Table 2.

Results of early clinical trials on bispecific antibodies for AML

Clinical trial no.TargetConstruct designDosingSafetyEfficacy (CR/CRi)No. patients treated to dateEnrollment stage
NCT02520427 CD33 BiTE 0.5-720  µg/day; 0-3 dose steps; 14-28 days CIV CRS 67% (≥G3 13%) 7/42 96 Terminated 
NCT03224819 CD33 HLE-BiTE 0.05-72  µg per dose, 2 IV infusions in 14 days CRS 50% (≥G3 13%) 1/27 46 Terminated 
NCT03144245 CD33 TandAb 0.5-300  µg/day; 14 days CIV; 28-day cycle CRS NA (≥G3 0%) 2/35 53 Completed 
NCT02152956 CD123 DART RP2D: 500  ng/kg/day; 7 dose steps; 28 days CIV; then 4 days/week CRS 50% (≥G3 7%) 8/30 246 Terminated 
NCT02715011 CD123 DuoBody 0.6-6  µg/kg Q2W IV; 0.15-4.8  µg/kg twice weekly IV; 2.4-4.8  µg/kg twice weekly SC; 0-4 dose steps CRS 44% (≥G3 15%) 0/62 62 Completed 
NCT02730312/ NCT05285813 CD123 XmAb 1.7  µg/kg IV; 4 dose steps on days 1, 3, 5, and 8 followed by weekly administration CRS 44% (≥G3 15%) 5/51 106 Dose finding completed/ phase 2 initiated 
NCT05086315 CD123 Trifunctional NK cell engager 10-3000  µg/kg/dose in cycle 1; 100-3000  µg/kg QW for the rest of induction cycles CRS 9% (≥G3 n.r.), IRR 43% 3/23 23 Recruiting 
NCT03038230 CLL1 Biclonics IgG format 0.675-240  mg weekly after initial ramp-up dosing; 3-4 dose steps CRS 36% (≥G3 9%) 0/58 62 Active, not recruiting 
Clinical trial no.TargetConstruct designDosingSafetyEfficacy (CR/CRi)No. patients treated to dateEnrollment stage
NCT02520427 CD33 BiTE 0.5-720  µg/day; 0-3 dose steps; 14-28 days CIV CRS 67% (≥G3 13%) 7/42 96 Terminated 
NCT03224819 CD33 HLE-BiTE 0.05-72  µg per dose, 2 IV infusions in 14 days CRS 50% (≥G3 13%) 1/27 46 Terminated 
NCT03144245 CD33 TandAb 0.5-300  µg/day; 14 days CIV; 28-day cycle CRS NA (≥G3 0%) 2/35 53 Completed 
NCT02152956 CD123 DART RP2D: 500  ng/kg/day; 7 dose steps; 28 days CIV; then 4 days/week CRS 50% (≥G3 7%) 8/30 246 Terminated 
NCT02715011 CD123 DuoBody 0.6-6  µg/kg Q2W IV; 0.15-4.8  µg/kg twice weekly IV; 2.4-4.8  µg/kg twice weekly SC; 0-4 dose steps CRS 44% (≥G3 15%) 0/62 62 Completed 
NCT02730312/ NCT05285813 CD123 XmAb 1.7  µg/kg IV; 4 dose steps on days 1, 3, 5, and 8 followed by weekly administration CRS 44% (≥G3 15%) 5/51 106 Dose finding completed/ phase 2 initiated 
NCT05086315 CD123 Trifunctional NK cell engager 10-3000  µg/kg/dose in cycle 1; 100-3000  µg/kg QW for the rest of induction cycles CRS 9% (≥G3 n.r.), IRR 43% 3/23 23 Recruiting 
NCT03038230 CLL1 Biclonics IgG format 0.675-240  mg weekly after initial ramp-up dosing; 3-4 dose steps CRS 36% (≥G3 9%) 0/58 62 Active, not recruiting 

IV, intravenous; IRR, infusion-related reaction; NA, not applicable; QW, once weekly; Q2W, once every 2 weeks; SC, subcutaneous injection; TandAb, tandem diabody.

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