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A Study to Assess BMS-986458 Alone and in Combination With Anti-lymphoma Agents in Relapsed/Refractory Non-Hodgkin Lymphomas

Phase 1
Recruiting
Conditions
Relapsed/Refractory Non-Hodgkin Lymphoma
Interventions
Drug: BMS-986458
Drug: Rituximab
Registration Number
NCT06090539
Lead Sponsor
Bristol-Myers Squibb
Brief Summary

The purpose of this study is to evaluate the safety, tolerability, drug levels, and preliminary biological and clinical activity of BMS-986458, a bifunctional cereblon-dependent ligand-directed degrader (LDD) of BCL6 (BCL6 LDD), as a single agent and in combination with anti-lymphoma agents in participants with relapsed/refractory non-Hodgkin Lymphoma.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
273
Inclusion Criteria
  • Participants ≥ 18 years of age with R/R NHL (including DLBCL [ie, DLBCL not otherwise specified (NOS) and diffuse large B-Cell lymphoma/high-grade B-Cell lymphoma with MYC and BCL2 rearrangements], and FL):

    • For R/R DLBCL (de novo) and FL 3b: following at least 2 prior lines of therapy (eg, first-line combination chemotherapy regimen containing rituximab, anthracycline, an alkylating agent, and steroids and at least one additional treatment).
    • For R/R DLBCL (transformed lymphoma): following at least 2 prior lines of therapy which must have been administered after transformation.
    • For R/R FL (except for FL 3b): following at least 2 prior lines of therapy and meeting treatment criteria at the time of enrollment based on investigator´s assessment.
  • Participant must have measurable disease (defined by at least one FDG-avid lesion for FDG-avid disease and one bi-dimensionally measurable disease on cross sectional imaging by computed tomography or magnetic resonance imaging with at least one lesion > 1.5 cm in the transverse diameter).

  • Participants must accept and follow pregnancy prevention plan.

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Exclusion Criteria
  • Participants must not have an Eastern Cooperative Oncology Group (ECOG) performance status ≥ 2.
  • Participants with an inability to comply with listed restrictions, precautions and prohibited treatments.
  • Participants must not have prior CAR-T, Cereblon-modulating drug or radiotherapy ≤ 4 weeks, systemic anticancer treatment ≤ 5 half-lives or 4 weeks, allogeneic SCT ≤ 6 months or autologous SCT ≤ 3 months prior to study intervention initiation.
  • Participants must not have any condition, including significant acute or chronic medical illness, active or uncontrolled infection, or the presence of laboratory abnormalities, that places participants at unacceptable risk if participating in this study.
  • Participants must not have known or suspected central nervous system involvement.
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Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Part B1BMS-986458Single Agent
Part B2RituximabCombination Treatment
Part A1BMS-986458Single Agent
Part B2BMS-986458Combination Treatment
Part A2BMS-986458Combination Treatment
Part A2RituximabCombination Treatment
Primary Outcome Measures
NameTimeMethod
Number of participants with AEs meeting protocol-defined dose-limiting toxicity (DLT) criteriaUp to 2 years and 1 month
Number of participants with AEs leading to discontiunationUp to 2 years and 1 month
Number of participants with serious adverse events (SAEs)Up to 2 years and 1 month
Number of participants with adverse events (AEs)Up to 2 years and 1 month
Number of participants with AEs leading to deathUp to 2 years and 1 month
Secondary Outcome Measures
NameTimeMethod
Time of maximum concentration (Tmax)Up to 4 months
Number of participants with an overall response rate (ORR) according to the Lugano response criteria for Non-Hodgkin LymphomaUp to 2 years
Progression-free survival (PFS)Up to 2 years
Overall survival (OS)Up to 2 years
Area under the plasma concentration-time curve (AUC(0-T))Up to 4 months
Duration of response (DOR)Up to 2 years
Maximum concentration (Cmax)Up to 4 months
Time to response (TTR)Up to 2 years

Trial Locations

Locations (22)

Universitätsklinikum Leipzig

🇩🇪

Leipzig, Sachsen, Germany

City of Hope Comprehensive Cancer Center

🇺🇸

Duarte, California, United States

Dana-Farber Cancer Institute

🇺🇸

Boston, Massachusetts, United States

Northwell Health/ RJ Zuckerberg Cancer Center

🇺🇸

Lake Success, New York, United States

Memorial Sloan Kettering Cancer Center

🇺🇸

New York, New York, United States

Hopital Claude Huriez - CHU de Lille

🇫🇷

Lille, Nord, France

Gustave Roussy

🇫🇷

Villejuif, Paris, France

CHU SAINT ELOI-Département d'Hématologie Clinique

🇫🇷

Montpellier, France

Institut Claudius Regaud

🇫🇷

Toulouse, France

Universitätsklinikum Münster - Albert Schweitzer Campus

🇩🇪

Münster, Nordrhein-Westfalen, Germany

Universitaetsklinikum des Saarlandes

🇩🇪

Homburg, Saarland, Germany

Helios Klinikum Berlin-Buch

🇩🇪

Berlin, Germany

Maastricht UMC+

🇳🇱

Maastricht, Limburg, Netherlands

University Medical Center Groningen

🇳🇱

Groningen, Netherlands

Hospital Universitario Virgen de la Victoria

🇪🇸

Málaga, Andalucía, Spain

Hospital Universitari Vall d'Hebron

🇪🇸

Barcelona, Barcelona [Barcelona], Spain

Clinica Universidad de Navarra

🇪🇸

Pamplona, Navarra, Spain

Hospital Universitario Fundación Jiménez Díaz

🇪🇸

Madrid, Spain

Hospital Universitario de Salamanca - Complejo Asistencial Universitario de Salamanca

🇪🇸

Salamanca, Spain

Ospedale Regionale Bellinzona e Valli

🇨🇭

Bellinzona, Ticino, Switzerland

University Hospital Basel

🇨🇭

Basel, Switzerland

Hôpitaux Universitaire de Genève

🇨🇭

Genève, Switzerland

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