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临床试验/NCT06018129
NCT06018129终止1 期

A Phase 1/2a, Open-Label, Dose Escalation Trial of GEN3017 With Expansion Cohorts in Relapsed or Refractory CD30+ Classical Hodgkin Lymphoma and CD30+ Non-Hodgkin Lymphoma

Genmab4 个研究点 分布在 2 个国家目标入组 9 人开始时间: 2023年9月21日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
1 期
状态
终止
发起方
Genmab
入组人数
9
试验地点
4
主要终点
Dose Escalation Part: Number of Participants With Dose-Limiting Toxicities (DLTs)

研究概览

简要总结

The purpose of this trial is to evaluate the safety, tolerability, immunogenicity, pharmacokinetics (PK), pharmacodynamics (PD), and anti-tumor activity of GEN3017 as a monotherapy in participants with relapsed or refractory (R/R) CD30-expressing lymphomas.

GEN3017 will be administered via subcutaneous injections.

All participants will receive active drug; no one will be given placebo.

详细描述

This multicenter trial will be conducted in 2 parts: Dose Escalation (phase 1) and Expansion (phase 2a).

The Dose Escalation Part (phase 1) of the trial will evaluate dose-limiting toxicities (DLTs) to determine the recommended phase 2 dose (RP2D), and if reached, the maximum tolerated dose (MTD) for R/R CD30+ classical Hodgkin lymphoma (cHL) and R/R CD30+ T-cell lymphoma (TCL), respectively.

The Expansion Part (phase 2a) will evaluate the anti-tumor activity of GEN3017 at the RP2D and selected dosage(s) will be assessed together with safety, immunogenicity, pharmacokinetics, and pharmacodynamics in R/R CD30+ cHL participants (including adults; and adolescent and young adults) and in participants with selected R/R CD30+ TCL subtypes (adults only).

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Sequential
主要目的
Treatment
盲法
None

入排标准

年龄范围
16 Years 至 —(Child, Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Dose Escalation Part:
  • Must be at least 18 years of age. For participants in the R/R cHL Cohort in the United States (US) and Australia, must be at least 16 years of age.
  • Histologically confirmed R/R cHL or R/R TCL.
  • Participants must have at least 1 measurable lesion by fluorodeoxyglucose-positron emission tomography (FDG-PET) scan demonstrating positive lesion compatible with computed tomography (CT)- or magnetic resonance imaging (MRI)-defined anatomical tumor sites and a CT scan (or MRI) with involvement of ≥1 measurable nodal lesion and/or ≥1 measurable extranodal lesion.
  • Eastern Cooperative Oncology Group (ECOG) performance status score 0 or 1 for participants 18 years of age and above. For participants ≥16 and <18 years of age (US and Australia only), Karnofsky score of >60% per Karnofsky performance scale.
  • Confirmed CD30-positivity in tumor biopsy prior to the first dose of GEN
  • R/R cHL Cohort:
  • Must have relapsed or progressive cHL after receiving at least 2 or 3 prior lines of therapy; OR
  • Refractory to the second line of therapy.

排除标准

  • Primary central nervous system (CNS) tumor or known CNS involvement.
  • Received prior investigational CD30-targeting therapy (except brentuximab vedotin).
  • Autologous hematopoietic stem cell transplant (HSCT) within 60 days (applies to both cHL and TCL). Allogeneic HSCT within 90 days (applies to cHL) prior to the first dose of GEN
  • Chemotherapy within 2 weeks or major surgery within 4 weeks prior to the first dose of GEN
  • Curative radiotherapy within 4 weeks or palliative radiotherapy within 2 weeks prior to the first dose of GEN
  • Treatment with an investigational drug within 4 weeks or 5 half-lives of the drug, whichever is shorter prior to the first dose of GEN3017 or currently receiving any other investigational agents.
  • Prior treatment with live, attenuated vaccines within 30 days prior to the first dose of GEN
  • Receiving immunosuppressive drugs or systemic corticosteroids such as prednisone at doses >25 milligrams (mg) daily or its equivalent within 14 days prior to the first dose of GEN
  • NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

研究组 & 干预措施

R/R CD30+ cHL Cohort

Experimental

干预措施: GEN3017 (Biological)

R/R CD30+ TCL Cohort

Experimental

干预措施: GEN3017 (Biological)

结局指标

主要结局

Dose Escalation Part: Number of Participants With Dose-Limiting Toxicities (DLTs)

时间窗: 21 days

A DLT was defined as any of the following toxicities except those that were clearly due to the underlying disease or extraneous cause: all Grade 5 toxicities, hematological toxicities (Grade 4 neutropenia, Grade 3 and Grade 4 febrile neutropenia lasting \>2 days, Grade 4 thrombocytopenia of any duration with clinically significant bleeding or ≥ Grade 3 thrombocytopenia requiring platelet transfusion, Grade 4 anemia), non-hematological toxicities (Grade 4 cytokine release syndrome \[CRS\] per American Society for Transplantation and Cellular Therapy \[ASTCT\] criteria or Grade 3 unresolved to ≤ Grade 2 within 48 hours following adequate intervention, Grade 4 immune effector cell-associated neurotoxicity syndrome \[ICANS\] according to ASTCT criteria or Grade 3 unresolved to ≤ Grade 2 within 48 hours following adequate intervention, tumor lysis syndrome \[TLS\] Grade 4 or Grade 3 unresolved within 5 days, any ≥ Grade 3 \[severe or life-threatening\] non-hematological toxicities \[with exceptions\]).

Dose Escalation Part: Number of Participants With Adverse Events (AEs)

时间窗: Up to approximately 1 year 2 months

An AE was defined as any untoward medical occurrence in a clinical trial participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE was therefore any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product.

次要结局

  • Dose Escalation Part: Maximum (Peak) Plasma Concentration (Cmax) of GEN3017(Day 1 and Day 8)
  • Dose Escalation Part: Time to Reach Cmax (Tmax) of GEN3017(Day 1 and Day 8)
  • Dose Escalation Part: Pre-dose (Trough) Concentration (Ctrough) of GEN3017(Day 1 and Day 8)
  • Dose Escalation Part: Area Under the Concentration-time Curve (AUC) From Time Zero to Infinity (AUCinf) of GEN3017(Day 1 and Day 8)
  • Dose Escalation Part: Area Under the Concentration-time Curve (AUC) From Time Zero to Last Quantifiable Sample (AUClast) of GEN3017(Day 1 and Day 8)
  • Dose Escalation Part: Elimination Half-life (T1/2) of GEN3017(Day 1 and Day 8)
  • Dose Escalation Part: Total Body Clearance (CL) of Drug From Plasma of GEN3017(Day 1 and Day 8)
  • Dose Escalation Part: Volume of Distribution (Vd) of GEN3017(Day 1 and Day 8)
  • Dose Escalation Part: Number of Participants With Anti-drug Antibodies (ADAs) to GEN3017(Up to approximately 1 year 2 months)
  • Dose Escalation Part: Objective Response Rate (ORR)(Up to approximately 1 year 2 months)
  • Dose Escalation Part: Duration of Response (DOR)(Up to approximately 1 year 2 months)
  • Dose Escalation Part: Time to Response (TTR)(Up to approximately 1 year 2 months)

研究者

发起方
Genmab
申办方类型
Industry
责任方
Sponsor

研究点 (4)

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