This study will evaluate the safety and efficacy of 1A46 in adult patients with advanced CD20 and/or CD19 positive B-cell non-Hodgkin's lymphoma (NHL) or acute lymphoblastic leukemia (ALL).
This study is an open-label, multicenter, 2-part study of 1A46 in adult patients with advanced relapsed/refractory (r/r) CD20 and/or CD19 positive B-cell non-Hodgkin lymphoma (NHL) and B-cell acute lymphoblastic leukemia (ALL) who do not have effective standard treatment available. This FIH study will include a dose escalation part and a dose expansion part in 4 cohorts.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
7
Participants will receive IV 1A46 weekly for Cycles 1-8, then every 3 weeks (Q3W) for Cycles 9-16 (21 days/cycle).
Yale New Haven Hospital
New Haven, Connecticut, United States
Norton Cancer Institute
Louisville, Kentucky, United States
UPMC CancerCenter
Pittsburgh, Pennsylvania, United States
The University of Texas MD Anderson Cancer Center
Houston, Texas, United States
Escalation: Incidence of Adverse Events
To assess the safety and tolerability of 1A46
Time frame: Adverse Events are assessed during the first cycle (28 days) in each cohort
Escalation: Dose liming toxicity (DLT)
To identify the RP2D and the MTD, if reached
Time frame: DLTs are assessed during the first cycle (28 days) in each cohort
Escalation: Maximum observed concentration (Cmax)
To characterize the PK properties of 1A46
Time frame: At enrollment and at multiple timepoints until treatment discontinuation, assessed up to 1 year
Escalation: Time to reach Cmax (Tmax)
To characterize the PK properties of 1A46
Time frame: At enrollment and at multiple timepoints until treatment discontinuation, assessed up to 1 year
Escalation: Area Under the Concentration-Time Curve (AUC) from Time 0 to t
To characterize the PK properties of 1A46
Time frame: At enrollment and at multiple timepoints until treatment discontinuation, assessed up to 1 year
Escalation: Area under the serum concentration-time curve from time 0 to infinity (AUCinf)
To characterize the PK properties of 1A46
Time frame: At enrollment and at multiple timepoints until treatment discontinuation, assessed up to 1 year
Escalation: Terminal disposition phase half-life(t1/2)
To characterize the PK properties of 1A46
Time frame: At enrollment and at multiple timepoints until treatment discontinuation, assessed up to 1 year
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Froedtert & the Medical College of Wisconsin Froedtert Hospital
Milwaukee, Wisconsin, United States
Escalation: Total clearance after IV administration (CL)
To characterize the PK properties of 1A46
Time frame: At enrollment and at multiple timepoints until treatment discontinuation, assessed up to 1 year
Escalation: Anti-drug antibody (ADA)
To characterize the PK properties of 1A46
Time frame: From Baseline up to end of study or discontinuation due to disease progression, up to 5 years
Escalation: Objective Response Rate (ORR)
To evaluate preliminary anti-tumor efficacy of 1A46
Time frame: From Baseline up to end of study or discontinuation due to disease progression, up to 5 years
Escalation: Disease control rate (DCR)
To evaluate preliminary anti-tumor efficacy of 1A46
Time frame: From Baseline up to end of study or discontinuation due to disease progression, up to 5 years
Escalation: Progression free survival (PFS)
To evaluate preliminary anti-tumor efficacy of 1A46
Time frame: From Baseline up to end of study or discontinuation due to disease progression, up to 5 years
Escalation: Overall survival (OS)
To evaluate preliminary anti-tumor efficacy of 1A46
Time frame: From Baseline up to end of study or discontinuation due to disease progression, up to 5 years