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Monoclonal Antibodies

Tagraxofusp + Gemtuzumab for Acute Myeloid Leukemia (GO-TAG Trial)

Phase 1
Recruiting
Research Sponsored by Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 2.5 years
Awards & highlights

GO-TAG Trial Summary

This trial is testing a new drug to treat relapsed/refractory acute myeloid leukemia. It will measure safety and efficacy of the drug in combination with another drug.

Who is the study for?
This trial is for patients aged 12 or older with relapsed/refractory AML, confirmed by WHO criteria. Participants must have a good heart function (LVEF ≥ 50%), no significant ECG abnormalities, adequate kidney function (CrCl ≥ 60mL/min), and acceptable liver function tests. They should not have received certain treatments recently and must be able to consent and follow the study schedule. Women of childbearing potential need a negative pregnancy test.Check my eligibility
What is being tested?
The trial is testing tagraxofusp-erzs combined with gemtuzumab ozogamicin in patients with AML that has come back or didn't respond to treatment. It's an open-label Phase Ia/Ib study aiming to find the safest dose for phase 2 trials while checking how well patients tolerate this drug combination.See study design
What are the potential side effects?
Potential side effects may include reactions related to the immune system, such as inflammation in various organs due to the body's response to these drugs; blood disorders; fatigue; digestive issues like nausea or diarrhea; and increased risk of infections.

GO-TAG Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~2.5 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and 2.5 years for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Determination of the recommended phase 2 dose (RP2D) of tagraxofusp-erzs in combination with gemtuzumab ozogamicin in patient with relapsed or refractory acute myeloid leukemia (AML)
Determination of the safety and tolerability of combination gemtuzumab and tagraxofusp-erzs when administered at the RP2D.
Secondary outcome measures
Duration of response
Overall Survival
Overall response rate
+2 more

GO-TAG Trial Design

2Treatment groups
Experimental Treatment
Group I: Phase 1b recommended Phase 2 dose (RP2D) of tagraxofusp- erzs in r/r AMLExperimental Treatment1 Intervention
This is dose expansion at the RP2D of tagraxofusp. Participants with relapsed or refractory acute myeloid leukemia (r/r AML) will receive the RP2D of tagraxofusp-erzs, as determined in Phase 1a, and gemtuzumab at a dose of 3mg/m2 (max absolute dose of 4.5mg) on days 1,4, and 7 of cycle 1 and day 1 of subsequent cycles.
Group II: Phase 1a Dose Escalation of tagraxofusp-erzs in r/r AMLExperimental Treatment1 Intervention
Tagraxofusp-erzs and gemtuzumab ozogamicin (GO) will be administered every 4 weeks with 28 days defined as a treatment cycle. Tagraxofusp-erzs dose escalation for cycles 1-4 in combination with fixed dose GO. This is a dose escalation design . The dose-limiting toxicity (DLT) period will be the 28 days following the first dose of GO. The initial dose level 1 (DL1) cohort will receive GO 3mg/m2 (capped at a maximum dose of 4.5mg) intravenously (IV) on cycle 1 days 1, 4, and 7 and tagraxofusp-erzs at an initial dose of 7μg/kg/day on days 10, 11, 12. For subsequent cycles of DL1, GO will continue to be administered at a dose of 3mg/m2 IV on day 1 and tagraxofusp-erzs will be administered IV at a dose of 7μg/kg/day on days 4,5,and 6. Subsequent escalation dose levels will receive tagraxofusp-erzs doses of 7mcg/kg/day, 9mcg/kg/day or 12mcg/kg/day. Initial cycle doses of tagraxofusp at these levels will be given on Days 5,6 and 7, then in subsequent cycles on days 1,2 and 3.

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Who is running the clinical trial?

Sidney Kimmel Comprehensive Cancer Center at Johns HopkinsLead Sponsor
558 Previous Clinical Trials
32,884 Total Patients Enrolled
StemlineTherapeutics, Inc.UNKNOWN

Media Library

Gemtuzumab Ozogamicin (Monoclonal Antibodies) Clinical Trial Eligibility Overview. Trial Name: NCT05716009 — Phase 1
Acute Myeloid Leukemia Research Study Groups: Phase 1a Dose Escalation of tagraxofusp-erzs in r/r AML, Phase 1b recommended Phase 2 dose (RP2D) of tagraxofusp- erzs in r/r AML
Acute Myeloid Leukemia Clinical Trial 2023: Gemtuzumab Ozogamicin Highlights & Side Effects. Trial Name: NCT05716009 — Phase 1
Gemtuzumab Ozogamicin (Monoclonal Antibodies) 2023 Treatment Timeline for Medical Study. Trial Name: NCT05716009 — Phase 1

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Has the FDA authenticated Phase 1a Dose Escalation of tagraxofusp-erzs in relapsed or refractory Acute Myeloid Leukemia?

"Based on our internal assessment, the safety of phase 1a dose escalation of tagraxofusp-erzs in r/r AML was rated a 1 as this is still an early stage trial and there is minimal data to support its efficacy or safety."

Answered by AI

Does this research endeavor currently have any openings for participants?

"This study, which was first published on February 25th 2023 and last edited on January 27th 2023, is not presently enrolling patients. Nonetheless, there are 512 other clinical trials that require participants at this time."

Answered by AI

What objectives does this research endeavor seek to realize?

"This clinical trial seeks to evaluate the safety and tolerability of a combination therapy comprised of gemtuzumab and tagraxofusp-erzs. The primary outcome will be assessed over 2.5 years, with secondary outcomes such as overall survival rate (calculated via Kaplan and Meier), response rate according to 2022 international consensus classification (ICC) standards, and time taken for patients to respond to treatment being monitored too."

Answered by AI
~24 spots leftby Dec 2027