This is a Phase I clinical study designed to evaluate the safety, tolerability, and pharmacokinetics, and preliminary efficacy of SCTB35 monotherapy, an bispecific antibody, in patients with relapsed and/or refractory B-cell non-Hodgkin lymphoma.
This is the first-in-human study of SCTB35, containing the dose-escalation and dose-expansion parts. The escalation cohorts will be enrolled to explore the maximum tolerated dose and recommended phase II dose (RP2D). A Safety Monitoring Committee (SMC) will review the accumulated safety data and other available data, and make a recommendation to each dose level of SCTB35 in the escalation cohorts. The expansion cohorts will be initiated after the RP2D is confirmed, and to further compare the preliminary efficacy and safety of SCTB35 at two dose levels that appropriately recommended by SMC.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
76
SCTB35 will be subcutaneously administered at a dose as specified in the respective dose-escalation cohorts. Then, the RP2D and another appropriate dose of SCTB35 will be applied for the dose-expansion cohorts.
Beijing Cancer Hospital
Beijing, Beijing Municipality, China
Henan Cancer Hospital
Zhengzhou, Henan, China
Tianjin Medical University Cancer Institute & Hospital
Tianjin, Tianjin Municipality, China
Dose-escalation part: dose limited toxicity (DLT)
To determine the maximum tolerated dose (MTD) and/or RP2D to be studied in the dose-expansion part
Time frame: During the first cycle (21 days)
Dose-escalation part: incidence rate of adverse event (AE)
To evaluate the incidence rates of treatment emergent adverse event (TEAE), treatment-related TEAE (TRAE), serious adverse event (SAE), adverse event with special interest (AESI)
Time frame: From first dose until 28 days after last dose of study drug or until study completion or participant withdrawal (up to 3 years)
Dose-expansion part: objective response rate (ORR)
ORR is defined as the percentage of patients achieving complete response (CR) or partial response (PR) as determined by the investigator according to the Lugano Criteria 2014
Time frame: From first dose until up to 2 years
Dose-escalation part: ORR
ORR is defined as the percentage of patients achieving CR or PR as determined by the investigator according to the Lugano Criteria 2014
Time frame: From first dose until up to 2 years
Dose-escalation part: CR rate (CRR)
CR rate is defined as the percentage of patients with CR as determined by the investigator according to the Lugano Criteria 2014
Time frame: From first dose until up to 2 years
Dose-escalation part: best of overall response (BOR)
BOR is defined as the percentage of patients achieving best response from the first dose to first documented disease progression (PD) or new anticancer therapy, whichever occurs first, as determined by the investigator according to the Lugano Criteria 2014
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Time frame: From first dose until up to 2 years
Dose-escalation part: duration of response (DOR)
DOR is defined as the time from first documented objective response to PD or death due to any cause, whichever occurs first, as determined by the investigator according to the Lugano Criteria 2014
Time frame: From first dose until up to 2 years
Dose-escalation part: progression-free survival (PFS)
PFS is defined as the time from first dose to first documented PD or death due to any cause, whichever occurs first, as determined by the investigator according to the Lugano Criteria 2014
Time frame: From first dose until up to 2 years
Dose-escalation part: time to response (TTR)
TTR is defined as the time from first dose to first documented objective response observed for patients who achieved a CR or PR, as determined by the investigator according to the Lugano Criteria 2014
Time frame: From first dose until up to 2 years
Dose-escalation part: overall survival (OS)
OS is defined as the time from first dose to death due to any cause
Time frame: From first dose until up to 5 years
Dose-escalation part: blood concentrations of SCTB35
The pharmacokinetics of SCTB35 will be analyzed based on the drug concentrations at respective timepoints in the blood samples (or blood derivative)
Time frame: From first dose until up to 2 years
Dose-escalation part: anti-drug antibodies of SCTB35
Blood samples (or blood derivative) will be screened for antibodies binding to SCTB35
Time frame: From first dose until up to 2 years
Dose-expansion part: CRR
CR rate is defined as the percentage of patients with CR as determined by the investigator according to the Lugano Criteria 2014
Time frame: From first dose until up to 2 years
Dose-expansion part: BOR
BOR is defined as the percentage of patients achieving best response from the first dose to first documented PD or new anticancer therapy, whichever occurs first, as determined by the investigator according to the Lugano Criteria 2014
Time frame: From first dose until up to 2 years
Dose-expansion part: DOR
DOR is defined as the time from first documented objective response to PD or death due to any cause, whichever occurs first, as determined by the investigator according to the Lugano Criteria 2014
Time frame: From first dose until up to 2 years
Dose-expansion part: PFS
PFS is defined as the time from first dose to first documented PD or death due to any cause, whichever occurs first, as determined by the investigator according to the Lugano Criteria 2014
Time frame: From first dose until up to 2 years
Dose-expansion part: TTR
TTR is defined as the time from first dose to first documented objective response observed for patients who achieved a CR or PR, as determined by the investigator according to the Lugano Criteria 2014
Time frame: From first dose until up to 2 years
Dose-expansion part: OS
OS is defined as the time from first dose to death due to any cause
Time frame: From first dose until up to 5 years
Dose-expansion part: AE
To evaluate the incidence rates of TEAE, TRAE, SAE, AESI
Time frame: From first dose until up to 2 years
Dose-expansion part: blood concentrations of SCTB35
The pharmacokinetics of SCTB35 will be analyzed based on the drug concentrations at respective timepoints in the blood samples (or blood derivative)
Time frame: From first dose until up to 2 years
Dose-expansion part: anti-drug antibodies of SCTB35
Blood samples (or blood derivative) will be screened for antibodies binding to SCTB35
Time frame: From first dose until up to 2 years