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
Group
Source count
Stratum 1, Dose Level 1
3
Stratum 1, Dose Level 2
3
Stratum 1, Dose Level 3
12
Stratum 2, Dose Level 2
6
Stratum 2, Dose Level 3
5
Reported measurements
Prior to Course 1
Analysis denominator · Participants
Group
Source count
Stratum 1, Dose Level 1
2
Stratum 1, Dose Level 2
3
Stratum 1, Dose Level 3
12
Stratum 2, Dose Level 2
6
Stratum 2, Dose Level 3
4
Values in percentage of patients with positive ADA · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Stratum 1, Dose Level 1
0
Not reported
0
77.64
Not reported
Stratum 1, Dose Level 2
0
Not reported
0
63.16
Not reported
Stratum 1, Dose Level 3
8.33
Not reported
0.43
34.89
Not reported
Stratum 2, Dose Level 2
0
Not reported
0
40.19
Not reported
Stratum 2, Dose Level 3
0
Not reported
0
52.71
Not reported
Prior to Course 2
Analysis denominator · Participants
Group
Source count
Stratum 1, Dose Level 1
3
Stratum 1, Dose Level 2
3
Stratum 1, Dose Level 3
11
Stratum 2, Dose Level 2
6
Stratum 2, Dose Level 3
2
Values in percentage of patients with positive ADA · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Stratum 1, Dose Level 1
33.33
Not reported
1.70
86.46
Not reported
Stratum 1, Dose Level 2
0
Not reported
0
63.16
Not reported
Stratum 1, Dose Level 3
0
Not reported
0
24.95
Not reported
Stratum 2, Dose Level 2
16.67
Not reported
0.85
59.81
Not reported
Stratum 2, Dose Level 3
0
Not reported
0
77.64
Not reported
Prior to Course 3
Analysis denominator · Participants
Group
Source count
Stratum 1, Dose Level 1
1
Stratum 1, Dose Level 2
3
Stratum 1, Dose Level 3
4
Stratum 2, Dose Level 2
4
Stratum 2, Dose Level 3
2
Values in percentage of patients with positive ADA · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Stratum 1, Dose Level 1
100
Not reported
50.0
100.0
Not reported
Stratum 1, Dose Level 2
0
Not reported
0
63.16
Not reported
Stratum 1, Dose Level 3
50.0
Not reported
9.76
90.24
Not reported
Stratum 2, Dose Level 2
50.0
Not reported
9.76
90.24
Not reported
Stratum 2, Dose Level 3
0
Not reported
0
77.64
Not reported
Prior to Course 4
Analysis denominator · Participants
Group
Source count
Stratum 1, Dose Level 1
1
Stratum 1, Dose Level 2
1
Stratum 1, Dose Level 3
4
Stratum 2, Dose Level 2
4
Stratum 2, Dose Level 3
1
Values in percentage of patients with positive ADA · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Stratum 1, Dose Level 1
100
Not reported
50.0
100.0
Not reported
Stratum 1, Dose Level 2
100
Not reported
50.0
100.0
Not reported
Stratum 1, Dose Level 3
50.0
Not reported
9.76
90.24
Not reported
Stratum 2, Dose Level 2
75
Not reported
24.86
98.73
Not reported
Stratum 2, Dose Level 3
0
Not reported
0
95.0
Not reported
Prior to Course 7
Analysis denominator · Participants
Group
Source count
Stratum 1, Dose Level 1
0
Stratum 1, Dose Level 2
1
Stratum 1, Dose Level 3
2
Stratum 2, Dose Level 2
1
Stratum 2, Dose Level 3
1
Values in percentage of patients with positive ADA · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Stratum 1, Dose Level 2
100
Not reported
50.0
100.0
Not reported
Stratum 1, Dose Level 3
50
Not reported
2.52
97.47
Not reported
Stratum 2, Dose Level 2
100
Not reported
50.0
100.0
Not reported
Stratum 2, Dose Level 3
0
Not reported
0
95.0
Not reported
Prior to Course 10
Analysis denominator · Participants
Group
Source count
Stratum 1, Dose Level 1
0
Stratum 1, Dose Level 2
0
Stratum 1, Dose Level 3
2
Stratum 2, Dose Level 2
1
Stratum 2, Dose Level 3
0
Values in percentage of patients with positive ADA · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Stratum 1, Dose Level 3
50
Not reported
2.52
97.47
Not reported
Stratum 2, Dose Level 2
100
Not reported
50.0
100.0
Not reported
Prior to Course 14
Analysis denominator · Participants
Group
Source count
Stratum 1, Dose Level 1
0
Stratum 1, Dose Level 2
0
Stratum 1, Dose Level 3
1
Stratum 2, Dose Level 2
1
Stratum 2, Dose Level 3
0
Values in percentage of patients with positive ADA · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Stratum 1, Dose Level 3
100
Not reported
50.0
100.0
Not reported
Stratum 2, Dose Level 2
100
Not reported
50.0
100.0
Not reported
Prior to Course 18
Analysis denominator · Participants
Group
Source count
Stratum 1, Dose Level 1
0
Stratum 1, Dose Level 2
0
Stratum 1, Dose Level 3
1
Stratum 2, Dose Level 2
0
Stratum 2, Dose Level 3
0
Values in percentage of patients with positive ADA · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Stratum 1, Dose Level 3
100
Not reported
50.0
100.0
Not reported
Prior to Course 22
Analysis denominator · Participants
Group
Source count
Stratum 1, Dose Level 1
0
Stratum 1, Dose Level 2
0
Stratum 1, Dose Level 3
1
Stratum 2, Dose Level 2
0
Stratum 2, Dose Level 3
0
Values in percentage of patients with positive ADA · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Stratum 1, Dose Level 3
0
Not reported
0
95.0
Not reported
Prior to Course 26
Analysis denominator · Participants
Group
Source count
Stratum 1, Dose Level 1
0
Stratum 1, Dose Level 2
0
Stratum 1, Dose Level 3
1
Stratum 2, Dose Level 2
0
Stratum 2, Dose Level 3
0
Values in percentage of patients with positive ADA · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Stratum 1, Dose Level 3
0
Not reported
0
95.0
Not reported
Prior to Course 30
Analysis denominator · Participants
Group
Source count
Stratum 1, Dose Level 1
0
Stratum 1, Dose Level 2
0
Stratum 1, Dose Level 3
0
Stratum 2, Dose Level 2
0
Stratum 2, Dose Level 3
0
Prior to Course 34
Analysis denominator · Participants
Group
Source count
Stratum 1, Dose Level 1
0
Stratum 1, Dose Level 2
0
Stratum 1, Dose Level 3
0
Stratum 2, Dose Level 2
0
Stratum 2, Dose Level 3
0
End of Treatment
Analysis denominator · Participants
Group
Source count
Stratum 1, Dose Level 1
2
Stratum 1, Dose Level 2
0
Stratum 1, Dose Level 3
6
Stratum 2, Dose Level 2
3
Stratum 2, Dose Level 3
4
Values in percentage of patients with positive ADA · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Stratum 1, Dose Level 1
100
Not reported
22.36
100
Not reported
Stratum 1, Dose Level 3
33.33
Not reported
6.29
72.87
Not reported
Stratum 2, Dose Level 2
66.67
Not reported
13.54
98.30
Not reported
Stratum 2, Dose Level 3
0
Not reported
0
52.71
Not reported
Complete source fields
classes
categories
measurements
group Id
OG000
lower Limit
0
upper Limit
77.64
value
0
group Id
OG001
lower Limit
0
upper Limit
63.16
value
0
group Id
OG002
lower Limit
0.43
upper Limit
34.89
value
8.33
group Id
OG003
lower Limit
0
upper Limit
40.19
value
0
group Id
OG004
lower Limit
0
upper Limit
52.71
value
0
denoms
counts
group Id
OG000
value
2
group Id
OG001
value
3
group Id
OG002
value
12
group Id
OG003
value
6
group Id
OG004
value
4
units
Participants
title
Prior to Course 1
categories
measurements
group Id
OG000
lower Limit
1.70
upper Limit
86.46
value
33.33
group Id
OG001
lower Limit
0
upper Limit
63.16
value
0
group Id
OG002
lower Limit
0
upper Limit
24.95
value
0
group Id
OG003
lower Limit
0.85
upper Limit
59.81
value
16.67
group Id
OG004
lower Limit
0
upper Limit
77.64
value
0
denoms
counts
group Id
OG000
value
3
group Id
OG001
value
3
group Id
OG002
value
11
group Id
OG003
value
6
group Id
OG004
value
2
units
Participants
title
Prior to Course 2
categories
measurements
group Id
OG000
lower Limit
50.0
upper Limit
100.0
value
100
group Id
OG001
lower Limit
0
upper Limit
63.16
value
0
group Id
OG002
lower Limit
9.76
upper Limit
90.24
value
50.0
group Id
OG003
lower Limit
9.76
upper Limit
90.24
value
50.0
group Id
OG004
lower Limit
0
upper Limit
77.64
value
0
denoms
counts
group Id
OG000
value
1
group Id
OG001
value
3
group Id
OG002
value
4
group Id
OG003
value
4
group Id
OG004
value
2
units
Participants
title
Prior to Course 3
categories
measurements
group Id
OG000
lower Limit
50.0
upper Limit
100.0
value
100
group Id
OG001
lower Limit
50.0
upper Limit
100.0
value
100
group Id
OG002
lower Limit
9.76
upper Limit
90.24
value
50.0
group Id
OG003
lower Limit
24.86
upper Limit
98.73
value
75
group Id
OG004
lower Limit
0
upper Limit
95.0
value
0
denoms
counts
group Id
OG000
value
1
group Id
OG001
value
1
group Id
OG002
value
4
group Id
OG003
value
4
group Id
OG004
value
1
units
Participants
title
Prior to Course 4
categories
measurements
group Id
OG001
lower Limit
50.0
upper Limit
100.0
value
100
group Id
OG002
lower Limit
2.52
upper Limit
97.47
value
50
group Id
OG003
lower Limit
50.0
upper Limit
100.0
value
100
group Id
OG004
lower Limit
0
upper Limit
95.0
value
0
denoms
counts
group Id
OG000
value
0
group Id
OG001
value
1
group Id
OG002
value
2
group Id
OG003
value
1
group Id
OG004
value
1
units
Participants
title
Prior to Course 7
categories
measurements
group Id
OG002
lower Limit
2.52
upper Limit
97.47
value
50
group Id
OG003
lower Limit
50.0
upper Limit
100.0
value
100
denoms
counts
group Id
OG000
value
0
group Id
OG001
value
0
group Id
OG002
value
2
group Id
OG003
value
1
group Id
OG004
value
0
units
Participants
title
Prior to Course 10
categories
measurements
group Id
OG002
lower Limit
50.0
upper Limit
100.0
value
100
group Id
OG003
lower Limit
50.0
upper Limit
100.0
value
100
denoms
counts
group Id
OG000
value
0
group Id
OG001
value
0
group Id
OG002
value
1
group Id
OG003
value
1
group Id
OG004
value
0
units
Participants
title
Prior to Course 14
categories
measurements
group Id
OG002
lower Limit
50.0
upper Limit
100.0
value
100
denoms
counts
group Id
OG000
value
0
group Id
OG001
value
0
group Id
OG002
value
1
group Id
OG003
value
0
group Id
OG004
value
0
units
Participants
title
Prior to Course 18
categories
measurements
group Id
OG002
lower Limit
0
upper Limit
95.0
value
0
denoms
counts
group Id
OG000
value
0
group Id
OG001
value
0
group Id
OG002
value
1
group Id
OG003
value
0
group Id
OG004
value
0
units
Participants
title
Prior to Course 22
categories
measurements
group Id
OG002
lower Limit
0
upper Limit
95.0
value
0
denoms
counts
group Id
OG000
value
0
group Id
OG001
value
0
group Id
OG002
value
1
group Id
OG003
value
0
group Id
OG004
value
0
units
Participants
title
Prior to Course 26
denoms
counts
group Id
OG000
value
0
group Id
OG001
value
0
group Id
OG002
value
0
group Id
OG003
value
0
group Id
OG004
value
0
units
Participants
title
Prior to Course 30
denoms
counts
group Id
OG000
value
0
group Id
OG001
value
0
group Id
OG002
value
0
group Id
OG003
value
0
group Id
OG004
value
0
units
Participants
title
Prior to Course 34
denoms
counts
group Id
OG000
value
3
group Id
OG001
value
3
group Id
OG002
value
12
group Id
OG003
value
6
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
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
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
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
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
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)