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
Bottom Line
View on ClinicalTrials.gov: NCT04052997 ↗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
| Outcome | Result | p-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
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.
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.