Safety and Antitumor Activity Study of Loncastuximab Tesirine and Durvalumab in Diffuse Large B-Cell, Mantle Cell, or Follicular Lymphoma

Stopped early · Phase 1

Conditions studied: Diffuse Large B-Cell Lymphoma, Mantle Cell Lymphoma, Follicular Lymphoma

In brief

The purpose of this phase 1 study is to evaluate the safety and anti-tumor activity of Loncastuximab Tesirine (ADCT-402) and Durvalumab in participants with Advanced Diffuse Large B-Cell Lymphoma, Mantle Cell Lymphoma, or Follicular Lymphoma

Key facts

Study ID

NCT03685344

Run by

ADC Therapeutics S.A.

People needed

13

Starts

2019-02-04

Expected to finish

2020-10-27

Last updated by the study team

2021-10-26

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Male or female participants aged 18 years or older
• Pathologic diagnosis of DLBCL, MCL, or FL
• Participants must have relapsed or refractory disease and have failed or been intolerant to standard therapy
• Participants who have received previous CD19-directed therapy must have a biopsy that shows CD19 expression after completion of the CD19-directed therapy
• Measurable disease as defined by the 2014 Lugano Classification
• Participants must be willing to undergo tumor biopsy
• ECOG performance status 0-1
• Screening laboratory values within the following parameters:
• Absolute neutrophil count (ANC) ≥1.0 × 103/µL (off growth factors at least 72 hours)
• Platelet count ≥75 × 103/µL without transfusion in the past 7 days
• Hemoglobin ≥9.0 g/dL (5.59 mmol/L), transfusion allowed
• Alanine aminotransferase (ALT), aspartate aminotransferase (AST), and GGT ≤2.5 × the upper limit of normal (ULN)
• Total bilirubin ≤1.5 × ULN (participants with known Gilbert's syndrome may have a total bilirubin up to ≤3 × ULN)
• Blood creatinine ≤1.5 × ULN or calculated creatinine clearance ≥60 mL/min by the Cockcroft-Gault equation
• Negative beta-human chorionic gonadotropin (β-HCG) pregnancy test within 3 days prior to start of study drug on C1D1 for women of childbearing potential
• Women of childbearing potential must agree to use a highly effective method of contraception from the time of giving informed consent until at least 16 weeks after the last dose of study therapy. Men with female partners who are of childbearing potential must agree that they will use a highly effective method of contraception from the time of giving informed consent until at least 16 weeks after the patient receives his last dose of study therapy

You may not qualify if…

• Known history of hypersensitivity to or positive serum human ADA to a CD19 antibody.
• Previous therapy with any checkpoint inhibitor
• Autologous stem cell transplant within 100 days prior to start of study drug (C1D1)
• History of allogenic stem cell transplant
• History of solid organ transplant
• Active or prior documented autoimmune or inflammatory disorders (including inflammatory bowel disease [e.g., colitis or Crohn's disease], diverticulitis [with the exception of diverticulosis], systemic lupus erythematosus, Sarcoidosis syndrome, or Wegener syndrome [granulomatosis with polyangiitis, Graves' disease, rheumatoid arthritis, hypophysitis, uveitis, etc.]). The following are exceptions to this criterion:
• Participants with vitiligo or alopecia
• Participants with hypothyroidism (e.g., following Hashimoto syndrome) stable on hormone replacement
• Any chronic skin condition that does not require systemic therapy
• Participants without active disease in the last 5 years may be included but only after consultation with the Study Physician
• Participants with celiac disease controlled by diet alone
• Active infection including tuberculosis (clinical evaluation that includes clinical history, physical examination and radiographic findings, and tuberculosis testing in line with local practice)
• Known seropositive and requiring anti-viral therapy for human immunodeficiency (HIV) virus, hepatitis B virus (HBV), or hepatitis C virus (HCV)
• History of Stevens-Johnson syndrome or toxic epidermal necrolysis
• Lymphoma with active central nervous system (CNS) involvement at the time of screening, including leptomeningeal disease
• Clinically significant third space fluid accumulation (i.e., ascites requiring drainage or pleural effusion that is either requiring drainage or associated with shortness of breath)
• Breastfeeding or pregnant
• Significant medical comorbidities, including but not limited to, uncontrolled hypertension (blood pressure [BP] ≥160/100 mmHg repeatedly), unstable angina, congestive heart failure (greater than New York Heart Association class II), electrocardiographic evidence of acute ischemia, coronary angioplasty or myocardial infarction within 6 months prior to screening, uncontrolled atrial or ventricular cardiac arrhythmia, poorly controlled diabetes, or severe chronic pulmonary disease
• Radiotherapy, chemotherapy, or other anti-neoplastic therapy within 14 days prior to start of study drug (C1D1), except shorter if approved by the Sponsor.
• Major surgery within 28 days prior to start of study drug (C1D1), except shorter if approved by the Sponsor. Note: Local surgery of isolated lesions for palliative intent is acceptable.
• Use of any other experimental medication within 14 days prior to start of study drug (C1D1)
• Planned live vaccine administration after starting study drug (C1D1)
• Failure to recover to Grade ≤1 (Common Terminology Criteria for Adverse Events [CTCAE] version 4.0) from acute non-hematologic toxicity (Grade ≤2 neuropathy or alopecia) due to previous therapy prior to screening.
• Congenital long QT syndrome or a corrected QTcF interval of >470 ms at screening (unless secondary to pacemaker or bundle branch block)
• History of another primary malignancy except for:

Where it is running

• University of Alabama at Birmingham — Birmingham, Alabama, United States
• UCH-MHS Memorial Hospital Centeral — Colorado Springs, Colorado, United States
• University of Florida Health Shands Cancer Hospital — Gainesville, Florida, United States
• University of Miami - Sylvester Comprehensive Cancer Center — Miami, Florida, United States
• Rutgers Cancer Institute of New Jersey — New Brunswick, New Jersey, United States
• Icahm School of Medicine at Mount Sinai — New York, New York, United States
• Baylor University Medical Center — Dallas, Texas, United States
• Joe Arrington Cancer Research and Treatment Center — Lubbock, Texas, United States
• Baylor Scott & White Medical Center - Temple — Temple, Texas, United States
• Hospital Clinic de Barcelona — Barcelona, Spain
• Hospital General Universitario Gregorio Marañon Pabellón de Oncología — Madrid, Spain
• Hospital Universitario Fundación Jiménez Díaz Unidad de Limfomas Servicio de Hematologia — Madrid, Spain
• Hospital Universitario Virgen Macarena Servicio Oncologia Medica — Seville, Spain
• Hospital Universitario Virgen Del Rocio — Seville, Spain

Full record on ClinicalTrials.gov

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