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Active, not recruitingNCT04227847Updated Sep 9, 2026

A Safety Study of SEA-CD70 in Patients With Myeloid Malignancies

A Phase 1 interventional study of SEA-CD70 and azacitidine in Myelodysplastic Syndrome and Acute Myeloid Leukemia, sponsored by Seagen, a wholly owned subsidiary of Pfizer. Active, not recruiting at 52 sites in 3 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-09.

Sponsored by Seagen, a wholly owned subsidiary of Pfizer (part of Pfizer) · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
170
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study 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 compared to azacitidine alone 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.
Read the 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 vs 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
02

Conditions studied

  • Myelodysplastic Syndrome
  • Acute Myeloid Leukemia

Keywords

  • Seattle Genetics
03

In context

Myelodysplastic Syndromes

2,124 studies on the registry are indexed under Myelodysplastic Syndromes; 319 are open to participants now.

This study's enrollment of 170 is above the median of 39 across 1,740 interventional studies indexed under Myelodysplastic Syndromes.

Browse Myelodysplastic Syndromes studies →

Lead sponsor

Seagen, a wholly owned subsidiary of Pfizer is the lead sponsor of 30 studies on the registry; 5 are open to participants now.

Of its 11 completed or terminated interventional studies of FDA-regulated products, 3 (27%) have results posted.

First submitted before Seagen became part of Pfizer.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

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
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
170 participants (actual)

Study arms

  • Experimental
    Part A

    SEA-CD70 dose escalation cohort in relapsed/refractory (HMA-failure) MDS

    Drug: SEA-CD70

  • Experimental
    Part B

    SEA-CD70 expansion cohort in relapsed/refractory (HMA-failure) MDS

    Drug: SEA-CD70

  • Experimental
    Part C

    SEA-CD70 expansion cohort in relapsed/refractory AML

    Drug: SEA-CD70

  • Experimental
    Part D

    SEA-CD70 + azacitidine dose-finding/dose optimization cohorts in relapsed/refractory MDS or MDS/AML, and previously untreated higher-risk MDS or MDS/AML

    Drug: SEA-CD70 · Drug: azacitidine

  • Experimental
    Part E

    SEA-CD70 + azacitidine vs azacitidine expansion cohort in previously untreated higher-risk MDS or MDS/AML

    Drug: SEA-CD70 · Drug: azacitidine

  • Experimental
    Part F

    SEA-CD70 + azacitidine expansion cohort in relapsed/refractory MDS or MDS/AML

    Drug: SEA-CD70 · Drug: azacitidine

  • Experimental
    Part G

    SEA-CD70 + azacitidine +venetoclax dose-finding/dose optimization in previously untreated and unfit for induction therapy AML

    Drug: SEA-CD70 · Drug: azacitidine · Drug: Venetoclax

Interventions

  • DrugSEA-CD70

    Given into the vein (IV; intravenously) on Days 1 and 15 of each treatment cycle

  • Drugazacitidine

    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.

    Also known as: VIDAZA

  • DrugVenetoclax

    400 mg /day PO, continuously; administered with ramping

    Also known as: Venclexta

06

What researchers measure

Primary outcomes

  1. Number of participants with adverse events (AEs)

    Any untoward medical occurrence in a clinical investigational participant administered a medicinal product and which does not necessarily have a causal relationship with this treatment.

    Time frame: Through 30-37 days following last dose of SEA-CD70; up to approximately 2 years

  2. Number of participants with laboratory abnormalities

    To be summarized using descriptive statistics.

    Time frame: Through 30-37 days following last dose of SEA-CD70; up to approximately 2 years

  3. Number of participants with a dose-limiting toxicity (DLT) at each dose level (Parts A and D only)

    To be summarized using descriptive statistics.

    Time frame: Though end of DLT evaluation period; up to approximately 4 weeks

Secondary outcomes

  1. AUC - Area under the plasma concentration-time curve

    To be summarized using descriptive statistics.

    Time frame: Through 30-37 days following last dose of SEA-CD70; up to approximately 2 years

  2. Tmax - Time to maximum concentration attained

    To be summarized using descriptive statistics.

    Time frame: Through 30-37 days following last dose of SEA-CD70; up to approximately 2 years

  3. Cmax - Maximum observed plasma concentration

    To be summarized using descriptive statistics.

    Time frame: Through 30-37 days following last dose of SEA-CD70; up to approximately 2 years

  4. Ctrough - Minimum plasma concentration per dosing interval

    To be summarized using descriptive statistics.

    Time frame: Through 30-37 days following last dose of SEA-CD70; up to approximately 2 years

  5. T1/2 - Terminal elimination half-life

    To be summarized using descriptive statistics.

    Time frame: Through 30-37 days following last dose of SEA-CD70; up to approximately 2 years

  6. Incidence of antidrug antibodies (ADA)

    To be summarized using descriptive statistics.

    Time frame: Through 30-37 days following last dose of SEA-CD70; up to approximately 2 years

  7. Complete remission (CR) Rate and complete remission equivalent (CReq) rate

    Proportion of participants with AML, MDS/AML or MDS who achieve CR or CReq

    Time frame: Up to approximately 4 years

  8. Complete remission with incomplete blood count recovery (CRi) rate

    Proportion of participants with AML who achieve CRi

    Time frame: Up to approximately 4 years

  9. Complete remission with limited count recovery (CRL) rate for participants with MDS or MDS/AML

    Proportion of participants with MDS or MDS/AML who achieve CRL

    Time frame: Up to approximately 4 years

  10. Complete remission with partial hematologic recovery (CRh) rate

    Proportion of participants with AML, MDS/AML, or MDS who achieve CRh

    Time frame: Up to approximately 4 years

  11. Hematologic response (HI) rate

    Proportion of participants with MDS or MDS/AML with HI

    Time frame: Up to approximately 4 years

  12. Overall response rate (ORR)

    For AML, the proportion of participants who achieve a best response of CR, CRi, CRh, or partial response (PR). For MDS, the proportion of participants who achieve a best response of CR, CReq, CRL, CRh, PR, or HI

    Time frame: Up to approximately 4 years

  13. Duration of remission (DOR)

    For AML, the time from first CR/CRi/CRh/PR response to the first documentation of disease progression, start of new anticancer therapy, or death due to any cause. For MDS, the time from first CR (or Req)/CRL/CRh/PR to the first documentation of disease progression, start of new anticancer therapy, or death due to any cause

    Time frame: Up to approximately 4 years

  14. Overall survival (OS)

    Time from start of study treatment to the date of death due to any cause

    Time frame: Up to approximately 4 years

  15. Event-free survival (EFS)

    Time from first dose to the first documentation of progression, failure to achieve remission within 6 months of study entry, disease relapse, or death due to any cause, whichever comes first.

    Time frame: Up to approximately 4 years

  16. Progression-free survival (PFS)

    Time from first dose to the first documentation of progression, disease relapse, or death from any cause, whichever comes first

    Time frame: Up to approximately 4 years

  17. MRD-negative ORR

    Proportion of participants with AML or MDS who achieve MRD-negative ORR

    Time frame: Up to approximately 4 years

  18. Time to response (TTR)

    Time from start of study treatment to the first documentation of objective response

    Time frame: Up to approximately 4 years

  19. Rate of conversion to transfusion independence (TI)

    Proportion of participants who convert from transfusion dependence at baseline to TI post-baseline

    Time frame: Up to approximately 4 years

  20. Rate of TI maintenance

    Proportion of participants who were TI at baseline and maintain TI post-baseline

    Time frame: Up to approximately 4 years

07

Study locations

52 sites
  • University of Alabama at Birmingham
    Birmingham, Alabama 35233, United States
  • University of Alabama at Birmingham
    Birmingham, Alabama 35249, United States
  • Dept. of Medicine, UAB ONeal Comprehensive Cancer Center
    Birmingham, Alabama 35294, United States
  • City of Hope (City of Hope National Medical Center, City of Hope Medical Center)
    Duarte, California 91010, United States
  • IP Address: City of Hope Investigational Drug Services(IDS)
    Duarte, California 91010, United States
  • Ronald Reagan UCLA Medical Center
    Los Angeles, California 90095, United States
  • UCLA Hematology-Oncology Clinic
    Los Angeles, California 90095, United States
  • Colorado Blood Cancer Institute, Lab
    Denver, Colorado 80218, United States
  • Colorado Blood Cancer Institute
    Denver, Colorado 80218, United States
  • Presbyterian/St. Luke's Medical Center
    Denver, Colorado 80218, United States
  • The University of Kansas Cancer Center ,Investigational Drug Services
    Fairway, Kansas 66205, United States
  • The University of Kansas Clinical Research Center
    Fairway, Kansas 66205, United States
  • The University of Kansas Hospital
    Kansas City, Kansas 66160, United States
  • University of Kansas Hospital Cambridge North Tower A
    Kansas City, Kansas 66160, United States
  • University of Kansas Medical center Medical office building
    Kansas City, Kansas 66160, United States
  • University of Kansas Medical Center Research Institute
    Kansas City, Kansas 66160, United States
  • The University of Kansas Cancer Center - Overland Park
    Overland Park, Kansas 66210, United States
  • The University of Kansas Cancer Center - Indian Creek Campus
    Overland Park, Kansas 66211, United States
  • The University of Kansas Cancer Center
    Westwood, Kansas 66205, United States
  • Norton Hospitals, Inc
    Louisville, Kentucky 40202, United States
  • Norton Cancer Institute, St. Matthews Campus, Attn. Becky Champion, PharmD
    Louisville, Kentucky 40207, United States
  • Norton Cancer Institute, St. Matthews Campus
    Louisville, Kentucky 40207, United States
  • Norton Women & Children's Hospital
    Louisville, Kentucky 40207, United States
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, United States
  • Beth Israel Deaconess Medical Center
    Boston, Massachusetts 02215, United States
  • Dana Farber/Mass General Brigham Cancer Care, Inc
    Boston, Massachusetts 02215, United States
  • Karmanos Cancer Institute
    Detroit, Michigan 48201, United States
  • Karmanos Cancer Institute Weisberg Cancer Treatment Center
    Farmington Hills, Michigan 48334, United States
  • The University of Kansas Cancer Center - Medical Oncology Clinic
    Kansas City, Missouri 64116, United States
  • The University of Kansas Cancer Center -North
    Kansas City, Missouri 64154, United States
  • The University of Kansas Cancer Center - Lee's Summit
    Lee's Summit, Missouri 64064, United States
  • Columbia University Irving Medical Center
    New York, New York 10032, United States
  • CUIMC Research Pharmacy
    New York, New York 10032, United States
  • The New York and Presbyterian Hospital
    New York, New York 10032, United States
  • University Hospitals Cleveland Medical Center
    Cleveland, Ohio 44106, United States
  • Cleveland Clinic
    Cleveland, Ohio 44195, United States
  • The Ohio State University Wexner Medical Center/James Cancer Hospital
    Columbus, Ohio 43210, United States
  • Hollings Cancer Center
    Charleston, South Carolina 29425, United States
  • Medical University of South Carolina- Ashley River Tower
    Charleston, South Carolina 29425, United States
  • Medical University of South Carolina- Investigational Drug Services
    Charleston, South Carolina 29425, United States
  • Medical University of South Carolina- University Hospital
    Charleston, South Carolina 29425, United States
  • Baylor Research Institute
    Dallas, Texas 75204, United States
  • Baylor University Medical Center, Investigational Drug Services, Department of Pharmacy
    Dallas, Texas 75246, United States
  • Baylor University Medical Center
    Dallas, Texas 75246, United States
  • The University of Texas MD Anderson Cancer Center
    Houston, Texas 77030, United States
  • Swedish Cancer Institute
    Seattle, Washington 98104, United States
  • Swedish Medical Center
    Seattle, Washington 98122, United States
  • National Cancer Center Hospital East
    Kashiwa, Chiba 277-8577, Japan
  • Nippon Medical School Hospital
    Bunkyo-ku, Tokyo 113-8603, Japan
  • Yamagata University Hospital
    Yamagata, 990-9585, Japan
  • Pharmacy - UMC Utrecht t.a.v. Apotheek KGO
    Utrecht, 3584 CW, Netherlands
  • University Medical Center (UMC) Utrecht
    Utrecht, 3584 CX, Netherlands
08

References and documents

Publications

  • Dewulf J, Flieswasser T, Delahaye T, Vangestel C, Miranda A, de Haard H, Jacobs J, Smits E, Van den Wyngaert T, Elvas F. Site-specific 68Ga-labeled nanobody for PET imaging of CD70 expression in preclinical tumor models. EJNMMI Radiopharm Chem. 2023 Apr 24;8(1):8. doi: 10.1186/s41181-023-00194-3. PubMed 37093350 ↗

Individual participant data

Plan to share: No — 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.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 9, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04227847
Responsible party
Sponsor
First posted
Jan 14, 2020
Start date
Aug 7, 2020
Primary completion
Jul 4, 2027 (estimated)
Completion
Jul 3, 2028 (estimated)
Last update
Sep 9, 2026

Study contacts

Pfizer CT.gov Call Center
study director · Pfizer

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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