Can a targeted drug hit the mark in Hard-to-Treat blood cancers?
NCT ID NCT03386513
First seen Sep 04, 2026 · Last updated Sep 04, 2026
Summary
This trial tests an experimental drug called IMGN632 in people with certain blood cancers, including acute myeloid leukemia and blastic plasmacytoid dendritic cell neoplasm. The drug is designed to find and attack cancer cells that carry a protein called CD123 on their surface. Researchers are looking at how safe the drug is, what side effects it causes, and whether it can help shrink or eliminate the cancer.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- IMGN632, an antibody-drug conjugate that targets CD123 on cancer cells
- What this could lead to
- If it works, IMGN632 could offer a new treatment option for people with certain blood cancers that have not responded to other therapies.
- What could go wrong
- This is an early-phase trial, so the drug may not work as hoped or may cause side effects. The results will need confirmation in larger studies.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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179 people
The number who actually took part.
- Started
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Jan 2018
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Disease Characteristics: a. Confirmation of CD123 positivity by flow cytometry or IHC. Participants who received prior CD123-targeting agents will be allowed as long as the blasts still have detectable CD123 expression. 2. Expansion inclusion: * Cohort 1 - Participants with relapsed or refractory blastic plasmacytoid dendritic cell neoplasm (BPDCN) with 1-3 prior lines of therapy * Cohort 2 - Participants with relapsed AML * Cohort 3 - Participants with relapsed relapsed or refractory ALL (including any subtypes: B-cell, T-cell, Ph+ and Ph-) * Cohort 4 - Participants with relapsed or refractory other hematologic malignancies not included in the cohorts above (eg, high risk/very high-risk MDS, MPN, CMML, BP-CML). * Cohort 5 - Participants with relapsed relapsed or refractory (to nonintense therapies) CD123+ AML. * Cohort 6 - Participants with frontline de novo BPDCN at screening who have not received prior systemic therapy and participants with frontline BPDCN who have PCHM and have not received prior systemic therapy. Note: Participants in Cohort 6 may have received local therapy (radiotherapy, surgical excision, photodynamic therapy). Eligible participants must have a recurrence or progression in the field of local therapy OR disease outside the field of local therapy. Exclusion Criteria: 1. Participants who, in the judgment of their treating physician, have appropriate standard of care therapies will be excluded from Cohorts 1 through 5. 2. Frontline BPDCN participants with central nervous system (CNS) disease will be excluded. A lumbar puncture must be performed during the 28-day screening period, prior to drug administration. Relapsed or refractory BPDCN participants with a known history of CNS disease must have been treated locally, have at least 1 lumbar puncture with no evidence of CNS disease, and must be clinically stable prior to first dose. Concurrent therapy for CNS prophylaxis or continuation of therapy for controlled CNS disease is permitted with the approval of the Sponsor. 3. Participants with a history of veno-occlusive disease (sinusoidal obstruction syndrome) of the liver. 4. Participants with a history of Grade 4 capillary leak syndrome, or non-cardiac Grade 4 edema are ineligible, eg, related to tagraxofusp-erzs or other etiology. 5. Interval from prior cancer therapy: 1. For frontline BPDCN participants with prior local therapy (eg, radiotherapy), participants must not have received treatment within 14 days prior to drug administration on this study. 2. Relapsed or refractory BPDCN participants must not have received any anti-cancer therapy including chemotherapy, immunotherapy, radiotherapy, hormonal, biologic, or any investigational agents within 14 days prior to drug administration on this study. Participants must have recovered to baseline from all acute toxicity from this prior therapy. Note: the exception that participants who have received a checkpoint inhibitor must not have received that therapy within 28 days prior to drug administration on this study.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Azienda ospedaliera Santa Maria della Misericordia
Perugia, 06132, Italy
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Banner Health MD Anderson Cancer Center
Gilbert, Arizona, 85234, United States
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Baylor Scott & White University Medical Center
Dallas, Texas, 75246, United States
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CHU Bordeaux Hôpital Haut-Lévêque
Pessac, 33600, France
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CHU de Besancon, Hopital Jean Minjoz
Besançon, 25030, France
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Churchill Hospital - Oxford
Oxford, OX3 7LE, United Kingdom
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City of Hope Medical Center
Duarte, California, 91010, United States
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Dana-Farber Cancer Institute
Boston, Massachusetts, 02215, United States
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Duke Cancer Institute
Durham, North Carolina, 27710, United States
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Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance
Seattle, Washington, 98109, United States
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Hospital Universitari I Politècnic La Fe
Valencia, 46026, Spain
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Hôpital St Antoine
Paris, France
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IRCCS Azienda Ospedaliero-Universitaria di Bologna Policlinico S. Orsola Malpighi
Bologna, 40138, Italy
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Institut Paoli Calmettes (Marseille)
Marseille, 13009, France
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Instituto Europeo di Oncologia
Milan, 20141, Italy
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Instituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori
Meldola, 47014, Italy
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MD Anderson Cancer Center
Houston, Texas, 77030-7095, United States
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Memorial Sloan Kettering Cancer Center
New York, New York, 10065, United States
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Moffitt Cancer Center
Tampa, Florida, 33612, United States
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Novant Health Cancer Institute Hematology
Charlotte, North Carolina, 28204, United States
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Novant Health Cancer Institute Hematology - Forsyth
Winston-Salem, North Carolina, 27103, United States
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Recherche Clinique-Hématologie
Amiens, France
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Roswell Park Cancer Institute
Buffalo, New York, 14263, United States
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Stanford
Stanford, California, 94305, United States
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UCLA
Los Angeles, California, 90095, United States
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University Hospital of Cologne
Cologne, 50937, Germany
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University Hospital of Leipzig
Leipzig, 04103, Germany
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University of Alabama at Birmingham
Birmingham, Alabama, 35294, United States
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University of Maryland Medical Center
Baltimore, Maryland, 21201, United States
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