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NCT01471782 · OUTCOME

Serum Cytokine Peak Levels

Clinical Study With Blinatumomab in Pediatric and Adolescent Patients With Relapsed/Refractory B-precursor Acute Lymphoblastic Leukemia · Source last updated 2017-02-08

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
MEAN
Unit
pg/mL
Interval / dispersion
Standard Deviation
Time frame
Cycle 1 and 2 day 1 (prior to infusion, 2 and 6 hours after infusion start), day 2 and day 3.

What was measured

The activation of immune effector cells was monitored by the measurement of peripheral blood cytokine levels including interleukin (IL)-2, IL-4, IL-6, IL-10, tumor necrosis factor-alpha (TNF-α) and interferon gamma (IFN-ɣ) using cytometric bead assays. The limit of detection of the assay (LOD) was 20 pg/mL and the lower limit of quantification (LLOQ) was 125 pg/mL. Data below LOD were set to 10 pg/mL while data \< LOQ and \> LOD were reported as measured.

Analysis population: Phase 1 full analysis set participants with available data

Groups in this outcome

Phase 1: Blinatumomab 5 µg/m²/Day

Blinatumomab was administered as a continuous intravenous infusion at a constant daily flow rate of 5 µg/m²/day..

Phase 1: Blinatumomab 15 µg/m²/Day

Blinatumomab was administered as a continuous intravenous infusion at a constant daily flow rate of 15 µg/m²/day.

Phase 1: Blinatumomab 30 µg/m²/Day

Blinatumomab was administered as a continuous intravenous infusion at a constant daily flow rate of 30 µg/m²/day.

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Phase 1: Blinatumomab 5 µg/m²/Day31
Phase 1: Blinatumomab 15 µg/m²/Day14
Phase 1: Blinatumomab 30 µg/m²/Day5

Reported measurements

IL-6: Cycle 1 Week 1 (N=31, 13, 5)
Values in pg/mL · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Phase 1: Blinatumomab 5 µg/m²/Day497017000Not reportedNot reportedNot reported
Phase 1: Blinatumomab 15 µg/m²/Day17802620Not reportedNot reportedNot reported
Phase 1: Blinatumomab 30 µg/m²/Day2340024100Not reportedNot reportedNot reported
IL-6: Cycle 2 Week 1 (N=4, 14, 5)
Values in pg/mL · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Phase 1: Blinatumomab 5 µg/m²/Day526844Not reportedNot reportedNot reported
Phase 1: Blinatumomab 15 µg/m²/Day8922370Not reportedNot reportedNot reported
Phase 1: Blinatumomab 30 µg/m²/Day40.468.0Not reportedNot reportedNot reported
IL-10: Cycle 1 Week 1 (N=31, 13, 5)
Values in pg/mL · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Phase 1: Blinatumomab 5 µg/m²/Day562710Not reportedNot reportedNot reported
Phase 1: Blinatumomab 15 µg/m²/Day14002030Not reportedNot reportedNot reported
Phase 1: Blinatumomab 30 µg/m²/Day31701720Not reportedNot reportedNot reported
IL-10: Cycle 2 Week 1 (N=4, 14, 5)
Values in pg/mL · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Phase 1: Blinatumomab 5 µg/m²/Day519497Not reportedNot reportedNot reported
Phase 1: Blinatumomab 15 µg/m²/Day432692Not reportedNot reportedNot reported
Phase 1: Blinatumomab 30 µg/m²/Day277308Not reportedNot reportedNot reported
IFN-ɣ: Cycle 1 Week 1 (N=31, 13, 5)
Values in pg/mL · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Phase 1: Blinatumomab 5 µg/m²/Day207516Not reportedNot reportedNot reported
Phase 1: Blinatumomab 15 µg/m²/Day5391240Not reportedNot reportedNot reported
Phase 1: Blinatumomab 30 µg/m²/Day22601540Not reportedNot reportedNot reported
IFN-ɣ: Cycle 2 Week 1 (N=4, 14, 5)
Values in pg/mL · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Phase 1: Blinatumomab 5 µg/m²/Day51.865.6Not reportedNot reportedNot reported
Phase 1: Blinatumomab 15 µg/m²/Day47.651.5Not reportedNot reportedNot reported
Phase 1: Blinatumomab 30 µg/m²/Day22.828.6Not reportedNot reportedNot reported
IL-2: Cycle 1 Week 1 (N=31, 13, 5)
Values in pg/mL · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Phase 1: Blinatumomab 5 µg/m²/Day22.723Not reportedNot reportedNot reported
Phase 1: Blinatumomab 15 µg/m²/Day93.9150Not reportedNot reportedNot reported
Phase 1: Blinatumomab 30 µg/m²/Day9001390Not reportedNot reportedNot reported
IL-2: Cycle 2 Week 1 (N=4, 14, 5)
Values in pg/mL · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Phase 1: Blinatumomab 5 µg/m²/Day10.00.00Not reportedNot reportedNot reported
Phase 1: Blinatumomab 15 µg/m²/Day14.38.84Not reportedNot reportedNot reported
Phase 1: Blinatumomab 30 µg/m²/Day10.00.00Not reportedNot reportedNot reported
TNF-α: Cycle 1 Week 1 (N=31, 13, 5)
Values in pg/mL · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Phase 1: Blinatumomab 5 µg/m²/Day87.3241Not reportedNot reportedNot reported
Phase 1: Blinatumomab 15 µg/m²/Day60.2127Not reportedNot reportedNot reported
Phase 1: Blinatumomab 30 µg/m²/Day285306Not reportedNot reportedNot reported
TNF-α: Cycle 2 Week 1 (N=4, 14, 5)
Values in pg/mL · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Phase 1: Blinatumomab 5 µg/m²/Day10.00.00Not reportedNot reportedNot reported
Phase 1: Blinatumomab 15 µg/m²/Day10.00.00Not reportedNot reportedNot reported
Phase 1: Blinatumomab 30 µg/m²/Day10.00.00Not reportedNot reportedNot reported
IL-4: Cycle 1 Week 1 (N=0, 0, 0)
Values in pg/mL · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Phase 1: Blinatumomab 5 µg/m²/DayNANANot reportedNot reportedSerum IL-4 levels were below detection limit (\< 20 pg/mL) in all participants studied.
Phase 1: Blinatumomab 15 µg/m²/DayNANANot reportedNot reportedSerum IL-4 levels were below detection limit (\< 20 pg/mL) in all participants studied.
Phase 1: Blinatumomab 30 µg/m²/DayNANANot reportedNot reportedSerum IL-4 levels were below detection limit (\< 20 pg/mL) in all participants studied.
IL-4: Cycle 2 Week 1 (N=0, 0, 0)
Values in pg/mL · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Phase 1: Blinatumomab 5 µg/m²/DayNANANot reportedNot reportedSerum IL-4 levels were below detection limit (\< 20 pg/mL) in all participants studied.
Phase 1: Blinatumomab 15 µg/m²/DayNANANot reportedNot reportedSerum IL-4 levels were below detection limit (\< 20 pg/mL) in all participants studied.
Phase 1: Blinatumomab 30 µg/m²/DayNANANot reportedNot reportedSerum IL-4 levels were below detection limit (\< 20 pg/mL) in all participants studied.
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        spread
        17000
        value
        4970
      2. group Id
        OG001
        spread
        2620
        value
        1780
      3. group Id
        OG002
        spread
        24100
        value
        23400
    title
    IL-6: Cycle 1 Week 1 (N=31, 13, 5)
  2. categories
    1. measurements
      1. group Id
        OG000
        spread
        844
        value
        526
      2. group Id
        OG001
        spread
        2370
        value
        892
      3. group Id
        OG002
        spread
        68.0
        value
        40.4
    title
    IL-6: Cycle 2 Week 1 (N=4, 14, 5)
  3. categories
    1. measurements
      1. group Id
        OG000
        spread
        710
        value
        562
      2. group Id
        OG001
        spread
        2030
        value
        1400
      3. group Id
        OG002
        spread
        1720
        value
        3170
    title
    IL-10: Cycle 1 Week 1 (N=31, 13, 5)
  4. categories
    1. measurements
      1. group Id
        OG000
        spread
        497
        value
        519
      2. group Id
        OG001
        spread
        692
        value
        432
      3. group Id
        OG002
        spread
        308
        value
        277
    title
    IL-10: Cycle 2 Week 1 (N=4, 14, 5)
  5. categories
    1. measurements
      1. group Id
        OG000
        spread
        516
        value
        207
      2. group Id
        OG001
        spread
        1240
        value
        539
      3. group Id
        OG002
        spread
        1540
        value
        2260
    title
    IFN-ɣ: Cycle 1 Week 1 (N=31, 13, 5)
  6. categories
    1. measurements
      1. group Id
        OG000
        spread
        65.6
        value
        51.8
      2. group Id
        OG001
        spread
        51.5
        value
        47.6
      3. group Id
        OG002
        spread
        28.6
        value
        22.8
    title
    IFN-ɣ: Cycle 2 Week 1 (N=4, 14, 5)
  7. categories
    1. measurements
      1. group Id
        OG000
        spread
        23
        value
        22.7
      2. group Id
        OG001
        spread
        150
        value
        93.9
      3. group Id
        OG002
        spread
        1390
        value
        900
    title
    IL-2: Cycle 1 Week 1 (N=31, 13, 5)
  8. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.00
        value
        10.0
      2. group Id
        OG001
        spread
        8.84
        value
        14.3
      3. group Id
        OG002
        spread
        0.00
        value
        10.0
    title
    IL-2: Cycle 2 Week 1 (N=4, 14, 5)
  9. categories
    1. measurements
      1. group Id
        OG000
        spread
        241
        value
        87.3
      2. group Id
        OG001
        spread
        127
        value
        60.2
      3. group Id
        OG002
        spread
        306
        value
        285
    title
    TNF-α: Cycle 1 Week 1 (N=31, 13, 5)
  10. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.00
        value
        10.0
      2. group Id
        OG001
        spread
        0.00
        value
        10.0
      3. group Id
        OG002
        spread
        0.00
        value
        10.0
    title
    TNF-α: Cycle 2 Week 1 (N=4, 14, 5)
  11. categories
    1. measurements
      1. comment
        Serum IL-4 levels were below detection limit (\< 20 pg/mL) in all participants studied.
        group Id
        OG000
        spread
        NA
        value
        NA
      2. comment
        Serum IL-4 levels were below detection limit (\< 20 pg/mL) in all participants studied.
        group Id
        OG001
        spread
        NA
        value
        NA
      3. comment
        Serum IL-4 levels were below detection limit (\< 20 pg/mL) in all participants studied.
        group Id
        OG002
        spread
        NA
        value
        NA
    title
    IL-4: Cycle 1 Week 1 (N=0, 0, 0)
  12. categories
    1. measurements
      1. comment
        Serum IL-4 levels were below detection limit (\< 20 pg/mL) in all participants studied.
        group Id
        OG000
        spread
        NA
        value
        NA
      2. comment
        Serum IL-4 levels were below detection limit (\< 20 pg/mL) in all participants studied.
        group Id
        OG001
        spread
        NA
        value
        NA
      3. comment
        Serum IL-4 levels were below detection limit (\< 20 pg/mL) in all participants studied.
        group Id
        OG002
        spread
        NA
        value
        NA
    title
    IL-4: Cycle 2 Week 1 (N=0, 0, 0)
denoms
  1. counts
    1. group Id
      OG000
      value
      31
    2. group Id
      OG001
      value
      14
    3. group Id
      OG002
      value
      5
    units
    Participants
description
The activation of immune effector cells was monitored by the measurement of peripheral blood cytokine levels including interleukin (IL)-2, IL-4, IL-6, IL-10, tumor necrosis factor-alpha (TNF-α) and interferon gamma (IFN-ɣ) using cytometric bead assays. The limit of detection of the assay (LOD) was 20 pg/mL and the lower limit of quantification (LLOQ) was 125 pg/mL. Data below LOD were set to 10 pg/mL while data \< LOQ and \> LOD were reported as measured.
dispersion Type
Standard Deviation
groups
  1. description
    Blinatumomab was administered as a continuous intravenous infusion at a constant daily flow rate of 5 µg/m²/day..
    id
    OG000
    title
    Phase 1: Blinatumomab 5 µg/m²/Day
  2. description
    Blinatumomab was administered as a continuous intravenous infusion at a constant daily flow rate of 15 µg/m²/day.
    id
    OG001
    title
    Phase 1: Blinatumomab 15 µg/m²/Day
  3. description
    Blinatumomab was administered as a continuous intravenous infusion at a constant daily flow rate of 30 µg/m²/day.
    id
    OG002
    title
    Phase 1: Blinatumomab 30 µg/m²/Day
param Type
MEAN
population Description
Phase 1 full analysis set participants with available data
reporting Status
POSTED
time Frame
Cycle 1 and 2 day 1 (prior to infusion, 2 and 6 hours after infusion start), day 2 and day 3.
title
Serum Cytokine Peak Levels
type
SECONDARY
unit Of Measure
pg/mL

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Preserved source evidence · Not medical advice