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A Study of IMC-001 in Subjects With Relapsed or Refractory Extranodal NK/T Cell Lymphoma, Nasal Type

Phase 2
Active, not recruiting
Conditions
Extranodal NK/T-cell Lymphoma
Extranodal NK/T-cell Lymphoma, Nasal Type
Interventions
Registration Number
NCT04414163
Lead Sponsor
ImmuneOncia Therapeutics Inc.
Brief Summary

This is a phase 2, Open-label, to investigate the efficacy and safety of IMC-001 in patients with Relapsed or Refractory extranodal NK/T cell lymphoma, nasal type

Detailed Description

IMC-001 is a PD-L1 targeting, fully human monoclonal antibody. The purpose of this study is to determine and evaluate the efficacy and safety of IMC-001. 20mg/kg every 2 weeks, IV infusion of IMC-001 will be tested in subjects with Relapsed or Refractory extranodal NK/T cell lymphoma, nasal type.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
23
Inclusion Criteria
  1. ENKTL diagnosis;

    • Histologically confirmed diagnosed with extranodal NK/T-cell lymphoma, nasal type
    • At least 1 previous line of systemic therapy
    • Documented disease progression of last therapy
  2. Adult age(as defined by respective country)

  3. The nature of the study and voluntarily sign an ICF

  4. ECOG 0 or1

  5. Adequate hematologic function, hepatic function, and renal function

Exclusion Criteria
  1. Previously treated with an anti-PD-L1 or anti-PD-1 antibody
  2. Known presence of symptomatic CNS metastases
  3. Prior allogeneic HSCT or solid organ transplantation
  4. Any active autoimmune disease or a documented history of autoimmune disease
  5. Apparent active or latent TB and known viral infection with hepatitis B virus or hepatitis C virus
  6. Pregnant or lactating

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
IMC-001IMC-001Single Dose level (IMC-001 20mg/kg, every 2 weeks)
Primary Outcome Measures
NameTimeMethod
Occurrence of Objective Response Rate(ORR)through study completion, an average of 1 year

Lugano criteria with LYRIC modification

Secondary Outcome Measures
NameTimeMethod
Evaluate additional efficacy variables of IMC-001 : Complete Response (CR) rateThe imaging assessment will be performed every 12 weeks (± 1 week) according to the Lugano criteria with LYRIC modification by centralized independent review, and the Lugano criteria with LYRIC modification and the Lugano Criteria by investigator.

Complete Response (CR) rate, (Unit of Measure: Percentage of participants)

1. Variables determined by the centralized independent assessment per the Lugano criteria with LYRIC modification

2. Variables determined by the investigator assessment per the Lugano criteria with LYRIC modification

3. based on response as determined by the investigator per the Lugano criteria

Evaluate additional efficacy variables of IMC-001 : Disease Control Rate (DCR)The imaging assessment will be performed every 12 weeks (± 1 week) according to the Lugano criteria with LYRIC modification by centralized independent review, and the Lugano criteria with LYRIC modification and the Lugano Criteria by investigator.

Disease Control Rate (DCR), (Unit of Measure: Percentage of participants)

1. Variables determined by the centralized independent assessment per the Lugano criteria with LYRIC modification

2. based on response as determined by the investigator per the Lugano criteria

Evaluate additional efficacy variables of IMC-001 : Progression-Free Survival (PFS)The imaging assessment will be performed every 12 weeks (± 1 week) according to the Lugano criteria with LYRIC modification by centralized independent review, and the Lugano criteria with LYRIC modification and the Lugano Criteria by investigator.

Progression-Free Survival (PFS), (Unit of Measure: Months)

1. Variables determined by the centralized independent assessment per the Lugano criteria with LYRIC modification

2. Variables determined by the investigator assessment per the Lugano criteria with LYRIC modification

3. based on response as determined by the investigator per the Lugano criteria

Evaluate additional efficacy variables of IMC-001 : Duration of Response (DOR)The imaging assessment will be performed every 12 weeks (± 1 week) according to the Lugano criteria with LYRIC modification by centralized independent review, and the Lugano criteria with LYRIC modification and the Lugano Criteria by investigator.

Duration of Response (DOR), (Unit of Measure: Months)

1. Variables determined by the centralized independent assessment per the Lugano criteria with LYRIC modification

2. based on response as determined by the investigator per the Lugano criteria

Evaluate additional efficacy variables of IMC-001 : Time to Progression (TTP)The imaging assessment will be performed every 12 weeks (± 1 week) according to the Lugano criteria with LYRIC modification by centralized independent review, and the Lugano criteria with LYRIC modification and the Lugano Criteria by investigator.

Time to Progression (TTP), (Unit of Measure: Months)

1. Variables determined by the centralized independent assessment per the Lugano criteria with LYRIC modification

2. based on response as determined by the investigator per the Lugano criteria

Evaluate additional efficacy variables of IMC-001 : Overall Response Rate (ORR)The imaging assessment will be performed every 12 weeks (± 1 week) according to the Lugano criteria with LYRIC modification by centralized independent review, and the Lugano criteria with LYRIC modification and the Lugano Criteria by investigator.

Overall Response Rate (ORR), (Unit of Measure: Percentage of participants)

1. Variables determined by the investigator assessment per the Lugano criteria with LYRIC modification

2. based on response as determined by the investigator per the Lugano criteria

Determine the pharmacokinetic (PK) profile of IMC-001 : CtroughCycle 1 Day 1(Pre-dose/EOI + 1 hr ± 5 min), Cycle 2, 4, 7, 10, 13 Day 1(Pre-dose up to 1 hr before/EOI + 1 hr ± 5 min) (each cycle is 14 days)

The trough level or trough concentration (Ctrough) of IMC-001 measured at specified time points.

Determine the pharmacokinetic (PK) profile of IMC-001 : CmaxCycle 1 Day 1(Pre-dose/EOI + 1 hr ± 5 min), Cycle 2, 4, 7, 10, 13 Day 1(Pre-dose up to 1 hr before/EOI + 1 hr ± 5 min) (each cycle is 14 days)

The maximum observed serum concentration (Cmax) of IMC-001 observed during dosing interval.

Characterize the immunogenicity of IMC-001 : Incidence of Anti-Drug Antibodies (ADA)Screening, prior to infusion at Cycle 4, 7, 10, and 13, End of Treatment, Safety Follow up (each cycle is 14 days, EOT: 28-day (+ 3 days) after the last dose of study drug, Safety Follow up: 90-day (±7 days) after the end-of treatment visit)

Incidence of anti-drug antibody (ADA) (including serum titers of anti-IMC-001 antibodies) The percentage of patients demonstrating anti-IMC-001 antibodies will be calculated.

Characterize the immunogenicity of IMC-001 : Correlation Between ADA and Drug Exposure and ActivityScreening, prior to infusion at Cycle 4, 7, 10, and 13, End of Treatment, Safety Follow up (each cycle is 14 days, EOT: 28-day (+ 3 days) after the last dose of study drug, Safety Follow up: 90-day (±7 days) after the end-of treatment visit)

Correlation Between ADA and Drug Exposure and Activity The Spearman nonparametric correlation coefficient will be calculated to quantify the relationship between titer of anti-IMC-001 antibodies and exposure and activity.

Evaluate safety of IMC-001through study completion, an average of 1 year

Terms, frequency, severity and seriousness of AEs and relationship of AEs to IMC-001

Evaluate additional efficacy variables of IMC-001 : Overall Survival (OS)through study completion, an average of 1 year

Overall Survival (OS), (Unit of Measure: Months)

Trial Locations

Locations (5)

Chonnam National University Hwasun Hospital

🇰🇷

Gwangju, Korea, Republic of

Asan Medical Center

🇰🇷

Seoul, Korea, Republic of

Samsung Medical Center

🇰🇷

Seoul, Korea, Republic of

Seoul National University Hospital

🇰🇷

Seoul, Korea, Republic of

Ulsan University Hospital

🇰🇷

Ulsan, Korea, Republic of

Chonnam National University Hwasun Hospital
🇰🇷Gwangju, Korea, Republic of

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