A Study to Assess the Anti-Tumor Activity and Safety of Odronextamab in Adult Patients With B-cell Non-Hodgkin Lymphoma Who Have Been Previously Treated With Other Cancer Therapies

Phase 2Active Not RecruitingNCT03888105

Regeneron Pharmaceuticals515 enrolled

Overview

This study is researching an investigational drug, odronextamab, in adult patients B-cell non-Hodgkin's lymphoma (B-NHL). The main purpose of this study is to assess the effectiveness of odronextamab in destroying cancer cells and to learn more about the safety of odronextamab. The study is looking at several other research questions, including: * To see if odronextamab works to destroy cancer cells * Side effects that may be experienced by people taking odronextamab * How odronextamab works in the body * How much odronextamab is present in the blood

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

515

Conditions

B-cell Non-Hodgkin Lymphoma (B-NHL)

Interventions

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Key Inclusion Criteria: 1. For the FL grade 1-3a cohort only: Central histopathologic confirmation of the FL Grade 1 to 3a diagnosis must be obtained before study enrollment. Patients with FL grade 3b are ineligible for this cohort but may be included in the "other B-NHL" cohort. Follicular lymphoma subtyping is based on the World Health Organization (WHO) classification (Swerdlow, 2017) 2. Disease-specific cohorts: Patients should in the judgment of the investigator require systemic therapy for lymphoma at the time of study enrollment * FL grade 1-3a cohort: Patients with FL grade 1-3a that has relapsed after or is refractory to at least 2 prior lines of systemic therapy, as defined in the protocol * DLBCL cohort: Patients with DLBCL that has relapsed after or is refractory to at least 2 prior lines of systemic therapy as defined in the protocol * MCL after BTK inhibitor therapy cohort: Patients with MCL who have relapsed or refractory disease to at least one prior line of systemic therapy and had prior treatment with a Bruton's tyrosine kinase (BTK) inhibitor * MZL cohort: Patients with MZL that have relapsed or is refractory to at least 2 prior lines of systemic therapy * Other B-NHL cohort: Patients with B-NHL other than FL grade 1-3a, DLBCL, MCL, or MZL that has relapsed after or is refractory to at least 2 prior lines of systemic therapy as defined in the protocol. New enrollment stopped for patients with Burkitt lymphoma and Burkitt-like lymphoma. 3. Measurable disease on cross sectional imaging as defined in the protocol documented by diagnostic imaging (computed tomography (CT), or magnetic resonance imaging (MRI) 4. Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1 5. Adequate bone marrow, hepatic, and renal function as defined in the protocol Key Exclusion Criteria: 1. Primary central nervous system (CNS) lymphoma or known involvement by non-primary CNS Non-Hodgkin Lymphoma (NHL) (suspected CNS lymphoma should be evaluated by lumbar puncture, as appropriate, in addition to the mandatory head CT or MRI) 2. Treatment with any systemic anti-lymphoma therapy within 5 half-lives or within 28 days prior to first administration of study drug, whichever is shorter 3. History of allogeneic stem cell transplantation, up to 12 months prior to first administration of study drug. The presence of acute or chronic graft-versus host disease (GVHD) will also be an exclusion 4. Continuous systemic corticosteroid treatment with more than 10 mg per day of prednisone or anti-inflammatory equivalent within 72 hours of start of study drug 5. History of neurodegenerative condition or CNS movement disorder. Patients with a history of seizure within 12 months prior to study enrollment are excluded 6. Another malignancy except B-NHL in the past 5 years, with the exception of non-melanoma skin cancer that has undergone potentially curative therapy or in situ cervical carcinoma, or any other tumor that has been deemed to be effectively treated with definitive local control and with curative intent 7. Uncontrolled infection with human immunodeficiency virus (HIV), hepatitis B or hepatitis C infection; cytomegalovirus (CMV) infection as noted by detectable levels on a blood polymerase chain reaction (PCR) assay as defined in the protocol or other uncontrolled infections 8. Known hypersensitivity to both allopurinol and rasburicase 9. Prior treatment with an anti-CD20 x anti-CD3 bispecific therapy Note: Other protocol-defined Inclusion/Exclusion criteria apply

Locations (119)

Rush University Medical Center

Chicago, Illinois, United States

University of Iowa

Iowa City, Iowa, United States

Norton Cancer Institute

Louisville, Kentucky, United States

Tufts Medical Center

Boston, Massachusetts, United States

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States

Outcomes

Primary Outcomes

Objective Response Rate (ORR), as assessed by independent central review

FL grade 1-3a/MZL

Time frame: Up to 52 weeks of study treatment

ORR, as assessed by independent central review

DLBCL/MCL/Other B-NHL

Time frame: Up to 36 weeks of study treatment

Secondary Outcomes

ORR, as assessed by the local investigator

FL/MZL

Time frame: Up to 52 weeks of study treatment

ORR, as assessed by the local investigator

DLBCL/MCL/Other B-NHL

Time frame: Up to 36 weeks of study treatment

Complete Response (CR) Rate, as assessed by the local investigator

FL grade 1-3a/MZL

Time frame: Up to 52 weeks of study treatment

CR rate, as assessed by independent central review

FL grade 1-3a/MZL

Time frame: Up to 52 weeks of study treatment

CR rate, as assessed by the local investigator

DLBCL/MCL/Other B-NHL

Time frame: Up to 36 weeks of study treatment

CR rate, as assessed by independent central review

DLBCL/MCL/Other B-NHL

Time frame: Up to 36 weeks of study treatment

Progression-Free Survival (PFS), as assessed by independent central review

Time frame: Approximately 194 weeks following the first dose

PFS, as assessed by the local investigator

Time frame: Approximately 194 weeks following the first dose

Overall Survival (OS)

Time frame: Approximately 194 weeks following the first dose

Duration Of Response (DOR), as assessed by independent central review

Time frame: Approximately 194 weeks following the first dose

DOR, as assessed by the local investigator

Time frame: Approximately 194 weeks following the first dose

Disease Control Rate (DCR), as assessed by independent central review

FL grade 1-3a/MZL

Time frame: Up to 52 weeks of study treatment

DCR, as assessed by the local investigator

FL grade 1-3a/MZL

Time frame: Up to 52 weeks of study treatment

DCR, as assessed by independent central review

DLBCL/MCL/Other B-NHL

Time frame: Up to 36 weeks of study treatment

DCR, as assessed by the local investigator

DLBCL/MCL/Other B-NHL

Time frame: Up to 36 weeks of study treatment

Incidence and severity of Treatment Emergent Adverse Events (TEAEs)

Time frame: Approximately 194 weeks following the first dose

Concentration of odronextamab

End of infusion \[EOI\]; Concentration at a specified time t \[Ct\])

Time frame: 12 weeks following end of treatment

Incidence of Anti-Drug Antibodies (ADA) to odronextamab over time

Time frame: 12 weeks following end of treatment

Titer of anti-drug antibodies to odronextamab over time

Time frame: 12 weeks following end of treatment

Incidence of Neutralizing antibodies (Nab) to odronextamab over time

Time frame: 12 weeks following end of treatment

Changes in scores of patient-reported outcomes as measured by European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Cancer-30 (EORTC-QLQ-C30)

The EORTC QLQ-C30 is a self-reported, 30-item generic questionnaire developed to assess 15 domains: global health status scale, five functional scales (physical, role, emotional, cognitive, and social functioning) and nine symptom scales (fatigue, nausea, vomiting, pain, dyspnea, insomnia, appetite loss, constipation, diarrhea and financial difficulties).

Time frame: Approximately 194 weeks following the first dose

Changes in scores of patient-reported outcomes as measured by Functional Assessment of Cancer Treatment-Lymphoma (FACT-Lym)

Composed of the FACT-G plus the 15-item Lymphoma Subscale (LymS).

Time frame: Approximately 194 weeks following the first dose

Changes in scores of patient-reported outcomes as measured by EuroQol-5 Dimensions-3 Levels (EQ-5D-3L)

The EQ-5D-3L is a standardized instrument for use as a measure of health outcome. It is a health questionnaire that consists of the EQ-5D descriptive system and the EQ visual analogue scale (EQ VAS). The EQ-5D-3L descriptive system comprises the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 3 levels: no problems, some problems, extreme problems.

Time frame: Approximately 194 weeks following the first dose