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A Study of ABT-414 in Participants With Newly Diagnosed Glioblastoma (GBM) With Epidermal Growth Factor Receptor (EGFR) Amplification

A Randomized, Placebo Controlled Phase 3 Study of ABT-414 With Concurrent Chemoradiation and Adjuvant Temozolomide in Subjects With Newly Diagnosed Glioblastoma (GBM) With Epidermal Growth Factor Receptor (EGFR) Amplification (Intellance1)

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02573324
Acronym
Intellance1
Enrollment
691
Registered
2015-10-09
Start date
2015-01-04
Completion date
2022-04-04
Last updated
2023-05-11

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

Conditions

Glioblastoma, Gliosarcoma

Keywords

Newly Diagnosed Glioblastoma, Epithelial Growth Factor Receptor (EGFR), Temozolomide, ABT-414, Radiology Therapy Oncology Group, Antibody Drug Conjugate, Brain Tumor, Brain Tumor Group, EGFRvIII, EGFR Amplified, First Line Therapy, Brain Cancer

Brief summary

This study seeks to determine whether the addition of ABT-414 to concomitant radiotherapy and temozolomide (TMZ) followed by combination of ABT-414 with adjuvant TMZ prolongs overall survival (OS) among participants with newly diagnosed glioblastoma (GBM) with epidermal growth factor receptor (EGFR) amplification. In addition, there is a Phase 1, open-label, multicenter sub-study to assess the pharmacokinetics, safety and tolerability of ABT-414 in participants with newly diagnosed EGFR-amplified GBM who have mild or moderate hepatic impairment.

Interventions

DRUGTemozolomide

Oral Capsule

Intravenous (IV) Infusion

RADIATIONRadiation
DRUGPlacebo for ABT-414

IV Infusion (IV)

Sponsors

Radiation Therapy Oncology Group
CollaboratorNETWORK
AbbVie
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)

Masking description

Sub-study was open-label.

Eligibility

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

Inclusion criteria

* Must have a clinical diagnosis of glioblastoma (GBM). * Must have a confirmed epidermal growth factor receptor amplification in tumor tissue. * Must have a Karnofsky Performance Status (KPS) \>= 70 at assessment \<= 14 days prior to randomization (N/A to the sub-study). * Must have recovered from effects of surgery, postoperative infection and other complications of surgery. * Must have adequate bone marrow, renal, and hepatic function (For the sub-study, the participant must have adequate bone marrow and renal function and have mild-to-moderate hepatic impairment).

Exclusion criteria

* Multifocal, recurrent or metastatic GBM or gliomatosis cerebri (For the sub-study, the participant can have multifocal GBM and glimatosis cerebri but can't have recurrent or metastatic GBM). * Prior chemo therapy or radiosensitizer for head and neck cancer. * Prior radiotherapy to the head or neck in overlap of radiation fields. * Prior therapy for glioblastoma or other invasive malignancy. * Prior, concomitant or planned treatment with Novo Tumor Treatment Fields (Novo-TTF), EGFR-targeted therapy, bevacizumab, Gliadel wafers or other intratumoral or intracavity anti-neoplastic therapy.

Design outcomes

Primary

MeasureTime frameDescription
Overall Survival (OS)Overall median duration of follow-up was 15.5 months (range: 0.1, 35.6).Time to OS is defined as the number of days from the date of randomization to the date of death due to any cause.

Secondary

MeasureTime frameDescription
OS for the MGMT Methylated GroupOverall median duration of follow-up was 15.5 months (range: 0.1, 35.6).Time to OS is defined as the number of days from the date of randomization to the date of death due to any cause.
OS for the Epidermal Growth Factor Receptor (EGFR)vIII-Mutated Tumor SubgroupOverall median duration of follow-up was 15.5 months (range: 0.1, 35.6).Time to OS is defined as the number of days from the date of randomization to the date of death due to any cause.
Progression-Free Survival (PFS)Overall median duration of follow-up was 15.5 months (range: 0.1, 35.6).PFS will be defined as the number of days from the date of randomization to the date of earliest disease progression based on Response Assessment in Neuro-Oncology (RANO) criteria (see Wen et al. J Clin Oncol. 2010 Apr 10;28(11):1963-72) or to the date of death, if disease progression does not occur.
OS for the O6-methylguaninemethlytransferese (MGMT) Unmethylated GroupOverall median duration of follow-up was 15.5 months (range: 0.1, 35.6).Time to OS is defined as the number of days from the date of randomization to the date of death due to any cause. Unmethylated MGMT promoter is associated with a worse prognosis in GBM
Deterioration Free Survival in M.D. Anderson Symptom Inventory Brain Tumor Module (MDASI-BT) Symptom Severity ScoreOverall median duration of follow-up was 15.5 months (range: 0.1, 35.6).The MDASI-BT assesses the severity of multiple brain tumor-related symptoms and the impact of these symptoms on daily functioning in the last 24 hours. It consists of 22 symptom items and 6 interference items, each rated from 0 to 10. MDASI-BT symptom severity score is defined as average over 13 core symptom items and 9 brain tumor symptom items, with a total score of 0 to 10, with higher score indicating worse symptoms/interference. Changes in symptom severity score were classified into 3 categories: improved (≤ -1), stable (\> -1 and \< 1), and deteriorated (≥ 1). Deterioration is defined as satisfying the deterioration criteria (i.e., increase in symptom severity score by ≥ 1 unit) without further improvement (i.e., failing to satisfy deterioration criteria) within 8 weeks or occurrence of death.
Deterioration Free Survival in MDASI-BT Symptom Interference ScoreOverall median duration of follow-up was 15.5 months (range: 0.1, 35.6).The MDASI-BT assesses the severity of multiple brain tumor-related symptoms and the impact of these symptoms on daily functioning in the last 24 hours. It consists of 22 symptom items and 6 interference items, each rated from 0 to 10. MDASI-BT symptom interference score is defined as an average of 6 interference items, with a total score of 0 to 10, where higher scores indicate worse interference. Changes in symptom interference score were classified into 3 categories: improved (≤ -1), stable (\> -1 and \< 1), and deteriorated (≥ 1). Deterioration is defined as satisfying the deterioration criteria (i.e., increase in symptom interference score by ≥ 1 unit) without further improvement (i.e., failing to satisfy deterioration criteria) within 8 weeks or occurrence of death.
Deterioration Free Survival in Neurocognitive Functioning on the Hopkins Verbal Learning Test Revised (HVLT-R) Total Recall ScoreOverall median duration of follow-up was 15.5 months (range: 0.1, 35.6).The HVLT-R consists of 3 parts. Free call has a range of 0 to 36, delayed recall has a range from 0 to 12, and delayed recognition has a range of -12 to 12. Higher scores indicating better function in all 3 parts. When scoring the HVLT-R, the 3 learning trials are combined to calculate a total recall score (range -12 to 60). Deterioration is defined as satisfying the deterioration criteria (i.e., decrease in HVLT-R total recall score by 5 units) without further improvement within 8 weeks or occurrence of death.
PFS for EGFRvIII-Mutated Tumor SubgroupOverall median duration of follow-up was 15.5 months (range: 0.1, 35.6).PFS will be defined as the number of days from the date of randomization to the date of earliest disease progression based on Response Assessment in Neuro-Oncology (RANO) criteria or to the date of death, if disease progression does not occur.

Countries

Argentina, Australia, Austria, Belgium, Brazil, Canada, China, Colombia, Czechia, France, Germany, Hong Kong, Ireland, Israel, Italy, Mexico, Netherlands, New Zealand, Portugal, Russia, Singapore, South Africa, South Korea, Spain, Switzerland, Taiwan, United Kingdom, United States

Participant flow

Pre-assignment details

An efficacy futility analysis, conducted in accordance with the SAP, generated a conclusive result of futility, meeting the main study's objective of determining whether the addition of Depatux-M to standard therapy improves overall survival. The study was modified at that point, remaining open until after all participants had discontinued study treatment. AbbVie therefore considered this study completed (according to the rules set out for the study) and not terminated.

Participants by arm

ArmCount
Placebo, Radiation and TMZ
Placebo is given on Day 1 of Week 1, 3 and 5 along with the standard therapy of TMZ and radiation during the chemoradiation phase. Placebo is given on Day 1 and 15 of each cycle along with TMZ (Days 1-5 of each cycle) per standard of care during the adjuvant phase.
341
Depatuxizumab Mafodotin, Radiation and TMZ
Depatuxizumab mafodotin is given on Day 1 of Week 1, 3 and 5 along with the standard therapy of TMZ and radiation during the chemoradiation phase. Depatuxizumab mafodotin is given on Day 1 and 15 of each cycle along with TMZ (Days 1-5 of each cycle) per standard of care during the adjuvant phase.
344
Open-Label Substudy: Depatuxizumab Mafodotin, Radiation and TMZ
Depatuxizumab mafodotin is given to participants with hepatic impairment on Day 1 of Week 1, 3 and 5 along with the standard therapy of TMZ and radiation during the chemoradiation phase. Depatuxizumab mafodotin is given on Day 1 and 15 of each cycle along with TMZ (Days 1-5 of each cycle) per standard of care during the adjuvant phase.
6
Total691

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyDeath1822001
Overall StudyLost to Follow-up450
Overall StudyOther, Not Specified20270
Overall StudyStudy Terminated by Sponsor107892
Overall StudyUnknown Reason200
Overall StudyWithdrawal by Subject26233

Baseline characteristics

CharacteristicTotalPlacebo, Radiation and TMZOpen-Label Substudy: Depatuxizumab Mafodotin, Radiation and TMZDepatuxizumab Mafodotin, Radiation and TMZ
Age, Continuous58.1 years
STANDARD_DEVIATION 10.27
58.1 years
STANDARD_DEVIATION 10.42
55.3 years
STANDARD_DEVIATION 10.58
58.2 years
STANDARD_DEVIATION 10.14
Race/Ethnicity, Customized
Han Chinese (First Generation)
53 Participants28 Participants2 Participants23 Participants
Race/Ethnicity, Customized
Hispanic or Latino
71 Participants35 Participants1 Participants35 Participants
Race/Ethnicity, Customized
Missing
1 Participants0 Participants0 Participants1 Participants
Race/Ethnicity, Customized
Other, Not Specified
566 Participants278 Participants3 Participants285 Participants
Race (NIH/OMB)
American Indian or Alaska Native
13 Participants6 Participants0 Participants7 Participants
Race (NIH/OMB)
Asian
92 Participants47 Participants5 Participants40 Participants
Race (NIH/OMB)
Black or African American
9 Participants4 Participants0 Participants5 Participants
Race (NIH/OMB)
More than one race
2 Participants1 Participants0 Participants1 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
2 Participants1 Participants0 Participants1 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants0 Participants0 Participants1 Participants
Race (NIH/OMB)
White
572 Participants282 Participants1 Participants289 Participants
Sex: Female, Male
Female
266 Participants137 Participants0 Participants129 Participants
Sex: Female, Male
Male
425 Participants204 Participants6 Participants215 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
EG008
affected / at risk
deaths
Total, all-cause mortality
4 / 33513 / 285180 / 3264 / 34222 / 273188 / 3260 / 60 / 61 / 5
other
Total, other adverse events
290 / 335255 / 2851 / 326337 / 342252 / 2732 / 3266 / 66 / 60 / 5
serious
Total, serious adverse events
56 / 33585 / 2850 / 32668 / 342107 / 2732 / 3261 / 61 / 60 / 5

Outcome results

Primary

Overall Survival (OS)

Time to OS is defined as the number of days from the date of randomization to the date of death due to any cause.

Time frame: Overall median duration of follow-up was 15.5 months (range: 0.1, 35.6).

Population: Full Analysis Set (FAS): all randomized participants (regardless of whether they received study treatment) satisfying the following criteria:~* Enrollment date was on or prior to 31-Mar-2018~* Enrolled in the main study (not in the open-label hepatic sub-study)

ArmMeasureValue (MEDIAN)
Placebo, Radiation and TMZOverall Survival (OS)18.7 months
Depatuxizumab Mafodotin, Radiation and TMZOverall Survival (OS)18.9 months
Comparison: Terms abbreviated below: O6-methylguaninemethlytransferese (MGMT); Recursive Partitioning Analysis (RPA); EGFRde2-7 (EGFRvIII)p-value: 0.63395% CI: [0.82, 1.26]Log Rank
p-value: 0.704Log Rank
Secondary

Deterioration Free Survival in M.D. Anderson Symptom Inventory Brain Tumor Module (MDASI-BT) Symptom Severity Score

The MDASI-BT assesses the severity of multiple brain tumor-related symptoms and the impact of these symptoms on daily functioning in the last 24 hours. It consists of 22 symptom items and 6 interference items, each rated from 0 to 10. MDASI-BT symptom severity score is defined as average over 13 core symptom items and 9 brain tumor symptom items, with a total score of 0 to 10, with higher score indicating worse symptoms/interference. Changes in symptom severity score were classified into 3 categories: improved (≤ -1), stable (\> -1 and \< 1), and deteriorated (≥ 1). Deterioration is defined as satisfying the deterioration criteria (i.e., increase in symptom severity score by ≥ 1 unit) without further improvement (i.e., failing to satisfy deterioration criteria) within 8 weeks or occurrence of death.

Time frame: Overall median duration of follow-up was 15.5 months (range: 0.1, 35.6).

Population: Full Analysis Set (FAS): all randomized participants (regardless of whether they received study treatment) satisfying the following criteria:~* Enrollment date was on or prior to 31-Mar-2018~* Enrolled in the main study (not in the open-label hepatic sub-study)

ArmMeasureValue (MEDIAN)
Placebo, Radiation and TMZDeterioration Free Survival in M.D. Anderson Symptom Inventory Brain Tumor Module (MDASI-BT) Symptom Severity Score11.0 months
Depatuxizumab Mafodotin, Radiation and TMZDeterioration Free Survival in M.D. Anderson Symptom Inventory Brain Tumor Module (MDASI-BT) Symptom Severity Score6.1 months
p-value: 0.99495% CI: [1.087, 1.626]Log Rank
Secondary

Deterioration Free Survival in MDASI-BT Symptom Interference Score

The MDASI-BT assesses the severity of multiple brain tumor-related symptoms and the impact of these symptoms on daily functioning in the last 24 hours. It consists of 22 symptom items and 6 interference items, each rated from 0 to 10. MDASI-BT symptom interference score is defined as an average of 6 interference items, with a total score of 0 to 10, where higher scores indicate worse interference. Changes in symptom interference score were classified into 3 categories: improved (≤ -1), stable (\> -1 and \< 1), and deteriorated (≥ 1). Deterioration is defined as satisfying the deterioration criteria (i.e., increase in symptom interference score by ≥ 1 unit) without further improvement (i.e., failing to satisfy deterioration criteria) within 8 weeks or occurrence of death.

Time frame: Overall median duration of follow-up was 15.5 months (range: 0.1, 35.6).

Population: Full Analysis Set (FAS): all randomized participants (regardless of whether they received study treatment) satisfying the following criteria:~* Enrollment date was on or prior to 31-Mar-2018~* Enrolled in the main study (not in the open-label hepatic sub-study)

ArmMeasureValue (MEDIAN)
Placebo, Radiation and TMZDeterioration Free Survival in MDASI-BT Symptom Interference Score9.7 months
Depatuxizumab Mafodotin, Radiation and TMZDeterioration Free Survival in MDASI-BT Symptom Interference Score6.1 months
p-value: 0.93895% CI: [0.972, 1.446]Log Rank
Secondary

Deterioration Free Survival in Neurocognitive Functioning on the Hopkins Verbal Learning Test Revised (HVLT-R) Total Recall Score

The HVLT-R consists of 3 parts. Free call has a range of 0 to 36, delayed recall has a range from 0 to 12, and delayed recognition has a range of -12 to 12. Higher scores indicating better function in all 3 parts. When scoring the HVLT-R, the 3 learning trials are combined to calculate a total recall score (range -12 to 60). Deterioration is defined as satisfying the deterioration criteria (i.e., decrease in HVLT-R total recall score by 5 units) without further improvement within 8 weeks or occurrence of death.

Time frame: Overall median duration of follow-up was 15.5 months (range: 0.1, 35.6).

Population: Full Analysis Set (FAS): all randomized participants (regardless of whether they received study treatment) satisfying the following criteria:~* Enrollment date was on or prior to 31-Mar-2018~* Enrolled in the main study (not in the open-label hepatic sub-study)

ArmMeasureValue (MEDIAN)
Placebo, Radiation and TMZDeterioration Free Survival in Neurocognitive Functioning on the Hopkins Verbal Learning Test Revised (HVLT-R) Total Recall Score13.2 months
Depatuxizumab Mafodotin, Radiation and TMZDeterioration Free Survival in Neurocognitive Functioning on the Hopkins Verbal Learning Test Revised (HVLT-R) Total Recall Score10.7 months
p-value: 0.81495% CI: [0.921, 1.402]Log Rank
Secondary

OS for the Epidermal Growth Factor Receptor (EGFR)vIII-Mutated Tumor Subgroup

Time to OS is defined as the number of days from the date of randomization to the date of death due to any cause.

Time frame: Overall median duration of follow-up was 15.5 months (range: 0.1, 35.6).

Population: Full Analysis Set (FAS): all randomized participants (regardless of whether they received study treatment) satisfying the following criteria:~* Enrollment date was on or prior to 31-Mar-2018~* Enrolled in the main study (not in the open-label hepatic sub-study) Participants with EGFR-VIII mutation status=mutated.

ArmMeasureValue (MEDIAN)
Placebo, Radiation and TMZOS for the Epidermal Growth Factor Receptor (EGFR)vIII-Mutated Tumor Subgroup18.2 months
Depatuxizumab Mafodotin, Radiation and TMZOS for the Epidermal Growth Factor Receptor (EGFR)vIII-Mutated Tumor Subgroup19.8 months
p-value: 0.38195% CI: [0.71, 1.27]Log Rank
p-value: 0.409Log Rank
Secondary

OS for the MGMT Methylated Group

Time to OS is defined as the number of days from the date of randomization to the date of death due to any cause.

Time frame: Overall median duration of follow-up was 15.5 months (range: 0.1, 35.6).

Population: Full Analysis Set (FAS): all randomized participants (regardless of whether they received study treatment) satisfying the following criteria:~* Enrollment date was on or prior to 31-Mar-2018~* Enrolled in the main study (not in the open-label hepatic sub-study) Participants with methylated MGMT promoter status.

ArmMeasureValue (MEDIAN)
Placebo, Radiation and TMZOS for the MGMT Methylated GroupNA months
Depatuxizumab Mafodotin, Radiation and TMZOS for the MGMT Methylated Group25.4 months
p-value: 0.77395% CI: [0.76, 1.8]Log Rank
p-value: 0.74Log Rank
Secondary

OS for the O6-methylguaninemethlytransferese (MGMT) Unmethylated Group

Time to OS is defined as the number of days from the date of randomization to the date of death due to any cause. Unmethylated MGMT promoter is associated with a worse prognosis in GBM

Time frame: Overall median duration of follow-up was 15.5 months (range: 0.1, 35.6).

Population: Full Analysis Set (FAS): all randomized participants (regardless of whether they received study treatment) satisfying the following criteria:~* Enrollment date was on or prior to 31-Mar-2018~* Enrolled in the main study (not in the open-label hepatic sub-study) Participants with unmethylated MGMT promoter status.

ArmMeasureValue (MEDIAN)
Placebo, Radiation and TMZOS for the O6-methylguaninemethlytransferese (MGMT) Unmethylated Group16.2 months
Depatuxizumab Mafodotin, Radiation and TMZOS for the O6-methylguaninemethlytransferese (MGMT) Unmethylated Group16.1 months
p-value: 0.50495% CI: [0.76, 1.24]Log Rank
p-value: 0.599Log Rank
Secondary

PFS for EGFRvIII-Mutated Tumor Subgroup

PFS will be defined as the number of days from the date of randomization to the date of earliest disease progression based on Response Assessment in Neuro-Oncology (RANO) criteria or to the date of death, if disease progression does not occur.

Time frame: Overall median duration of follow-up was 15.5 months (range: 0.1, 35.6).

Population: Full Analysis Set (FAS): all randomized participants (regardless of whether they received study treatment) satisfying the following criteria:~* Enrollment date was on or prior to 31-Mar-2018~* Enrolled in the main study (not in the open-label hepatic sub-study) Participants with EGFR-VIII mutation status=mutated.

ArmMeasureValue (MEDIAN)
Placebo, Radiation and TMZPFS for EGFRvIII-Mutated Tumor Subgroup5.9 months
Depatuxizumab Mafodotin, Radiation and TMZPFS for EGFRvIII-Mutated Tumor Subgroup8.3 months
p-value: 0.00295% CI: [0.56, 0.93]Log Rank
Secondary

Progression-Free Survival (PFS)

PFS will be defined as the number of days from the date of randomization to the date of earliest disease progression based on Response Assessment in Neuro-Oncology (RANO) criteria (see Wen et al. J Clin Oncol. 2010 Apr 10;28(11):1963-72) or to the date of death, if disease progression does not occur.

Time frame: Overall median duration of follow-up was 15.5 months (range: 0.1, 35.6).

Population: Full Analysis Set (FAS): all randomized participants (regardless of whether they received study treatment) satisfying the following criteria:~* Enrollment date was on or prior to 31-Mar-2018~* Enrolled in the main study (not in the open-label hepatic sub-study)

ArmMeasureValue (MEDIAN)
Placebo, Radiation and TMZProgression-Free Survival (PFS)6.3 months
Depatuxizumab Mafodotin, Radiation and TMZProgression-Free Survival (PFS)8.0 months
p-value: 0.02995% CI: [0.7, 1.01]Log Rank

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