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A Phase 2, Multicenter, Open-label Study of MEDI-551 in Adults With Relapsed or Refractory Chronic Lymphocytic Leukemia (CLL)

A Phase 2 Open-label Study of MEDI-551 and Bendamustine vs Rituximab and Bendamustine in Adults With Relapsed or Refractory CLL

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01466153
Enrollment
183
Registered
2011-11-07
Start date
2012-02-07
Completion date
2016-01-08
Last updated
2017-05-31

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Chronic Lymphocytic Leukemia (CLL)

Keywords

Chronic lymphocytic leukemia; leukemia; B-Cell malignancy; anti-CD19; monoclonal antibody; CLL; Refractory; Relapse; Non-Hodgkin's Lymphoma

Brief summary

The overall purpose of the study was to determine if MEDI-551, when used in combination with salvage chemotherapy (bendamustine) in participants with relapsed or refractory CLL who are not eligible for Autologous Stem Cell Transplant (ASCT), had superior efficacy compared to rituximab in the same population.

Interventions

DRUGRituximab

Rituximab was administered by IV infusion as a dose of 375 mg/m\^2 on Day 2 of Cycle 1 and then at 500 mg/m\^2 on Day 1 of up to 5 subsequent 28-day cycles

DRUGBendamustine

Bendamustine was administered by IV infusion as a dose of 70 mg/m\^2 on Day 1 and Day 2 of each 5 subsequent 28-day cycle.

MEDI-551 was administered at 2 mg/kg or 4 mg/kg by IV infusion on Days 2 and 8 of Cycle 1 and then on Day 1 of up to 5 subsequent 28-day cycles.

Sponsors

MedImmune LLC
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
No

Inclusion criteria

* Histologically confirmed B-cell Chronic Lymphocytic Leukemia (CLL) according to the National Cancer Institute criteria; Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2; Adequate hematological function

Exclusion criteria

* Any chemotherapy, radiotherapy, immunotherapy, biologic, investigational, or hormonal therapy for treatment of lymphoma within 28 days prior to treatment; * Exposure to bendamustine within the 180 days before study enrollment * Prior autologous or allogeneic stem cell transplantation (SCT); * Clinically significant abnormality on electrocardiogram (ECG) as determined by the treating physician or medical monitor; * History of other invasive malignancy within 5 years except for localized/in situ carcinomas; * Evidence of active infection, Confirmed current central nervous system involvement by leukemia or lymphoma;

Design outcomes

Primary

MeasureTime frameDescription
Objective Response RateFrom treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)ORR, defined as the proportion of participants with complete response (CR) or partial response (PR) out of total number of participants. Responses were assessed by using National Cancer Institute - Working Group guidelines on CLL.

Secondary

MeasureTime frameDescription
Number of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsFrom time of consent to 90 days post last doseAn abnormal laboratory finding which required an action or intervention by the investigator, or a finding judged by the investigator to represent a change beyond the range of normal physiologic fluctuation were reported as an adverse event. Laboratory evaluations (haematology, serum chemistry and urinalysis) of blood and urine samples were performed.
Number of Participants With Abnormal Vital Signs and Electrocardiogram Reported as AEsFrom time of consent to 90 days post last doseAEs observed in participants with clinically significant ECG abnormalities were assessed.
Complete Response RateFrom treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)Complete response was as per IWG was the complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present before therapy.
Minimal Residual Disease Negative Complete Response (CR) RateFrom treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)The MRD-negative CR rate was defined as the percentage of participants who achieved CR and became MRD-negative as determined by flow cytometry. CR as per International Working Group (IWG) was complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present before therapy.
Time to ResponseFrom treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)Time to response was evaluated using the Kaplan-Meier method.
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs) and Adverse Events of Special Interest (AESIs)From time of consent to 90 days post last doseAn adverse event (AE) was any untoward medical occurrence attributed to study drug in a participant who received study drug (MEDI-551). A serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience; persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between administration of study drug and Day 90 that were absent before treatment or that worsened relative to pre-treatment state. An AESIs was one of scientific and medical interest specific to understanding of study product and may have required close monitoring and rapid communication by investigator to the sponsor. Treatment emergent AESIs were collected from the time of dosing through Day 90 after the last dose of study drug.Hepatic function abnormality and infusion reactions resulting in discontinuation were considered as AESIs.
Progression Free Survival (PFS)From treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)PFS was measured from the start of treatment with study drug until the first documentation of disease progression or death due to any cause, whichever occurred first. Kaplan-Meier method was used for evaluation.
Overall Survival (OS)From treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)OS was determined as the time from the start of treatment with study drug until death due to any cause. For participants who were alive at the end of the study or lost to follow-up, OS was censored on the last date when the participant was known be alive. Kaplan-Meier method was used for evaluation.
Number of Participants Who Developed Detectable Anti-drug Antibodies (ADA)From treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)A participant was considered ADA-positive across the study if they had a positive reading at any time point during the study.
Terminal Half Life (t1/2) of MEDI-551Pre-infusion and 1 hour post infusion on Days 2 and 8, Days 15 and 22 of cycle 1Terminal phase elimination half-life (T1/2) was the time required for half of the drug to be eliminated from the serum.
Time to Disease Progression (TTP)From treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)TTP was defined as the time from onset of treatment with study drug until first evidence/diagnosis of progressive disease or - in the absence of any diagnosis of progressive disease - until the participant´s death.

Countries

Belgium, Canada, France, Germany, Israel, Italy, Poland, United States

Participant flow

Pre-assignment details

A total of 182 participants were screened and 159 participants were randomized.

Participants by arm

ArmCount
Rituximab + Bendamustine
Rituximab was administered by IV infusion as 375 mg/m\^2 on Day 2 of Cycle 1 and then 500 mg/m\^2 on Day 1 of up to 5 subsequent 28-day cycle. Bendamustine was also administered by IV infusion on Day 1 and Day 2 of every cycle (total 6 cycles). Bendamustine was administered before the administration of rituximab in each cycle.
62
MEDI-551 2 mg/kg + Bendamustine
MEDI-551 2 mg/kg was administered by IV infusion on Days 2 and 8 of Cycle 1 and then on Day 1 of up to 5 subsequent 28-day cycle. Bendamustine was also administered by IV infusion on Day 1 and Day 2 of every cycle (total 6 cycles). Bendamustine was administered before the administration of MEDI-551 in each cycle.
36
MEDI-551 4 mg/kg + Bendamustine
MEDI-551 4 mg/kg was administered by IV infusion on Days 2 and 8 of Cycle 1 and then on Day 1 of up to 5 subsequent 28-day cycle. Bendamustine was also administered by IV infusion on Day 1 and Day 2 of every cycle (total 6 cycles). Bendamustine was administered before the administration of MEDI-551 in each cycle.
61
TOTAL
Total of all reporting groups
159
Total318

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyAdverse Event141317
Overall StudyDisease Progression220
Overall StudyInvestigator Discretion322
Overall StudyOther-Unspecified642
Overall StudyRandomized-Not Treated234
Overall StudyWithdrawal of Consent200

Baseline characteristics

CharacteristicRituximab + BendamustineMEDI-551 2 mg/kg + BendamustineMEDI-551 4 mg/kg + BendamustineTOTAL
Age, Continuous63.4 YEARS
STANDARD_DEVIATION 8.8
65.1 YEARS
STANDARD_DEVIATION 8.7
66.3 YEARS
STANDARD_DEVIATION 8.9
65.1 YEARS
STANDARD_DEVIATION 8.8
Sex: Female, Male
Female
16 Participants14 Participants18 Participants48 Participants
Sex: Female, Male
Male
46 Participants22 Participants43 Participants111 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —
other
Total, other adverse events
58 / 6031 / 3354 / 57
serious
Total, serious adverse events
19 / 6016 / 3319 / 57

Outcome results

Primary

Objective Response Rate

ORR, defined as the proportion of participants with complete response (CR) or partial response (PR) out of total number of participants. Responses were assessed by using National Cancer Institute - Working Group guidelines on CLL.

Time frame: From treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)

Population: Intent-to-treat (ITT) population includes all participants who were randomized into the study.

ArmMeasureValue (NUMBER)
Rituximab + BendamustineObjective Response Rate59.7 Percentage of Participants
MEDI-551 2 mg/kg + BendamustineObjective Response Rate52.8 Percentage of Participants
MEDI-551 4 mg/kg + BendamustineObjective Response Rate63.9 Percentage of Participants
p-value: 0.4475Cochran-Mantel-Haenszel
Secondary

Complete Response Rate

Complete response was as per IWG was the complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present before therapy.

Time frame: From treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)

Population: Intent-to-treat (ITT) population includes all participants who were randomized into the study.

ArmMeasureValue (NUMBER)
Rituximab + BendamustineComplete Response Rate6.5 Percentage of Participants
MEDI-551 2 mg/kg + BendamustineComplete Response Rate5.6 Percentage of Participants
MEDI-551 4 mg/kg + BendamustineComplete Response Rate11.5 Percentage of Participants
p-value: 0.3206Cochran-Mantel-Haenszel
Secondary

Minimal Residual Disease Negative Complete Response (CR) Rate

The MRD-negative CR rate was defined as the percentage of participants who achieved CR and became MRD-negative as determined by flow cytometry. CR as per International Working Group (IWG) was complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present before therapy.

Time frame: From treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)

Population: Intent-to-treat (ITT) population includes all participants who were randomized into the study.

ArmMeasureValue (NUMBER)
Rituximab + BendamustineMinimal Residual Disease Negative Complete Response (CR) Rate1.6 Percentage of Participants
MEDI-551 2 mg/kg + BendamustineMinimal Residual Disease Negative Complete Response (CR) Rate5.6 Percentage of Participants
MEDI-551 4 mg/kg + BendamustineMinimal Residual Disease Negative Complete Response (CR) Rate4.9 Percentage of Participants
p-value: 0.313Cochran-Mantel-Haenszel
Secondary

Number of Participants Who Developed Detectable Anti-drug Antibodies (ADA)

A participant was considered ADA-positive across the study if they had a positive reading at any time point during the study.

Time frame: From treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)

Population: The safety population includes all participants who received any investigational product. Participants whom ADA samples were available were analyzed for this outcome measure.

ArmMeasureValue (NUMBER)
Rituximab + BendamustineNumber of Participants Who Developed Detectable Anti-drug Antibodies (ADA)4 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants Who Developed Detectable Anti-drug Antibodies (ADA)8 Participants
Secondary

Number of Participants With Abnormal Clinical Laboratory Parameters Reported as AEs

An abnormal laboratory finding which required an action or intervention by the investigator, or a finding judged by the investigator to represent a change beyond the range of normal physiologic fluctuation were reported as an adverse event. Laboratory evaluations (haematology, serum chemistry and urinalysis) of blood and urine samples were performed.

Time frame: From time of consent to 90 days post last dose

Population: The safety population includes all participants who received any investigational product.

ArmMeasureGroupValue (NUMBER)
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHyperbilirubinaemia0 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsAnaemia18 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHyponatraemia2 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsPlatelet Count Decreased2 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHepatic enzyme Increased1 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsAlanine Aminotransferase Increased1 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHyperkalaemia2 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsGamma-Glutamyltransferase Increased1 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsAspartate Aminotransferase Increased1 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsBlood Urea Increased1 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsBlood Alkaline Phosphatase Increased1 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsNeutrophil Count Decreased9 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsBlood Lactate Dehydrogenase Increased4 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsBlood Bilirubin Increased0 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHyperlipidaemia0 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsBlood Immunoglobulin G Decreased0 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsBlood Cholesterol Decreased0 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsWhite Blood Cells in Urine0 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsBlood Creatinine Increased1 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsBlood Creatinine Decreased1 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsLymphocyte Count Decreased3 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHypermagnesaemia1 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsProteinuria0 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsBlood Immunoglobulin g Decreased0 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHyperphosphataemia0 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHaemoglobin Decreased0 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsBlood Fibrinogen Increased1 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHypertriglyceridaemia1 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHaematuria0 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsActivated Partial Thromboplastin Time Prolonged2 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHyperuricaemia3 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHypercholesterolaemia1 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsThromobocytopenia12 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHypoalbuminaemia2 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHypercalcaemia1 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsNeutropenia28 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHypocalcaemia3 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsProthrombin Time Shortened1 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsLymphopenia4 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHypokalaemia6 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHyperglycaemia4 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsEosinophilia0 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHypomagnesaemia2 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHyperkalaemia1 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHyperbilirubinaemia2 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHypercalcaemia0 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHypercholesterolaemia0 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHyperglycaemia2 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHyperlipidaemia1 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHypermagnesaemia0 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHyperphosphataemia1 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHypertriglyceridaemia0 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHyperuricaemia5 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHypoalbuminaemia0 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHypocalcaemia1 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHypokalaemia1 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHypomagnesaemia2 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHyponatraemia1 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsAlanine Aminotransferase Increased0 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsAspartate Aminotransferase Increased0 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsBlood Alkaline Phosphatase Increased1 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsBlood Bilirubin Increased1 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsBlood Cholesterol Decreased0 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsBlood Creatinine Decreased0 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsBlood Creatinine Increased2 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsBlood Immunoglobulin G Decreased0 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsBlood Lactate Dehydrogenase Increased0 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsBlood Urea Increased1 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsGamma-Glutamyltransferase Increased1 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHepatic enzyme Increased0 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsAnaemia7 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsEosinophilia0 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsLymphopenia3 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsNeutropenia10 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsThromobocytopenia6 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsActivated Partial Thromboplastin Time Prolonged0 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsBlood Fibrinogen Increased0 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsBlood Immunoglobulin g Decreased0 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHaemoglobin Decreased1 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsLymphocyte Count Decreased0 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsNeutrophil Count Decreased1 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsPlatelet Count Decreased2 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsProthrombin Time Shortened0 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHaematuria2 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsProteinuria1 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsWhite Blood Cells in Urine0 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHyperglycaemia1 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsEosinophilia1 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHypocalcaemia1 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsWhite Blood Cells in Urine1 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsLymphopenia1 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsNeutropenia19 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHypoalbuminaemia2 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsPlatelet Count Decreased3 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHyperuricaemia2 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHypercholesterolaemia1 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsThromobocytopenia10 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHypertriglyceridaemia0 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsProteinuria0 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsActivated Partial Thromboplastin Time Prolonged0 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHyperphosphataemia1 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsProthrombin Time Shortened0 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsBlood Fibrinogen Increased0 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHypermagnesaemia0 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHypercalcaemia0 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsBlood Immunoglobulin g Decreased1 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsBlood Immunoglobulin G Decreased1 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsBlood Creatinine Decreased0 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsBlood Cholesterol Decreased1 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHaemoglobin Decreased0 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsBlood Creatinine Increased1 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsBlood Bilirubin Increased1 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHyperlipidaemia0 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsBlood Alkaline Phosphatase Increased2 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHaematuria1 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsBlood Lactate Dehydrogenase Increased0 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsAspartate Aminotransferase Increased3 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsLymphocyte Count Decreased2 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsBlood Urea Increased0 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsAlanine Aminotransferase Increased3 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHyperkalaemia2 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsGamma-Glutamyltransferase Increased2 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHyponatraemia0 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHyperbilirubinaemia1 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHepatic enzyme Increased0 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHypomagnesaemia1 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsNeutrophil Count Decreased3 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsAnaemia9 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Clinical Laboratory Parameters Reported as AEsHypokalaemia4 Participants
Secondary

Number of Participants With Abnormal Vital Signs and Electrocardiogram Reported as AEs

AEs observed in participants with clinically significant ECG abnormalities were assessed.

Time frame: From time of consent to 90 days post last dose

Population: The safety population includes all participants who received any investigational product.

ArmMeasureGroupValue (NUMBER)
Rituximab + BendamustineNumber of Participants With Abnormal Vital Signs and Electrocardiogram Reported as AEsSinus Tachycardia1 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Vital Signs and Electrocardiogram Reported as AEsAtrial Fibrillation1 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Vital Signs and Electrocardiogram Reported as AEsAtrioventricular Block1 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Vital Signs and Electrocardiogram Reported as AEsPalpitations0 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Vital Signs and Electrocardiogram Reported as AEsSinus Bradycardia1 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Vital Signs and Electrocardiogram Reported as AEsTachycardia2 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Vital Signs and Electrocardiogram Reported as AEsPyrexia20 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Vital Signs and Electrocardiogram Reported as AEsDyspnoea9 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Vital Signs and Electrocardiogram Reported as AEsDyspnoea Exertional3 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Vital Signs and Electrocardiogram Reported as AEsHypertension1 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Vital Signs and Electrocardiogram Reported as AEsHypotension5 Participants
Rituximab + BendamustineNumber of Participants With Abnormal Vital Signs and Electrocardiogram Reported as AEsOrthostatic Hypotension0 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Vital Signs and Electrocardiogram Reported as AEsOrthostatic Hypotension0 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Vital Signs and Electrocardiogram Reported as AEsDyspnoea Exertional1 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Vital Signs and Electrocardiogram Reported as AEsAtrial Fibrillation2 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Vital Signs and Electrocardiogram Reported as AEsPyrexia11 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Vital Signs and Electrocardiogram Reported as AEsTachycardia1 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Vital Signs and Electrocardiogram Reported as AEsAtrioventricular Block0 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Vital Signs and Electrocardiogram Reported as AEsHypotension2 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Vital Signs and Electrocardiogram Reported as AEsDyspnoea2 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Vital Signs and Electrocardiogram Reported as AEsPalpitations0 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Vital Signs and Electrocardiogram Reported as AEsSinus Tachycardia0 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Vital Signs and Electrocardiogram Reported as AEsHypertension0 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Abnormal Vital Signs and Electrocardiogram Reported as AEsSinus Bradycardia0 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Vital Signs and Electrocardiogram Reported as AEsHypotension6 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Vital Signs and Electrocardiogram Reported as AEsSinus Tachycardia0 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Vital Signs and Electrocardiogram Reported as AEsHypertension1 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Vital Signs and Electrocardiogram Reported as AEsTachycardia1 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Vital Signs and Electrocardiogram Reported as AEsPyrexia14 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Vital Signs and Electrocardiogram Reported as AEsDyspnoea4 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Vital Signs and Electrocardiogram Reported as AEsSinus Bradycardia0 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Vital Signs and Electrocardiogram Reported as AEsAtrial Fibrillation1 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Vital Signs and Electrocardiogram Reported as AEsDyspnoea Exertional0 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Vital Signs and Electrocardiogram Reported as AEsAtrioventricular Block0 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Vital Signs and Electrocardiogram Reported as AEsOrthostatic Hypotension1 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Abnormal Vital Signs and Electrocardiogram Reported as AEsPalpitations2 Participants
Secondary

Number of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs) and Adverse Events of Special Interest (AESIs)

An adverse event (AE) was any untoward medical occurrence attributed to study drug in a participant who received study drug (MEDI-551). A serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience; persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between administration of study drug and Day 90 that were absent before treatment or that worsened relative to pre-treatment state. An AESIs was one of scientific and medical interest specific to understanding of study product and may have required close monitoring and rapid communication by investigator to the sponsor. Treatment emergent AESIs were collected from the time of dosing through Day 90 after the last dose of study drug.Hepatic function abnormality and infusion reactions resulting in discontinuation were considered as AESIs.

Time frame: From time of consent to 90 days post last dose

Population: The safety population includes all participants who received any investigational product.

ArmMeasureGroupValue (NUMBER)
Rituximab + BendamustineNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs) and Adverse Events of Special Interest (AESIs)TESAEs19 Participants
Rituximab + BendamustineNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs) and Adverse Events of Special Interest (AESIs)TEAEs58 Participants
Rituximab + BendamustineNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs) and Adverse Events of Special Interest (AESIs)AESIs2 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs) and Adverse Events of Special Interest (AESIs)TESAEs16 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs) and Adverse Events of Special Interest (AESIs)TEAEs33 Participants
MEDI-551 2 mg/kg + BendamustineNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs) and Adverse Events of Special Interest (AESIs)AESIs4 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs) and Adverse Events of Special Interest (AESIs)TEAEs57 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs) and Adverse Events of Special Interest (AESIs)AESIs6 Participants
MEDI-551 4 mg/kg + BendamustineNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs) and Adverse Events of Special Interest (AESIs)TESAEs19 Participants
Secondary

Overall Survival (OS)

OS was determined as the time from the start of treatment with study drug until death due to any cause. For participants who were alive at the end of the study or lost to follow-up, OS was censored on the last date when the participant was known be alive. Kaplan-Meier method was used for evaluation.

Time frame: From treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)

Population: Intent-to-treat (ITT) population includes all participants who were randomized into the study.

ArmMeasureValue (NUMBER)
Rituximab + BendamustineOverall Survival (OS)NA Months
MEDI-551 2 mg/kg + BendamustineOverall Survival (OS)NA Months
MEDI-551 4 mg/kg + BendamustineOverall Survival (OS)NA Months
Secondary

Progression Free Survival (PFS)

PFS was measured from the start of treatment with study drug until the first documentation of disease progression or death due to any cause, whichever occurred first. Kaplan-Meier method was used for evaluation.

Time frame: From treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)

Population: Intent-to-treat (ITT) population includes all participants who were randomized into the study.

ArmMeasureValue (MEDIAN)
Rituximab + BendamustineProgression Free Survival (PFS)14.8 Months
MEDI-551 2 mg/kg + BendamustineProgression Free Survival (PFS)15.0 Months
MEDI-551 4 mg/kg + BendamustineProgression Free Survival (PFS)16.1 Months
Secondary

Terminal Half Life (t1/2) of MEDI-551

Terminal phase elimination half-life (T1/2) was the time required for half of the drug to be eliminated from the serum.

Time frame: Pre-infusion and 1 hour post infusion on Days 2 and 8, Days 15 and 22 of cycle 1

Population: The safety population includes all participants who received any investigational product. Participants whom PK samples were available were analyzed for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Rituximab + BendamustineTerminal Half Life (t1/2) of MEDI-55117.2 DayStandard Deviation 9.56
MEDI-551 2 mg/kg + BendamustineTerminal Half Life (t1/2) of MEDI-55122.0 DayStandard Deviation 14.4
Secondary

Time to Disease Progression (TTP)

TTP was defined as the time from onset of treatment with study drug until first evidence/diagnosis of progressive disease or - in the absence of any diagnosis of progressive disease - until the participant´s death.

Time frame: From treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)

Population: Intent-to-treat (ITT) population includes all participants who were randomized into the study.

ArmMeasureValue (MEDIAN)
Rituximab + BendamustineTime to Disease Progression (TTP)15.4 Months
MEDI-551 2 mg/kg + BendamustineTime to Disease Progression (TTP)15.0 Months
MEDI-551 4 mg/kg + BendamustineTime to Disease Progression (TTP)16.1 Months
p-value: 0.9527Log Rank
Secondary

Time to Response

Time to response was evaluated using the Kaplan-Meier method.

Time frame: From treatment administration (Day 1) until disease progression, death, initiation of alternative therapy, withdrawal of consent, or end of study (up to 24 months)

Population: Intent-to-treat (ITT) population includes all participants who were randomized into the study.

ArmMeasureValue (MEDIAN)
Rituximab + BendamustineTime to Response2.1 Months
MEDI-551 2 mg/kg + BendamustineTime to Response1.9 Months
MEDI-551 4 mg/kg + BendamustineTime to Response2.1 Months

Source: ClinicalTrials.gov · Data processed: Mar 8, 2026