A Phase 1b Open-Label Study to Evaluate the Safety and Anti-cancer Activity of Loncastuximab Tesirine in Combination With Other Anti-cancer Agents in Patients With Relapsed or Refractory B-cell Non-Hodgkin Lymphoma (LOTIS-7)

Who is this study for? Patients with relapsed or refractory B-cell non-Hodgkin lymphoma
What treatments are being studied? Loncastuximab Tesirine
Status: Recruiting
Location: See all (38) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1
SUMMARY

The primary objective of this study is to characterize the safety and tolerability of loncastuximab tesirine in combination with polatuzumab vedotin, glofitamab, or mosunetuzumab, and to identify the maximum tolerated dose (MTD) and/or recommended dose for expansion (RDE) for the combinations.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Male or female participant aged 18 years or older

• Pathologic diagnosis of relapsed (disease that has recurred following a response) or refractory (disease that failed to respond to prior therapy) B-NHL (2016 World Health Organization classification) who have failed, or been intolerant to any approved therapy and had received at least two systemic treatment regimens in Part 1; and at least one systemic treatment regimen in Part 2

‣ LBCL:

∙ Part 2 Arm E enrollment focused on LBCL only

• DLBCL, not otherwise specified (NOS)

• Germinal Center B-cell type

• Activated B-cell type

• Transformed FL (note: patients with transformed FL must have received at least one line of systemic therapy post-transformation to be eligible)

• HGBCL, with MYC and BCL2 and/or BCL6 rearrangements

• HGBCL, NOS

• FL Grade 3b

‣ Arm F and Part 1 Arm E:

• All LBCL histologies listed above

• FL (Grade 1-3a)

• MZL

‣ For Arm C only:

• All histologies listed above

• DLBCL (including transformed diseases)

• MCL

• BL

‣ Life expectancy of at least 24 weeks according to Investigator's judgement

⁃ Need of systemic treatment for any of the listed indications as assessed by the investigator, including indolent B-NHLs (e.g. FL and MZL)

⁃ Measurable disease as defined by the 2014 Lugano Classification

⁃ Availability of formalin-fixed paraffin-embedded tumor tissue block

⁃ ECOG performance status 0 to 2

⁃ Adequate organ function

⁃ 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 10 months after the last dose of loncastuximab tesirine. Men with female partners who are of childbearing potential must agree to use a condom when sexually active or practice total abstinence from the time of giving informed consent the first dose until at least 7 months after the last dose of loncastuximab tesirine. Men must refrain from donating sperm during this same period. Arm E: WOCBP must agree to use contraceptive methods that result in a failure of less than 1% per year or remain abstinent (refrain from heterosexual intercourse) during the treatment period and for at least 18 months after pretreatment with obinutuzumab. Arm F: WOCBP must agree to use contraceptive methods that result in a failure of less than 1% per year or remain abstinent (refrain from heterosexual intercourse) during the treatment period and for at least 3 months after the final dose of mosunetuzumab and tocilizumab (if applicable)

⁃ Patients 80 years of age and older at the time of signing the informed consent must be deemed fit by Cumulative Illness Rating Scale - Geriatric (CIRS-G scale), defined as no score of 3-4 in any category AND \< 5 categories with a score of 2 excluding hematologic criteria

Locations
United States
California
University of California San Francisco - Fresno Center for Medical Education and Research
RECRUITING
Clovis
Scripps Health - Prebys Cancer Center
RECRUITING
San Diego
Florida
Miami Cancer Institute
RECRUITING
Miami
Sylvester Comprehensive Cancer Center
RECRUITING
Miami
Memorial Cancer Institute - Memorial Hospital West
RECRUITING
Pembroke Pines
Georgia
The Blood and Marrow Transplant Group of Georgia
RECRUITING
Atlanta
Winship Cancer Institute of Emory University
RECRUITING
Atlanta
Iowa
Mission Cancer + Blood - Mission Cancer Foundation
RECRUITING
Des Moines
Massachusetts
Beth Israel Deaconess Medical Center
RECRUITING
Boston
Dana-Farber Cancer Institute
RECRUITING
Boston
Minnesota
University of Minnesota
RECRUITING
Minneapolis
New York
Columbia University Irving Medical Center
RECRUITING
New York
Ohio
Cleveland Clinic Main Campus
RECRUITING
Cleveland
Oregon
Oregon Health and Science University
RECRUITING
Portland
Pennsylvania
Penn Medicine - Perelman Center for Advanced Medicine
RECRUITING
Philadelphia
Allegheny Health Network - West Penn Hospital
RECRUITING
Pittsburgh
Rhode Island
Brown University Health - Rhode Island Hospital
RECRUITING
Providence
South Carolina
Hollings Cancer Center
COMPLETED
Charleston
South Dakota
Avera Cancer Institute
WITHDRAWN
Sioux Falls
Tennessee
Greco-Hainsworth Tennessee Oncology Centers for Research (GHCR)
RECRUITING
Nashville
Texas
Baylor University Medical Center
RECRUITING
Dallas
Utah
Huntsman Cancer Institute
RECRUITING
Salt Lake City
Virginia
Emily Couric Clinical Cancer Center
RECRUITING
Charlottesville
NEXT Virginia (Virginia Cancer Specialists)
COMPLETED
Fairfax
Wisconsin
Froedtert & Medical College of Wisconsin
RECRUITING
Milwaukee
Other Locations
Belgium
Universitair Ziekenhuis Gent
RECRUITING
Ghent
Centre Hospitalier Universitaire Universite Catholique de Louvain - Site Godinne
RECRUITING
Yvoir
Italy
Azienda Socio Sanitaria Territoriale (ASST) Papa Giovanni XXIII
RECRUITING
Bergamo
Centro di Ricerche Cliniche - IRCCS Azienda Ospedaliero Universitaria di Bologna
RECRUITING
Bologna
Azienda Socio Sanitaria Territoriale (ASST) degli Spedali Civili di Brescia
RECRUITING
Brescia
Istituto Europeo di Oncologia
RECRUITING
Milan
Spain
Institut Català d'Oncologia - Hospital Duran i Reynals (ICO L'Hospitalet)
RECRUITING
Barcelona
Hospital General Universitario Gregorio Marañón
RECRUITING
Madrid
Hospital Universitario Ramón y Cajal
RECRUITING
Madrid
Complejo Asistencial Universitario de Salamanca - Hospital Clínico
RECRUITING
Salamanca
Hospital Universitari i Politècnic La Fe
RECRUITING
Valencia
United Kingdom
University College London Hospitals NHS Foundation Trust
COMPLETED
London
Oxford University Hospitals NHS Foundation Trust
COMPLETED
Oxford
Contact Information
Primary
Contact ADC Therapeutics
clinical.trials@adctherapeutics.com
954-903-7994
Time Frame
Start Date: 2022-06-17
Estimated Completion Date: 2027-10-29
Participants
Target number of participants: 200
Treatments
Experimental: Part 1 (Dose Escalation): Loncastuximab Tesirine + Polatuzumab Vedotin (Arm C)
Participants will receive escalating doses (90 µg/kg to 150 µg/kg) of loncastuximab tesirine on Day (D) 1 of each cycle (where each cycle is 21 days).~Participants will also receive polatuzumab vedotin at a dose of 1.8 mg/kg on D1 of each cycle, infusion will be started one hour after end of loncastuximab tesirine infusion.
Experimental: Part 1 (Dose Escalation): Loncastuximab Tesirine + Glofitamab (Arm E)
Participants will receive escalating doses (90 µg/kg to 150 µg/kg) of loncastuximab tesirine on D2 of Cycle (C) 1 and then D1 of all other cycles (where each cycle is 21 days).~Participants will also receive glofitamab 2.5 mg on C1 D8, 10 mg on C1 D15 and 30 mg for cycles 2-12 D1.~In addition participants will receive obinutuzumab pre-treatment 1000 mg on C1 D1.
Experimental: Part 1 (Dose Escalation): Loncastuximab Tesirine + Mosunetuzumab (Arm F)
Participants will receive escalating doses (90 µg/kg to 150 µg/kg) of loncastuximab tesirine on Day (D) 1 of each cycle (where each cycle is 21 days).~Participants will also receive mosunetuzumab 5 mg on C1 D1, 45 mg for C1 D8, C1 D15 and cycles 2-8 D1.
Experimental: Part 2 (Dose Expansion): Loncastuximab Tesirine + Polatuzumab Vedotin (Arm C)
Participants with B-NHL will receive loncastuximab tesirine in combination with polatuzumab vedotin at the maximum tolerated dose (MTD) and/or recommended dose for expansion (RDE) if favorable results of Part 1 are received.
Experimental: Part 2 (Dose Expansion): Loncastuximab Tesirine + Glofitamab (Arm E)
Participants with B-NHL will receive loncastuximab tesirine in combination with glofitamab at the MTD and/or RDE if favorable results of Part 1 are received. In addition participants will receive obinutuzumab pre-treatment 1000 mg on C1 D1.
Experimental: Part 2 (Dose Expansion): Loncastuximab Tesirine + Mosunetuzumab (Arm F)
Participants with B-NHL will receive loncastuximab tesirine in combination with mosunetuzumab at the MTD and/or RDE if favorable results of Part 1 are received.
Related Therapeutic Areas
Sponsors
Leads: ADC Therapeutics S.A.

This content was sourced from clinicaltrials.gov

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