A Study to Assess the Anti-Tumor Activity and Safety of Odronextamab in Patients With B-cell Non-Hodgkin Lymphoma That Have Been Previously Treated (ELM-2)
B-cell Non-Hodgkin Lymphoma (NHL)
About this trial
This is an interventional treatment trial for B-cell Non-Hodgkin Lymphoma (NHL) focused on measuring Relapsed B-NHL, Refractory B-NHL, NHL, FL, DLBCL, MZL, MCL, bispecific antibody, CD20
Eligibility Criteria
Key Inclusion Criteria:
- For the FL grade 1-3a cohort only: Central histopathologic confirmation of the FL Grade 1 to 3a diagnosis must be obtained before study enrollment. Patients with FL grade 3b are ineligible for this cohort but may be included in the "other B-NHL" cohort. Follicular lymphoma subtyping is based on the World Health Organization (WHO) classification (Swerdlow, 2017).
- Disease-specific cohorts that has relapsed after or is refractory to at least 2 prior lines of systemic therapy as defined in the protocol
- DLBCL cohort: Patients with DLBCL that has relapsed after or is refractory to at least 2 prior lines of systemic therapy as defined in the protocol
- MCL after BTK inhibitor therapy cohort: New enrollment is paused until further notice
- MZL cohort: New enrollment is paused until further notice
- Other B-NHL cohort: Patients with B-NHL other than FL grade 1-3a, DLBCL, MCL, or MZL that has relapsed after or is refractory to at least 2 prior lines of systemic therapy as defined in the protocol. New enrollment stopped for patients with Burkitt lymphoma and Burkitt-like lymphoma.
- Patients should in the judgment of the investigator require systemic therapy for lymphoma at the time of study enrollment
- Measurable disease on cross sectional imaging as defined in the protocol documented by diagnostic imaging (computed tomography (CT), or magnetic resonance imaging (MRI)
- Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
- Adequate bone marrow, hepatic, and renal function as defined in the protocol
Key Exclusion Criteria:
- Primary central nervous system (CNS) lymphoma or known involvement by non-primary CNS Non-Hodgkin Lymphoma (NHL) (suspected CNS lymphoma should be evaluated by lumbar puncture, as appropriate, in addition to the mandatory head CT or MRI).
- Treatment with any systemic anti-lymphoma therapy within 5 half-lives or within 28 days prior to first administration of study drug, whichever is shorter.
- History of allogeneic stem cell transplantation
- Prior treatment with any chimeric antigen receptor T-cell (CAR-T) therapy
- Continuous systemic corticosteroid treatment with more than 10 mg per day of prednisone or anti-inflammatory equivalent within 72 hours of start of study drug
- History of neurodegenerative condition or CNS movement disorder. Patients with a history of seizure within 12 months prior to study enrollment are excluded
- Another malignancy except B-NHL in the past 5 years, with the exception of non-melanoma skin cancer that has undergone potentially curative therapy or in situ cervical carcinoma, or any other tumor that has been deemed to be effectively treated with definitive local control and with curative intent.
- Uncontrolled infection with human immunodeficiency virus (HIV), hepatitis B or hepatitis C infection; cytomegalovirus (CMV) infection as noted by detectable levels on a blood polymerase chain reaction (PCR) assay as defined in the protocol or other uncontrolled infections
- Known hypersensitivity to both allopurinol and rasburicase
- Prior treatment with an anti-CD20 x anti-CD3 bispecific therapy
Note: Other protocol-defined Inclusion/Exclusion criteria apply
Sites / Locations
- Rush University Medical CenterRecruiting
- University of Iowa Hospital and ClinicsRecruiting
- Norton Cancer InstituteRecruiting
- Beth Israel Deaconess Medical Center
- Tufts Cancer CenterRecruiting
- University of Michigan
- University/Academic Hospital Mayo ClinicRecruiting
- SSM Saint Louis University Hospital
- John Theurer Cancer Center Hackensack University Medical CenterRecruiting
- Morristown Medical Center
- Weill Cornell Medical CollegeRecruiting
- Stony Brook HospitalRecruiting
- Wake Forest Baptist Medical CenterRecruiting
- Cleveland ClinicRecruiting
- Stephenson Cancer CenterRecruiting
- Simmons Comprehensive Cancer CenterRecruiting
- Brook Army Medical Center
- Border Medical Oncology, Albury Wodonga Regional Cancer CentreRecruiting
- Epworth HospitalRecruiting
- Penninsula & South Eastern Haemotology and Oncology GroupRecruiting
- Andrew Love Cancer CenterRecruiting
- Olivia Newton John Cancer CentreRecruiting
- The Tweed HospitalRecruiting
- Royal Perth HospitalRecruiting
- Andrew Love Cancer CenterRecruiting
- Cross Cancer CenterRecruiting
- QEII Health Science CenterRecruiting
- Peking University Cancer Hospital (Beijing Cancer Hospital) (Beijing Institute for Cancer Research)Recruiting
- Sun Yat-Sen University Cancer Center (Cancer Prevention and Treatment Center, Sun Yat-sen University)Recruiting
- The First Affiliated Hospital of Zhengzhou UniversityRecruiting
- West China Hospital of Sichuan UniversityRecruiting
- Tongji Hospital, Tongji Medical College of Huazhong University of Science and TechnologyRecruiting
- The Second Affiliated Hospital of Zhejiang University School of MedicineRecruiting
- The First Affiliated Hospital, Zhejiang University School of MedicineRecruiting
- Peking University Third HospitalRecruiting
- Peking Union Medical College HospitalRecruiting
- The First Bethune Hospital Of Jilin UniversityRecruiting
- The First Affiliated Hospital of Soochow UniversityRecruiting
- Tianjin Medical University Cancer Institute & HospitalRecruiting
- Harbin Medical University Cancer HospitalRecruiting
- Second Affiliated Hospital of Army Medical University, PLARecruiting
- Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical SciencesRecruiting
- Renmin Hospital of Wuhan UniversityRecruiting
- Fudan University Cancer HospitalRecruiting
- The First Affiliated Hospital of Xi 'an Jiaotong UniversityRecruiting
- CHU de CaenRecruiting
- Hospital Henri MondorRecruiting
- Hopital Huriez-CHRU LilleRecruiting
- CHU de NantesRecruiting
- Hopital de la Pitie SalpetriereRecruiting
- CHU Haut LevequeRecruiting
- Centre Hospitalier Lyon SudRecruiting
- Centre Hospitalier Universitaire (CHU) de PoitiersRecruiting
- Klinikum Chemnitz gGmbH Klinik fuer Innere Medizin IIIRecruiting
- University Hospital Halle SaaleRecruiting
- Kliniken Ostalb, StauferklinikumRecruiting
- Klinik fur Innere Medizin II Schwarzwald Baar KlinikumRecruiting
- Universitätsklinikum WürzburgRecruiting
- Policlinico Sant'Orsola MalpipghiRecruiting
- Azienda Ospedaliera CareggiRecruiting
- Ospedale Di Livorno Usl6Recruiting
- Fondazione IRCCS Ca' Grande Ospedale Maggiore PoliclinicoRecruiting
- ASST Grande Ospedale Metropolitano NiguardaRecruiting
- AOU Maggiore della CaritaRecruiting
- Santa Maria Della Misericordia HospitalRecruiting
- Ospedale Santa Maria delle CrociRecruiting
- SC Ematologia Dip to Oncologico e Tecnologie Avanzate_ IRCCS - Arcispedale Santa Maria NuovaRecruiting
- Struttura Complessa di Ematologia e Trapianto di cellule staminali emopoietiche _ IRCCS Casa Sollievo della SofferenzaRecruiting
- A.O. Santa MariaRecruiting
- Ospedale dell'AngeloRecruiting
- Ospedale DellAngelo Di Mestre Umberto IRecruiting
- National Hospital Organization Nagoya Medical CenterRecruiting
- Japanese Red Cross Aichi Medical Center Nagoya Daini HospitalRecruiting
- National Cancer Center Hospital EastRecruiting
- National Hospital Organization Shikoku Cancer CenterRecruiting
- National Hospital Organization National Kyushu Cancer CenterRecruiting
- Kobe City Medical Center General HospitalRecruiting
- " University Hospital Kyoto Prefectural University of Medicine"Recruiting
- National Cancer Center HospitalRecruiting
- Tokai University HospitalRecruiting
- Saitama Medical University International Medical CenterRecruiting
- Japanese Red Cross Nagasaki Genbaku HospitalRecruiting
- Osaka Metropolitan University HospitalRecruiting
- Chiba Cancer CenterRecruiting
- Yamagata University HospitalRecruiting
- Dong-A University HospitalRecruiting
- Keimyung University Dongsan Medical CenterRecruiting
- National Cancer CenterRecruiting
- Korea University Anam HospitalRecruiting
- Seoul National University HospitalRecruiting
- Severance HospitalRecruiting
- Samsung Medical CenterRecruiting
- The Catholic University of Korea, Seoul St. Mary's HospitalRecruiting
- Ewha Womans University Mokdong HospitalRecruiting
- Ulsan University HospitalRecruiting
- Uniwersyteckie Centrum KliniczneRecruiting
- Szpitale Pomorskie spSp. Z.o.o.Recruiting
- Małopolskie Centrum Medyczne S.CRecruiting
- Regeneron Study SiteRecruiting
- Apteka IHiT (Instytut Hematologii I TransfuzjologiiRecruiting
- Instytut im. M. Sklodowskiej-CurieRecruiting
- Uniwersytecki Szpital KlinicznyRecruiting
- National University HospitalRecruiting
- Singapore General HospitalRecruiting
- Raffles Cancer Center
- ICON-SOC Farrer Park HospitalRecruiting
- Hospital Universitario Vall De'HebronRecruiting
- Hospital Clinic I Provincial de BarcelonaRecruiting
- Hospital de la Santa Creu I Sant PauRecruiting
- Hospital Universitario Donostia
- Institut Català d'OncologiaRecruiting
- MD Anderson Cancer CenterRecruiting
- Fundacion Jimenez Diaz University HospitalRecruiting
- Hospital Universitario 12 de OctubreRecruiting
- Hospital Universitario HM SanchinarroRecruiting
- Hospital Universitario Quiron Salud MadridRecruiting
- Hospital Costa del SolRecruiting
- Hospital son LlatzerRecruiting
- Hospital Son EspasesRecruiting
- Hospital Universitario de SalamancaRecruiting
- Hospital Universitari i Politecnic La FeRecruiting
- Kaosiung Chang Gung Memorial HospitalRecruiting
- Taipei Medical University - Shuang-Ho HospitalRecruiting
- China Medical University HospitalRecruiting
- National Cheng Kung University HospitalRecruiting
- Chi-Mei Medical Center-LiuyingRecruiting
- National Taiwan University HospitalRecruiting
- Mackay Memorial HospitalRecruiting
- Koo Foundation Sun Yat Sen Cancer CenterRecruiting
- Tri-Service General HospitalRecruiting
- Chang Gung Memorial HospitalRecruiting
- University Hospital of WalesRecruiting
- Western General Hospital
- Kings College HospitalRecruiting
- Derriford HospitalRecruiting
- The Royal Marsden HospitalRecruiting
- Royal Cornwall HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Experimental
Experimental
Experimental
Experimental
Experimental
FL
DLBCL
MCL
MZL
Other B-NHL
Follicular lymphoma grade 1-3a cohort
Diffuse large B-cell lymphoma cohort
Mantle Cell Lymphoma cohort
Marginal Zone Lymphoma cohort
Other B-cell non-Hodgkin lymphoma cohort (excluding FL Grade 1-3a, DLBCL, MCL, MZL, Waldenström macroglobulinemia [WM]); Patients with a current diagnosis of mixed histology of B-NHL with an aggressive component (such as concurrent FL and DLBCL) will be allowed