Study of A-319 in Patients With Relapsed or Refractory B-cell Lymphoma (A-319)
Primary Purpose
Relapsed or Refractory B-cell Lymphoma
Status
Unknown status
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Recombinant Anti-CD19m-CD3 Antibody Injection
Sponsored by
About this trial
This is an interventional treatment trial for Relapsed or Refractory B-cell Lymphoma
Eligibility Criteria
Inclusion Criteria:
- 18-75 years, all genders
- Patients with definite B-cell Lymphoma, includes FL, MZL, MCL, DLBCL.
- Patients With Relapsed or Refractory B-cell Lymphoma
- ECOG ≤ 2
- Lesions are measurable in 21 days before treatment
- Normal bone marrow function
- Normal liver, kidney, lung and heart function
- the Subjects can sign the ICF and obey the protocol, elsewise, his/her guardian should sign
- Life expectancy is at least 3 months
Exclusion Criteria:• Past or present CNS disease
- Associated with lymphoma by the infiltrates of CNS
- A history of autoimmune disease with CNS involvement or autoimmune disease
- Previous history of autoimmune disease or other malignancy
- A history of deep venous thrombosis or pulmonary embolism
- Auto-HSCT was performed within 12 weeks prior to initiation of treatment
- Previous organ transplantation or allogeneic hematopoietic stem cell transplantation
- The Investigator determined that the patients were associated with a disease, medical condition, or social factor that might affect study results or compliance
- Immunosuppressant are being used
- Radiotherapy was given within 6 weeks prior to A-319 treatment
- Chemotherapy, immunotherapy and targeted therapy were received within 4 weeks before A-319 treatment
- Previous CAR-T cell therapy
- Received anti-lymphoma drugs in the first 4 weeks of A-319 treatment
- There was no recovery of toxic effects (CTCAE> grade 1 adverse events) at the last treatment, except hair loss
- Those who underwent major surgery 28 days before enrollment (excluding lymph node biopsy);Or plan to operate during the study period
- Those who had received active/attenuated live vaccine within 28 days prior to screening
- For pregnant (positive pregnancy test) and lactating women, those of childbearing age who signed the informed consent form and did not agree to use contraception for at least 3 months after the end of the study;Within 7 days prior to the first day of treatment, women of childbearing age require a positive serum pregnancy test (HCG)
- Male patients who signed informed consent forms and did not agree to use contraception for at least 3 months at the end of the study (except surgical sterilization)
- Known allergy to immunoglobulin or research drugs and their excipients
- Patients considered unfit to participate in the study
Sites / Locations
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
single arm
Arm Description
A-319 dosage: 0.05, 0.15, 0.03, 0.06, 0.12, 0.18, 0.24 μg/kg
Outcomes
Primary Outcome Measures
Evaluate the Incidence and Characteristics of SAE of A-319 Treat on Relapsed or Refractory B-cell Lymphoma
Incidence and Characteristics of SAE
Evaluate the MTD and DLT of A-319 Treat on Relapsed or Refractory B-cell Lymphoma
dose limited toxicity(DLT), maximum tolerance dose(MTD)
Secondary Outcome Measures
Evaluate the PK(Cmax) of A-319 Treat on Relapsed or Refractory B-cell Lymphoma
Peak Plasma Concentration(Cmax)
Evaluate the PK(AUC) of A-319 Treat on Relapsed or Refractory B-cell Lymphoma
Area under the plasma concentration versus time curve(AUC)
Evaluate the PK(Tmax) of A-319 Treat on Relapsed or Refractory B-cell Lymphoma
time to peak (Tmax)
Evaluate the PK(T1/2) of A-319 Treat on Relapsed or Refractory B-cell Lymphoma
half-life time(T1/2)
Evaluate the PK(CL) of A-319 Treat on Relapsed or Refractory B-cell Lymphoma
clearance(CL)
Evaluate the PK(Vz) of A-319 Treat on Relapsed or Refractory B-cell Lymphoma
volume of distribution(Vz)
Evaluate the PD of A-319 Treat on Relapsed or Refractory B-cell Lymphoma
B-cell level
Full Information
NCT ID
NCT04056975
First Posted
July 8, 2019
Last Updated
August 13, 2019
Sponsor
EVIVE Biotechnology
Collaborators
Peking University Cancer Hospital & Institute
1. Study Identification
Unique Protocol Identification Number
NCT04056975
Brief Title
Study of A-319 in Patients With Relapsed or Refractory B-cell Lymphoma
Acronym
A-319
Official Title
A Phase I, Single Centre, Open-label, Dose-escalation Study of A-319 in Patients With Relapsed or Refractory B-cell Lymphoma
Study Type
Interventional
2. Study Status
Record Verification Date
August 2019
Overall Recruitment Status
Unknown status
Study Start Date
September 15, 2019 (Anticipated)
Primary Completion Date
September 30, 2021 (Anticipated)
Study Completion Date
January 27, 2022 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
EVIVE Biotechnology
Collaborators
Peking University Cancer Hospital & Institute
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
Title: A Phase I, Single Centre, Open-label, Dose-escalation Study of A-319 in Patients With Relapsed or Refractory B-cell Lymphoma
Detailed Description
Protocol Number: SP071744 Study Stage: Phase I Study Number: 1 site Subject Number: up to 54 patients with Relapsed or Refractory B-cell Lymphoma
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Relapsed or Refractory B-cell Lymphoma
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
54 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
single arm
Arm Type
Experimental
Arm Description
A-319 dosage: 0.05, 0.15, 0.03, 0.06, 0.12, 0.18, 0.24 μg/kg
Intervention Type
Biological
Intervention Name(s)
Recombinant Anti-CD19m-CD3 Antibody Injection
Intervention Description
Intravenous Infusion
Primary Outcome Measure Information:
Title
Evaluate the Incidence and Characteristics of SAE of A-319 Treat on Relapsed or Refractory B-cell Lymphoma
Description
Incidence and Characteristics of SAE
Time Frame
At the end of Cycle 1 (each cycle is 28 days)
Title
Evaluate the MTD and DLT of A-319 Treat on Relapsed or Refractory B-cell Lymphoma
Description
dose limited toxicity(DLT), maximum tolerance dose(MTD)
Time Frame
At the end of Cycle 1 (each cycle is 28 days)
Secondary Outcome Measure Information:
Title
Evaluate the PK(Cmax) of A-319 Treat on Relapsed or Refractory B-cell Lymphoma
Description
Peak Plasma Concentration(Cmax)
Time Frame
At the end of Cycle3 (each cycle is 28 days)
Title
Evaluate the PK(AUC) of A-319 Treat on Relapsed or Refractory B-cell Lymphoma
Description
Area under the plasma concentration versus time curve(AUC)
Time Frame
At the end of Cycle3 (each cycle is 28 days)
Title
Evaluate the PK(Tmax) of A-319 Treat on Relapsed or Refractory B-cell Lymphoma
Description
time to peak (Tmax)
Time Frame
At the end of Cycle3 (each cycle is 28 days)
Title
Evaluate the PK(T1/2) of A-319 Treat on Relapsed or Refractory B-cell Lymphoma
Description
half-life time(T1/2)
Time Frame
At the end of Cycle3 (each cycle is 28 days)
Title
Evaluate the PK(CL) of A-319 Treat on Relapsed or Refractory B-cell Lymphoma
Description
clearance(CL)
Time Frame
At the end of Cycle3 (each cycle is 28 days)
Title
Evaluate the PK(Vz) of A-319 Treat on Relapsed or Refractory B-cell Lymphoma
Description
volume of distribution(Vz)
Time Frame
At the end of Cycle3 (each cycle is 28 days)
Title
Evaluate the PD of A-319 Treat on Relapsed or Refractory B-cell Lymphoma
Description
B-cell level
Time Frame
At the end of Cycle3 (each cycle is 28 days)
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
18-75 years, all genders
Patients with definite B-cell Lymphoma, includes FL, MZL, MCL, DLBCL.
Patients With Relapsed or Refractory B-cell Lymphoma
ECOG ≤ 2
Lesions are measurable in 21 days before treatment
Normal bone marrow function
Normal liver, kidney, lung and heart function
the Subjects can sign the ICF and obey the protocol, elsewise, his/her guardian should sign
Life expectancy is at least 3 months
Exclusion Criteria:• Past or present CNS disease
Associated with lymphoma by the infiltrates of CNS
A history of autoimmune disease with CNS involvement or autoimmune disease
Previous history of autoimmune disease or other malignancy
A history of deep venous thrombosis or pulmonary embolism
Auto-HSCT was performed within 12 weeks prior to initiation of treatment
Previous organ transplantation or allogeneic hematopoietic stem cell transplantation
The Investigator determined that the patients were associated with a disease, medical condition, or social factor that might affect study results or compliance
Immunosuppressant are being used
Radiotherapy was given within 6 weeks prior to A-319 treatment
Chemotherapy, immunotherapy and targeted therapy were received within 4 weeks before A-319 treatment
Previous CAR-T cell therapy
Received anti-lymphoma drugs in the first 4 weeks of A-319 treatment
There was no recovery of toxic effects (CTCAE> grade 1 adverse events) at the last treatment, except hair loss
Those who underwent major surgery 28 days before enrollment (excluding lymph node biopsy);Or plan to operate during the study period
Those who had received active/attenuated live vaccine within 28 days prior to screening
For pregnant (positive pregnancy test) and lactating women, those of childbearing age who signed the informed consent form and did not agree to use contraception for at least 3 months after the end of the study;Within 7 days prior to the first day of treatment, women of childbearing age require a positive serum pregnancy test (HCG)
Male patients who signed informed consent forms and did not agree to use contraception for at least 3 months at the end of the study (except surgical sterilization)
Known allergy to immunoglobulin or research drugs and their excipients
Patients considered unfit to participate in the study
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Yang Jing, Bachelor
Phone
8613524953174
Email
yangj@generonbiomed.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Song Yuqin, Doctor
Organizational Affiliation
Peking University Cancer Hospital & Institute
Official's Role
Principal Investigator
12. IPD Sharing Statement
Plan to Share IPD
Yes
IPD Sharing Plan Description
all IPD
IPD Sharing Time Frame
After 20January2022(estimated), for 1years(estimated).
IPD Sharing Access Criteria
All.
Learn more about this trial
Study of A-319 in Patients With Relapsed or Refractory B-cell Lymphoma
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