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NCT03389802 · OUTCOME

Incidence of Anti-APX005M Antibodies

Phase I Study of APX005M in Pediatric Central Nervous System Tumors · Source last updated 2026-08-13

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

Measure
NUMBER
Unit
percentage of patients with positive ADA
Interval / dispersion
95% Confidence Interval
Time frame
Prior to dosing on courses 1, 2, 3, 4, 7, 10, 14, 18, 22, 26, 30, and 34 and at the end of therapy (up to end of course 36)

What was measured

Serial blood samples for anti-drug-antibodies (ADA) were to be collected prior to dosing on courses 1, 2, 3, and 4, then every third course (courses 7 and 10), and then every 4 courses (courses 14, 18, 22, 26, 30, 34) until the end of therapy visit and collected into serum tubes. Percentages of patients with positive anti-drug antibodies with a 95% Blyth-Still-Casella confidence interval are reported by time point.

Analysis population: Ineligible patients were excluded from these analyses.

Groups in this outcome

Stratum 1, Dose Level 1

Patients with recurrent or refractory primary malignant CNS tumors received APX005M on day 1 of each 21-day course at 0.1 mg/kg for up to 36 courses or until disease progression, unacceptable toxicity, or death.

Stratum 1, Dose Level 2

Patients with recurrent or refractory primary malignant CNS tumors received APX005M on day 1 of each 21-day course at 0.3 mg/kg for up to 36 courses or until disease progression, unacceptable toxicity, or death.

Stratum 1, Dose Level 3

Patients with recurrent or refractory primary malignant CNS tumors received APX005M on day 1 of each 21-day course at 0.6 mg/kg for up to 36 courses or until disease progression, unacceptable toxicity, or death.

Stratum 2, Dose Level 2

Patients with newly diagnosed diffuse intrinsic pontine glioma (DIPG) received APX005M on day 1 of each 21-day course at 0.3 mg/kg for up to 36 courses or until disease progression, unacceptable toxicity, or death.

Stratum 2, Dose Level 3

Patients with newly diagnosed diffuse intrinsic pontine glioma (DIPG) received APX005M on day 1 of each 21-day course at 0.6 mg/kg for up to 36 courses or until disease progression, unacceptable toxicity, or death.

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

Analysis denominator · Participants

GroupSource count
Stratum 1, Dose Level 13
Stratum 1, Dose Level 23
Stratum 1, Dose Level 312
Stratum 2, Dose Level 26
Stratum 2, Dose Level 35

Reported measurements

Prior to Course 1

Analysis denominator · Participants

GroupSource count
Stratum 1, Dose Level 12
Stratum 1, Dose Level 23
Stratum 1, Dose Level 312
Stratum 2, Dose Level 26
Stratum 2, Dose Level 34
Values in percentage of patients with positive ADA · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Stratum 1, Dose Level 10Not reported077.64Not reported
Stratum 1, Dose Level 20Not reported063.16Not reported
Stratum 1, Dose Level 38.33Not reported0.4334.89Not reported
Stratum 2, Dose Level 20Not reported040.19Not reported
Stratum 2, Dose Level 30Not reported052.71Not reported
Prior to Course 2

Analysis denominator · Participants

GroupSource count
Stratum 1, Dose Level 13
Stratum 1, Dose Level 23
Stratum 1, Dose Level 311
Stratum 2, Dose Level 26
Stratum 2, Dose Level 32
Values in percentage of patients with positive ADA · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Stratum 1, Dose Level 133.33Not reported1.7086.46Not reported
Stratum 1, Dose Level 20Not reported063.16Not reported
Stratum 1, Dose Level 30Not reported024.95Not reported
Stratum 2, Dose Level 216.67Not reported0.8559.81Not reported
Stratum 2, Dose Level 30Not reported077.64Not reported
Prior to Course 3

Analysis denominator · Participants

GroupSource count
Stratum 1, Dose Level 11
Stratum 1, Dose Level 23
Stratum 1, Dose Level 34
Stratum 2, Dose Level 24
Stratum 2, Dose Level 32
Values in percentage of patients with positive ADA · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Stratum 1, Dose Level 1100Not reported50.0100.0Not reported
Stratum 1, Dose Level 20Not reported063.16Not reported
Stratum 1, Dose Level 350.0Not reported9.7690.24Not reported
Stratum 2, Dose Level 250.0Not reported9.7690.24Not reported
Stratum 2, Dose Level 30Not reported077.64Not reported
Prior to Course 4

Analysis denominator · Participants

GroupSource count
Stratum 1, Dose Level 11
Stratum 1, Dose Level 21
Stratum 1, Dose Level 34
Stratum 2, Dose Level 24
Stratum 2, Dose Level 31
Values in percentage of patients with positive ADA · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Stratum 1, Dose Level 1100Not reported50.0100.0Not reported
Stratum 1, Dose Level 2100Not reported50.0100.0Not reported
Stratum 1, Dose Level 350.0Not reported9.7690.24Not reported
Stratum 2, Dose Level 275Not reported24.8698.73Not reported
Stratum 2, Dose Level 30Not reported095.0Not reported
Prior to Course 7

Analysis denominator · Participants

GroupSource count
Stratum 1, Dose Level 10
Stratum 1, Dose Level 21
Stratum 1, Dose Level 32
Stratum 2, Dose Level 21
Stratum 2, Dose Level 31
Values in percentage of patients with positive ADA · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Stratum 1, Dose Level 2100Not reported50.0100.0Not reported
Stratum 1, Dose Level 350Not reported2.5297.47Not reported
Stratum 2, Dose Level 2100Not reported50.0100.0Not reported
Stratum 2, Dose Level 30Not reported095.0Not reported
Prior to Course 10

Analysis denominator · Participants

GroupSource count
Stratum 1, Dose Level 10
Stratum 1, Dose Level 20
Stratum 1, Dose Level 32
Stratum 2, Dose Level 21
Stratum 2, Dose Level 30
Values in percentage of patients with positive ADA · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Stratum 1, Dose Level 350Not reported2.5297.47Not reported
Stratum 2, Dose Level 2100Not reported50.0100.0Not reported
Prior to Course 14

Analysis denominator · Participants

GroupSource count
Stratum 1, Dose Level 10
Stratum 1, Dose Level 20
Stratum 1, Dose Level 31
Stratum 2, Dose Level 21
Stratum 2, Dose Level 30
Values in percentage of patients with positive ADA · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Stratum 1, Dose Level 3100Not reported50.0100.0Not reported
Stratum 2, Dose Level 2100Not reported50.0100.0Not reported
Prior to Course 18

Analysis denominator · Participants

GroupSource count
Stratum 1, Dose Level 10
Stratum 1, Dose Level 20
Stratum 1, Dose Level 31
Stratum 2, Dose Level 20
Stratum 2, Dose Level 30
Values in percentage of patients with positive ADA · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Stratum 1, Dose Level 3100Not reported50.0100.0Not reported
Prior to Course 22

Analysis denominator · Participants

GroupSource count
Stratum 1, Dose Level 10
Stratum 1, Dose Level 20
Stratum 1, Dose Level 31
Stratum 2, Dose Level 20
Stratum 2, Dose Level 30
Values in percentage of patients with positive ADA · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Stratum 1, Dose Level 30Not reported095.0Not reported
Prior to Course 26

Analysis denominator · Participants

GroupSource count
Stratum 1, Dose Level 10
Stratum 1, Dose Level 20
Stratum 1, Dose Level 31
Stratum 2, Dose Level 20
Stratum 2, Dose Level 30
Values in percentage of patients with positive ADA · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Stratum 1, Dose Level 30Not reported095.0Not reported
Prior to Course 30

Analysis denominator · Participants

GroupSource count
Stratum 1, Dose Level 10
Stratum 1, Dose Level 20
Stratum 1, Dose Level 30
Stratum 2, Dose Level 20
Stratum 2, Dose Level 30
Prior to Course 34

Analysis denominator · Participants

GroupSource count
Stratum 1, Dose Level 10
Stratum 1, Dose Level 20
Stratum 1, Dose Level 30
Stratum 2, Dose Level 20
Stratum 2, Dose Level 30
End of Treatment

Analysis denominator · Participants

GroupSource count
Stratum 1, Dose Level 12
Stratum 1, Dose Level 20
Stratum 1, Dose Level 36
Stratum 2, Dose Level 23
Stratum 2, Dose Level 34
Values in percentage of patients with positive ADA · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Stratum 1, Dose Level 1100Not reported22.36100Not reported
Stratum 1, Dose Level 333.33Not reported6.2972.87Not reported
Stratum 2, Dose Level 266.67Not reported13.5498.30Not reported
Stratum 2, Dose Level 30Not reported052.71Not reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        0
        upper Limit
        77.64
        value
        0
      2. group Id
        OG001
        lower Limit
        0
        upper Limit
        63.16
        value
        0
      3. group Id
        OG002
        lower Limit
        0.43
        upper Limit
        34.89
        value
        8.33
      4. group Id
        OG003
        lower Limit
        0
        upper Limit
        40.19
        value
        0
      5. group Id
        OG004
        lower Limit
        0
        upper Limit
        52.71
        value
        0
    denoms
    1. counts
      1. group Id
        OG000
        value
        2
      2. group Id
        OG001
        value
        3
      3. group Id
        OG002
        value
        12
      4. group Id
        OG003
        value
        6
      5. group Id
        OG004
        value
        4
      units
      Participants
    title
    Prior to Course 1
  2. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        1.70
        upper Limit
        86.46
        value
        33.33
      2. group Id
        OG001
        lower Limit
        0
        upper Limit
        63.16
        value
        0
      3. group Id
        OG002
        lower Limit
        0
        upper Limit
        24.95
        value
        0
      4. group Id
        OG003
        lower Limit
        0.85
        upper Limit
        59.81
        value
        16.67
      5. group Id
        OG004
        lower Limit
        0
        upper Limit
        77.64
        value
        0
    denoms
    1. counts
      1. group Id
        OG000
        value
        3
      2. group Id
        OG001
        value
        3
      3. group Id
        OG002
        value
        11
      4. group Id
        OG003
        value
        6
      5. group Id
        OG004
        value
        2
      units
      Participants
    title
    Prior to Course 2
  3. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        50.0
        upper Limit
        100.0
        value
        100
      2. group Id
        OG001
        lower Limit
        0
        upper Limit
        63.16
        value
        0
      3. group Id
        OG002
        lower Limit
        9.76
        upper Limit
        90.24
        value
        50.0
      4. group Id
        OG003
        lower Limit
        9.76
        upper Limit
        90.24
        value
        50.0
      5. group Id
        OG004
        lower Limit
        0
        upper Limit
        77.64
        value
        0
    denoms
    1. counts
      1. group Id
        OG000
        value
        1
      2. group Id
        OG001
        value
        3
      3. group Id
        OG002
        value
        4
      4. group Id
        OG003
        value
        4
      5. group Id
        OG004
        value
        2
      units
      Participants
    title
    Prior to Course 3
  4. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        50.0
        upper Limit
        100.0
        value
        100
      2. group Id
        OG001
        lower Limit
        50.0
        upper Limit
        100.0
        value
        100
      3. group Id
        OG002
        lower Limit
        9.76
        upper Limit
        90.24
        value
        50.0
      4. group Id
        OG003
        lower Limit
        24.86
        upper Limit
        98.73
        value
        75
      5. group Id
        OG004
        lower Limit
        0
        upper Limit
        95.0
        value
        0
    denoms
    1. counts
      1. group Id
        OG000
        value
        1
      2. group Id
        OG001
        value
        1
      3. group Id
        OG002
        value
        4
      4. group Id
        OG003
        value
        4
      5. group Id
        OG004
        value
        1
      units
      Participants
    title
    Prior to Course 4
  5. categories
    1. measurements
      1. group Id
        OG001
        lower Limit
        50.0
        upper Limit
        100.0
        value
        100
      2. group Id
        OG002
        lower Limit
        2.52
        upper Limit
        97.47
        value
        50
      3. group Id
        OG003
        lower Limit
        50.0
        upper Limit
        100.0
        value
        100
      4. group Id
        OG004
        lower Limit
        0
        upper Limit
        95.0
        value
        0
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        1
      3. group Id
        OG002
        value
        2
      4. group Id
        OG003
        value
        1
      5. group Id
        OG004
        value
        1
      units
      Participants
    title
    Prior to Course 7
  6. categories
    1. measurements
      1. group Id
        OG002
        lower Limit
        2.52
        upper Limit
        97.47
        value
        50
      2. group Id
        OG003
        lower Limit
        50.0
        upper Limit
        100.0
        value
        100
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        2
      4. group Id
        OG003
        value
        1
      5. group Id
        OG004
        value
        0
      units
      Participants
    title
    Prior to Course 10
  7. categories
    1. measurements
      1. group Id
        OG002
        lower Limit
        50.0
        upper Limit
        100.0
        value
        100
      2. group Id
        OG003
        lower Limit
        50.0
        upper Limit
        100.0
        value
        100
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        1
      4. group Id
        OG003
        value
        1
      5. group Id
        OG004
        value
        0
      units
      Participants
    title
    Prior to Course 14
  8. categories
    1. measurements
      1. group Id
        OG002
        lower Limit
        50.0
        upper Limit
        100.0
        value
        100
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        1
      4. group Id
        OG003
        value
        0
      5. group Id
        OG004
        value
        0
      units
      Participants
    title
    Prior to Course 18
  9. categories
    1. measurements
      1. group Id
        OG002
        lower Limit
        0
        upper Limit
        95.0
        value
        0
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        1
      4. group Id
        OG003
        value
        0
      5. group Id
        OG004
        value
        0
      units
      Participants
    title
    Prior to Course 22
  10. categories
    1. measurements
      1. group Id
        OG002
        lower Limit
        0
        upper Limit
        95.0
        value
        0
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        1
      4. group Id
        OG003
        value
        0
      5. group Id
        OG004
        value
        0
      units
      Participants
    title
    Prior to Course 26
  11. denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        0
      4. group Id
        OG003
        value
        0
      5. group Id
        OG004
        value
        0
      units
      Participants
    title
    Prior to Course 30
  12. denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        0
      4. group Id
        OG003
        value
        0
      5. group Id
        OG004
        value
        0
      units
      Participants
    title
    Prior to Course 34
denoms
  1. counts
    1. group Id
      OG000
      value
      3
    2. group Id
      OG001
      value
      3
    3. group Id
      OG002
      value
      12
    4. group Id
      OG003
      value
      6
    5. group Id
      OG004
      value
      5
    units
    Participants
description
Serial blood samples for anti-drug-antibodies (ADA) were to be collected prior to dosing on courses 1, 2, 3, and 4, then every third course (courses 7 and 10), and then every 4 courses (courses 14, 18, 22, 26, 30, 34) until the end of therapy visit and collected into serum tubes. Percentages of patients with positive anti-drug antibodies with a 95% Blyth-Still-Casella confidence interval are reported by time point.
dispersion Type
95% Confidence Interval
groups
  1. description
    Patients with recurrent or refractory primary malignant CNS tumors received APX005M on day 1 of each 21-day course at 0.1 mg/kg for up to 36 courses or until disease progression, unacceptable toxicity, or death.
    id
    OG000
    title
    Stratum 1, Dose Level 1
  2. description
    Patients with recurrent or refractory primary malignant CNS tumors received APX005M on day 1 of each 21-day course at 0.3 mg/kg for up to 36 courses or until disease progression, unacceptable toxicity, or death.
    id
    OG001
    title
    Stratum 1, Dose Level 2
  3. description
    Patients with recurrent or refractory primary malignant CNS tumors received APX005M on day 1 of each 21-day course at 0.6 mg/kg for up to 36 courses or until disease progression, unacceptable toxicity, or death.
    id
    OG002
    title
    Stratum 1, Dose Level 3
  4. description
    Patients with newly diagnosed diffuse intrinsic pontine glioma (DIPG) received APX005M on day 1 of each 21-day course at 0.3 mg/kg for up to 36 courses or until disease progression, unacceptable toxicity, or death.
    id
    OG003
    title
    Stratum 2, Dose Level 2
  5. description
    Patients with newly diagnosed diffuse intrinsic pontine glioma (DIPG) received APX005M on day 1 of each 21-day course at 0.6 mg/kg for up to 36 courses or until disease progression, unacceptable toxicity, or death.
    id
    OG004
    title
    Stratum 2, Dose Level 3
param Type
NUMBER
population Description
Ineligible patients were excluded from these analyses.
reporting Status
POSTED
time Frame
Prior to dosing on courses 1, 2, 3, 4, 7, 10, 14, 18, 22, 26, 30, and 34 and at the end of therapy (up to end of course 36)
title
Incidence of Anti-APX005M Antibodies
type
OTHER_PRE_SPECIFIED
unit Of Measure
percentage of patients with positive ADA

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Preserved source evidence · Not medical advice