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A Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of YK012

Phase 1
Recruiting
Conditions
Relapsed or Refractory B-Cell Non-Hodgkin Lymphoma
Registration Number
NCT06565689
Lead Sponsor
Excyte Biopharma Ltd
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
48
Inclusion Criteria

Inclusion Criteria:<br><br> 1. Written informed consent obtained from the patient prior to performing any<br> study-related procedures, including screening visits.<br><br> 2. Males or females aged = 18 to = 65 years.<br><br> 3. Participants with an Eastern Cooperative Oncology Group (ECOG) performance score of<br> = 1.<br><br> 4. Participants with an estimated survival time of more than 12 weeks.<br><br> 5. Participants with relapsed or refractory B-NHL. These patients' disease history must<br> meet the following World Health Organization (WHO) diagnostic subtypes of B-NHL :<br> follicular lymphoma (FL), MALT lymphoma, lymphoplasmacytic lymphoma (LPL), mantle<br> cell lymphoma (MCL), small lymphocytic lymphoma (SLL), diffuse large B-cell lymphoma<br> (DLBCL), primary mediastinal large B-cell lymphoma (PMBCL), grey zone lymphoma,<br> Burkitt lymphoma.<br><br> 6. Participants have previously received rituximab Treatment (unless rituximab is<br> intolerant) and at least second-line therapy.<br><br> 7. Participants with at least one evaluable tumor lesion per the Lugano 2014 criteria,<br> i.e., a lymph node lesion > 15 mm in long diameter or an extranodal lesion > 10 mm<br> in long diameter according to computed tomography (CT) cross-sectional imaging.<br><br> 8. Adverse reactions caused by previous treatment have recovered to below level 1<br> assessed by NCI CTCAE v5.0 before screening (except hair loss).<br><br> 9. Participants with essentially normal function of hematology, liver, and kidney<br> function.<br><br> 10. Female participants of childbearing potential must have a negative blood pregnancy<br> test and agree to use reliable methods of contraception (hormonal or barrier methods<br> or sexual abstinence) with their partner throughout the study period and until 3<br> months after the last dose.<br><br> 11. Male participants must agree to use reliable methods of contraception (barrier<br> methods or sexual abstinence) and avoid sperm donation throughout the study period<br> and until 90 days after the last dose.<br><br>Exclusion Criteria:<br><br> 1. Participants who meet any of the following exclusion criteria will not be included<br> in this study:<br><br> Treatment with biologic targeted therapy or anti-tumor immunotherapy within 4 weeks<br> prior to the first dose of YK012; Participants who have received chemotherapy within<br> 4 weeks prior to the first dose of YK012; Participants who have received small<br> molecule targeted agents within 2 weeks or 5 half-lives (whichever is longer) prior<br> to the first dose of YK012; Participants who have received other investigational<br> agents within 4 weeks or 5 half-lives (whichever is shorter) prior to the first dose<br> of YK012; Participants who have received radical/extensive radiotherapy within 4<br> weeks prior to the first dose of YK012, or local palliative radiotherapy within 2<br> weeks prior to the first dose of YK012, or acute toxicity induced by previous<br> radiotherapy have not recovered to grade =1; Participants who have received<br> autologous HSCT within 12 weeks prior to the first dose of YK012; Participants who<br> have received allogeneic HSCT or organ transplant; Participants who have received<br> chimeric antigen receptor T cell (CAR-T) immunotherapy.<br><br> 2. History of malignancy other than B-cell NHL within 5 years prior to study entry,<br> except for local cancers that have been clearly cured or have been free of disease<br> for at least 5 consecutive years.<br><br> 3. Participants with clinically symptomatic metastases to the central nervous system or<br> meninges, or other evidence of uncontrolled metastases to the CNS or meninges,<br> judged by the Investigator.<br><br> 4. a) History of or current relevant CNS pathology as epilepsy, seizure, paresis,<br> aphasia, apoplexia, severe brain injuries, cerebellar disease, organic brain<br> syndrome, psychosis; b) Evidence for presence of inflammatory lesions and/or<br> vasculitis on cerebral MRI.<br><br> 5. Participants with a history or evidence of serious cardiovascular disease, including<br> but not limited to:<br><br> Acute coronary; Coronary angioplasty or stent implantation within 6 months prior to<br> first dose of YK012; Clinically significant unstable arrhythmias (e.g., atrial<br> fibrillation) , however, whose atrial fibrillation have been controlled for over 30<br> days prior to the first dose of YK012 were allowed to be enrolled; Severe cardiac<br> rhythm abnormalities; Grade III or higher congestive heart failure as defined by the<br> New York Heart Association (NYHA) standards; Cardiac valve morphological<br> abnormalities recorded by ECHO (= grade 2), those participants with grade 1 cardiac<br> valve morphological abnormalities (such as mild regurgitation/stenosis) were allowed<br> to be enrolled, but participants with moderate valve thickening were excluded; Left<br> ventricular ejection fraction (LVEF) below lower limit of the study center, or<br> LVEF<50% if there is no lower limit at the research center; QTcF = 470 msec (female)<br> or = 450 msec (male); Implantable defibrillator; Participants with clinically<br> uncontrollable hypertension (i.e., SBP=160 mm Hg and/or DBP=100 mm Hg).<br><br> 6. Known allergy to monoclonal antibody drugs or immunoglobulin.<br><br> 7. Participants who have undergone any major organ surgery or significant trauma within<br> 4 weeks prior to the first dose of YK012, or those requiring elective surgeries<br> during the study, and all AEs associated with surgery or significant trauma have not<br> recovered before the first dose of the YK012.<br><br> 8. Regular dose of systemic corticosteroids during the 4 weeks prior to initiation of<br> study drug or anticipated need of corticosteroids exceeding prednisone 20 mg/day or<br> equivalent during the trial, or any other systemic immunosuppressive therapy within<br> 4 weeks prior to study entry.<br><br> 9. The results of serological testing for the virus are clinically significant as<br> judged by the investigator.<br><br> 10. Participants with uncontrolled active infections currently require systemic<br> anti-infective therapy, except for local treatment.<br><br> 11. Participants with uncontrollable space effusion (e.g. pleural effusion, abdominal<br> effusion, pericardial effusion, etc.), as judged by the Investigator.<br><br> 12. Pregnant or lactating women.<br><br> 13. Participants with mental disorders or poor protocol compliance.<br><br> 14. Participants who have used live attenuated vaccines within 4 weeks prior to the<br> first dose of YK012.<br><br> 15. Participants with any other condition or circumstance that would, in the discretion<br> of the Investigator, make the subject unsuitable for participation in this clinical<br> study.

Exclusion Criteria

Not provided

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Incidence of subjects with adverse events (AEs) and/or serious adverse events (SAEs);The incidence and profile of dose-limiting toxicity (DLT);The maximum tolerated dose and/or the recommended dose for further clinical trial
Secondary Outcome Measures
NameTimeMethod
Area under the concentration-time curve (AUC) after administration;Maximum concentration (Cmax) after administration;Time to maximum concentration (Tmax) after administration;Terminal elimination half-life (T1/2) after administration;Percentage of participants with anti-drug antibodies (ADA);Tumor objective response rate (ORR);Duration of response (DOR);Anti-lymphoma activity by progression-free survival (PFS);Number of B cells and T cells in peripheral blood after administration;Level of cytokines in peripheral blood after administration
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