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A Study to Assess the Adverse Events, Change in Disease Activity, and How Intravenously Infused ABBV-319 Moves Through the Bodies of Adult Participants With Relapsed or Refractory (R/R) Diffuse Large B-cell Lymphoma (DLBCL), Follicular Lymphoma (FL), or Chronic Lymphocytic Leukemia (CLL)

Phase 1
Recruiting
Conditions
Diffuse Large B-Cell Lymphoma
Chronic Lymphocytic Leukemia
Follicular Lymphoma
Interventions
Registration Number
NCT05512390
Lead Sponsor
AbbVie
Brief Summary

B-cell Lymphoma is an aggressive and rare cancer of a type of immune cells (a white blood cell responsible for fighting infections). Follicular Lymphoma is a slow-growing type of non-Hodgkin lymphoma. Chronic lymphocytic leukemia (CLL) is the most common leukemia (cancer of blood cells). The purpose of this study is to assess the safety, tolerability, pharmacokinetics, and preliminary efficacy of ABBV-319 in adult participants in relapsed or refractory (R/R) diffuse large b-cell lymphoma (DLBCL), R/R follicular lymphoma (FL), or R/R CLL. Adverse events will be assessed.

ABBV-319 is an investigational drug being developed for the treatment of R/R DLBCL, R/R FL, or R/R CLL. This study will include a dose escalation phase to determine the doses of ABBV-319 that will be used in the next phase and a dose expansion phase to determine the change in disease activity in participants with R/R DLBCL, R/R FL, and R/R CLL. Approximately 154 adult participants with R/R B cell lymphomas including R/R DLBCL, R/R FL, and R/R CLL will be enrolled in the study in sites world wide.

In the Dose Escalation phase of the study participants will receive escalating intravenously infused doses of ABBV-319 in 21-day cycles, until the Phase 2 dose is determined. In the dose expansion phase of the study participants receive intravenously infused ABBV-319 in 21-day cycles.

There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at an approved institution (hospital or clinic). The effect of the treatment will be frequently checked by medical assessments, blood tests, questionnaires and side effects.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
154
Inclusion Criteria
  • For dose escalation (Part 1) only: Participants with documented diagnosis of B-cell malignancies including those with histology based on criteria established by the World Health Organization (WHO), and measurable disease requiring treatment, as per the protocol.
  • For the relapsed or refractory diffuse large b-cell lymphoma (DLBCL), follicular lymphoma (FL), and Chronic lymphocytic leukemia (CLL) dose expansion cohorts (Part 2) only: Participants with documented diagnosis of one of the B-cell malignancies noted in the protocol with histology based on criteria established by the WHO, and measurable disease requiring treatment, as per the protocol.
  • Laboratory values meeting the criteria noted in the protocol.
  • For participants previously treated with a CD19-targeting therapy (eg, CD19 monoclonal antibody) a core or excision tumor biopsy subsequent to the most recent CD19-targeting therapy must be collected.
  • Participant must have measurable disease, as defined by the 2014 Lugano Classification.
Exclusion Criteria
  • Known active central nervous system (CNS) disease, or primary CNS lymphoma.
  • Known active infection or clinically significant uncontrolled conditions as per the protocol.
  • Eastern Cooperative Oncology Group (ECOG) performance status >= 2.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
Dose Escalation ABBV-319ABBV-319Participants with relapsed or refractory (R/R) B cell lymphomas including diffuse large b-cell lymphoma (DLBCL) or follicular lymphoma (FL), and Chronic lymphocytic leukemia (CLL) will receive escalating doses of ABBV-319 in 21-day cycles, until the doses of ABBV-319 that will be used in the next phase are determined.
(ABBV-319) Diffuse Large B-cell Lymphoma (DLBCL) ParticipantsABBV-319Participants with R/R DLBCL will receive ABBV-319 in 21-day cycles.
(ABBV-319) Follicular Lymphoma (FL) ParticipantsABBV-319Participants with R/R FL will receive ABBV-319 in 21-day cycles.
(ABBV-319) Chronic Lymphocytic Leukemia (CLL) ParticipantsABBV-319Participants with R/R CLL will receive ABBV-319 in 21-day cycles.
Primary Outcome Measures
NameTimeMethod
Antidrug Antibody (ADA)Up to 6 Months

Incidence and concentration of anti-drug antibodies.

Area Under the Serum Concentration Versus Time Curve (AUC) of ABBV-319Up to 6 Months

Area under the serum concentration versus time curve (AUC) of ABBV-319.

Number of Dose-Limiting Toxicities (DLT)Day 42

A DLT is defined as any adverse event (AE) for which a clear alternative cause cannot be established (eg, attributed to the disease under study, another disease, or to a concomitant medication by the study investigators or medical monitor).

Number of Participants with Adverse Events (AE)Up to 30 Months

AE is defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment.

Maximum Observed Serum Concentration (Cmax) of ABBV-319Up to 6 Months

Maximum observed serum concentration of ABBV-319.

Time to Cmax (Tmax) of ABBV-319Up to 6 Months

Time to Cmax of ABBV-319.

Terminal Phase Elimination Half-Life (t1/2) of ABBV-319Up to 6 Months

Terminal phase elimination half-life of ABBV-319.

Secondary Outcome Measures
NameTimeMethod
Overall survival (OS) TimeUp to 30 Months

OS is defined as time from first study treatment to death due to any cause.

Number of Participants with Response of Partial Response (PR) or Better per Disease-Specific CriteriaUp to 6 Months

Number of participants with response of PR or better per disease-specific criteria.

Progression Free Survival (PFS) TimeUp to 30 Months

PFS is defined as time from first study treatment to a documented disease progression as determined by the investigator, or death due to any cause, whichever occurs earlier.

Time to ResponseUp to 6 Months

Time to response is defined for participants achieving a CR/PR as the time from starting therapy to first a CR/PR.

Duration of Response (DOR)Up to 6 Months

DOR is defined for participants achieving a complete response (CR)/PR as the time from the initial response per investigator review to disease progression or death of any cause, whichever occurs earlier.

Trial Locations

Locations (15)

University of Arizona Cancer Center - Tucson /ID# 247752

🇺🇸

Tucson, Arizona, United States

Sylvester Comprehensive Cancer Center - University of Miami /ID# 247232

🇺🇸

Miami, Florida, United States

Allina Health System /ID# 251782

🇺🇸

Minneapolis, Minnesota, United States

University of Nebraska Medical Center /ID# 246715

🇺🇸

Omaha, Nebraska, United States

Memorial Sloan Kettering Cancer Center-Koch Center /ID# 249246

🇺🇸

New York, New York, United States

Novant Health Presbyterian Medical Center /ID# 246719

🇺🇸

Charlotte, North Carolina, United States

Baylor Sammons Cancer Center /ID# 247715

🇺🇸

Dallas, Texas, United States

University of Texas Health San Antonio MD Anderson Cancer Center /ID# 256234

🇺🇸

San Antonio, Texas, United States

Concord Repatriation General Hospital /ID# 249240

🇦🇺

Concord, New South Wales, Australia

St Vincent's Hospital Melbourne /ID# 247624

🇦🇺

Fitzroy Melbourne, Victoria, Australia

One Clinical Research Pty Ltd /ID# 248392

🇦🇺

Nedlands, Western Australia, Australia

Cross Cancer Institute /ID# 246717

🇨🇦

Edmonton, Alberta, Canada

University Health Network_Princess Margaret Cancer Centre /ID# 243936

🇨🇦

Toronto, Ontario, Canada

The Chaim Sheba Medical Center /ID# 254884

🇮🇱

Ramat Gan, Tel-Aviv, Israel

Hadassah Medical Center-Hebrew University /ID# 254885

🇮🇱

Jerusalem, Israel

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