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ASH 2024 | Dose optimization of inotuzumab ozogamicin in adult patients with R/R ALL

Daniel DeAngelo, MD, PhD, Dana-Farber Cancer Institute, Boston, MA, comments on the findings of the Phase IV dose optimization study (NCT03677596) for inotuzumab ozogamicin in adult patients with relapsed/refractory (R/R) acute lymphoblastic leukemia (ALL). This randomized study evaluated the relationship between dose and risk-benefit for the labeled dose and a lower dose of inotuzumab ozogamicin (1.2 versus 1.8 mg/m²/cycle) in this patient population. This interview took place at the 66th ASH Annual Meeting and Exposition, held in San Diego, CA.

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Transcript (AI-generated)

So, inotuzumab is an antibody drug conjugate against CD22. We studied it in a Phase I approach that led to the randomized Phase III INO-VATE study that led to approval. The FDA has a post-approval project which is dose optimization. So they asked us to do a randomized study after approval to make sure we had the right dose. So this is a randomized study of 1.2 versus 1...

So, inotuzumab is an antibody drug conjugate against CD22. We studied it in a Phase I approach that led to the randomized Phase III INO-VATE study that led to approval. The FDA has a post-approval project which is dose optimization. So they asked us to do a randomized study after approval to make sure we had the right dose. So this is a randomized study of 1.2 versus 1.8. The 1.8 is the FDA-approved dose. And we showed as a single agent, the 1.8 is actually the optimal dose, both for efficacy as well as safety.

 

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Disclosures

Amgen, Autolus, Blueprint, Gilead, Incyte, Jazz, Novartis, Pfizer, Servier, Takeda: Consultancy; Mt Sinai MPN Consortium: Other: Mt Sinai MPN Consortium; Daiichi-Sankyo, Fibrogen: Other: DSMB; AbbVie, Blueprint, GlycoMimetics, Novartis: Research Funding; Dana-Farber Cancer Institute: Current Employment.