A Phase 1 Study of SEA-CD70 in Myeloid Malignancies
A Safety Study of SEA-CD70 in Patients With Myeloid Malignancies
Sponsors
Source
Seagen Inc.
Oversight Info
Has Dmc
No
Is Fda Regulated Drug
Yes
Is Fda Regulated Device
No
Brief Summary
This trial will look at a drug called SEA-CD70 with and without azacitidine, to find out
if it is safe for participants with myelodysplastic syndrome (MDS) and acute myeloid
leukemia (AML). It will study SEA-CD70 to find out what its side effects are and if it
works for AML and MDS. A side effect is anything the drug does besides treating cancer.
This study will have seven groups or "parts."
- Part A will find out how much SEA-CD70 should be given to participants
- Part B will use the dose found in Part A to find out how safe SEA-CD70 is and if it
works to treat participants with MDS.
- Part C will use the dose found in Part A to find out how safe SEA-CD70 is and if it
works to treat participants with AML.
- Part D will find out how much SEA-CD70 with azacitidine should be given to
participants
- Part E will use the dose found in Part D to find out how safe SEA-CD70 with
azacitidine is and if it works to treat participants with MDS or MDS/AML that has
not been treated.
- Part F will use the dose found in Part D to find out how safe SEA-CD70 with
azacitidine is and if it works to treat participants with MDS or MDS/AML.
- Part G will find out how much SEA-CD70 with azacitidine and with venetoclax should
be given to participants with AML. Also, to evaluate safety and tolerability of
PF-08046040 in combination with azacitidine and venetoclax in participants with
previously untreated AML who are unfit for standard induction chemotherapy.
Detailed Description
This is a phase 1, open-label, multicenter, dose-finding, and dose expansion study
designed to evaluate the safety, tolerability, pharmacokinetics (PK), and antitumor
activity of SEA-CD70 monotherapy and SEA-CD70 in combination with azacitidine in adults
with myeloid malignancies. The study will be conducted in up to 6 parts.
- Part A is a dose-escalation cohort designed to identify the MTD or recommended
expansion dose of SEA-CD70 monotherapy in participants with relapsed/refractory
(hypomethylating agent [HMA]-failure) MDS.
- Part B is an expansion cohort designed to evaluate the safety and tolerability of
SEA-CD70 monotherapy in participants with relapsed/refractory (HMA-failure) MDS.
- Part C is an expansion cohort designed to evaluate the safety and tolerability of
SEA-CD70 monotherapy in participants with relapsed/refractory AML.
- Part D contains dose-finding/dose optimization cohorts designed to evaluate the
safety/tolerability and identify the recommended expansion dose of SEA-CD70 in
combination with azacitidine in participants with 1) relapsed/refractory
(HMA-failure) MDS or MDS/AML, and 2) previously untreated higher-risk per IPSS-M
(Moderate High, High or Very High) MDS or MDS/AML.
- Part E is an expansion cohort designed to evaluate the safety and tolerability of
SEA-CD70 in combination with azacitidine in participants with previously untreated
higher-risk per IPSS-M (Moderate High, High, or Very High) MDS or MDS/AML.
- Part F is an expansion cohort designed to evaluate the safety and tolerability of
SEA-CD70 in combination with azacitidine in participants with relapsed/refractory
(HMA-failure) MDS or MDS/AML.
- Part G will find out how much SEA-CD70 with azacitidine and with venetoclax should
be given to participants with previously untreated AML who are unfit for standard of
care induction chemotherapy
Overall Status
Recruiting
Start Date
2020-08-07
Completion Date
2028-07-03
Primary Completion Date
2027-07-04
Phase
Phase 1
Study Type
Interventional
Primary Outcome
Measure |
Time Frame |
|
Number of participants with adverse events (AEs) |
Through 30-37 days following last dose of SEA-CD70; up to approximately 2 years |
|
Number of participants with laboratory abnormalities |
Through 30-37 days following last dose of SEA-CD70; up to approximately 2 years |
|
Number of participants with a dose-limiting toxicity (DLT) at each dose level (Parts A and D only) |
Though end of DLT evaluation period; up to approximately 4 weeks |
Secondary Outcome
Measure |
Time Frame |
|
AUC - Area under the plasma concentration-time curve |
Through 30-37 days following last dose of SEA-CD70; up to approximately 2 years |
|
Tmax - Time to maximum concentration attained |
Through 30-37 days following last dose of SEA-CD70; up to approximately 2 years |
|
Cmax - Maximum observed plasma concentration |
Through 30-37 days following last dose of SEA-CD70; up to approximately 2 years |
|
Ctrough - Minimum plasma concentration per dosing interval |
Through 30-37 days following last dose of SEA-CD70; up to approximately 2 years |
|
T1/2 - Terminal elimination half-life |
Through 30-37 days following last dose of SEA-CD70; up to approximately 2 years |
|
Incidence of antidrug antibodies (ADA) |
Through 30-37 days following last dose of SEA-CD70; up to approximately 2 years |
|
Complete remission (CR) Rate and complete remission equivalent (CReq) rate |
Up to approximately 4 years |
|
Complete remission with incomplete blood count recovery (CRi) rate |
Up to approximately 4 years |
|
Complete remission with limited count recovery (CRL) rate for participants with MDS or MDS/AML |
Up to approximately 4 years |
|
Complete remission with partial hematologic recovery (CRh) rate |
Up to approximately 4 years |
|
Hematologic response (HI) rate |
Up to approximately 4 years |
|
Overall response rate (ORR) |
Up to approximately 4 years |
|
Duration of remission (DOR) |
Up to approximately 4 years |
|
Overall survival (OS) |
Up to approximately 4 years |
|
Event-free survival (EFS) |
Up to approximately 4 years |
|
Progression-free survival (PFS) |
Up to approximately 4 years |
|
MRD-negative ORR |
Up to approximately 4 years |
|
Time to response (TTR) |
Up to approximately 4 years |
|
Rate of conversion to transfusion independence (TI) |
Up to approximately 4 years |
|
Rate of TI maintenance |
Up to approximately 4 years |
Enrollment
178
Conditions
Intervention
Intervention Type
Drug
Intervention Name
Description
Given into the vein (IV; intravenously) on Days 1 and 15 of each treatment cycle
Arm Group Label
Part A
Part B
Part C
Part D
Part E
Part F
Part G
Intervention Type
Drug
Intervention Name
Description
75mg/m^2 injected under the skin (SC; subcutaneous) or given into the vein (IV;
intravenously) on Days 1 through 7 of each treatment cycle.
Arm Group Label
Part D
Part E
Part F
Part G
Other Name
VIDAZA
Intervention Type
Drug
Intervention Name
Description
400 mg /day PO, continuously; administered with ramping
Arm Group Label
Part G
Other Name
Venclexta
Eligibility
Criteria
Part A Inclusion Criteria
- Participants with cytologically/histologically confirmed MDS (2016 World Health
Organization (WHO) classification) with
- Measurable disease per WHO MDS with excess blasts criteria
- MDS that is relapsed or refractory and must not have other therapeutic options
- Treatment failure after prior hypomethylating agent (HMA) therapy for MDS
- Eastern Cooperative Oncology Group (ECOG) performance status of 0-1
Part B Inclusion Criteria
- Participants with cytologically/histologically confirmed MDS (WHO classification)
with:
- Measurable disease per WHO MDS with excess blasts (MDS-EB) criteria
- MDS that is relapsed or refractory and must not have other therapeutic options
- Treatment failure after prior HMA therapy for MDS
- ECOG Performance Status of 0-2
Part C Inclusion Criteria
- Participants with relapsed or refractory AML (ICC 2022) (except for acute
promyelocytic leukemia [APL]):
- Who have received either 2 or 3 previous regimens
- Who have received 1 previous regimen to treat active disease and have at least
one of the following:
- Age > 60 and ≤75 years.
- Primary resistant AML or secondary AML
- First CR duration <6 months
- Adverse-risk per European Leukemia Network genetic risk stratification
- Age 18-75 years
- ECOG performance status of 0-2
Parts D and F Inclusion Criteria
- Participants with diagnosis of MDS or MDS/AML (ICC 2022 criteria)
- Disease which has relapsed, failed to respond after minimum of 6 cycles, or
progressed following an HMA in the immediately preceding line of therapy.
- Eligible for continued therapy with azacitidine
- ECOG Performance Status 0-2
Parts D and E Inclusion Criteria
- Participants with diagnosis of MDS or MDS/AML (ICC 2022 criteria), previously
untreated.
- Participants with higher-risk per IPSS-M MDS and MDS/AML
- ECOG Performance Status 0-2
Part G Inclusion Criteria
- Participants with diagnosis of AML (ICC 2022 criteria), previously untreated and
ineligible for standard induction chemotherapy.
- Age ≥18 years.
- ECOG Performance Status of 0-2.
Exclusion Criteria (All Parts)
- Previous exposure to CD70-targeted agents
- Prior allogeneic hematopoietic stem cell transplant, for any condition
- Central nervous system leukemia
- History of clinically significant sickle cell anemia, autoimmune hemolytic anemia,
or idiopathic thrombocytopenic purpura
- Parts D, F and G only: Prior oral HMA or oral HMA-combinations
- Part G: conditions that preclude enteral route of administration; concomitant use of
strong/moderate CYP3A inducers; history of myeloproliferative neoplasm
Gender
All
Minimum Age
18 Years
Maximum Age
N/A
Healthy Volunteers
No
Overall Official
Last Name |
Role |
Affiliation |
|
Pfizer CT.gov Call Center |
Study Director |
Pfizer |
Overall Contact
Last Name
Pfizer CT.gov Call Center
Phone
1-800-718-1021
ClinicalTrials.gov_Inquiries@pfizer.com
Location
Facility |
Status |
|
University of Alabama at Birmingham Birmingham 4049979 Alabama 4829764 35233 United States |
Active, not recruiting |
|
University of Alabama at Birmingham Birmingham 4049979 Alabama 4829764 35249 United States |
Active, not recruiting |
|
Dept. of Medicine, UAB ONeal Comprehensive Cancer Center Birmingham 4049979 Alabama 4829764 35294 United States |
Active, not recruiting |
|
City of Hope (City of Hope National Medical Center, City of Hope Medical Center) Duarte 5344147 California 5332921 91010 United States |
Recruiting |
|
IP Address: City of Hope Investigational Drug Services(IDS) Duarte 5344147 California 5332921 91010 United States |
Recruiting |
|
Ronald Reagan UCLA Medical Center Los Angeles 5368361 California 5332921 90095 United States |
Recruiting |
|
UCLA Hematology-Oncology Clinic Los Angeles 5368361 California 5332921 90095 United States |
Recruiting |
|
Colorado Blood Cancer Institute, Lab Denver 5419384 Colorado 5417618 80218 United States |
Recruiting |
|
Colorado Blood Cancer Institute Denver 5419384 Colorado 5417618 80218 United States |
Recruiting |
|
Presbyterian/St. Luke's Medical Center Denver 5419384 Colorado 5417618 80218 United States |
Recruiting |
|
The University of Kansas Cancer Center ,Investigational Drug Services Fairway 4271358 Kansas 4273857 66205 United States |
Recruiting |
|
The University of Kansas Clinical Research Center Fairway 4271358 Kansas 4273857 66205 United States |
Recruiting |
|
The University of Kansas Hospital Kansas City 4273837 Kansas 4273857 66160 United States |
Recruiting |
|
University of Kansas Hospital Cambridge North Tower A Kansas City 4273837 Kansas 4273857 66160 United States |
Recruiting |
|
University of Kansas Medical center Medical office building Kansas City 4273837 Kansas 4273857 66160 United States |
Recruiting |
|
University of Kansas Medical Center Research Institute Kansas City 4273837 Kansas 4273857 66160 United States |
Recruiting |
|
The University of Kansas Cancer Center - Overland Park Overland Park 4276873 Kansas 4273857 66210 United States |
Recruiting |
|
The University of Kansas Cancer Center - Indian Creek Campus Overland Park 4276873 Kansas 4273857 66211 United States |
Recruiting |
|
The University of Kansas Cancer Center Westwood 4281639 Kansas 4273857 66205 United States |
Recruiting |
|
Norton Hospitals, Inc Louisville 4299276 Kentucky 6254925 40202 United States |
Recruiting |
|
Norton Cancer Institute, St. Matthews Campus, Attn. Becky Champion, PharmD Louisville 4299276 Kentucky 6254925 40207 United States |
Recruiting |
|
Norton Cancer Institute, St. Matthews Campus Louisville 4299276 Kentucky 6254925 40207 United States |
Recruiting |
|
Norton Women & Children's Hospital Louisville 4299276 Kentucky 6254925 40207 United States |
Recruiting |
|
Massachusetts General Hospital Boston 4930956 Massachusetts 6254926 02114 United States |
Recruiting |
|
Beth Israel Deaconess Medical Center Boston 4930956 Massachusetts 6254926 02215 United States |
Recruiting |
|
Dana Farber/Mass General Brigham Cancer Care, Inc Boston 4930956 Massachusetts 6254926 02215 United States |
Recruiting |
|
Karmanos Cancer Institute Detroit 4990729 Michigan 5001836 48201 United States |
Recruiting |
|
Karmanos Cancer Institute Weisberg Cancer Treatment Center Farmington Hills 4992523 Michigan 5001836 48334 United States |
Recruiting |
|
The University of Kansas Cancer Center - Medical Oncology Clinic Kansas City 4393217 Missouri 4398678 64116 United States |
Recruiting |
|
The University of Kansas Cancer Center - Radiation Oncology Clinic Kansas City 4393217 Missouri 4398678 64116 United States |
Recruiting |
|
The University of Kansas Cancer Center -North Kansas City 4393217 Missouri 4398678 64154 United States |
Recruiting |
|
The University of Kansas Cancer Center - Lee's Summit Lee's Summit 4394870 Missouri 4398678 64064 United States |
Recruiting |
|
Columbia University Irving Medical Center New York 5128581 New York 5128638 10032 United States |
Recruiting |
|
CUIMC Research Pharmacy New York 5128581 New York 5128638 10032 United States |
Recruiting |
|
The New York and Presbyterian Hospital New York 5128581 New York 5128638 10032 United States |
Recruiting |
|
University Hospitals Cleveland Medical Center Cleveland 5150529 Ohio 5165418 44106 United States |
Recruiting |
|
Cleveland Clinic Cleveland 5150529 Ohio 5165418 44195 United States |
Recruiting |
|
The Ohio State University Wexner Medical Center/James Cancer Hospital Columbus 4509177 Ohio 5165418 43210 United States |
Recruiting |
|
Hollings Cancer Center Charleston 4574324 South Carolina 4597040 29425 United States |
Recruiting |
|
Medical University of South Carolina- Ashley River Tower Charleston 4574324 South Carolina 4597040 29425 United States |
Recruiting |
|
Medical University of South Carolina- Investigational Drug Services Charleston 4574324 South Carolina 4597040 29425 United States |
Recruiting |
|
Medical University of South Carolina- University Hospital Charleston 4574324 South Carolina 4597040 29425 United States |
Recruiting |
|
Baylor Research Institute Dallas 4684888 Texas 4736286 75204 United States |
Recruiting |
|
Baylor University Medical Center, Investigational Drug Services, Department of Pharmacy Dallas 4684888 Texas 4736286 75246 United States |
Recruiting |
|
Baylor University Medical Center Dallas 4684888 Texas 4736286 75246 United States |
Recruiting |
|
Houston Methodist Hospital Houston 4699066 Texas 4736286 77030 United States |
Recruiting |
|
The University of Texas MD Anderson Cancer Center Houston 4699066 Texas 4736286 77030 United States |
Active, not recruiting |
|
Swedish Cancer Institute Seattle 5809844 Washington 5815135 98104 United States |
Recruiting |
|
Swedish Medical Center Seattle 5809844 Washington 5815135 98122 United States |
Recruiting |
|
National Cancer Center Hospital East Kashiwa 1859924 Chiba 2113014 277-8577 Japan |
Recruiting |
|
Nippon Medical School Hospital Bunkyo-ku Tokyo 1850144 113-8603 Japan |
Recruiting |
|
Yamagata University Hospital Yamagata 2110556 990-9585 Japan |
Recruiting |
|
Pharmacy - UMC Utrecht t.a.v. Apotheek KGO Utrecht 2745912 3584 CW Netherlands |
Recruiting |
|
University Medical Center (UMC) Utrecht Utrecht 2745912 3584 CX Netherlands |
Recruiting |
Location Countries
Country
Japan
Netherlands
United States
Verification Date
2025-12-01
Lastchanged Date
N/A
Firstreceived Date
N/A
Responsible Party
Responsible Party Type
Sponsor
Keyword
Has Expanded Access
No
Condition Browse
Secondary Id
C5781001
2023-506945-42-00
Number Of Arms
7
Intervention Browse
Mesh Term
Azacitidine
venetoclax
Arm Group
Arm Group Label
Part A
Arm Group Type
Experimental
Description
SEA-CD70 dose escalation cohort in relapsed/refractory (HMA-failure) MDS
Arm Group Label
Part B
Arm Group Type
Experimental
Description
SEA-CD70 expansion cohort in relapsed/refractory (HMA-failure) MDS
Arm Group Label
Part C
Arm Group Type
Experimental
Description
SEA-CD70 expansion cohort in relapsed/refractory AML
Arm Group Label
Part D
Arm Group Type
Experimental
Description
SEA-CD70 + azacitidine dose-finding/dose optimization cohorts in relapsed/refractory MDS
or MDS/AML, and previously untreated higher-risk MDS or MDS/AML
Arm Group Label
Part E
Arm Group Type
Experimental
Description
SEA-CD70 + azacitidine expansion cohort in previously untreated higher-risk MDS or
MDS/AML
Arm Group Label
Part F
Arm Group Type
Experimental
Description
SEA-CD70 + azacitidine expansion cohort in relapsed/refractory MDS or MDS/AML
Arm Group Label
Part G
Arm Group Type
Experimental
Description
SEA-CD70 + azacitidine +venetoclax dose-finding/dose optimization in previously untreated
and unfit for induction therapy AML
Firstreceived Results Date
N/A
Patient Data
Sharing Ipd
No
Ipd Description
Pfizer will provide access to individual de-identified participant data and related study
documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR))
upon request from qualified researchers, and subject to certain criteria, conditions, and
exceptions. Further details on Pfizer's data sharing criteria and process for requesting
access can be found at:
https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.
Firstreceived Results Disposition Date
N/A
Study Design Info
Allocation
Non-Randomized
Intervention Model
Sequential Assignment
Intervention Model Description
Parts B and C may enroll in parallel after enrollment of Part A is complete. Part D will
enroll after Part A is complete. Parts E, F and Part G will enroll in parallel once Part
D is complete.
Primary Purpose
Treatment
Masking
None (Open Label)
Study First Submitted
January 10, 2020
Study First Submitted Qc
January 10, 2020
Study First Posted
January 14, 2020
Last Update Submitted
December 5, 2025
Last Update Submitted Qc
December 5, 2025
Last Update Posted
December 8, 2025
ClinicalTrials.gov processed this data on December 12, 2025
Conditions
Conditions usually refer to a disease, disorder, syndrome, illness, or injury. In ClinicalTrials.gov,
conditions include any health issue worth studying, such as lifespan, quality of life, health risks, etc.
Interventions
Interventions refer to the drug, vaccine, procedure, device, or other potential treatment being studied.
Interventions can also include less intrusive possibilities such as surveys, education, and interviews.
Study Phase
Most clinical trials are designated as phase 1, 2, 3, or 4, based on the type of questions
that study is seeking to answer:
In Phase 1 (Phase I) clinical trials, researchers test a new drug or treatment in a small group of people (20-80) for the first time to evaluate its safety, determine a safe dosage range, and identify side effects.
In Phase 2 (Phase II) clinical trials, the study drug or treatment is given to a larger group of people (100-300) to see if it is effective and to further evaluate its safety.
In Phase 3 (Phase III) clinical trials, the study drug or treatment is given to large groups of people (1,000-3,000) to confirm its effectiveness, monitor side effects, compare it to commonly used treatments, and collect information that will allow the drug or treatment to be used safely.
In Phase 4 (Phase IV) clinical trials, post marketing studies delineate additional information including the drug's risks, benefits, and optimal use.
These phases are defined by the Food and Drug Administration in the Code of Federal Regulations.
In Phase 1 (Phase I) clinical trials, researchers test a new drug or treatment in a small group of people (20-80) for the first time to evaluate its safety, determine a safe dosage range, and identify side effects.
In Phase 2 (Phase II) clinical trials, the study drug or treatment is given to a larger group of people (100-300) to see if it is effective and to further evaluate its safety.
In Phase 3 (Phase III) clinical trials, the study drug or treatment is given to large groups of people (1,000-3,000) to confirm its effectiveness, monitor side effects, compare it to commonly used treatments, and collect information that will allow the drug or treatment to be used safely.
In Phase 4 (Phase IV) clinical trials, post marketing studies delineate additional information including the drug's risks, benefits, and optimal use.
These phases are defined by the Food and Drug Administration in the Code of Federal Regulations.

