Trial Outcomes & Findings for Study of AMG 531 to Evaluate the Safety & Efficacy in Patients With Non-Hodgkin's Lymphoma (NCT NCT00299182)

NCT ID: NCT00299182

Last Updated: 2021-09-21

Results Overview

Blood counts were performed at least two times a week and when clinically indicated during the study and daily when PLT count is \< 50K/μL until recovery (two consecutive counts showing upward trend). The optimal biologic dose was defined as the dose of AMG 531 at which the greatest proportion of patients avoided grade 4 thrombocytopenia (Platelet nadir \< 25K/μL) in the absence of platelet transfusion in the blinded study cycle.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

50 participants

Primary outcome timeframe

Prior to start of treatment and then at least 2 times a week during treatment until end of cycle 2 (1 cycle = 21 days)

Results posted on

2021-09-21

Participant Flow

Recruitment Period: March 2, 2006 to February 1, 2010. All recruitment done at the University of Texas (UT) MD Anderson Cancer Center.

The protocol is designed to combine the placebo of Arm A and Arm B.

Participant milestones

Participant milestones
Measure
1 mcg/ kg AMG531 Pre & Post Chemotherapy
Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by 1 mcg/ kg AMG 531 subcutaneously on days -5 and 5 (Arm A) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
3 mcg/ kg AMG531 Pre & Post Chemotherapy
Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by 3 mcg/ kg AMG 531 subcutaneously on days -5 and 5 (Arm A) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
10 mcg/ kg AMG531 Pre & Post Chemotherapy
Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by 10 mcg/ kg AMG 531 subcutaneously on days -5 and 5 (Arm A) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
Placebo (Arm A & Arm B) With Chemotherapy
Placebo Pre and Post (Arm A), or Post (Arm B) Chemotherapy Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by placebo subcutaneously on days -5 and 5 (Arm A) or days 5 and 7 (Arm B) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
1 mcg/ kg AMG531 Post Chemotherapy
Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by 1 mcg/ kg AMG 531 subcutaneously on days 5 and 7 (Arm B) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
3 mcg/ kg AMG531 Post Chemotherapy
Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by 3 mcg/ kg AMG 531 subcutaneously on days 5 and 7 (Arm B) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
10 mcg/ kg AMG531 Post Chemotherapy
Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by 10 mcg/ kg AMG 531 subcutaneously on days 5 and 7 (Arm B) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
Overall Study
STARTED
6
4
6
14
8
7
5
Overall Study
COMPLETED
6
4
4
14
5
4
4
Overall Study
NOT COMPLETED
0
0
2
0
3
3
1

Reasons for withdrawal

Reasons for withdrawal
Measure
1 mcg/ kg AMG531 Pre & Post Chemotherapy
Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by 1 mcg/ kg AMG 531 subcutaneously on days -5 and 5 (Arm A) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
3 mcg/ kg AMG531 Pre & Post Chemotherapy
Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by 3 mcg/ kg AMG 531 subcutaneously on days -5 and 5 (Arm A) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
10 mcg/ kg AMG531 Pre & Post Chemotherapy
Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by 10 mcg/ kg AMG 531 subcutaneously on days -5 and 5 (Arm A) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
Placebo (Arm A & Arm B) With Chemotherapy
Placebo Pre and Post (Arm A), or Post (Arm B) Chemotherapy Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by placebo subcutaneously on days -5 and 5 (Arm A) or days 5 and 7 (Arm B) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
1 mcg/ kg AMG531 Post Chemotherapy
Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by 1 mcg/ kg AMG 531 subcutaneously on days 5 and 7 (Arm B) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
3 mcg/ kg AMG531 Post Chemotherapy
Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by 3 mcg/ kg AMG 531 subcutaneously on days 5 and 7 (Arm B) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
10 mcg/ kg AMG531 Post Chemotherapy
Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by 10 mcg/ kg AMG 531 subcutaneously on days 5 and 7 (Arm B) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
Overall Study
Withdrawal by Subject
0
0
1
0
1
2
0
Overall Study
Chemotherapy Changed
0
0
1
0
1
0
1
Overall Study
Adverse Event
0
0
0
0
0
1
0
Overall Study
Not Eligible
0
0
0
0
1
0
0

Baseline Characteristics

Study of AMG 531 to Evaluate the Safety & Efficacy in Patients With Non-Hodgkin's Lymphoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
1 mcg/ kg AMG531 Pre & Post Chemotherapy
n=6 Participants
Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by 1 mcg/ kg AMG 531 subcutaneously on days -5 and 5 (Arm A) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
3 mcg/ kg AMG531 Pre & Post Chemotherapy
n=4 Participants
Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by 3 mcg/ kg AMG 531 subcutaneously on days -5 and 5 (Arm A) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
10 mcg/ kg AMG531 Pre & Post Chemotherapy
n=4 Participants
Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by 10 mcg/ kg AMG 531 subcutaneously on days -5 and 5 (Arm A) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
Placebo (Arm A & Arm B) With Chemotherapy
n=14 Participants
Placebo Pre and Post (Arm A), or Post (Arm B) Chemotherapy Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by placebo subcutaneously on days -5 and 5 (Arm A) or days 5 and 7 (Arm B) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
1 mcg/ kg AMG531 Post Chemotherapy
n=5 Participants
Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by 1 mcg/ kg AMG 531 subcutaneously on days 5 and 7 (Arm B) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
3 mcg/ kg AMG531 Post Chemotherapy
n=4 Participants
Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by 3 mcg/ kg AMG 531 subcutaneously on days 5 and 7 (Arm B) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
10 mcg/ kg AMG531 Post Chemotherapy
n=4 Participants
Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by 10 mcg/ kg AMG 531 subcutaneously on days 5 and 7 (Arm B) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
Total
n=41 Participants
Total of all reporting groups
Sex: Female, Male
Female
1 Participants
n=99 Participants
2 Participants
n=107 Participants
0 Participants
n=206 Participants
3 Participants
n=7 Participants
4 Participants
n=31 Participants
0 Participants
n=30 Participants
1 Participants
n=3 Participants
11 Participants
n=6 Participants
Sex: Female, Male
Male
5 Participants
n=99 Participants
2 Participants
n=107 Participants
4 Participants
n=206 Participants
11 Participants
n=7 Participants
1 Participants
n=31 Participants
4 Participants
n=30 Participants
3 Participants
n=3 Participants
30 Participants
n=6 Participants
Region of Enrollment
United States
6 participants
n=99 Participants
4 participants
n=107 Participants
4 participants
n=206 Participants
14 participants
n=7 Participants
5 participants
n=31 Participants
4 participants
n=30 Participants
4 participants
n=3 Participants
41 participants
n=6 Participants
Age, Continuous
57 years
n=99 Participants
58 years
n=107 Participants
59 years
n=206 Participants
56 years
n=7 Participants
51 years
n=31 Participants
57 years
n=30 Participants
56 years
n=3 Participants
56 years
n=6 Participants
Age, Categorical
<=18 years
1 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
0 Participants
n=31 Participants
1 Participants
n=30 Participants
0 Participants
n=3 Participants
2 Participants
n=6 Participants
Age, Categorical
Between 18 and 65 years
5 Participants
n=99 Participants
3 Participants
n=107 Participants
3 Participants
n=206 Participants
10 Participants
n=7 Participants
5 Participants
n=31 Participants
2 Participants
n=30 Participants
4 Participants
n=3 Participants
32 Participants
n=6 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
1 Participants
n=107 Participants
1 Participants
n=206 Participants
4 Participants
n=7 Participants
0 Participants
n=31 Participants
1 Participants
n=30 Participants
0 Participants
n=3 Participants
7 Participants
n=6 Participants

PRIMARY outcome

Timeframe: Prior to start of treatment and then at least 2 times a week during treatment until end of cycle 2 (1 cycle = 21 days)

Blood counts were performed at least two times a week and when clinically indicated during the study and daily when PLT count is \< 50K/μL until recovery (two consecutive counts showing upward trend). The optimal biologic dose was defined as the dose of AMG 531 at which the greatest proportion of patients avoided grade 4 thrombocytopenia (Platelet nadir \< 25K/μL) in the absence of platelet transfusion in the blinded study cycle.

Outcome measures

Outcome measures
Measure
Arm A 1mcg/kg
n=4 Participants
Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by either 1 mcg/kg or 3 mcg/kg or 10 mcg/kg AMG531 subcutaneously on days -5 and 5 (Arm A) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
ARM A 3mcg/kg
n=4 Participants
Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by either 1 mcg/kg or 3 mcg/kg or 10 mcg/kg AMG531 subcutaneously on days -5 and 5 (Arm A) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
Arm A 10mcg/kg
n=12 Participants
Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by either 1 mcg/kg or 3 mcg/kg or 10 mcg/kg AMG531 subcutaneously on days 5 and 7 (Arm B) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
Arm B 1mcg/kg
n=4 Participants
Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by either 1 mcg/kg or 3 mcg/kg or 10 mcg/kg AMG531 subcutaneously on days 5 and 7 (Arm B) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
Arm B 3mcg/kg
n=4 Participants
Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by either 1 mcg/kg or 3 mcg/kg or 10 mcg/kg AMG531 subcutaneously on days 5 and 7 (Arm B) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
Arm B 10mcg/kg
n=4 Participants
Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by either 1 mcg/kg or 3 mcg/kg or 10 mcg/kg AMG531 subcutaneously on days 5 and 7 (Arm B) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
Placebo
n=12 Participants
Placebo Pre and Post (Arm A), or Post (Arm B) Chemotherapy Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by placebo subcutaneously on days -5 and 5 (Arm A) or days 5 and 7 (Arm B) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
Platelet (PLT) Nadir
20.3 K/μL
Standard Error 3.0
26.3 K/μL
Standard Error 11.1
24.8 K/μL
Standard Error 13.0
22.5 K/μL
Standard Error 8.9
18.3 K/μL
Standard Error 6.3
8 K/μL
Standard Error 2.2
11.3 K/μL
Standard Error 1.4

PRIMARY outcome

Timeframe: Prior to start of treatment and then at least 2 times a week during treatment until end of cycle 2 (1 cycle = 21 days)

The optimal biologic dose was defined as the dose of AMG 531 at which the greatest proportion of patients avoided grade 4 thrombocytopenia (Platelet nadir \< 25K/μL) in the absence of platelet transfusion in the blinded study cycle.

Outcome measures

Outcome measures
Measure
Arm A 1mcg/kg
n=4 Participants
Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by either 1 mcg/kg or 3 mcg/kg or 10 mcg/kg AMG531 subcutaneously on days -5 and 5 (Arm A) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
ARM A 3mcg/kg
n=4 Participants
Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by either 1 mcg/kg or 3 mcg/kg or 10 mcg/kg AMG531 subcutaneously on days -5 and 5 (Arm A) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
Arm A 10mcg/kg
n=4 Participants
Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by either 1 mcg/kg or 3 mcg/kg or 10 mcg/kg AMG531 subcutaneously on days 5 and 7 (Arm B) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
Arm B 1mcg/kg
n=4 Participants
Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by either 1 mcg/kg or 3 mcg/kg or 10 mcg/kg AMG531 subcutaneously on days 5 and 7 (Arm B) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
Arm B 3mcg/kg
n=4 Participants
Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by either 1 mcg/kg or 3 mcg/kg or 10 mcg/kg AMG531 subcutaneously on days 5 and 7 (Arm B) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
Arm B 10mcg/kg
n=4 Participants
Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by either 1 mcg/kg or 3 mcg/kg or 10 mcg/kg AMG531 subcutaneously on days 5 and 7 (Arm B) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
Placebo
n=12 Participants
Placebo Pre and Post (Arm A), or Post (Arm B) Chemotherapy Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by placebo subcutaneously on days -5 and 5 (Arm A) or days 5 and 7 (Arm B) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
Days Platelets Count of < 100K/μL
5.5 days
Standard Error 0.9
5.3 days
Standard Error 1.1
8.3 days
Standard Error 2.3
6.8 days
Standard Error 1.7
8 days
Standard Error 0.8
9.3 days
Standard Error 2.0
9.8 days
Standard Error 0.7

Adverse Events

1 mcg/ kg AMG531 Pre & Post Chemotherapy

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

3 mcg/ kg AMG531 Pre & Post Chemotherapy

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

10 mcg/ kg AMG531 Pre & Post Chemotherapy

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Placebo (Arm A & Arm B) With Chemotherapy

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

1 mcg/ kg AMG531 Post Chemotherapy

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

3 mcg/ kg AMG531 Post Chemotherapy

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

10 mcg/ kg AMG531 Post Chemotherapy

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
1 mcg/ kg AMG531 Pre & Post Chemotherapy
n=6 participants at risk
Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by 1 mcg/ kg AMG 531 subcutaneously on days -5 and 5 (Arm A) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
3 mcg/ kg AMG531 Pre & Post Chemotherapy
n=4 participants at risk
Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by 3 mcg/ kg AMG 531 subcutaneously on days -5 and 5 (Arm A) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
10 mcg/ kg AMG531 Pre & Post Chemotherapy
n=4 participants at risk
Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by 10 mcg/ kg AMG 531 subcutaneously on days -5 and 5 (Arm A) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
Placebo (Arm A & Arm B) With Chemotherapy
n=14 participants at risk
Placebo Pre and Post (Arm A), or Post (Arm B) Chemotherapy Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by placebo subcutaneously on days -5 and 5 (Arm A) or days 5 and 7 (Arm B) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
1 mcg/ kg AMG531 Post Chemotherapy
n=5 participants at risk
Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by 1 mcg/ kg AMG 531 subcutaneously on days 5 and 7 (Arm B) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
3 mcg/ kg AMG531 Post Chemotherapy
n=4 participants at risk
Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by 3 mcg/ kg AMG 531 subcutaneously on days 5 and 7 (Arm B) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
10 mcg/ kg AMG531 Post Chemotherapy
n=4 participants at risk
Cycle 1, Chemotherapy (R-HyperCVAD) alone. Cycle 2, Chemotherapy (R-Ara-C/MTX), followed by 10 mcg/ kg AMG 531 subcutaneously on days 5 and 7 (Arm B) R-HyperCVAD alternating with R-Ara-C/MTX where R-HyperCVAD is Rituximab 375 mg/m\^2; plus Cyclophosphamide 300 mg/m\^2, Vincristine 1.4 mg/m\^2, Doxorubicin (Adriamycin) 50 mg/m\^2, and Dexamethasone 40 mg (CVAD), Mesna 600mg/m\^2; and, R-Ara-C/MTX is Rituximab 375 mg/m\^2, Cytarabine 3 g/m\^2 and Methotrexate 200 mg/m\^2.
Gastrointestinal disorders
Nausea
16.7%
1/6 • Number of events 1 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
0.00%
0/4 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
0.00%
0/4 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
0.00%
0/14 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
0.00%
0/5 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
0.00%
0/4 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
0.00%
0/4 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
Nervous system disorders
Headache
0.00%
0/6 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
25.0%
1/4 • Number of events 1 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
0.00%
0/4 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
0.00%
0/14 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
0.00%
0/5 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
0.00%
0/4 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
0.00%
0/4 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
General disorders
Myalgia
0.00%
0/6 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
0.00%
0/4 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
0.00%
0/4 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
0.00%
0/14 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
0.00%
0/5 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
0.00%
0/4 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
25.0%
1/4 • Number of events 1 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
Musculoskeletal and connective tissue disorders
Bone pain
0.00%
0/6 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
0.00%
0/4 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
0.00%
0/4 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
0.00%
0/14 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
0.00%
0/5 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
0.00%
0/4 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
25.0%
1/4 • Number of events 1 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
Skin and subcutaneous tissue disorders
Rash
0.00%
0/6 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
25.0%
1/4 • Number of events 1 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
0.00%
0/4 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
7.1%
1/14 • Number of events 1 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
0.00%
0/5 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
0.00%
0/4 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
0.00%
0/4 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
Cardiac disorders
Supraventricular tachycardia
0.00%
0/6 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
0.00%
0/4 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
0.00%
0/4 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
7.1%
1/14 • Number of events 1 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
0.00%
0/5 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
0.00%
0/4 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
0.00%
0/4 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
Blood and lymphatic system disorders
Thrombocytosis
50.0%
3/6 • Number of events 3 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
50.0%
2/4 • Number of events 2 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
100.0%
4/4 • Number of events 4 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
28.6%
4/14 • Number of events 4 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
20.0%
1/5 • Number of events 1 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
50.0%
2/4 • Number of events 2 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.
50.0%
2/4 • Number of events 2 • Toxicity assessments with each dose level/cycle (3 week cycle) up to 6 cycles; overall study treatment period four years and three months.

Additional Information

Saroj Vadhan-Raj, MD/Professor, Sarcoma Medical Oncology

University of Texas (UT) MD Anderson Cancer Center

Phone: 713-792-7966

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place