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AFM13 in Relapsed/Refractory Cutaneous Lymphomas

Primary Purpose

Lymphoma, T-Cell, Cutaneous

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
AFM13
Sponsored by
Ahmed Sawas
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Lymphoma, T-Cell, Cutaneous focused on measuring Lymphoma, Cutaneous Lymphoma, cutaneous T-cell lymphoma (CTCL), CD30-Positive Cutaneous Lymphoma, T-cell lymphoma, PTCL, CTCL, CD30, immunotherapy

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Age ≥18 years
  • Histologically confirmed CD30-positive lymphoma with cutaneous involvement
  • Failure or intolerance to at least one prior therapy for the current disease
  • Presence of one or more cutaneous lesions (measuring at least 1 cm x 1 cm in size; if only one lesion is present it should be up to the investigator discretion to determine eligibility)
  • Eastern Cooperative Oncology Group (ECOG) performance status ≤2
  • Adequate organ and marrow function
  • Platelets ≥50,000/μL
  • Absolute neutrophil count ≥ 1,000/μL
  • Bilirubin < 1.5 x institutional upper limit of normal (ULN) or < 3 x ULN in patients with Gilbert's disease or liver involvement
  • Serum albumin ≥ 2.0 g/dL
  • Aspartate aminotransferase (AST)/Alanine aminotransferase (ALT) ≤2.5 × institutional ULN or, in the case of liver involvement by the primary disease AST/ALT ≤ 5 x ULN
  • Creatinine≤1.5 x institutional ULN or estimated creatinine clearance of ≥45 mL/min by the Cockcroft-Gault equation or measured creatinine clearance >45 mL/min
  • Females of child bearing potential must have a negative serum pregnancy test with 7 days prior to first dose of treatment. Female patients of childbearing potential and all male partners must agree to use double barrier methods of contraception throughout the study period and for at least 30 days following investigational product discontinuation.
  • Ability to understand and the willingness to sign a written informed consent document.

Exclusion Criteria:

  • Any cancer-related therapy for the current disease within 2 weeks of screening (all supportive care measures are allowed)
  • Major surgery within 2 weeks prior to first dose of study drug
  • Evidence of active central nervous system (CNS) involvement
  • Requirement for systemic immunosuppressive therapy (e.g. Graft-versus-Host Disease (GVHD) therapy within 12 weeks before the first dose of study drug)
  • Uncontrolled concurrent serious illness.
  • Concurrent malignancy or history of a previous malignancy within 3 years prior to first dose of the current study, unless curatively resected basal, squamous cell carcinoma of the skin, or cervical carcinoma in situ.
  • Active infections including hepatitis B carrier status, hepatitis C virus (HCV) infection (patients must have a negative Hepatitis B and Hepatitis C viral load at screening)
  • Known HIV-positive status
  • Any significant medical conditions, laboratory abnormality, or psychiatric illness that would exclude the subject from participation or interfere with study treatment, monitoring and compliance such as:
  • unstable angina pectoris, symptomatic congestive heart failure (New York Heart Association (NYHA) III or IV), myocardial infarction ≤ 6 months prior to first study drug, clinically significant and uncontrolled cardiac arrhythmia (e.g. atrial fibrillation/flutter ventricular cardiovascular physiology is allowed), cerebrovascular accidents ≤ 6 months before study drug start
  • severely impaired lung function
  • Serious, systemic infection requiring treatment ≤7 days before the first dose of study drug
  • Any severe, uncontrolled disease or condition which in the investigator's opinion, may put the subject at significant risk, may confound the study results, or impact the subject's participation in the study.

Sites / Locations

  • Center for Lymphoid Malignancies

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Cohort 1

Cohort 2

Cohort 3

Cohort 4

Arm Description

1.5 mg/kg of AFM13 once weekly for weeks 1-8.

7 mg/kg of AFM13 once weekly for weeks 1-8.

7mg/kg CIVI for weeks 1-8.

200mg flat dose once weekly for 8 weeks.

Outcomes

Primary Outcome Measures

Number of Participants With Treatment-related Adverse Events as Assessed by CTCAE v4.0
Incidence of Treatment-Emergent Adverse Events [Safety and Toxicity] broken down by adverse event and CTCAE v4.0 grade of each event.

Secondary Outcome Measures

Overall Response Rate (ORR)
The sum of patients with partial responses and complete responses.

Full Information

First Posted
June 16, 2017
Last Updated
July 14, 2023
Sponsor
Ahmed Sawas
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1. Study Identification

Unique Protocol Identification Number
NCT03192202
Brief Title
AFM13 in Relapsed/Refractory Cutaneous Lymphomas
Official Title
Clinical and Biological Evaluation of the Novel CD30/CD16A Tetravalent Bispecific Antibody (AFM13) in Relapsed or Refractory CD30-Positive Lymphoma With Cutaneous Presentation: A Biomarker Phase Ib/IIa Study
Study Type
Interventional

2. Study Status

Record Verification Date
July 2023
Overall Recruitment Status
Completed
Study Start Date
July 17, 2017 (Actual)
Primary Completion Date
April 1, 2020 (Actual)
Study Completion Date
April 1, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Ahmed Sawas

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The investigators plan to investigate AFM13 and evaluate its ability to facilitate and redirect the Natural Killer (NK) cells in eliminating CD30-positive lymphoma targets in the skin and, by inference, other organs involved by the lymphoma.
Detailed Description
This is an open label, Phase Ib/IIa study designed to evaluate the biologic activity of AFM13 in patients with relapsed or refractory CD30-positive lymphomas with cutaneous involvement. Primary cutaneous CD30-positive lymphoproliferative disorders (LPD) represent a spectrum from lymphomatoid papulosis (LyP), to primary cutaneous anaplastic large cell lymphoma (C-ALCL), to transformed mycosis fungoides (TMF). The most indolent form of primary cutaneous CD30-positive LPD is LyP, which is usually well controlled with low dose oral methotrexate, but control of the disease frequently requires life-long therapy. In contrast, TMF is an aggressive disease which does not have a standard of care, as patients are treated with various modalities of care with variable outcomes). The spectrum of other CD30-positive lymphomas with cutaneous presentation is very broad and involves systemic B and T cell lymphomas with various clinical behaviors. Redirecting Natural Killer (NK) cells towards these CD30-positive malignancies through direct engagement with AFM13 is expected to induce tumor cell killing through NK cell-mediated and T cell-mediated cytotoxicity (i.e., cytotoxic T lymphocytes (CTL)). The primary objective of this trial is to study the biologic and immunologic effects induced by the administration of various doses of AFM13, when given as a single agent.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Lymphoma, T-Cell, Cutaneous
Keywords
Lymphoma, Cutaneous Lymphoma, cutaneous T-cell lymphoma (CTCL), CD30-Positive Cutaneous Lymphoma, T-cell lymphoma, PTCL, CTCL, CD30, immunotherapy

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
18 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1
Arm Type
Experimental
Arm Description
1.5 mg/kg of AFM13 once weekly for weeks 1-8.
Arm Title
Cohort 2
Arm Type
Experimental
Arm Description
7 mg/kg of AFM13 once weekly for weeks 1-8.
Arm Title
Cohort 3
Arm Type
Experimental
Arm Description
7mg/kg CIVI for weeks 1-8.
Arm Title
Cohort 4
Arm Type
Experimental
Arm Description
200mg flat dose once weekly for 8 weeks.
Intervention Type
Drug
Intervention Name(s)
AFM13
Other Intervention Name(s)
AFM13 recombinant antibody
Intervention Description
AFM13 is a recombinant antibody construct against human CD30 and CD16A. It will be given to patients intravenously at the dose and schedule applicable to the cohort the patient was enrolled in specified in the various arms listed.
Primary Outcome Measure Information:
Title
Number of Participants With Treatment-related Adverse Events as Assessed by CTCAE v4.0
Description
Incidence of Treatment-Emergent Adverse Events [Safety and Toxicity] broken down by adverse event and CTCAE v4.0 grade of each event.
Time Frame
Up to 2 years
Secondary Outcome Measure Information:
Title
Overall Response Rate (ORR)
Description
The sum of patients with partial responses and complete responses.
Time Frame
Up to 2 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age ≥18 years Histologically confirmed CD30-positive lymphoma with cutaneous involvement Failure or intolerance to at least one prior therapy for the current disease Presence of one or more cutaneous lesions (measuring at least 1 cm x 1 cm in size; if only one lesion is present it should be up to the investigator discretion to determine eligibility) Eastern Cooperative Oncology Group (ECOG) performance status ≤2 Adequate organ and marrow function Platelets ≥50,000/μL Absolute neutrophil count ≥ 1,000/μL Bilirubin < 1.5 x institutional upper limit of normal (ULN) or < 3 x ULN in patients with Gilbert's disease or liver involvement Serum albumin ≥ 2.0 g/dL Aspartate aminotransferase (AST)/Alanine aminotransferase (ALT) ≤2.5 × institutional ULN or, in the case of liver involvement by the primary disease AST/ALT ≤ 5 x ULN Creatinine≤1.5 x institutional ULN or estimated creatinine clearance of ≥45 mL/min by the Cockcroft-Gault equation or measured creatinine clearance >45 mL/min Females of child bearing potential must have a negative serum pregnancy test with 7 days prior to first dose of treatment. Female patients of childbearing potential and all male partners must agree to use double barrier methods of contraception throughout the study period and for at least 30 days following investigational product discontinuation. Ability to understand and the willingness to sign a written informed consent document. Exclusion Criteria: Any cancer-related therapy for the current disease within 2 weeks of screening (all supportive care measures are allowed) Major surgery within 2 weeks prior to first dose of study drug Evidence of active central nervous system (CNS) involvement Requirement for systemic immunosuppressive therapy (e.g. Graft-versus-Host Disease (GVHD) therapy within 12 weeks before the first dose of study drug) Uncontrolled concurrent serious illness. Concurrent malignancy or history of a previous malignancy within 3 years prior to first dose of the current study, unless curatively resected basal, squamous cell carcinoma of the skin, or cervical carcinoma in situ. Active infections including hepatitis B carrier status, hepatitis C virus (HCV) infection (patients must have a negative Hepatitis B and Hepatitis C viral load at screening) Known HIV-positive status Any significant medical conditions, laboratory abnormality, or psychiatric illness that would exclude the subject from participation or interfere with study treatment, monitoring and compliance such as: unstable angina pectoris, symptomatic congestive heart failure (New York Heart Association (NYHA) III or IV), myocardial infarction ≤ 6 months prior to first study drug, clinically significant and uncontrolled cardiac arrhythmia (e.g. atrial fibrillation/flutter ventricular cardiovascular physiology is allowed), cerebrovascular accidents ≤ 6 months before study drug start severely impaired lung function Serious, systemic infection requiring treatment ≤7 days before the first dose of study drug Any severe, uncontrolled disease or condition which in the investigator's opinion, may put the subject at significant risk, may confound the study results, or impact the subject's participation in the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ahmed Sawas, MD
Organizational Affiliation
Columbia University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Center for Lymphoid Malignancies
City
New York
State/Province
New York
ZIP/Postal Code
10019
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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AFM13 in Relapsed/Refractory Cutaneous Lymphomas

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