A First-in-human Trial of GEN3017 in Hodgkin Lymphoma and Non-Hodgkin Lymphoma
A Phase 1/2a, Open-Label, Dose Escalation Trial of GEN3017 With Expansion Cohorts in Relapsed or Refractory CD30+ Classical Hodgkin Lymphoma and CD30+ Non-Hodgkin Lymphoma
The purpose of this trial is to evaluate the safety, tolerability, immunogenicity, pharmacokinetics (PK), pharmacodynamics (PD), and anti-tumor activity of GEN3017 as a monotherapy in participants with relapsed or refractory (R/R) CD30-expressing lymphomas.
GEN3017 will be administered via subcutaneous injections.
All participants will receive active drug; no one will be given placebo.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
This multicenter trial will be conducted in 2 parts: Dose Escalation (phase 1) and Expansion (phase 2a).
The Dose Escalation Part (phase 1) of the trial will evaluate dose-limiting toxicities (DLTs) to determine the recommended phase 2 dose (RP2D), and if reached, the maximum tolerated dose (MTD) for R/R CD30+ classical Hodgkin lymphoma (cHL) and R/R CD30+ T-cell lymphoma (TCL), respectively.
The Expansion Part (phase 2a) will evaluate the anti-tumor activity of GEN3017 at the RP2D and selected dosage(s) will be assessed together with safety, immunogenicity, pharmacokinetics, and pharmacodynamics in R/R CD30+ cHL participants (including adults; and adolescent and young adults) and in participants with selected R/R CD30+ TCL subtypes (adults only).
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Genmab Trial Information
- Phone Number: +4570202728
- Email: clinicaltrials@genmab.com
Study Locations
-
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Victoria
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Melbourne, Victoria, Australia
- Peter MacCallum Cancer Institute trading as Peter MacCallum Cancer Centre
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-
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California
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Duarte, California, United States, 91010
- City of Hope Helford Clinical Research Hospital
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Missouri
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St Louis, Missouri, United States, 63110
- Washington University School of Medicine
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Texas
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Houston, Texas, United States, 77030
- MD Anderson Cancer Center
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Key Inclusion Criteria:
Dose Escalation Part:
- Must be at least 18 years of age. For participants in the R/R cHL Cohort in the United States (US) and Australia, must be at least 16 years of age.
- Histologically confirmed R/R cHL or R/R TCL.
- Participants must have at least 1 measurable lesion by fluorodeoxyglucose-positron emission tomography (FDG-PET) scan demonstrating positive lesion compatible with computed tomography (CT)- or magnetic resonance imaging (MRI)-defined anatomical tumor sites and a CT scan (or MRI) with involvement of ≥1 measurable nodal lesion and/or ≥1 measurable extranodal lesion.
- Eastern Cooperative Oncology Group (ECOG) performance status score 0 or 1 for participants 18 years of age and above. For participants ≥16 and <18 years of age (US and Australia only), Karnofsky score of >60% per Karnofsky performance scale.
- Confirmed CD30-positivity in tumor biopsy prior to the first dose of GEN3017.
R/R cHL Cohort:
- Must have relapsed or progressive cHL after receiving at least 2 or 3 prior lines of therapy; OR
- Refractory to the second line of therapy.
Key Exclusion Criteria:
- Primary central nervous system (CNS) tumor or known CNS involvement.
- Received prior investigational CD30-targeting therapy (except brentuximab vedotin).
- Autologous hematopoietic stem cell transplant (HSCT) within 60 days (applies to both cHL and TCL). Allogeneic HSCT within 90 days (applies to cHL) prior to the first dose of GEN3017.
- Chemotherapy within 2 weeks or major surgery within 4 weeks prior to the first dose of GEN3017.
- Curative radiotherapy within 4 weeks or palliative radiotherapy within 2 weeks prior to the first dose of GEN3017.
- Treatment with an investigational drug within 4 weeks or 5 half-lives of the drug, whichever is shorter prior to the first dose of GEN3017 or currently receiving any other investigational agents.
- Prior treatment with live, attenuated vaccines within 30 days prior to the first dose of GEN3017.
- Receiving immunosuppressive drugs or systemic corticosteroids such as prednisone at doses >25 milligrams (mg) daily or its equivalent within 14 days prior to the first dose of GEN3017.
NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: R/R CD30+ cHL Cohort
|
Subcutaneous injection
Other Names:
|
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Experimental: R/R CD30+ TCL Cohort
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Subcutaneous injection
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Dose Escalation Part: Number of Participants With Dose-Limiting Toxicities (DLTs)
Time Frame: 21 days
|
A DLT was defined as any of the following toxicities except those that were clearly due to the underlying disease or extraneous cause: all Grade 5 toxicities, hematological toxicities (Grade 4 neutropenia, Grade 3 and Grade 4 febrile neutropenia lasting >2 days, Grade 4 thrombocytopenia of any duration with clinically significant bleeding or ≥ Grade 3 thrombocytopenia requiring platelet transfusion, Grade 4 anemia), non-hematological toxicities (Grade 4 cytokine release syndrome [CRS] per American Society for Transplantation and Cellular Therapy [ASTCT] criteria or Grade 3 unresolved to ≤ Grade 2 within 48 hours following adequate intervention, Grade 4 immune effector cell-associated neurotoxicity syndrome [ICANS] according to ASTCT criteria or Grade 3 unresolved to ≤ Grade 2 within 48 hours following adequate intervention, tumor lysis syndrome [TLS] Grade 4 or Grade 3 unresolved within 5 days, any ≥ Grade 3 [severe or life-threatening] non-hematological toxicities [with exceptions]).
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21 days
|
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Dose Escalation Part: Number of Participants With Adverse Events (AEs)
Time Frame: Up to approximately 1 year 2 months
|
An AE was defined as any untoward medical occurrence in a clinical trial participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
An AE was therefore any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product.
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Up to approximately 1 year 2 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Dose Escalation Part: Maximum (Peak) Plasma Concentration (Cmax) of GEN3017
Time Frame: Day 1 and Day 8
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Venous blood samples were collected for analyzing concentrations of GEN3017.
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Day 1 and Day 8
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Dose Escalation Part: Time to Reach Cmax (Tmax) of GEN3017
Time Frame: Day 1 and Day 8
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Venous blood samples were collected for analyzing concentrations of GEN3017.
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Day 1 and Day 8
|
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Dose Escalation Part: Pre-dose (Trough) Concentration (Ctrough) of GEN3017
Time Frame: Day 1 and Day 8
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Venous blood samples were collected for analyzing concentrations of GEN3017.
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Day 1 and Day 8
|
|
Dose Escalation Part: Area Under the Concentration-time Curve (AUC) From Time Zero to Infinity (AUCinf) of GEN3017
Time Frame: Day 1 and Day 8
|
Venous blood samples were collected for analyzing concentrations of GEN3017.
|
Day 1 and Day 8
|
|
Dose Escalation Part: Area Under the Concentration-time Curve (AUC) From Time Zero to Last Quantifiable Sample (AUClast) of GEN3017
Time Frame: Day 1 and Day 8
|
Venous blood samples were collected for analyzing concentrations of GEN3017.
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Day 1 and Day 8
|
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Dose Escalation Part: Elimination Half-life (T1/2) of GEN3017
Time Frame: Day 1 and Day 8
|
Venous blood samples were collected for analyzing concentrations of GEN3017.
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Day 1 and Day 8
|
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Dose Escalation Part: Total Body Clearance (CL) of Drug From Plasma of GEN3017
Time Frame: Day 1 and Day 8
|
Venous blood samples were collected for analyzing concentrations of GEN3017.
|
Day 1 and Day 8
|
|
Dose Escalation Part: Volume of Distribution (Vd) of GEN3017
Time Frame: Day 1 and Day 8
|
Venous blood samples were collected for analyzing concentrations of GEN3017.
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Day 1 and Day 8
|
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Dose Escalation Part: Number of Participants With Anti-drug Antibodies (ADAs) to GEN3017
Time Frame: Up to approximately 1 year 2 months
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Venous blood samples were drawn for analysis of ADAs in serum samples.
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Up to approximately 1 year 2 months
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Dose Escalation Part: Objective Response Rate (ORR)
Time Frame: Up to approximately 1 year 2 months
|
ORR was defined as the number of participants with a best overall response of complete response (CR) or partial response (PR) based on the Lugano criteria as assessed by investigator.
All other categories, including not evaluable, were considered non-response.
CR was defined as all of the following: disappearance of all target and non-target tumor lesions, and reduction in short axis to <10 millimeters (mm) in all pathological target and non-target lymph nodes, and normalization of tumor marker level (if applicable).
PR was defined as ≥30 percent (%) decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
Data are presented for the number of participants with ORR.
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Up to approximately 1 year 2 months
|
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Dose Escalation Part: Duration of Response (DOR)
Time Frame: Up to approximately 1 year 2 months
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DOR was defined as the time from the first documentation of response (CR or PR) to the date of progressive disease or death, whichever occurred earlier based on the Lugano criteria as assessed by investigator.
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Up to approximately 1 year 2 months
|
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Dose Escalation Part: Time to Response (TTR)
Time Frame: Up to approximately 1 year 2 months
|
TTR was defined as the time from Day 1 to first documentation of objective response (CR or PR) in participants achieving PR or CR based on the Lugano criteria as assessed by investigator.
|
Up to approximately 1 year 2 months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Study Official, Genmab
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- GCT3017-01
- 2023-503348-15-00 (Ctis: EU CT Number)
- jRCT2031230576 (Registry Identifier: Japan Registry of Clinical Trials)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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