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NCT03389802 · OUTCOME

Concentration of the Cytokine Tumor Necrosis Factor-alpha (TNF-alpha)

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
MEAN
Unit
pg/ml
Interval / dispersion
Standard Deviation
Time frame
Pre-treatment (week 0), 1 week, 2 week, 3 weeks, 6 weeks and 9 weeks post-treatment

What was measured

The cytokine was quantitated using V-PLEX Human Proinflammatory Panel, a multiplex immunoassay kit developed by Meso Scale Diagnostics (MSD). A four-parameter logistic fit calibration curve was generated and used to calculate concentrations in tested samples. Analyses were performed at pre-treatment and 1 week following the first dose of drug and additionally at 2, 3, 6, and 9 weeks following the course 1 drug dose if feasible. The mean concentration of TNF-alpha in pg/ml was reported with a standard deviation. When only one patient was analyzed, the standard deviation was reported as 0 (rather than undefined).

Analysis population: Not all patients had data available at every time point.

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 12
Stratum 1, Dose Level 23
Stratum 1, Dose Level 312
Stratum 2, Dose Level 26
Stratum 2, Dose Level 32

Reported measurements

Week 0

Analysis denominator · Participants

GroupSource count
Stratum 1, Dose Level 11
Stratum 1, Dose Level 21
Stratum 1, Dose Level 310
Stratum 2, Dose Level 25
Stratum 2, Dose Level 32
Values in pg/ml · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Stratum 1, Dose Level 10.950Not reportedNot reportedNot reported
Stratum 1, Dose Level 21.240Not reportedNot reportedNot reported
Stratum 1, Dose Level 30.710.28Not reportedNot reportedNot reported
Stratum 2, Dose Level 20.870.48Not reportedNot reportedNot reported
Stratum 2, Dose Level 30.410.18Not reportedNot reportedNot reported
Week 1

Analysis denominator · Participants

GroupSource count
Stratum 1, Dose Level 12
Stratum 1, Dose Level 22
Stratum 1, Dose Level 311
Stratum 2, Dose Level 26
Stratum 2, Dose Level 32
Values in pg/ml · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Stratum 1, Dose Level 11.020.22Not reportedNot reportedNot reported
Stratum 1, Dose Level 21.310.49Not reportedNot reportedNot reported
Stratum 1, Dose Level 30.750.19Not reportedNot reportedNot reported
Stratum 2, Dose Level 20.920.65Not reportedNot reportedNot reported
Stratum 2, Dose Level 30.440.10Not reportedNot reportedNot reported
Week 2

Analysis denominator · Participants

GroupSource count
Stratum 1, Dose Level 12
Stratum 1, Dose Level 23
Stratum 1, Dose Level 39
Stratum 2, Dose Level 26
Stratum 2, Dose Level 31
Values in pg/ml · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Stratum 1, Dose Level 10.920.35Not reportedNot reportedNot reported
Stratum 1, Dose Level 21.430.01Not reportedNot reportedNot reported
Stratum 1, Dose Level 30.970.38Not reportedNot reportedNot reported
Stratum 2, Dose Level 20.790.33Not reportedNot reportedNot reported
Stratum 2, Dose Level 31.030Not reportedNot reportedNot reported
Week 3

Analysis denominator · Participants

GroupSource count
Stratum 1, Dose Level 11
Stratum 1, Dose Level 23
Stratum 1, Dose Level 310
Stratum 2, Dose Level 24
Stratum 2, Dose Level 32
Values in pg/ml · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Stratum 1, Dose Level 11.150Not reportedNot reportedNot reported
Stratum 1, Dose Level 21.420.34Not reportedNot reportedNot reported
Stratum 1, Dose Level 30.830.35Not reportedNot reportedNot reported
Stratum 2, Dose Level 21.120.74Not reportedNot reportedNot reported
Stratum 2, Dose Level 326.0735.73Not reportedNot reportedNot reported
Week 6

Analysis denominator · Participants

GroupSource count
Stratum 1, Dose Level 11
Stratum 1, Dose Level 23
Stratum 1, Dose Level 38
Stratum 2, Dose Level 24
Stratum 2, Dose Level 30
Values in pg/ml · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Stratum 1, Dose Level 11.070Not reportedNot reportedNot reported
Stratum 1, Dose Level 21.370.54Not reportedNot reportedNot reported
Stratum 1, Dose Level 30.790.34Not reportedNot reportedNot reported
Stratum 2, Dose Level 20.840.40Not reportedNot reportedNot reported
Week 9

Analysis denominator · Participants

GroupSource count
Stratum 1, Dose Level 11
Stratum 1, Dose Level 22
Stratum 1, Dose Level 33
Stratum 2, Dose Level 22
Stratum 2, Dose Level 31
Values in pg/ml · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Stratum 1, Dose Level 11.570Not reportedNot reportedNot reported
Stratum 1, Dose Level 21.810.83Not reportedNot reportedNot reported
Stratum 1, Dose Level 30.830.35Not reportedNot reportedNot reported
Stratum 2, Dose Level 21.260.60Not reportedNot reportedNot reported
Stratum 2, Dose Level 30.350Not reportedNot reportedNot reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        spread
        0
        value
        0.95
      2. group Id
        OG001
        spread
        0
        value
        1.24
      3. group Id
        OG002
        spread
        0.28
        value
        0.71
      4. group Id
        OG003
        spread
        0.48
        value
        0.87
      5. group Id
        OG004
        spread
        0.18
        value
        0.41
    denoms
    1. counts
      1. group Id
        OG000
        value
        1
      2. group Id
        OG001
        value
        1
      3. group Id
        OG002
        value
        10
      4. group Id
        OG003
        value
        5
      5. group Id
        OG004
        value
        2
      units
      Participants
    title
    Week 0
  2. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.22
        value
        1.02
      2. group Id
        OG001
        spread
        0.49
        value
        1.31
      3. group Id
        OG002
        spread
        0.19
        value
        0.75
      4. group Id
        OG003
        spread
        0.65
        value
        0.92
      5. group Id
        OG004
        spread
        0.10
        value
        0.44
    denoms
    1. counts
      1. group Id
        OG000
        value
        2
      2. group Id
        OG001
        value
        2
      3. group Id
        OG002
        value
        11
      4. group Id
        OG003
        value
        6
      5. group Id
        OG004
        value
        2
      units
      Participants
    title
    Week 1
  3. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.35
        value
        0.92
      2. group Id
        OG001
        spread
        0.01
        value
        1.43
      3. group Id
        OG002
        spread
        0.38
        value
        0.97
      4. group Id
        OG003
        spread
        0.33
        value
        0.79
      5. group Id
        OG004
        spread
        0
        value
        1.03
    denoms
    1. counts
      1. group Id
        OG000
        value
        2
      2. group Id
        OG001
        value
        3
      3. group Id
        OG002
        value
        9
      4. group Id
        OG003
        value
        6
      5. group Id
        OG004
        value
        1
      units
      Participants
    title
    Week 2
  4. categories
    1. measurements
      1. group Id
        OG000
        spread
        0
        value
        1.15
      2. group Id
        OG001
        spread
        0.34
        value
        1.42
      3. group Id
        OG002
        spread
        0.35
        value
        0.83
      4. group Id
        OG003
        spread
        0.74
        value
        1.12
      5. group Id
        OG004
        spread
        35.73
        value
        26.07
    denoms
    1. counts
      1. group Id
        OG000
        value
        1
      2. group Id
        OG001
        value
        3
      3. group Id
        OG002
        value
        10
      4. group Id
        OG003
        value
        4
      5. group Id
        OG004
        value
        2
      units
      Participants
    title
    Week 3
  5. categories
    1. measurements
      1. group Id
        OG000
        spread
        0
        value
        1.07
      2. group Id
        OG001
        spread
        0.54
        value
        1.37
      3. group Id
        OG002
        spread
        0.34
        value
        0.79
      4. group Id
        OG003
        spread
        0.40
        value
        0.84
    denoms
    1. counts
      1. group Id
        OG000
        value
        1
      2. group Id
        OG001
        value
        3
      3. group Id
        OG002
        value
        8
      4. group Id
        OG003
        value
        4
      5. group Id
        OG004
        value
        0
      units
      Participants
    title
    Week 6
  6. categories
    1. measurements
      1. group Id
        OG000
        spread
        0
        value
        1.57
      2. group Id
        OG001
        spread
        0.83
        value
        1.81
      3. group Id
        OG002
        spread
        0.35
        value
        0.83
      4. group Id
        OG003
        spread
        0.60
        value
        1.26
      5. group Id
        OG004
        spread
        0
        value
        0.35
    denoms
    1. counts
      1. group Id
        OG000
        value
        1
      2. group Id
        OG001
        value
        2
      3. group Id
        OG002
        value
        3
      4. group Id
        OG003
        value
        2
      5. group Id
        OG004
        value
        1
      units
      Participants
    title
    Week 9
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
      2
    units
    Participants
description
The cytokine was quantitated using V-PLEX Human Proinflammatory Panel, a multiplex immunoassay kit developed by Meso Scale Diagnostics (MSD). A four-parameter logistic fit calibration curve was generated and used to calculate concentrations in tested samples. Analyses were performed at pre-treatment and 1 week following the first dose of drug and additionally at 2, 3, 6, and 9 weeks following the course 1 drug dose if feasible. The mean concentration of TNF-alpha in pg/ml was reported with a standard deviation. When only one patient was analyzed, the standard deviation was reported as 0 (rather than undefined).
dispersion Type
Standard Deviation
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
MEAN
population Description
Not all patients had data available at every time point.
reporting Status
POSTED
time Frame
Pre-treatment (week 0), 1 week, 2 week, 3 weeks, 6 weeks and 9 weeks post-treatment
title
Concentration of the Cytokine Tumor Necrosis Factor-alpha (TNF-alpha)
type
OTHER_PRE_SPECIFIED
unit Of Measure
pg/ml

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