profiles
    Arm/Group Title ULO 600mg + LDAC - Ph1 ULO 800mg + LDAC - Ph1 ULO 800mg + LDAC - Ph2 ULO 1000mg + LDAC - Ph2 LDAC - Ph2
    Arm/Group Description Ulocuplumab (ULO) at 600mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Ulocuplumab (ULO) at 1000mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Low dose cytarabine (LDAC) - Phase 2 (Ph2) Participants in the LDAC only arm were permitted to add ulocuplumab 800 mg into their treatment regimen if they did not achieve complete remission (CR or complete remission with incomplete blood count recovery [CRi]) confirmed by blast count reduction after 4 treatment cycles or if they relapsed after achieving complete remission
    Measure Participants 3 3 13 7 1
    Geometric Mean (Geometric Coefficient of Variation) [µg.h/mL]
    9455.529
    (10)
    21158.725
    (9)
    10082.624
    (38)
    13826.833
    (36)
    14257.807
    (NA)
    21. Secondary Outcome
    Title Area Under the Ulocuplumab Concentration-time Curve From Time Zero to Infinity [AUC(INF)] - Phases 1 and 2
    Description The Pharmacokinetic (PK) parameters are assessed for ulocuplumab following study drug administration. EOT = end of treatment AUC(INF) calculated by summing AUC(0-T) and the extrapolated area, computed by the quotient Clast/λz Measure type and method of dispersion are Geometric mean and %CV, respectively
    Time Frame Days 1, 8, 15 for cycles 1 and 2; Days 1, 8 for cycles 3-5; Day 1 every 4th cycle thereafter; EOT; 30 days post last dose (follow-up)

    Outcome Measure Data

    Analysis Population Description
    Based on the PK sample collections, PK parameters depended on terminal phase time points including AUC(INF), T-HALF; or at steady-state, including CLT, Vss are not reportable
    Arm/Group Title ULO 600mg + LDAC - Ph1 ULO 800mg + LDAC - Ph1 ULO 800mg + LDAC - Ph2 ULO 1000mg + LDAC - Ph2 LDAC - Ph2
    Arm/Group Description Ulocuplumab (ULO) at 600mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Ulocuplumab (ULO) at 1000mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Low dose cytarabine (LDAC) - Phase 2 (Ph2) Participants in the LDAC only arm were permitted to add ulocuplumab 800 mg into their treatment regimen if they did not achieve complete remission (CR or complete remission with incomplete blood count recovery [CRi]) confirmed by blast count reduction after 4 treatment cycles or if they relapsed after achieving complete remission
    Measure Participants 0 0 0 0 0
    22. Secondary Outcome
    Title Elimination Half-life (T-HALF) - Phases 1 and 2
    Description The Pharmacokinetic (PK) parameters are assessed for ulocuplumab following study drug administration. EOT = end of treatment T-HALF determined as 0.693/λz
    Time Frame Days 1, 8, 15 for cycles 1 and 2; Days 1, 8 for cycles 3-5; Day 1 every 4th cycle thereafter; EOT; 30 days post last dose (follow-up)

    Outcome Measure Data

    Analysis Population Description
    Based on the PK sample collections, PK parameters depended on terminal phase time points including AUC(INF), T-HALF; or at steady-state, including CLT, Vss are not reportable
    Arm/Group Title ULO 600mg + LDAC - Ph1 ULO 800mg + LDAC - Ph1 ULO 800mg + LDAC - Ph2 ULO 1000mg + LDAC - Ph2 LDAC - Ph2
    Arm/Group Description Ulocuplumab (ULO) at 600mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Ulocuplumab (ULO) at 1000mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Low dose cytarabine (LDAC) - Phase 2 (Ph2) Participants in the LDAC only arm were permitted to add ulocuplumab 800 mg into their treatment regimen if they did not achieve complete remission (CR or complete remission with incomplete blood count recovery [CRi]) confirmed by blast count reduction after 4 treatment cycles or if they relapsed after achieving complete remission
    Measure Participants 0 0 0 0 0
    23. Secondary Outcome
    Title Total Body Clearance of Ulocuplumab (CLT) - Phases 1 and 2
    Description The Pharmacokinetic (PK) parameters are assessed for ulocuplumab following study drug administration. EOT = end of treatment CLT calculated by dividing the total dose of ulocuplumab by its corresponding AUC(INF) value Measure type and method of dispersion are Geometric mean and %CV, respectively
    Time Frame Days 1, 8, 15 for cycles 1 and 2; Days 1, 8 for cycles 3-5; Day 1 every 4th cycle thereafter; EOT; 30 days post last dose (follow-up)

    Outcome Measure Data

    Analysis Population Description
    Based on the PK sample collections, PK parameters depended on terminal phase time points including AUC(INF), T-HALF; or at steady-state, including CLT, Vss are not reportable
    Arm/Group Title ULO 600mg + LDAC - Ph1 ULO 800mg + LDAC - Ph1 ULO 800mg + LDAC - Ph2 ULO 1000mg + LDAC - Ph2 LDAC - Ph2
    Arm/Group Description Ulocuplumab (ULO) at 600mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Ulocuplumab (ULO) at 1000mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Low dose cytarabine (LDAC) - Phase 2 (Ph2) Participants in the LDAC only arm were permitted to add ulocuplumab 800 mg into their treatment regimen if they did not achieve complete remission (CR or complete remission with incomplete blood count recovery [CRi]) confirmed by blast count reduction after 4 treatment cycles or if they relapsed after achieving complete remission
    Measure Participants 0 0 0 0 0
    24. Secondary Outcome
    Title Volume of Distribution at Steady State (Vss) - Phases 1 and 2
    Description The Pharmacokinetic (PK) parameters are assessed for ulocuplumab following study drug administration. EOT = end of treatment Measure type and method of dispersion are Geometric mean and %CV, respectively
    Time Frame Days 1, 8, 15 for cycles 1 and 2; Days 1, 8 for cycles 3-5; Day 1 every 4th cycle thereafter; EOT; 30 days post last dose (follow-up)

    Outcome Measure Data

    Analysis Population Description
    Based on the PK sample collections, PK parameters depended on terminal phase time points including AUC(INF), T-HALF; or at steady-state, including CLT, Vss are not reportable
    Arm/Group Title ULO 600mg + LDAC - Ph1 ULO 800mg + LDAC - Ph1 ULO 800mg + LDAC - Ph2 ULO 1000mg + LDAC - Ph2 LDAC - Ph2
    Arm/Group Description Ulocuplumab (ULO) at 600mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Ulocuplumab (ULO) at 1000mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Low dose cytarabine (LDAC) - Phase 2 (Ph2) Participants in the LDAC only arm were permitted to add ulocuplumab 800 mg into their treatment regimen if they did not achieve complete remission (CR or complete remission with incomplete blood count recovery [CRi]) confirmed by blast count reduction after 4 treatment cycles or if they relapsed after achieving complete remission
    Measure Participants 0 0 0 0 0
    25. Secondary Outcome
    Title Overall Rate of Remission in Participants Treated With Ulocuplumab at Two Different Dose Levels 800 mg and 1000 mg in Combination With LDAC - Phase 2
    Description This phase 2 secondary endpoint was based on the rate of Overall Remission (OR=PR+CR +CRi) prior to the initiation of any alternative therapy (including any subsequent ulocuplumab 800 mg for participants in the LDAC alone arm). The phase 2 analysis was conducted after all participants had an opportunity for 6 months of follow-up. Overall remission rate: CR + CRi, + PR confidence interval based on the Clopper and Pearson method. CR = complete response CRi = complete response, incomplete blood count PR = partial remission
    Time Frame From first dose until a minimum follow-up of up to 2 months

    Outcome Measure Data

    Analysis Population Description
    All randomized participants
    Arm/Group Title ULO 800mg + LDAC - Ph2 ULO 1000mg + LDAC - Ph2
    Arm/Group Description Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Ulocuplumab (ULO) at 1000mg + low dose cytarabine (LDAC) - Phase 2 (Ph2)
    Measure Participants 26 14
    Number (95% Confidence Interval) [Percentage of participants]
    19.2
    640%
    7.1
    236.7%
    26. Secondary Outcome
    Title Duration of Response in Participants With CR/CRi Treated With Ulocuplumab at Two Different Dose Levels 800 mg and 1000 mg in Combination With LDAC - Phase 2
    Description This phase 2 secondary endpoint was based on the duration of complete remission prior to the initiation of any alternative therapy (including any subsequent ulocuplumab 800 mg for participants in the LDAC alone arm). The phase 2 analysis was conducted after all participants had an opportunity for 6 months of follow-up.
    Time Frame From first dose until a minimum follow-up of up to 2 months

    Outcome Measure Data

    Analysis Population Description
    All randomized participants with CR/CRi
    Arm/Group Title ULO 800mg + LDAC - Ph2 ULO 1000mg + LDAC - Ph2
    Arm/Group Description Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Ulocuplumab (ULO) at 1000mg + low dose cytarabine (LDAC) - Phase 2 (Ph2)
    Measure Participants 4 1
    Median (Full Range) [Months]
    2.4
    4.3
    27. Secondary Outcome
    Title Rate of Complete Remission (CR/CRi) and Overall Rate of Remission in Participants Treated With LDAC Only - Phase 2
    Description This phase 2 secondary endpoint was based on the rate of Complete Remission (CR/CRi) and rate of Overall Remission (OR=PR+CR +CRi) prior to the initiation of any alternative therapy (including any subsequent ulocuplumab 800 mg for participants in the LDAC alone arm). The phase 2 analysis was conducted after all participants had an opportunity for 6 months of follow-up. Overall remission rate: CR + CRi, + PR confidence interval based on the Clopper and Pearson method. CR = complete response CRi = complete response, incomplete blood count PR = partial remission
    Time Frame From first dose until a minimum follow-up of up to 2 months

    Outcome Measure Data

    Analysis Population Description
    All randomized participants
    Arm/Group Title LDAC - Ph2
    Arm/Group Description Low dose cytarabine (LDAC) - Phase 2 (Ph2) Participants in the LDAC only arm were permitted to add ulocuplumab 800 mg into their treatment regimen if they did not achieve complete remission (CR or complete remission with incomplete blood count recovery [CRi]) confirmed by blast count reduction after 4 treatment cycles or if they relapsed after achieving complete remission
    Measure Participants 24
    CR/CRi
    25.0
    833.3%
    Overall remission rate
    25.0
    833.3%
    28. Secondary Outcome
    Title Duration of Response in Participants With CR/CRi Treated With LDAC Only - Phase 2
    Description This phase 2 secondary endpoint was based on the duration of complete remission prior to the initiation of any alternative therapy (including any subsequent ulocuplumab 800 mg for participants in the LDAC alone arm). The phase 2 analysis was conducted after all participants had an opportunity for 6 months of follow-up.
    Time Frame From first dose until a minimum follow-up of up to 2 months

    Outcome Measure Data

    Analysis Population Description
    All randomized participants with CR/CRi
    Arm/Group Title LDAC - Ph2
    Arm/Group Description Low dose cytarabine (LDAC) - Phase 2 (Ph2) Participants in the LDAC only arm were permitted to add ulocuplumab 800 mg into their treatment regimen if they did not achieve complete remission (CR or complete remission with incomplete blood count recovery [CRi]) confirmed by blast count reduction after 4 treatment cycles or if they relapsed after achieving complete remission
    Measure Participants 6
    Median (Full Range) [Months]
    5.7
    29. Secondary Outcome
    Title Change From Baseline of Electrocardiogram (ECG) Endpoints: Heart Rate - Phases 1 and 2
    Description Change from baseline of ECG endpoints Heart rate measured in beats per minute (bpm)
    Time Frame From first dose until a minimum follow-up of up to 2 months

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title ULO 600mg + LDAC - Ph1 ULO 800mg + LDAC - Ph1 ULO 800mg + LDAC - Ph2 ULO 1000mg + LDAC - Ph2 LDAC - Ph2
    Arm/Group Description Ulocuplumab (ULO) at 600mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Ulocuplumab (ULO) at 1000mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Low dose cytarabine (LDAC) - Phase 2 (Ph2) Participants in the LDAC only arm were permitted to add ulocuplumab 800 mg into their treatment regimen if they did not achieve complete remission (CR or complete remission with incomplete blood count recovery [CRi]) confirmed by blast count reduction after 4 treatment cycles or if they relapsed after achieving complete remission
    Measure Participants 3 3 15 13 9
    Cycle 2 Day 1
    26.0
    (63.6)
    4.0
    (18.4)
    1.8
    (11.3)
    -0.9
    (20.0)
    -3.0
    (7.6)
    Cycle 3, Day 1
    -2.3
    (18.8)
    0.0
    (15.6)
    5.8
    (14.2)
    12.7
    (14.3)
    1.7
    (10.2)
    Cycle 4, Day 1
    -1.0
    -16.0
    (5.7)
    -0.1
    (9.9)
    11.0
    (40.6)
    1.3
    (16.7)
    Cycle 5, Day 1
    -6.0
    1.5
    (7.8)
    4.3
    (12.3)
    10.5
    (2.1)
    8.8
    (27.5)
    Cycle 6, Day 1
    -6.0
    -6.0
    (16.5)
    6.8
    (5.3)
    7.4
    (14.9)
    Cycle 7, Day 1
    -11.7
    (18.6)
    -3.5
    (5.9)
    12.0
    (NA)
    6.5
    (13.5)
    Cycle 8, Day 1
    -1.0
    0.7
    (2.1)
    11.0
    (NA)
    0.8
    (11.4)
    Cycle 9, Day 1
    -17.0
    (11.3)
    7.0
    (7.1)
    3.0
    (NA)
    0.6
    (8.9)
    Cycle 10, Day 1
    -3.0
    -16.0
    (NA)
    9.3
    (5.1)
    2.0
    (1.4)
    Cycle 11, Day 1
    -12.0
    10.0
    (NA)
    -0.3
    (6.7)
    Cycle 12, Day 1
    5.0
    (NA)
    19.0
    (NA)
    7.0
    (2.8)
    Cycle 13, Day 1
    -9.0
    8.0
    (NA)
    4.0
    (2.8)
    Cycle 14, Day 1
    14.0
    (NA)
    Cycle 15, Day 1
    -10.0
    8.0
    (NA)
    Cycle 16, Day 1
    18.0
    (NA)
    30. Secondary Outcome
    Title Change From Baseline of Electrocardiogram (ECG) Endpoints: PR Interval - Phases 1 and 2
    Description Change from baseline of ECG endpoints PR interval measured in milliseconds (msec)
    Time Frame From first dose until a minimum follow-up of up to 2 months

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title ULO 600mg + LDAC - Ph1 ULO 800mg + LDAC - Ph1 ULO 800mg + LDAC - Ph2 ULO 1000mg + LDAC - Ph2 LDAC - Ph2
    Arm/Group Description Ulocuplumab (ULO) at 600mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Ulocuplumab (ULO) at 1000mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Low dose cytarabine (LDAC) - Phase 2 (Ph2) Participants in the LDAC only arm were permitted to add ulocuplumab 800 mg into their treatment regimen if they did not achieve complete remission (CR or complete remission with incomplete blood count recovery [CRi]) confirmed by blast count reduction after 4 treatment cycles or if they relapsed after achieving complete remission
    Measure Participants 3 3 15 10 9
    Cycle 2 Day 1
    4.0
    (NA)
    -14.0
    (19.8)
    1.1
    (23.9)
    -5.1
    (9.9)
    1.2
    (5.3)
    Cycle 3, Day 1
    8.0
    (6.0)
    -12.0
    (0.0)
    -5.3
    (26.2)
    -2.8
    (8.4)
    -1.9
    (7.5)
    Cycle 4, Day 1
    14.0
    (NA)
    -13.0
    (1.4)
    -16.3
    (28.4)
    -10.0
    (NA)
    -11.9
    (15.7)
    Cycle 5, Day 1
    -2.0
    (NA)
    -16.0
    (2.8)
    -7.6
    (24.5)
    -11.0
    (7.1)
    -24.6
    (7.2)
    Cycle 6, Day 1
    -44.0
    (NA)
    -19.3
    (9.2)
    -12.8
    (21.8)
    -3.4
    (19.5)
    Cycle 7, Day 1
    -17.3
    (9.5)
    -6.8
    (12.0)
    -2.0
    (NA)
    -8.3
    (20.9)
    Cycle 8, Day 1
    4.0
    (NA)
    -5.3
    (27.2)
    -6.0
    (NA)
    -9.4
    (16.2)
    Cycle 9, Day 1
    -10.0
    (0.0)
    -17.0
    (46.7)
    6.0
    (NA)
    0.6
    (8.5)
    Cycle 10, Day 1
    -4.0
    (NA)
    -2.0
    (NA)
    -11.3
    (30.1)
    1.0
    (1.4)
    Cycle 11, Day 1
    4.0
    (NA)
    4.0
    (NA)
    -1.7
    (12.7)
    Cycle 12, Day 1
    -60.0
    (NA)
    -4.0
    (NA)
    -5.0
    (1.4)
    Cycle 13, Day 1
    -2.0
    (NA)
    -44.0
    (NA)
    3.0
    (1.4)
    Cycle 14, Day 1
    -54.0
    (NA)
    Cycle 15, Day 1
    0.0
    (NA)
    -10.0
    (NA)
    Cycle 16, Day 1
    -2.0
    (NA)
    31. Secondary Outcome
    Title Change From Baseline of Electrocardiogram (ECG) Endpoints: QRS Interval - Phases 1 and 2
    Description Change from baseline of ECG endpoints QRS interval measured in milliseconds (msec)
    Time Frame From first dose until a minimum follow-up of up to 2 months

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title ULO 600mg + LDAC - Ph1 ULO 800mg + LDAC - Ph1 ULO 800mg + LDAC - Ph2 ULO 1000mg + LDAC - Ph2 LDAC - Ph2
    Arm/Group Description Ulocuplumab (ULO) at 600mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Ulocuplumab (ULO) at 1000mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Low dose cytarabine (LDAC) - Phase 2 (Ph2) Participants in the LDAC only arm were permitted to add ulocuplumab 800 mg into their treatment regimen if they did not achieve complete remission (CR or complete remission with incomplete blood count recovery [CRi]) confirmed by blast count reduction after 4 treatment cycles or if they relapsed after achieving complete remission
    Measure Participants 3 3 15 13 9
    Cycle 2 Day 1
    0.0
    (5.7)
    -2.0
    (5.7)
    5.1
    (11.3)
    0.5
    (9.6)
    4.8
    (12.5)
    Cycle 3, Day 1
    3.3
    (7.6)
    -2.0
    (5.7)
    -1.3
    (7.6)
    2.0
    (3.4)
    1.4
    (8.2)
    Cycle 4, Day 1
    0.0
    (NA)
    1.0
    (1.4)
    2.7
    (8.8)
    -3.3
    (6.1)
    6.4
    (16.1)
    Cycle 5, Day 1
    8.0
    (NA)
    -4.0
    (2.8)
    1.8
    (9.5)
    2.0
    (5.7)
    -1.4
    (2.4)
    Cycle 6, Day 1
    6.0
    (NA)
    -2.7
    (4.2)
    -1.8
    (6.2)
    5.4
    (14.7)
    Cycle 7, Day 1
    -2.7
    (4.2)
    -3.3
    (7.0)
    -10.0
    (NA)
    -1.5
    (4.9)
    Cycle 8, Day 1
    2.0
    (NA)
    0.7
    (2.3)
    -8.0
    (NA)
    2.6
    (6.9)
    Cycle 9, Day 1
    -1.0
    (1.4)
    -2.0
    (8.5)
    -6.0
    (NA)
    0.0
    (3.2)
    Cycle 10, Day 1
    2.0
    (NA)
    -4.0
    (NA)
    -2.3
    (8.6)
    9.5
    (4.9)
    Cycle 11, Day 1
    6.0
    (NA)
    -4.0
    (NA)
    9.0
    (7.5)
    Cycle 12, Day 1
    -6.0
    (NA)
    -8.0
    (NA)
    10.0
    (5.7)
    Cycle 13, Day 1
    2.0
    (NA)
    -12.0
    (NA)
    3.5
    (10.6)
    Cycle 14, Day 1
    -10.0
    (NA)
    Cycle 15, Day 1
    6.0
    (NA)
    8.0
    (NA)
    Cycle 16, Day 1
    7.0
    (NA)
    32. Secondary Outcome
    Title Change From Baseline of Electrocardiogram (ECG) Endpoints: QT Interval - Phases 1 and 2
    Description Change from baseline of ECG endpoints QT interval measured in milliseconds (msec)
    Time Frame From first dose until a minimum follow-up of up to 2 months

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title ULO 600mg + LDAC - Ph1 ULO 800mg + LDAC - Ph1 ULO 800mg + LDAC - Ph2 ULO 1000mg + LDAC - Ph2 LDAC - Ph2
    Arm/Group Description Ulocuplumab (ULO) at 600mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Ulocuplumab (ULO) at 1000mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Low dose cytarabine (LDAC) - Phase 2 (Ph2) Participants in the LDAC only arm were permitted to add ulocuplumab 800 mg into their treatment regimen if they did not achieve complete remission (CR or complete remission with incomplete blood count recovery [CRi]) confirmed by blast count reduction after 4 treatment cycles or if they relapsed after achieving complete remission
    Measure Participants 3 3 15 13 9
    Cycle 2 Day 1
    -41.0
    (94.8)
    -5.0
    (7.1)
    4.5
    (25.5)
    10.4
    (50.1)
    14.2
    (33.7)
    Cycle 3, Day 1
    10.0
    (36.7)
    7.0
    (29.7)
    -15.4
    (30.6)
    -10.7
    (41.3)
    13.7
    (41.7)
    Cycle 4, Day 1
    -60.0
    (NA)
    35.0
    (32.5)
    10.1
    (22.8)
    -12.7
    (104.3)
    -1.4
    (47.9)
    Cycle 5, Day 1
    12.0
    (NA)
    13.0
    (15.6)
    2.2
    (32.1)
    -5.0
    (26.9)
    -27.6
    (75.5)
    Cycle 6, Day 1
    2.0
    (NA)
    6.0
    (26.9)
    -11.8
    (19.1)
    -3.6
    (39.3)
    Cycle 7, Day 1
    29.3
    (20.0)
    11.8
    (13.6)
    -8.0
    (NA)
    -8.8
    (28.3)
    Cycle 8, Day 1
    2.0
    (NA)
    2.0
    (2.0)
    -24.0
    (NA)
    0.8
    (35.5)
    Cycle 9, Day 1
    37.0
    (9.9)
    -23.0
    (21.2)
    -14.0
    (NA)
    -24.4
    (23.0)
    Cycle 10, Day 1
    6.0
    (NA)
    14.0
    (NA)
    -18.3
    (18.6)
    -6.0
    (11.3)
    Cycle 11, Day 1
    16.0
    (NA)
    -22.0
    (NA)
    7.0
    (2.6)
    Cycle 12, Day 1
    -4.0
    (NA)
    -36.0
    (NA)
    -6.5
    (27.6)
    Cycle 13, Day 1
    20.0
    (NA)
    -40.0
    (NA)
    -15.0
    (18.4)
    Cycle 14, Day 1
    -44.0
    (NA)
    Cycle 15, Day 1
    36.0
    (NA)
    -19.0
    (NA)
    Cycle 16, Day 1
    -105.0
    (NA)
    33. Secondary Outcome
    Title Overall Survival (OS) - Phases 1 and 2
    Description OS is defined as the time between the first date of treatment and the date of death due to any cause. A participant who has not died was be censored at the last known alive date.
    Time Frame From first dose until a minimum follow-up of up to 2 months

    Outcome Measure Data

    Analysis Population Description
    All treated participants for phase 2. Phase 1 OS data not collected.
    Arm/Group Title ULO 600mg + LDAC - Ph1 ULO 800mg + LDAC - Ph1 ULO 800mg + LDAC - Ph2 ULO 1000mg + LDAC - Ph2 LDAC - Ph2
    Arm/Group Description Ulocuplumab (ULO) at 600mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Ulocuplumab (ULO) at 1000mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Low dose cytarabine (LDAC) - Phase 2 (Ph2) Participants in the LDAC only arm were permitted to add ulocuplumab 800 mg into their treatment regimen if they did not achieve complete remission (CR or complete remission with incomplete blood count recovery [CRi]) confirmed by blast count reduction after 4 treatment cycles or if they relapsed after achieving complete remission
    Measure Participants 0 0 26 14 22
    Median (Full Range) [Months]
    3.3
    3.0
    6.9

    Adverse Events

    Time Frame Includes on-treatment events from first dose to within 100 days of last dose
    Adverse Event Reporting Description At the end of the randomized treatment period, 6 participants in the LDAC only arm proceeded to treatment with added ulocuplumab. All 6 of the participants who added ulocuplumab following completion of LDAC only treatment have discontinued treatment. The safety data for these 6 participants are represented in the LDAC arm below.
    Arm/Group Title Ulo 600mg+LDAC Ulo 800mg+LDAC Ulocuplumab 800mg + LDAC 20mg BID Ulocuplumab 1000mg + LDAC 20mg BID LDAC 20mg BID
    Arm/Group Description Ulocuplumab (ULO) at 600mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 1 (Ph1) Ulocuplumab (ULO) at 800mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Ulocuplumab (ULO) at 1000mg + low dose cytarabine (LDAC) - Phase 2 (Ph2) Low dose cytarabine (LDAC) - Phase 2 (Ph2) Participants in the LDAC only arm were permitted to add ulocuplumab 800 mg into their treatment regimen if they did not achieve complete remission (CR or complete remission with incomplete blood count recovery [CRi]) confirmed by blast count reduction after 4 treatment cycles or if they relapsed after achieving complete remission.
    All Cause Mortality
    Ulo 600mg+LDAC Ulo 800mg+LDAC Ulocuplumab 800mg + LDAC 20mg BID Ulocuplumab 1000mg + LDAC 20mg BID LDAC 20mg BID
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/3 (0%) 0/3 (0%) 19/26 (73.1%) 10/14 (71.4%) 16/22 (72.7%)
    Serious Adverse Events
    Ulo 600mg+LDAC Ulo 800mg+LDAC Ulocuplumab 800mg + LDAC 20mg BID Ulocuplumab 1000mg + LDAC 20mg BID LDAC 20mg BID
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 2/3 (66.7%) 1/3 (33.3%) 21/26 (80.8%) 8/14 (57.1%) 15/22 (68.2%)
    Blood and lymphatic system disorders
    Anaemia 0/3 (0%) 0/3 (0%) 0/26 (0%) 0/14 (0%) 1/22 (4.5%)
    Disseminated intravascular coagulation 1/3 (33.3%) 0/3 (0%) 0/26 (0%) 0/14 (0%) 0/22 (0%)
    Febrile neutropenia 2/3 (66.7%) 0/3 (0%) 8/26 (30.8%) 5/14 (35.7%) 6/22 (27.3%)
    Cardiac disorders
    Arrhythmia 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 0/14 (0%) 0/22 (0%)
    Cardiac disorder 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Cardiac failure 1/3 (33.3%) 0/3 (0%) 0/26 (0%) 0/14 (0%) 0/22 (0%)
    Eye disorders
    Cataract 1/3 (33.3%) 0/3 (0%) 0/26 (0%) 0/14 (0%) 0/22 (0%)
    Gastrointestinal disorders
    Colitis 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 0/14 (0%) 0/22 (0%)
    Diarrhoea 0/3 (0%) 0/3 (0%) 2/26 (7.7%) 0/14 (0%) 2/22 (9.1%)
    Gastrointestinal haemorrhage 0/3 (0%) 0/3 (0%) 2/26 (7.7%) 0/14 (0%) 0/22 (0%)
    Intestinal obstruction 0/3 (0%) 0/3 (0%) 0/26 (0%) 0/14 (0%) 1/22 (4.5%)
    Nausea 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 0/14 (0%) 0/22 (0%)
    Oesophagitis 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 0/14 (0%) 0/22 (0%)
    Vomiting 0/3 (0%) 0/3 (0%) 0/26 (0%) 0/14 (0%) 1/22 (4.5%)
    General disorders
    Catheter site haemorrhage 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 0/14 (0%) 0/22 (0%)
    Complication associated with device 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 0/14 (0%) 0/22 (0%)
    Death 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Fatigue 0/3 (0%) 0/3 (0%) 0/26 (0%) 0/14 (0%) 1/22 (4.5%)
    Pyrexia 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 0/14 (0%) 0/22 (0%)
    Infections and infestations
    Bacterial infection 0/3 (0%) 0/3 (0%) 0/26 (0%) 0/14 (0%) 1/22 (4.5%)
    Clostridium difficile colitis 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 0/14 (0%) 0/22 (0%)
    Lung infection 0/3 (0%) 0/3 (0%) 2/26 (7.7%) 0/14 (0%) 0/22 (0%)
    Oesophageal candidiasis 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 0/14 (0%) 0/22 (0%)
    Pneumonia 0/3 (0%) 0/3 (0%) 3/26 (11.5%) 0/14 (0%) 1/22 (4.5%)
    Pneumonia fungal 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 0/14 (0%) 0/22 (0%)
    Sepsis 0/3 (0%) 0/3 (0%) 3/26 (11.5%) 2/14 (14.3%) 1/22 (4.5%)
    Septic shock 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 0/14 (0%) 1/22 (4.5%)
    Sinusitis 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Skin infection 0/3 (0%) 0/3 (0%) 0/26 (0%) 0/14 (0%) 1/22 (4.5%)
    Injury, poisoning and procedural complications
    Wound dehiscence 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 0/14 (0%) 0/22 (0%)
    Investigations
    Amylase increased 1/3 (33.3%) 0/3 (0%) 0/26 (0%) 0/14 (0%) 0/22 (0%)
    Metabolism and nutrition disorders
    Dehydration 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 0/14 (0%) 1/22 (4.5%)
    Hypokalaemia 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 0/14 (0%) 0/22 (0%)
    Lactic acidosis 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 0/14 (0%) 0/22 (0%)
    Tumour lysis syndrome 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 1/14 (7.1%) 1/22 (4.5%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Acute myeloid leukaemia 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Epstein-Barr virus associated lymphoproliferative disorder 0/3 (0%) 1/3 (33.3%) 0/26 (0%) 0/14 (0%) 0/22 (0%)
    Malignant neoplasm progression 0/3 (0%) 0/3 (0%) 5/26 (19.2%) 2/14 (14.3%) 6/22 (27.3%)
    Nervous system disorders
    Cerebrovascular accident 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 0/14 (0%) 0/22 (0%)
    Dizziness 0/3 (0%) 0/3 (0%) 0/26 (0%) 0/14 (0%) 1/22 (4.5%)
    Seizure 0/3 (0%) 0/3 (0%) 0/26 (0%) 0/14 (0%) 1/22 (4.5%)
    Syncope 0/3 (0%) 0/3 (0%) 0/26 (0%) 0/14 (0%) 1/22 (4.5%)
    Psychiatric disorders
    Confusional state 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 0/14 (0%) 0/22 (0%)
    Respiratory, thoracic and mediastinal disorders
    Dyspnoea 0/3 (0%) 0/3 (0%) 0/26 (0%) 0/14 (0%) 1/22 (4.5%)
    Epistaxis 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 0/14 (0%) 0/22 (0%)
    Pulmonary embolism 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 0/14 (0%) 0/22 (0%)
    Pulmonary haemorrhage 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 0/14 (0%) 0/22 (0%)
    Pulmonary oedema 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 1/14 (7.1%) 1/22 (4.5%)
    Respiratory failure 0/3 (0%) 0/3 (0%) 2/26 (7.7%) 1/14 (7.1%) 0/22 (0%)
    Vascular disorders
    Circulatory collapse 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 0/14 (0%) 0/22 (0%)
    Deep vein thrombosis 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 0/14 (0%) 0/22 (0%)
    Hypotension 0/3 (0%) 0/3 (0%) 0/26 (0%) 0/14 (0%) 1/22 (4.5%)
    Neurogenic shock 0/3 (0%) 0/3 (0%) 0/26 (0%) 0/14 (0%) 1/22 (4.5%)
    Other (Not Including Serious) Adverse Events
    Ulo 600mg+LDAC Ulo 800mg+LDAC Ulocuplumab 800mg + LDAC 20mg BID Ulocuplumab 1000mg + LDAC 20mg BID LDAC 20mg BID
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 3/3 (100%) 3/3 (100%) 25/26 (96.2%) 14/14 (100%) 22/22 (100%)
    Blood and lymphatic system disorders
    Anaemia 2/3 (66.7%) 3/3 (100%) 11/26 (42.3%) 3/14 (21.4%) 8/22 (36.4%)
    Febrile neutropenia 1/3 (33.3%) 3/3 (100%) 5/26 (19.2%) 4/14 (28.6%) 7/22 (31.8%)
    Increased tendency to bruise 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Leukocytosis 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 1/14 (7.1%) 1/22 (4.5%)
    Neutropenia 0/3 (0%) 0/3 (0%) 4/26 (15.4%) 0/14 (0%) 0/22 (0%)
    Thrombocytopenia 0/3 (0%) 0/3 (0%) 6/26 (23.1%) 0/14 (0%) 2/22 (9.1%)
    Cardiac disorders
    Atrial fibrillation 1/3 (33.3%) 0/3 (0%) 2/26 (7.7%) 0/14 (0%) 0/22 (0%)
    Cardiac failure 0/3 (0%) 0/3 (0%) 0/26 (0%) 0/14 (0%) 3/22 (13.6%)
    Tachycardia 0/3 (0%) 0/3 (0%) 2/26 (7.7%) 0/14 (0%) 0/22 (0%)
    Ear and labyrinth disorders
    Ear congestion 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Ear discomfort 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Eye disorders
    Dry eye 1/3 (33.3%) 0/3 (0%) 0/26 (0%) 0/14 (0%) 0/22 (0%)
    Gastrointestinal disorders
    Abdominal distension 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 1/14 (7.1%) 2/22 (9.1%)
    Abdominal pain 0/3 (0%) 0/3 (0%) 2/26 (7.7%) 1/14 (7.1%) 1/22 (4.5%)
    Abdominal pain upper 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 1/14 (7.1%) 0/22 (0%)
    Constipation 1/3 (33.3%) 1/3 (33.3%) 10/26 (38.5%) 2/14 (14.3%) 5/22 (22.7%)
    Diarrhoea 0/3 (0%) 0/3 (0%) 6/26 (23.1%) 3/14 (21.4%) 5/22 (22.7%)
    Dyspepsia 0/3 (0%) 0/3 (0%) 2/26 (7.7%) 0/14 (0%) 1/22 (4.5%)
    Dysphagia 0/3 (0%) 0/3 (0%) 2/26 (7.7%) 0/14 (0%) 0/22 (0%)
    Enteritis 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Flatulence 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Gastritis 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 1/22 (4.5%)
    Glossodynia 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Haemorrhoids 1/3 (33.3%) 0/3 (0%) 1/26 (3.8%) 1/14 (7.1%) 2/22 (9.1%)
    Ileus 0/3 (0%) 1/3 (33.3%) 0/26 (0%) 0/14 (0%) 0/22 (0%)
    Mouth ulceration 0/3 (0%) 0/3 (0%) 0/26 (0%) 2/14 (14.3%) 1/22 (4.5%)
    Nausea 1/3 (33.3%) 2/3 (66.7%) 6/26 (23.1%) 8/14 (57.1%) 6/22 (27.3%)
    Pancreatitis 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 1/14 (7.1%) 1/22 (4.5%)
    Periodontal disease 1/3 (33.3%) 1/3 (33.3%) 1/26 (3.8%) 0/14 (0%) 0/22 (0%)
    Stomatitis 1/3 (33.3%) 3/3 (100%) 5/26 (19.2%) 3/14 (21.4%) 4/22 (18.2%)
    Vomiting 1/3 (33.3%) 1/3 (33.3%) 4/26 (15.4%) 1/14 (7.1%) 3/22 (13.6%)
    General disorders
    Asthenia 0/3 (0%) 0/3 (0%) 3/26 (11.5%) 0/14 (0%) 2/22 (9.1%)
    Catheter site erythema 0/3 (0%) 0/3 (0%) 2/26 (7.7%) 0/14 (0%) 0/22 (0%)
    Chills 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 3/14 (21.4%) 2/22 (9.1%)
    Early satiety 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Fatigue 0/3 (0%) 0/3 (0%) 5/26 (19.2%) 4/14 (28.6%) 5/22 (22.7%)
    Generalised oedema 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 1/14 (7.1%) 0/22 (0%)
    Malaise 0/3 (0%) 0/3 (0%) 3/26 (11.5%) 0/14 (0%) 1/22 (4.5%)
    Mass 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Mucosal inflammation 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 1/22 (4.5%)
    Non-cardiac chest pain 0/3 (0%) 0/3 (0%) 2/26 (7.7%) 2/14 (14.3%) 0/22 (0%)
    Oedema peripheral 1/3 (33.3%) 2/3 (66.7%) 6/26 (23.1%) 1/14 (7.1%) 4/22 (18.2%)
    Pyrexia 2/3 (66.7%) 2/3 (66.7%) 8/26 (30.8%) 5/14 (35.7%) 5/22 (22.7%)
    Hepatobiliary disorders
    Drug-induced liver injury 1/3 (33.3%) 0/3 (0%) 0/26 (0%) 0/14 (0%) 0/22 (0%)
    Hepatic congestion 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Hepatic function abnormal 0/3 (0%) 0/3 (0%) 2/26 (7.7%) 0/14 (0%) 1/22 (4.5%)
    Hepatosplenomegaly 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Hyperbilirubinaemia 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 1/22 (4.5%)
    Immune system disorders
    Hypersensitivity 1/3 (33.3%) 1/3 (33.3%) 1/26 (3.8%) 2/14 (14.3%) 0/22 (0%)
    Infections and infestations
    Device related infection 0/3 (0%) 0/3 (0%) 0/26 (0%) 0/14 (0%) 2/22 (9.1%)
    Gingivitis 0/3 (0%) 0/3 (0%) 0/26 (0%) 2/14 (14.3%) 0/22 (0%)
    Herpes simplex 1/3 (33.3%) 0/3 (0%) 0/26 (0%) 0/14 (0%) 0/22 (0%)
    Herpes zoster 1/3 (33.3%) 0/3 (0%) 0/26 (0%) 0/14 (0%) 0/22 (0%)
    Lung infection 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 1/14 (7.1%) 3/22 (13.6%)
    Oral candidiasis 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 1/14 (7.1%) 2/22 (9.1%)
    Otitis media 1/3 (33.3%) 0/3 (0%) 0/26 (0%) 0/14 (0%) 0/22 (0%)
    Pneumonia 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 1/14 (7.1%) 1/22 (4.5%)
    Sepsis 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 1/14 (7.1%) 0/22 (0%)
    Skin infection 1/3 (33.3%) 0/3 (0%) 0/26 (0%) 0/14 (0%) 1/22 (4.5%)
    Subcutaneous abscess 1/3 (33.3%) 0/3 (0%) 0/26 (0%) 0/14 (0%) 0/22 (0%)
    Upper respiratory tract infection 1/3 (33.3%) 0/3 (0%) 0/26 (0%) 0/14 (0%) 1/22 (4.5%)
    Urinary tract infection 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 1/14 (7.1%) 2/22 (9.1%)
    Injury, poisoning and procedural complications
    Allergic transfusion reaction 1/3 (33.3%) 1/3 (33.3%) 0/26 (0%) 0/14 (0%) 0/22 (0%)
    Compression fracture 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Fall 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 0/14 (0%) 2/22 (9.1%)
    Infusion related reaction 0/3 (0%) 0/3 (0%) 0/26 (0%) 2/14 (14.3%) 2/22 (9.1%)
    Procedural pain 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 1/14 (7.1%) 0/22 (0%)
    Transfusion reaction 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Investigations
    Alanine aminotransferase increased 1/3 (33.3%) 0/3 (0%) 2/26 (7.7%) 1/14 (7.1%) 2/22 (9.1%)
    Amylase increased 0/3 (0%) 0/3 (0%) 2/26 (7.7%) 0/14 (0%) 0/22 (0%)
    Aspartate aminotransferase increased 1/3 (33.3%) 0/3 (0%) 1/26 (3.8%) 0/14 (0%) 0/22 (0%)
    Blood alkaline phosphatase increased 0/3 (0%) 1/3 (33.3%) 1/26 (3.8%) 1/14 (7.1%) 1/22 (4.5%)
    Blood bilirubin increased 0/3 (0%) 1/3 (33.3%) 3/26 (11.5%) 1/14 (7.1%) 0/22 (0%)
    Blood creatine phosphokinase increased 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Blood creatinine increased 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 1/14 (7.1%) 0/22 (0%)
    C-reactive protein increased 0/3 (0%) 0/3 (0%) 0/26 (0%) 0/14 (0%) 2/22 (9.1%)
    Electrocardiogram QT prolonged 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 1/14 (7.1%) 0/22 (0%)
    Lipase increased 1/3 (33.3%) 0/3 (0%) 2/26 (7.7%) 0/14 (0%) 2/22 (9.1%)
    Neutrophil count decreased 2/3 (66.7%) 0/3 (0%) 3/26 (11.5%) 1/14 (7.1%) 6/22 (27.3%)
    Platelet count decreased 2/3 (66.7%) 3/3 (100%) 6/26 (23.1%) 4/14 (28.6%) 8/22 (36.4%)
    Troponin T increased 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Weight decreased 0/3 (0%) 0/3 (0%) 0/26 (0%) 0/14 (0%) 2/22 (9.1%)
    White blood cell count decreased 0/3 (0%) 0/3 (0%) 5/26 (19.2%) 1/14 (7.1%) 3/22 (13.6%)
    Metabolism and nutrition disorders
    Decreased appetite 1/3 (33.3%) 0/3 (0%) 3/26 (11.5%) 2/14 (14.3%) 4/22 (18.2%)
    Dehydration 1/3 (33.3%) 0/3 (0%) 2/26 (7.7%) 0/14 (0%) 1/22 (4.5%)
    Diabetes mellitus 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Fluid overload 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Glucose tolerance impaired 0/3 (0%) 1/3 (33.3%) 0/26 (0%) 0/14 (0%) 1/22 (4.5%)
    Hyperglycaemia 1/3 (33.3%) 0/3 (0%) 0/26 (0%) 0/14 (0%) 2/22 (9.1%)
    Hyperkalaemia 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 2/22 (9.1%)
    Hypermagnesaemia 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Hypernatraemia 0/3 (0%) 0/3 (0%) 2/26 (7.7%) 0/14 (0%) 0/22 (0%)
    Hypoalbuminaemia 0/3 (0%) 0/3 (0%) 2/26 (7.7%) 1/14 (7.1%) 1/22 (4.5%)
    Hypoglycaemia 0/3 (0%) 1/3 (33.3%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Hypokalaemia 1/3 (33.3%) 1/3 (33.3%) 1/26 (3.8%) 3/14 (21.4%) 3/22 (13.6%)
    Hypomagnesaemia 0/3 (0%) 0/3 (0%) 3/26 (11.5%) 0/14 (0%) 0/22 (0%)
    Hyponatraemia 0/3 (0%) 0/3 (0%) 2/26 (7.7%) 2/14 (14.3%) 1/22 (4.5%)
    Metabolic acidosis 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 1/22 (4.5%)
    Tumour lysis syndrome 0/3 (0%) 0/3 (0%) 2/26 (7.7%) 0/14 (0%) 0/22 (0%)
    Musculoskeletal and connective tissue disorders
    Arthralgia 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 2/22 (9.1%)
    Back pain 2/3 (66.7%) 0/3 (0%) 0/26 (0%) 4/14 (28.6%) 0/22 (0%)
    Bone pain 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Costochondritis 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Joint swelling 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Muscular weakness 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Musculoskeletal chest pain 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Musculoskeletal pain 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 1/14 (7.1%) 1/22 (4.5%)
    Neck pain 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 2/14 (14.3%) 1/22 (4.5%)
    Pain in extremity 1/3 (33.3%) 0/3 (0%) 1/26 (3.8%) 0/14 (0%) 0/22 (0%)
    Polymyalgia rheumatica 1/3 (33.3%) 0/3 (0%) 0/26 (0%) 0/14 (0%) 0/22 (0%)
    Tendonitis 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Acute myeloid leukaemia 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 0/14 (0%) 3/22 (13.6%)
    Nervous system disorders
    Dizziness 0/3 (0%) 0/3 (0%) 2/26 (7.7%) 0/14 (0%) 2/22 (9.1%)
    Headache 0/3 (0%) 0/3 (0%) 3/26 (11.5%) 3/14 (21.4%) 2/22 (9.1%)
    Psychiatric disorders
    Adjustment disorder with depressed mood 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Anxiety 0/3 (0%) 0/3 (0%) 0/26 (0%) 2/14 (14.3%) 0/22 (0%)
    Confusional state 0/3 (0%) 0/3 (0%) 2/26 (7.7%) 0/14 (0%) 0/22 (0%)
    Delirium 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Insomnia 0/3 (0%) 0/3 (0%) 7/26 (26.9%) 1/14 (7.1%) 1/22 (4.5%)
    Renal and urinary disorders
    Acute kidney injury 1/3 (33.3%) 0/3 (0%) 1/26 (3.8%) 1/14 (7.1%) 0/22 (0%)
    Haematuria 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Renal tubular disorder 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Reproductive system and breast disorders
    Breast pain 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Genital ulceration 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Prostatitis 0/3 (0%) 1/3 (33.3%) 0/26 (0%) 0/14 (0%) 0/22 (0%)
    Respiratory, thoracic and mediastinal disorders
    Cough 0/3 (0%) 2/3 (66.7%) 6/26 (23.1%) 3/14 (21.4%) 2/22 (9.1%)
    Dyspnoea 0/3 (0%) 0/3 (0%) 5/26 (19.2%) 4/14 (28.6%) 1/22 (4.5%)
    Dyspnoea exertional 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Epistaxis 0/3 (0%) 0/3 (0%) 2/26 (7.7%) 1/14 (7.1%) 0/22 (0%)
    Hypoxia 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 1/14 (7.1%) 0/22 (0%)
    Interstitial lung disease 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Oropharyngeal pain 0/3 (0%) 1/3 (33.3%) 3/26 (11.5%) 2/14 (14.3%) 1/22 (4.5%)
    Pleural effusion 0/3 (0%) 0/3 (0%) 1/26 (3.8%) 1/14 (7.1%) 1/22 (4.5%)
    Productive cough 0/3 (0%) 0/3 (0%) 3/26 (11.5%) 0/14 (0%) 0/22 (0%)
    Rhinorrhoea 0/3 (0%) 0/3 (0%) 0/26 (0%) 2/14 (14.3%) 0/22 (0%)
    Stridor 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Upper respiratory tract inflammation 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Wheezing 0/3 (0%) 0/3 (0%) 0/26 (0%) 2/14 (14.3%) 1/22 (4.5%)
    Skin and subcutaneous tissue disorders
    Acute febrile neutrophilic dermatosis 0/3 (0%) 0/3 (0%) 0/26 (0%) 0/14 (0%) 2/22 (9.1%)
    Dermatitis allergic 0/3 (0%) 1/3 (33.3%) 0/26 (0%) 0/14 (0%) 0/22 (0%)
    Drug eruption 1/3 (33.3%) 0/3 (0%) 0/26 (0%) 0/14 (0%) 0/22 (0%)
    Dry skin 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 1/22 (4.5%)
    Ecchymosis 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 2/22 (9.1%)
    Erythema 0/3 (0%) 0/3 (0%) 0/26 (0%) 2/14 (14.3%) 1/22 (4.5%)
    Petechiae 0/3 (0%) 0/3 (0%) 2/26 (7.7%) 2/14 (14.3%) 0/22 (0%)
    Pruritus 0/3 (0%) 1/3 (33.3%) 0/26 (0%) 1/14 (7.1%) 1/22 (4.5%)
    Rash 1/3 (33.3%) 0/3 (0%) 0/26 (0%) 3/14 (21.4%) 2/22 (9.1%)
    Rash maculo-papular 0/3 (0%) 0/3 (0%) 2/26 (7.7%) 1/14 (7.1%) 2/22 (9.1%)
    Skin exfoliation 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Vascular disorders
    Haematoma 0/3 (0%) 0/3 (0%) 2/26 (7.7%) 0/14 (0%) 1/22 (4.5%)
    Haemorrhage 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Hypertension 1/3 (33.3%) 0/3 (0%) 3/26 (11.5%) 2/14 (14.3%) 1/22 (4.5%)
    Hypotension 0/3 (0%) 0/3 (0%) 0/26 (0%) 1/14 (7.1%) 0/22 (0%)
    Vasculitis 0/3 (0%) 0/3 (0%) 3/26 (11.5%) 0/14 (0%) 0/22 (0%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 60 days. The sponsor cannot require changes to the communication and cannot extend the embargo.

    Results Point of Contact

    Name/Title Bristol-Myers Squibb Study Director
    Organization Bristol-Myers Squibb
    Phone Please email:
    Email Clinical.Trials@bms.com
    Responsible Party:
    Bristol-Myers Squibb
    ClinicalTrials.gov Identifier:
    NCT02305563
    Other Study ID Numbers:
    • CA212-016
    First Posted:
    Dec 2, 2014
    Last Update Posted:
    Sep 16, 2021
    Last Verified:
    Aug 1, 2021