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Phase 2 N=117 Treatment

Study to Evaluate the Efficacy and Safety of Camidanlumab Tesirine (ADCT-301) in Patients With Relapsed or Refractory Hodgkin Lymphoma

Relapsed Hodgkin Lymphoma · Refractory Hodgkin Lymphoma

Enrolled (actual)
117
Serious AEs
39.3%
Results posted
Mar 2024
Primary outcome: Primary: Overall Response Rate (ORR) — 82 Participants

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Camidanlumab Tesirine (Drug)
Age
Pediatric, Adult, Older Adult · 16+ yrs
Sex
All
Sponsor
ADC Therapeutics S.A.
Primary completion
Jan 2023

Outcome Measures

OutcomeResultp-value
PRIMARY
Overall Response Rate (ORR)
82
SECONDARY
Duration of Response (DOR)
13.73
SECONDARY
CR Rate
39
SECONDARY
Relapse-Free Survival (RFS)
11.07
SECONDARY
Progression-Free Survival (PFS)
9.13
SECONDARY
Overall Survival (OS)
NA
SECONDARY
Number of Participants Who Received Hematopoietic Stem Cell Transplant (HSCT)
18
SECONDARY
Number of Participants Who Experienced At Least One Treatment-Emergent Adverse Event (TEAE)
116
SECONDARY
Number of Participants Who Experienced At Least One Serious Adverse Event (SAE)
46
SECONDARY
Number of Participants With ECOG Performance Status Score of 0-3 at the End of Trial (EOT)
43; 37; 12; 4
SECONDARY
Maximum Observed Plasma Concentration (Cmax) of Camidanlumab Tesirine Total Antibody
825; 797
SECONDARY
Cmax of Camidanlumab Tesirine Unconjugated Warhead SG3199
0.0170; 0.0180
SECONDARY
Cmax of Camidanlumab Tesirine PBD-Conjugated Antibody
696; 685
SECONDARY
Area Under the Plasma Concentration-Time Curve From Time 0 to the End of the Dosing Interval (AUCtau) For Camidanlumab Tesirine Total Antibody
4037
SECONDARY
AUCtau For Camidanlumab Tesirine PBD-Conjugated Antibody
3067
SECONDARY
AUCtau For Camidanlumab Tesirine Unconjugated Warhead SG3199
SECONDARY
Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) For Camidanlumab Tesirine Total Antibody
489; 725
SECONDARY
AUClast For Camidanlumab Tesirine PBD-Conjugated Antibody
345; 497
SECONDARY
AUClast For Camidanlumab Tesirine Unconjugated Warhead SG3199
0; 0
SECONDARY
Area Under the Plasma Concentration-Time Curve From Time 0 to Infinity (AUCinf) For Camidanlumab Tesirine Total Antibody
6473
SECONDARY
AUCinf For Camidanlumab Tesirine PBD-Conjugated Antibody
5478
SECONDARY
AUCinf For Camidanlumab Tesirine Unconjugated Warhead SG3199
NA
SECONDARY
Clearance (CL) For Camidanlumab Tesirine Total Antibody
0.556
SECONDARY
CL For Camidanlumab Tesirine PBD-Conjugated Antibody
0.733
SECONDARY
CL For Camidanlumab Tesirine Unconjugated Warhead SG3199
NA
SECONDARY
Clearance at Steady State (CLss) For Camidanlumab Tesirine Total Antibody
0.874
SECONDARY
CLss For Camidanlumab Tesirine PBD-Conjugated Antibody
0.958
SECONDARY
CLss For Camidanlumab Tesirine Unconjugated Warhead SG3199
NA
SECONDARY
Apparent Terminal Elimination Half-Life (T1/2) For Camidanlumab Tesirine Total Antibody
5.91; 4.46
SECONDARY
T1/2 For Camidanlumab Tesirine PBD-Conjugated Antibody
3.89; 4.05
SECONDARY
T1/2 For Camidanlumab Tesirine Unconjugated Warhead SG3199
NA; NA
SECONDARY
Volume of Distribution at Steady State (Vss) For Camidanlumab Tesirine Total Antibody
5.91; 3.14
SECONDARY
Vss For Camidanlumab Tesirine PBD-Conjugated Antibody
2.81; 3.17
SECONDARY
Vss For Camidanlumab Tesirine Unconjugated Warhead SG3199
NA; NA
SECONDARY
Accumulation Index (AI) For Camidanlumab Tesirine Total Antibody
1.30
SECONDARY
AI For Camidanlumab Tesirine PBD-Conjugated Antibody
1.04
SECONDARY
AI For Camidanlumab Tesirine Unconjugated Warhead SG3199
NA
SECONDARY
Number of Participants With Confirmed Positive Anti-Drug Antibody (ADA) Responses Post Dose
2
SECONDARY
Change From Baseline in Health-Related Quality of Life (HRQoL) as Measured by EuroQoL-5 Dimensions-5 Levels (EQ-5D-5L) Visual Analog Scale (VAS)
3.6; 5.2; 4.9; 4.6; -1.2; 4.5
SECONDARY
Change From Baseline in HRQoL as Measured by Functional Assessment of Cancer Therapy - Lymphoma (FACT-Lym)
-0.45; -0.02; -0.20; -0.13; -1.29; 0.39

Summary

The purpose of this study is to evaluate the clinical efficacy and safety of Camidanlumab Tesirine (ADCT-301) in participants with relapsed or refractory Hodgkin Lymphoma (HL).

Eligibility Criteria

Inclusion Criteria

  • Written informed consent must be obtained prior to any procedures.
  • Male or female participant aged 18 years or older. (16 years or older at US based sites)
  • Pathologic diagnosis of classical Hodgkin lymphoma (cHL).
  • Patients with relapsed or refractory cHL, who have received at least 3 prior lines of systemic therapy (or at least 2 prior lines in HSCT ineligible patients) including brentuximab vedotin and a checkpoint inhibitor approved for cHL (e.g., nivolumab or pembrolizumab). Note 1: Receipt of HSCT to be included in the number of prior therapies needed to meet eligibility.
  • Measurable disease as defined by the 2014 Lugano Classification.
  • Availability of formalin-fixed paraffin-embedded (FFPE) tumor tissue block (or minimum 10 freshly cut unstained slides if block is not available).

Note 1: Any biopsy since initial diagnosis is acceptable, but if several samples are available, the most recent sample is preferred.

Note 2: If a sufficient amount of tissue is not available, a fresh biopsy may be taken, provided the procedure is not deemed high-risk and is clinically feasible, and provided it is approved locally.

  • Eastern Cooperative Oncology Group (ECOG) performance status 0-2.
  • Adequate organ function as defined by Screening laboratory values within the following parameters:
  • Absolute neutrophil count (ANC) ≥ 1.0 × 103/μL (off growth factors at least 72 h).
  • Platelet count ≥ 75 × 103/μL without transfusion in the past 2 weeks.
  • ALT, AST, or GGT ≤ 2.5 × the upper limit of normal (ULN) if there is no liver involvement; ALT or AST ≤ 5 × ULN if there is liver involvement.
  • Total bilirubin ≤ 1.5 × ULN (participants with known Gilbert's syndrome may have a total bilirubin up to ≤ 3 × ULN with direct bilirubin ≤ 1.5 × ULN).
  • Blood creatinine ≤ 3.0 × ULN or calculated creatinine clearance ≥ 30 mL/min by the Cockcroft-Gault equation.

Note: A laboratory assessment may be repeated a maximum of two times during the Screening Period to confirm eligibility.

  • Negative beta-human chorionic gonadotropin (β-HCG) pregnancy test within 7 days prior to start of study drug for women of childbearing potential.
  • Women of childbearing potential (WOCBP) must agree to use a highly effective method of contraception from the time of giving informed consent until at least 9.5 months after the last dose of Camidanlumab Tesirine. Men with female partners who are of childbearing potential must agree to use a highly effective method of contraception from the time of giving informed consent until at least 6.5 months after the participants receives his last dose of Camidanlumab Tesirine.

Exclusion Criteria

  • Previous treatment with Camidanlumab Tesirine.
  • Participation in another investigational interventional study. Being in follow-up of another investigational study is allowed.
  • Known history of hypersensitivity to or positive serum human anti-drug antibody (ADA) to a CD25 antibody.
  • Allogenic or autologous transplant within 60 days prior to start of study drug.
  • Active graft-versus-host disease (GVHD), except for non-neurologic symptoms as a manifestation of mild (≤ Grade 1) chronic GVHD.
  • Post-transplantation lymphoproliferative disorders.
  • Active second primary malignancy other than non-melanoma skin cancers, non-metastatic prostate cancer, in situ cervical cancer, ductal or lobular carcinoma in situ of the breast, or other malignancy that the Sponsor's medical monitor and Investigator agree and document should not be exclusionary.
  • History of symptomatic autoimmune disease (e.g., rheumatoid arthritis, systemic progressive sclerosis [scleroderma], systemic lupus erythematosus, Sjögren's syndrome, autoimmune vasculitis [e.g., Wegener's granulomatosis]) (subjects with vitiligo, type 1 diabetes mellitus, residual hypothyroidism, hypophysitis due to autoimmune condition only requiring hormone replacement may be enrolled).
  • History of neuropathy considered of autoimmune origin (e.g.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04052997). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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