En undersøgelse af JNJ-95566692 hos deltagere med non-Hodgkin lymfoid maligniteter
En fase 1, første-på-mennesker-studie af et nyt CD79bxCD20xCD3 trispecifikt antistof i B-celle non-Hodgkin lymfoide maligniteter (NHL)
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 1
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Study Contact
- Telefonnummer: 844-434-4210
- E-mail: Participate-In-This-Study1@its.jnj.com
Studiesteder
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Clayton, Australien, 3168
- Rekruttering
- Monash Medical Centre
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Melbourne, Australien, 3000
- Rekruttering
- Peter MacCallum Cancer Centre
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North Ryde, Australien, 2109
- Rekruttering
- Macquarie University Hospital
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Randwick, Australien, 2031
- Rekruttering
- Scientia Clinical Research
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Edegem, Belgien, 2650
- Rekruttering
- UZ Antwerpen
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Liège, Belgien, 4000
- Rekruttering
- Centre Hospitalier Universitaire de Liege Domaine Universitaire du Sart Tilman
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Lille, Frankrig, 59000
- Rekruttering
- Hôpital Claude Huriez
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Paris, Frankrig, 75013
- Rekruttering
- CHU Pitie Salpetriere
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Pierre-Bénite, Frankrig, 69495
- Rekruttering
- CHU Lyon Sud
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Toulouse, Frankrig, 31100
- Rekruttering
- Institut Universitaire du Cancer Toulouse Oncopole
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Barcelona, Spanien, 8036
- Rekruttering
- Hosp. Clinic de Barcelona
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Barcelona, Spanien, 08035
- Rekruttering
- Hosp Univ Vall D Hebron
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Madrid, Spanien, 28041
- Rekruttering
- Hosp. Univ. 12 de Octubre
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Madrid, Spanien, 28040
- Rekruttering
- Hosp Univ Fund Jimenez Diaz
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Madrid, Spanien, 28050
- Rekruttering
- Hosp Univ Hm Sanchinarro
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Ankara, Tyrkiet (Türkiye), 06200
- Rekruttering
- SBU Ankara Dr. Abdurrahman Yurtaslan Onkoloji Egitim ve Arastirma Hastanesi Faz 1 Merkezi
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Ankara, Tyrkiet (Türkiye), 06620
- Rekruttering
- Ankara Universitesi Hastaneleri Tibbi Farmakoloji Anabilim Dali Faz 1 Klinik Arastirma Merkezi
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Antalya, Tyrkiet (Türkiye), 07025
- Rekruttering
- Memorial Antalya Hastanesi Faz 1 Klinik Arastirma Merkezi
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Istanbul, Tyrkiet (Türkiye), 34010
- Rekruttering
- Koc Universitesi Hastanesi Faz 1 Klinik Arastirma Merkezi
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inklusionskriterier:
- B-celle non-Hodgkin lymfoid maligne sygdomme (NHL) i henhold til World Health Organization (WHO) 2022 med tilbagevendende eller refraktær sygdom og ingen andre godkendte terapier tilgængelige, der ville være mere passende efter forskerens bedømmelse.
• Deltagere skal have modtaget mindst 2 tidligere behandlingslinjer, inklusive en αCD20 monoklonal antistof indeholdende kemoterapikombinationsplan.
• Deltagere, der har modtaget mindst én tidligere behandlingslinje, men som ikke er berettigede til eller har adgang til standard andenlinjestandarderapier, såsom CAR-T, vil få lov til at deltage - Mens de er under studibehandling og i 3 måneder efter den sidste dosis af studibehandling, skal en deltager: ikke amme eller blive gravid; ikke donere gameter (dvs. æg eller sæd) eller fryse til fremtidig brug til formål for assisteret reproduktion; og bære et eksternt kondom
- Have en Eastern Cooperative Oncology Group (ECOG) performance status på 0 til 1
- Deltagere skal have målelig sygdom som defineret af sygdomskriterierne (Lugano-kriterier)
- Deltagere med fødedygtighed skal have en negativ højt følsom (for eksempel beta [β]-human chorionic gonadotropin) graviditetstest ved screening og inden for 24 timer før første dosis af studibehandling og acceptere yderligere graviditetstest
Eksklusionskriterier:
- Kendt centralnervesystem involvering (CNS) eller leptomeningeal involvering
- Tidligere transplantation af fast organ
- Diagnose af malignitet andet end den undersøgte sygdom inden for 1 år før første dosis af studibehandlingen; undtagelser er pladecelle- og basalcellecarcinom i huden, carcinoma in situ i livmoderhalsen og enhver malignitet, der anses for helbredt eller har minimal risiko for tilbagefald inden for 1 år efter første dosis af studibehandlingen efter både forskerens og sponsorernes medicinske monitors vurdering
- Autoimmun eller inflammatorisk sygdom, der kræver systemiske steroider eller andre immunsuppressive midler (for eksempel methotrexat eller tacrolimus) inden for 3 måneder før første dosis af studibehandling
- Toksicitet fra tidligere antikræftbehandling, der ikke er vendt tilbage til basisniveau eller til grad mindre end eller lig med (<=) 1 (undtagen hårtab, vitiligo, perifer neuropati eller endokrinopatier af grad <=2, der er stabile på hormonerstatning)
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Ikke-randomiseret
- Interventionel model: Sekventiel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
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Eksperimentel: Arm A: JNJ-95566692
Deltagerne vil modtage stigende doser af JNJ-95566692 i del 1 (dosiseskalering) for at bestemme den formodede anbefalede fase 2-dosis (RP2D[s]) og doseringsskema(er).
Deltagerne i del 2 (dosisudvidelse) vil modtage JNJ-95566692 med den formodede RP2D(s), der blev bestemt i del 1, for yderligere at karakterisere sikkerhed, PK (farmakokinetik), farmakodynamik (PD) og klinisk aktivitet.
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JNJ-95566692 administreres subkutant.
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Eksperimentel: Arm B: JNJ-95566692 i kombination med JNJ-87801493
Deltagerne vil modtage stigende doser af JNJ-95566692 i kombination med JNJ-87801493 i del 1 (dosisopskalering) for at bestemme den formodede RP2D[s] og doseringsskema(er).
Deltagerne i del 2 (dosisudvidelse) vil modtage JNJ-95566692 i kombination med JNJ-87801493 ved den formodede RP2D(s), der blev bestemt i del 1, for yderligere at karakterisere sikkerhed, PK, PD og klinisk aktivitet.
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JNJ-87801493 vil blive administreret subkutant.
JNJ-95566692 administreres subkutant.
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Eksperimentel: Arm C: JNJ-95566692 and loncastuximab tesirine with or without JNJ-87801493
Participants will receive escalating doses for JNJ-95566692 and loncastuximab tesirine with or without JNJ-87801493 followed by the target dose in Part 1 (Dose escalation) to determine the putative RP2D[s] and dosing schedule(s).
Participants in Part 2 (Dose expansion) will receive JNJ-95566692 and loncastuximab tesirine with or without JNJ-87801493 at the putative RP2D(s) determined in Part 1.
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JNJ-87801493 vil blive administreret subkutant.
JNJ-95566692 administreres subkutant.
Loncastuximab tesirine will be administered intervenously.
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Eksperimentel: Arm D: JNJ-95566692 and R-GemOx with or without JNJ-87801493
Participants will receive escalating doses of JNJ-95566692 and R-GemOx (rituximab, gemcitabine, oxaliplatin) with or without JNJ-87801493 followed by the target dose in Part 1 (Dose escalation) to determine the putative RP2D[s] and dosing schedule(s).
Participants in Part 2 (Dose expansion) will receive JNJ-95566692 and R-GemOx with or without JNJ-87801493 at the putative RP2D(s) determined in Part 1.
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JNJ-87801493 vil blive administreret subkutant.
JNJ-95566692 administreres subkutant.
Rituximab will be administered intravenously and may be administered subcutaneously after the first administration.
Gemcitabine will be administered intravenously.
Oxaliplatin will be administered intravenously.
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Eksperimentel: Arm E: JNJ-95566692 and lenalidomide with or without JNJ-87801493
Participants will receive escalating doses of JNJ-95566692 and lenalidomide with or without JNJ-87801493 in Part 1 (Dose escalation) to determine the putative RP2D[s] and dosing schedule(s).
Participants in Part 2 (Dose expansion) will receive JNJ-95566692 and lenalidomide with or without JNJ-87801493 at the putative RP2D(s) determined in Part 1.
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Lenalidomid vil blive indgivet oralt.
JNJ-87801493 vil blive administreret subkutant.
JNJ-95566692 administreres subkutant.
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Eksperimentel: Arm F: JNJ-95566692 and R-CHOP with or without JNJ-87801493
Participants will receive escalating doses of JNJ-95566692 and R-CHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone) with or without JNJ-87801493 followed by the target dose in Part 1 (Dose escalation) to determine the putative RP2D[s] and dosing schedule(s).
Participants in Part 2 (Dose expansion) will receive JNJ-95566692 and R-CHOP with or without JNJ-87801493 at the putative RP2D(s) determined in Part 1.
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Cyclophosphamid vil blive administreret intravenøst.
Prednison vil blive indgivet oralt.
JNJ-87801493 vil blive administreret subkutant.
JNJ-95566692 administreres subkutant.
Rituximab will be administered intravenously and may be administered subcutaneously after the first administration.
Doxorubicin will be administered intravenously.
Vincristine will be administered intravenously.
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Eksperimentel: Arm G: JNJ-95566692 and Pola-R-CHP with or without JNJ-87801493
Participants will receive escalating doses of JNJ-95566692 and Pola-R-CHP (polatuzumab vedotin, rituximab, cyclophosphamide, doxorubicin, and prednisone) with or without JNJ-87801493 followed by the target dose in Part 1 (Dose escalation) to determine the putative RP2D[s] and dosing schedule(s).
Participants in Part 2 (Dose expansion) will receive JNJ-95566692 and Pola-R-CHP with or without JNJ-87801493 at the putative RP2D(s) determined in Part 1.
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Cyclophosphamid vil blive administreret intravenøst.
Prednison vil blive indgivet oralt.
JNJ-87801493 vil blive administreret subkutant.
JNJ-95566692 administreres subkutant.
Rituximab will be administered intravenously and may be administered subcutaneously after the first administration.
Doxorubicin will be administered intravenously.
Polatuzumab vedotin will be administered intravenously.
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Part 1 and 2: Number of Participants with Adverse Events (AEs) And Serious Adverse Events (SAEs) by Severity
Tidsramme: Approximately 2 years and 8 months
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An AE is any untoward medical occurrence in a clinical study participant administered an investigational or non-investigational product and it does not necessarily have a causal relationship with the investigational product.
Severity for AEs will be specified as per: National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) grades which are Grade 1 (mild), Grade 2 (moderate), Grade 3 (severe), Grade 4 (potentially life-threatening) and Grade 5 (death related to adverse event).
SAE is any untoward medical occurrence that at any dose: results in death; is life-threatening; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability/incapacity; is a congenital anomaly/birth defect; is a suspected transmission of any infectious agent via a medicinal product; is medically important.
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Approximately 2 years and 8 months
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Part 1: Number of Participants with Dose Limiting Toxicity (DLTs)
Tidsramme: Approximately 2 years and 8 months
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Number of participants with DLTs for JNJ-95566692 (arm A), in combination with JNJ-87801493 (arm B) and in arms C to G will be reported.
The DLTs are drug-related toxicities and are defined as any of the following: fatal toxicity, high grade non-hematologic toxicity, or hematologic toxicity.
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Approximately 2 years and 8 months
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Serum Concentration for JNJ-95566692 (Arms A-G) And JNJ-87801493 (Arms B-G)
Tidsramme: Approximately 2 years and 8 months
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Serum concentration for JNJ-95566692 (Arms A-G) and JNJ-87801493 (Arms B-G), where applicable will be assessed using a validated assay method.
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Approximately 2 years and 8 months
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Area Under the Curve During a Dosing Interval (AUCtau) in JNJ-95566692 (Arms A-G) And JNJ-87801493 (Arms B-G)
Tidsramme: Approximately 2 years and 8 months
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AUC tau is defined as area under the serum concentration-time curve during a dosing interval (tau).
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Approximately 2 years and 8 months
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Maximum Serum Concentration (Cmax) for JNJ-95566692 (Arms A-G) And JNJ-87801493 (Arms B-G)
Tidsramme: Approximately 2 years and 8 months
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Cmax for JNJ-95566692 (Arms A-G) and JNJ-87801493 (Arms B-G), where applicable will be reported.
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Approximately 2 years and 8 months
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Minimum Serum Concentration (Cmin) for JNJ-95566692 (Arms A-G) And JNJ-87801493 (Arms B-G)
Tidsramme: Approximately 2 years and 8 months
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Cmin for JNJ-95566692 (Arms A-G) and JNJ-87801493 (Arms B-G), where applicable will be reported.
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Approximately 2 years and 8 months
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Area Under the Curve (AUC[0-t]) for JNJ-95566692 (Arms A-G) And JNJ-87801493 (Arms B-G)
Tidsramme: Approximately 2 years and 8 months
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AUC(0-t) for JNJ-95566692 (Arms A-G) and JNJ-87801493 (Arms B-G), where applicable will be reported.
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Approximately 2 years and 8 months
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Half-life (t1/2) for JNJ-95566692 (Arms A-G) And JNJ-87801493 (Arms B-G)
Tidsramme: Approximately 2 years and 8 months
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Half-life (t1/2) for JNJ-95566692 (Arms A-G) and JNJ-87801493 (Arms B-G), where applicable will be reported.
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Approximately 2 years and 8 months
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Time to Reach Cmax (Tmax) for JNJ-95566692 (Arms A-G) And JNJ-87801493 (Arms B-G)
Tidsramme: Approximately 2 years and 8 months
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Tmax is the time to reach maximum observed serum concentration for JNJ-95566692 (Arms A-G) and JNJ-87801493 (Arms B-G), where applicable will be reported.
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Approximately 2 years and 8 months
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Apparent Total Body Clearance (CL/F) for JNJ-95566692 (Arms A-G) And JNJ-87801493 (Arms B-G)
Tidsramme: Approximately 2 years and 8 months
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CL/F for JNJ-95566692 (Arms A-G) and JNJ-87801493 (Arms B-G), where applicable will be reported.
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Approximately 2 years and 8 months
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Apparent Volume of Distribution (V/F) for JNJ-95566692 (Arms A-G) And JNJ-87801493 (Arms B-G)
Tidsramme: Approximately 2 years and 8 months
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V/F for JNJ-95566692 (Arms A-G) and JNJ-87801493 (Arms B-G), where applicable will be reported.
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Approximately 2 years and 8 months
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Number of Participants with Anti-JNJ-95566692 Antibodies in Arms A to G
Tidsramme: Approximately 2 years and 8 months
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Participants with presence of antibodies binding to JNJ-95566692 in arm A to G will be reported.
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Approximately 2 years and 8 months
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Number of Participants with Anti-JNJ-87801493 Antibodies in Arms B to G
Tidsramme: Approximately 2 years and 8 months
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Participants with presence of antibodies binding to JNJ-87801493 in arm B to G (as appropriate) will be reported.
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Approximately 2 years and 8 months
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Part 2: Overall Response for JNJ-95566692 (Arm A), in Combination With JNJ-87801493 (Arm B) And for JNJ-95566692 ± JNJ-87801493 with Combination Therapies In Arms C to G
Tidsramme: Approximately 2 years and 8 months
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Overall response is defined as a best response of partial response (PR) or better as assessed by the investigator according to standard response criteria per Lugano.
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Approximately 2 years and 8 months
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Part 2: Complete Response (CR) for JNJ-95566692 (Arm A), in Combination With JNJ-87801493 (Arm B) And for JNJ-95566692 ± JNJ-87801493 with Combination Therapies In Arms C to G
Tidsramme: Approximately 2 years and 8 months
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Complete response (CR) is defined as a best response of CR as assessed by the investigator according to standard response criteria per Lugano.
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Approximately 2 years and 8 months
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Part 2: Time to Response (TTR) for JNJ-95566692 (Arm A), in Combination With JNJ-87801493 (Arm B) And for JNJ-95566692 ± JNJ-87801493 with Combination Therapies In Arms C to G
Tidsramme: Approximately 2 years and 8 months
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TTR is defined for participants who achieved a response of PR or better as the time from the first dose of study treatment to the first response of PR or better.
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Approximately 2 years and 8 months
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Part 2: Duration of Response (DOR) for JNJ-95566692 (Arm A), in Combination With JNJ-87801493 (Arm B) And for JNJ-95566692 ± JNJ-87801493 with Combination Therapies In Arms C to G
Tidsramme: Approximately 2 years and 8 months
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DOR is defined for participants who achieved a response of PR or better as the time between the date of initial documentation of first response of PR or better to the date of first documented evidence of progressive disease, initiation of a new systemic anti-cancer therapy or death.
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Approximately 2 years and 8 months
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Studieleder: Janssen Research & Development, LLC Clinical Trial, Janssen Research & Development, LLC
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Neoplasmer
- Sygdomme i immunsystemet
- Neoplasmer efter histologisk type
- Lymfesygdomme
- Lymfoproliferative lidelser
- Immunproliferative lidelser
- Lymfom
- Hemiske og lymfatiske sygdomme
- Lymfom, Non-Hodgkin
- Aminosyrer, peptider og proteiner
- Proteiner
- Organiske kemikalier
- Heterocykliske forbindelser, 1-ring
- Heterocykliske forbindelser
- Heterocykliske forbindelser, 2-ring
- Heterocykliske forbindelser, smeltet ring
- Kulbrinter
- Kulbrinter, cyklisk
- Kulhydrater
- Carboxylsyrer
- Alkaloider
- Polycykliske aromatiske kulbrinter
- Kulbrinter, aromatisk
- Polycykliske forbindelser
- Glycosider
- Piperidiner
- Indoler
- Antistoffer, monoklonal
- Antistoffer
- Immunoglobuliner
- Immunoproteiner
- Blodproteiner
- Serum globuliner
- Globuliner
- Koordinationskomplekser
- Deoxycytidin
- Cytidin
- Pyrimidin -nukleosider
- Pyrimidiner
- Gravidier
- Graviditet
- Steroider
- SMUSED-RING-forbindelser
- Fosforamid -sennep
- Nitrogen sennepsforbindelser
- Sennepsforbindelser
- Kulbrinter, halogeneret
- Phosphoramider
- Organophosphorforbindelser
- Gravideretioler
- Vinca alkaloider
- Secologanin tryptamin alkaloider
- Indole alkaloider
- Indolizidiner
- Indolizines
- Anthracycliner
- Naphthacenes
- Aminoglycosider
- Antistoffer, monoklonal, murint afledt
- Daunorubicin
- Phthalimider
- Phthalinsyrer
- Syrer, carbocykliske
- Piperidones
- Isoindoler
- Lenalidomid
- Oxaliplatin
- Rituximab
- Gemcitabin
- Prednison
- Cyclofosfamid
- Doxorubicin
- Vincristine
- Polatuzumab Vedotin
- loncastuximab tesirin
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- 95566692LYM1001 (Anden identifikator: Janssen Research & Development, LLC)
- 2025 (U.S. NIH-bevilling/kontrakt: Faculty of Social Sciences Scientific Grant at the University of Gdańsk)
- 2025-523297-16-00 (Registry Identifier: EUCT number)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
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