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Trial · NCT04623216

Sabatolimab as a Treatment for Patients With Acute Myeloid Leukemia and Presence of Measurable Residual Disease After Allogeneic Stem Cell Transplantation.

NCT04623216, Phase 1, Phase 2, Terminated, Novartis Pharmaceuticals; results first posted 2025-06-03

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Sabatolimab as a Treatment for Patients With Acute Myeloid Leukemia and Presence of Measurable Residual Disease After Allogeneic Stem Cell Transplantation. Trials, record NCT04623216. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04623216

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Sabatolimab as a Treatment for Patients With Acute Myeloid Leukemia and Presence of Measurable Residual Disease After Allogeneic Stem Cell Transplantation.
NCT number
NCT04623216
Status
Terminated
Phases
Phase 1, Phase 2
Enrollment
24 participants, actual
Lead sponsor
Novartis Pharmaceuticals
Conditions
Acute Myeloid Leukemia
Interventions
Sabatolimab, Azacitidine
First posted
2020-11-10
Last updated
2025-10-16
Other registries' IDs
eudract:2020-000869-17
Results first posted
2025-06-03

Source ClinicalTrials.gov

Registered outcomes10

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryRate of Dose Limiting Toxicities (Safety Run-in in Adult Sabatolimab 400mg & 800mg Only)From Cycle 1 Day 1 to end of Cycle 2; Cycle =28 Days
Assessment of tolerability of sabatolimab in adults and adolescents in the post allogenic stem cell transplantation setting. This was determined by the number of participants with at least one event - All grades. A dose-limiting toxicity (DLT) is defined as an adverse event or abnormal laboratory value considered by the Investigator to be at least possibly related to sabatolimab as a single contributor that occurs during the DLT observation period and meets the severity criteria as per protocol.
PrimaryPercentage of Adult Subjects With Absence of Hematologic Relapse Per Investigator Assessment (Safety Run-in and Expansion)From Cycle 1 Day 1 to end of Cycle 6; Cycle = 28 Days
The percentage of adult participants for whom no evidence of hematologic relapse (no evidence of bone marrow blasts ≥5%, no evidence of reappearance of blasts in the blood; no evidence of development of extramedullary disease) has been documented after 6 cycles of study treatment or earlier discontinuation at the recommended dose of sabatolimab 800 mg.
PrimaryRate of Dose Limiting Toxicities (Safety Confirmation in Adolescent Cohort Only)From Cycle 1 Day 1 to end of Cycle 2; Cycle =28 Days
Assessment of tolerability of sabatolimab in adolescent participants in the post allogeneic stem cell transplantation setting. This was determined by the number of participants with at least one event - All grades. A dose-limiting toxicity (DLT) is defined as an adverse event or abnormal laboratory value considered by the Investigator to be at least possibly related to sabatolimab as a single contributor that occurs during the DLT observation period and meets the severity criteria as per protocol.
SecondaryIncidence of Grade III or IV Acute Graft Versus Host Disease (aGvHD)From start of treatment to up to 36 months from last patient first treatment.
Assessment of the treatment emergent grade III or IV aGvHD. Acute GvHD: Grade IV acute GvHD, Stage ≥3 lower GI acute GvHD (consistent with Grade III acute GvHD) or Stage ≥3 liver acute GvHD (consistent with Grade III GvHD).
SecondaryIncidence of Moderate to Severe Chronic GVHD (cGvHD)From start of treatment to up to 36 months from last patient first treatment.Assessment of the treatment emergent moderate or severe cGvHD. Chronic GvHD: Moderate chronic GvHD of the lungs, Severe chronic GvHD.
SecondaryPeak of Serum Concentration (Cmax) SabatolimabCycle 1 Day 5 (end of infusion) and Cycle 3 Day 1 or Day 5 (end of infusion) and Cycle 24 Day 1 (end of infusion); Cycle =28 DaysCmax is the maximal serum concentration of sabatolimab.
SecondaryTrough Serum Concentration of (Cmin) SabatolimabAdult cohorts: Pre-dose on Day 1 (safety run-in) or Day 5 (expansion) of Cycle 1, 3, 6 and 24 (safety run-in only); Adolescent cohort: Pre-dose on Day 1 of Cycle 1, 2, 3 and 6; Cycle = 28 DaysCmin is the concentration of sabatolimab prior to next dosing or after end of treatment.
SecondaryGraft Versus Host Disease (GvHD)-Free/Relapse-free Survival (GRFS)From start of treatment to up to 36 months from last patient first treatment
Time from start of treatment to the date of first documented occurrence or worsening of treatment emergent grade III or IV aGvHD or moderate to severe cGvHD requiring initiation of systemic treatment, morphologic/hematologic relapse, or death due to any cause, whichever occurs first
SecondaryRelapse-free Survival (RFS)From start of treatment to up to 36 months from last patient first treatmentTime from start of treatment to the date of first documented hematologic relapse or death due to any cause, whichever occurs first.
SecondaryPercentage of Participants With Measurable Residual Disease (MRD) Positive at Baseline Who Become MRD NegativeFrom start of treatment until end of Cycle 6 (Cycle = 28 Days)Percentage of participants with centrally confirmed MRD+ status at baseline converting to MRD- within the first 6 cycles of study treatment.

Outcomes10

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYRate of Dose Limiting Toxicities (Safety Run-in in Adult Sabatolimab 400mg & 800mg Only)From Cycle 1 Day 1 to end of Cycle 2; Cycle =28 Days
Dose Determining Set included all participants from the FAS enrolled in the safety run-in part who met the minimum exposure criterion described and had sufficient safety evaluations or experienced a dose limiting toxicity (DLT) between Cycle 1 Day 1 (first dose of sabatolimab) and the end of Cycle 2 (both inclusive).
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYPercentage of Adult Subjects With Absence of Hematologic Relapse Per Investigator Assessment (Safety Run-in and Expansion)From Cycle 1 Day 1 to end of Cycle 6; Cycle = 28 DaysAll adult participants treated with sabatolimab 800 mg monotherapy.Percentage of participantsNUMBER
PRIMARYRate of Dose Limiting Toxicities (Safety Confirmation in Adolescent Cohort Only)From Cycle 1 Day 1 to end of Cycle 2; Cycle =28 Days
Dose Determining Set included all participants from the FAS enrolled in the adolescent cohort who met the minimum exposure criterion described and had sufficient safety evaluations or experienced a dose limiting toxicity (DLT) between Cycle 1 Day 1 (first dose of sabatolimab) and the end of Cycle 2 (both inclusive).
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYIncidence of Grade III or IV Acute Graft Versus Host Disease (aGvHD)From start of treatment to up to 36 months from last patient first treatment.Safety Set includes all participants from the FAS.ParticipantsNUMBER
SECONDARYIncidence of Moderate to Severe Chronic GVHD (cGvHD)From start of treatment to up to 36 months from last patient first treatment.Safety Set includes all participants from the FAS.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYPeak of Serum Concentration (Cmax) SabatolimabCycle 1 Day 5 (end of infusion) and Cycle 3 Day 1 or Day 5 (end of infusion) and Cycle 24 Day 1 (end of infusion); Cycle =28 DaysPharmacokinetics (PK) analysis set included all participants from the Safety Set who provided at least one evaluable sabatolimab PK concentration at the considered timepoint.ug/mlGEOMETRIC_MEAN
SECONDARYTrough Serum Concentration of (Cmin) SabatolimabAdult cohorts: Pre-dose on Day 1 (safety run-in) or Day 5 (expansion) of Cycle 1, 3, 6 and 24 (safety run-in only); Adolescent cohort: Pre-dose on Day 1 of Cycle 1, 2, 3 and 6; Cycle = 28 DaysPharmacokinetics (PK) analysis set included all participants from the Safety Set who provided at least one evaluable sabatolimab PK concentration at the considered timepoint.µg/mlGEOMETRIC_MEAN
SECONDARYGraft Versus Host Disease (GvHD)-Free/Relapse-free Survival (GRFS)From start of treatment to up to 36 months from last patient first treatmentFull Analysis Set (FAS) included all participants who received at least one dose of any component of the study treatment (i.e. at least one dose of sabatolimab or at least one dose of azacitidine).MonthsMEDIAN
SECONDARYRelapse-free Survival (RFS)From start of treatment to up to 36 months from last patient first treatmentFAS included all participants who received at least one dose of any component of the study treatment (i.e. at least one dose of sabatolimab or at least one dose of azacitidine).MonthsMEDIAN
SECONDARYPercentage of Participants With Measurable Residual Disease (MRD) Positive at Baseline Who Become MRD NegativeFrom start of treatment until end of Cycle 6 (Cycle = 28 Days)FAS included all participants who received at least one dose of any component of the study treatment (i.e. at least one dose of sabatolimab or at least one dose of azacitidine).Percentage of participantsNUMBER

Results by group43

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Rate of Dose Limiting Toxicities (Safety Run-in in Adult Sabatolimab 400mg & 800mg Only)Sabatolimab 400mg Mono Adults0Participants
Rate of Dose Limiting Toxicities (Safety Run-in in Adult Sabatolimab 400mg & 800mg Only)Sabatolimab 800mg Mono Adults1Participants
Percentage of Adult Subjects With Absence of Hematologic Relapse Per Investigator Assessment (Safety Run-in and Expansion)Sabatolimab 800mg Mono Adults36.495% Confidence Interval 10.9 to 69.2Percentage of participants
Rate of Dose Limiting Toxicities (Safety Confirmation in Adolescent Cohort Only)Sabatolimab 800mg Mono Adolescent0Participants
Incidence of Grade III or IV Acute Graft Versus Host Disease (aGvHD)Sabatolimab 400mg Mono Adults0Participants
Incidence of Grade III or IV Acute Graft Versus Host Disease (aGvHD)Sabatolimab 800mg Mono Adults0Participants
Incidence of Grade III or IV Acute Graft Versus Host Disease (aGvHD)Sabatolimab 800mg + Azacitidine Adults0Participants
Incidence of Grade III or IV Acute Graft Versus Host Disease (aGvHD)Sabatolimab 800mg Mono Adolescent0Participants
Incidence of Moderate to Severe Chronic GVHD (cGvHD)Sabatolimab 400mg Mono Adults0Participants
Incidence of Moderate to Severe Chronic GVHD (cGvHD)Sabatolimab 800mg Mono Adults1Participants

Participant flow24

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDSabatolimab 400mg Mono Adults10
Overall StudySTARTEDSabatolimab 800mg Mono Adults11
Overall StudySTARTEDSabatolimab 800mg + Azacitidine Adults2
Overall StudySTARTEDSabatolimab 800mg Mono Adolescent1
Overall StudyDid Not Enter Post-treatment Follow-up (f/u)Sabatolimab 400mg Mono Adults7
Overall StudyDid Not Enter Post-treatment Follow-up (f/u)Sabatolimab 800mg Mono Adults9
Overall StudyDid Not Enter Post-treatment Follow-up (f/u)Sabatolimab 800mg + Azacitidine Adults2
Overall StudyDid Not Enter Post-treatment Follow-up (f/u)Sabatolimab 800mg Mono Adolescent1
Overall StudyEntered Post-treatment f/u, DiscontinuedSabatolimab 400mg Mono Adults3
Overall StudyEntered Post-treatment f/u, DiscontinuedSabatolimab 800mg Mono Adults2

Adverse events320

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersSabatolimab 400mg Mono Adults110
otherAnaemiaBlood and lymphatic system disordersSabatolimab 800mg Mono Adults011
otherAnaemiaBlood and lymphatic system disordersSabatolimab 800mg + Azacitidine Adults02
otherAnaemiaBlood and lymphatic system disordersSabatolimab 800mg Mono Adolescent01
otherDisseminated intravascular coagulationBlood and lymphatic system disordersSabatolimab 400mg Mono Adults110
otherDisseminated intravascular coagulationBlood and lymphatic system disordersSabatolimab 800mg Mono Adults011
otherDisseminated intravascular coagulationBlood and lymphatic system disordersSabatolimab 800mg + Azacitidine Adults02
otherDisseminated intravascular coagulationBlood and lymphatic system disordersSabatolimab 800mg Mono Adolescent01
otherNeutropeniaBlood and lymphatic system disordersSabatolimab 400mg Mono Adults210
otherNeutropeniaBlood and lymphatic system disordersSabatolimab 800mg Mono Adults111

Adverse event totals12

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalitySabatolimab 400mg Mono Adults510
Total, all-cause mortalitySabatolimab 800mg Mono Adults211
Total, all-cause mortalitySabatolimab 800mg + Azacitidine Adults02
Total, all-cause mortalitySabatolimab 800mg Mono Adolescent01
Total, other adverse eventsSabatolimab 400mg Mono Adults910
Total, other adverse eventsSabatolimab 800mg Mono Adults911
Total, other adverse eventsSabatolimab 800mg + Azacitidine Adults22
Total, other adverse eventsSabatolimab 800mg Mono Adolescent11
Total, serious adverse eventsSabatolimab 400mg Mono Adults210
Total, serious adverse eventsSabatolimab 800mg Mono Adults311

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons1

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

Comparison
Sabatolimab 400mg Mono Adults vs Sabatolimab 800mg Mono Adults: Rate of Dose Limiting Toxicities (Safety Run-in in Adult Sabatolimab 400mg & 800mg Only)

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04623216

GET https://conductscience.org/api/trials/v1/NCT04623216/results?page=2