The purpose of this study is to assess the safety, tolerability, pharmacokinetics (PK), immunogenicity and preliminary efficacy of VAY736 alone or in combination with other therapies in patients with NHL in a platform trial.
The primary objective of the study is to evaluate the safety and tolerability in patients with NHL and identify a maximum tolerated dose (MTD) and/or recommended dose (RD) of VAY736 single agent and in combination with other anti-cancer therapies. This is a phase I/Ib, multi-center, open-label study with multiple treatment arms in an adaptive study design. The study is comprised of a dose escalation part and dose expansion part. In dose escalation, the investigational drug VAY736 was explored alone or in combination with lenalidomide. Increasing doses of VAY736 alone or in combination were given to small groups of patients to identify the maximum tolerated dose/recommended dose (MTD/RD) in patients with NHL. In dose expansion, some or all the treatments from dose escalation could be tested at the recommended doses in patients with NHL. The study was expected to last approximately 4 years (from the enrollment of the first patient to the discontinuation of the last patient), but it was terminated early due to a business decision, not because of any safety or tolerability concerns. Consequently, the dose expansion part was not conducted.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
18
VAY736 is a fully human IgG1 monoclonal antibody (mAb) which targets the B cell activating factor receptor (BAFF-R) expressed on the surface of differentiated B cells and modulates their function.
Immune-modulatory agent that enhances activation of NK cells.
Novartis Investigative Site
Melbourne, Victoria, Australia
Novartis Investigative Site
Shanghai, China
Novartis Investigative Site
Tianjin, China
Novartis Investigative Site
Leipzig, Germany
Incidence and nature of dose limiting toxicities (DLTs)
Safety and tolerability
Time frame: 28 days (first cycle of treatment)
Incidence of Adverse events (AEs) and serious adverse events (SAEs)
Incidence of AEs and SAEs is defined as number of participants with AEs and SAEs, including changes from baseline in vital signs, electrocardiograms (ECGs) and laboratory results qualifying and reported as AEs.
Time frame: 4 years
Number of patients with dose interruptions and dose reductions
Safety and tolerability
Time frame: 4 years
Dose intensity
Safety and tolerability
Time frame: 4 years
Overall response rate (ORR)
Efficacy will be assessed by Lugano Classification (FDG-PET/CT scans)
Time frame: 4 years
Best overall response (BOR) rate
Efficacy will be assessed by Lugano Classification (FDG-PET/CT scans)
Time frame: 4 years
Area under curve (AUC) for VAY736 and combination partners
PK parameters will be derived from serum concentrations
Time frame: 4 years
Maximum observed drug concentration after single dose administration (Cmax) for VAY736 and combination partners
PK parameters will be derived from serum concentrations
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Novartis Investigative Site
Brescia, BS, Italy
Novartis Investigative Site
Rozzano, MI, Italy
Novartis Investigative Site
Yamagata, Yamagata, Japan
Novartis Investigative Site
Singapore, Singapore
Novartis Investigative Site
Seoul, South Korea
Novartis Investigative Site
Seoul, South Korea
Time frame: 4 years
Change from baseline in anti-drug antibodies (ADA)
Blood samples will be collected to detect change in levels of antibodies to VAY736
Time frame: Baseline, 4 years