search
Back to results

A Phase I/II Study of CM355 in Patients With Relapsed or Refractory B-Cell Non-Hodgkin's Lymphoma (B-NHL)

Primary Purpose

Hematoma

Status
Active
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
CM355
Sponsored by
Beijing InnoCare Pharma Tech Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hematoma

Eligibility Criteria

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

Inclusion Criteria:

  1. Aged ≥ 18 years old.
  2. Eastern Cooperative Oncology Group (ECOG, see Appendix 3) PS score of 0-1.
  3. Histopathologically confirmed relapsed or refractory B-cell NHL has been confirmed or anticipated to express CD20 in lymphoma lesions.
  4. According to Lugano criteria, imaging evaluation shows at least one bidimensionally measurable lesion.
  5. The level of organ function of patients must In line with the testing standard of the clinical trial center prior to the first dose of the investigational drug
  6. Expected survival ≥ 3 months.
  7. All toxicities caused by prior anticancer therapy must have recovered to grade ≤ 1 (based on CTCAE v5.0) except alopecia and fatigue.
  8. Female patients with childbearing potential should have a negative blood pregnancy test result within 7 days prior to the first dose.
  9. Female patients with childbearing potential or male patients and their partners must agree to take effective contraceptive measures from the signing of the ICF to at least 6 months after the last dose of investigational drug.
  10. Female patients cannot breastfeed or plan to become pregnant during the study until at least 6 months after the last dose of investigational drug.
  11. The patient voluntarily joined the study and signed the ICF.

Exclusion Criteria:

  1. Active or past central nervous system (CNS) lymphoma.
  2. Other active malignancies occurring within 5 years prior to the first dose of investigational drug, with the exception of radically treated local curable cancers.
  3. The patient has a disease or medical history that needs to be excluded as specified in the Clinical Trial Protocol.
  4. Any active infection requiring systemic therapy via intravenous infusion within 14 days prior to the first dose of investigational drug.
  5. According to the trial scheme, patients infected with hepatitis B virus, hepatitis C virus, HIV, EBV, CMV, syphilis, or patients with active pulmonary tuberculosis or history of pulmonary tuberculosis infection are not suitable to participate in the study.
  6. Any severe or uncontrolled systemic disease.
  7. History of severe allergic reactions (CTCAE v5.0 classification is greater than 3 grades) to humanized monoclonal antibodies, or known hypersensitivity to any component of CM355.
  8. Any mental or cognitive disorder that may limit the patient's understanding and execution of the ICF and compliance with the study.

    Medication history and surgical history:

  9. Having received allogeneic hematopoietic stem cell transplantation or received auto-HSCT within 100 days prior to the first dose.
  10. Active bleeding within 2 months prior to screening, or receiving anticoagulants, or other bleeding symptoms requiring medical intervention.
  11. Having undergone major surgery within 28 days prior to the first dose, or minor surgery within 2 weeks prior to the first dose; invasive examinations for the purpose of diagnosis are not considered as surgery; except for the insertion of vascular access device.
  12. Patients who experienced grade ≥ 3, severe or life-threatening immune-related adverse events or grade 1-2 immune-related adverse events that did not return to baseline levels after treatment discontinuation in a previous immunotherapy.
  13. Patients who have received any other investigational anti-cancer drug therapy within 28 days prior to the first dose.
  14. Inoculation of live attenuated vaccines within 28 days prior to the first dose, or anticipation that live attenuated vaccines will be required during the study.
  15. Patients who have received any drugs therapy that need to be excluded from the Clinical Trial Protocol within a certain period of time for the first administration.
  16. Prior participation in other clinical trials within 28 days prior to the first dose of the investigational drug, or planning to participate in this study and other clinical trials at the same time.
  17. Known alcoholism or drug abuse history.
  18. Other conditions determined by the investigator that render patients unsuitable for participation in this study.

Sites / Locations

  • Beijing university cancer hospital

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

CM355

Arm Description

Dose Escalation Phase CM355 Dose Expansion Phase CM355

Outcomes

Primary Outcome Measures

Dose-limiting toxicities (DLT)
Incidence, nature, and severity of dose-limiting toxicities.
Recommended phase II dose (RP2D) and/or (maximum tolerated dose) MTD
To determine the recommended phase II dose (RP2D) and/or the maximum tolerated dose (MTD) of CM355 in patients with R/R B-NHL.
Objective response rate(ORR)
Objective response rate (ORR) as assessed by independent review committee (IRC)
The safety and tolerability of CM355
Incidence, nature, and severity of adverse events (AEs) as judged according to NCI-CTCAE v5.0.

Secondary Outcome Measures

Peak Plasma Concentration (Cmax)
Dose Escalation peak plasma concentration (ng/mL)
Area under the plasma concentration versus time curve (AUC)
Dose Escalation AUC(μg·h/mL)
Peak time
Time of maximum observed plasma concentration (Tmax)
T1/2
Terminal half-life of CM355
Clearanc (CL)
Total body clearance of the drug from plasma (CL) of CM355
Anti-CM355 antibodies (ADAs)
Incidence of anti-CM355 antibodies (ADAs) and their correlation with clinical outcomes.
Objective response rate (ORR)
Objective response rate (ORR) as assessed by investigators
Complete response rate (CRR)
Complete response rate (CRR) as assessed by investigators or independent review committee (IRC)
Duration of response (DOR)
Duration of response (DOR) as assessed by investigators or Independent review committee (IRC)
Progression-Free-Survival (PFS)
Progression-Free-Survival (PFS) as assessed by investigators or independent review committee (IRC)
overall survival (OS)
overall survival (OS) as assessed by investigators or independent review committee (IRC)

Full Information

First Posted
December 9, 2021
Last Updated
January 10, 2022
Sponsor
Beijing InnoCare Pharma Tech Co., Ltd.
search

1. Study Identification

Unique Protocol Identification Number
NCT05210868
Brief Title
A Phase I/II Study of CM355 in Patients With Relapsed or Refractory B-Cell Non-Hodgkin's Lymphoma (B-NHL)
Official Title
A Phase I/II Open-Label, Single-Arm, Multicenter Clinical Study of CM355 in Patients With Relapsed or Refractory B-Cell Non-Hodgkin's Lymphoma (B-NHL)
Study Type
Interventional

2. Study Status

Record Verification Date
November 2021
Overall Recruitment Status
Active, not recruiting
Study Start Date
November 16, 2021 (Actual)
Primary Completion Date
December 28, 2026 (Anticipated)
Study Completion Date
December 31, 2026 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Beijing InnoCare Pharma Tech Co., Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
A Phase I/II Open-Label, Single-Arm, Multicenter Clinical Study of CM355 in Patients With R/R B-NHL
Detailed Description
This is a phase I/II open-label, single-arm, multicenter study in China to evaluate the safety, tolerability, and efficacy of CM355 in patients with R/R B-NHL. In the study, patients will not be screened for CD20 expression, but they must have a diagnosis of B-NHL that is expected to express CD20. After enrollment, tumor samples will be collected for retrospective analysis of CD20 expression

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hematoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
184 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
CM355
Arm Type
Experimental
Arm Description
Dose Escalation Phase CM355 Dose Expansion Phase CM355
Intervention Type
Drug
Intervention Name(s)
CM355
Intervention Description
Dose Escalation Phase CM355 will be taken by patients and will be treated follow the "3+3" dose escalation scheme Expansion Phase CM355 will be taken by patients and will assess the efficacy of CM355 in patients with specific histopathological Non-Hodgkin's Lymphoma, and the safety of drug
Primary Outcome Measure Information:
Title
Dose-limiting toxicities (DLT)
Description
Incidence, nature, and severity of dose-limiting toxicities.
Time Frame
Up to 2 year
Title
Recommended phase II dose (RP2D) and/or (maximum tolerated dose) MTD
Description
To determine the recommended phase II dose (RP2D) and/or the maximum tolerated dose (MTD) of CM355 in patients with R/R B-NHL.
Time Frame
Up to 2 year
Title
Objective response rate(ORR)
Description
Objective response rate (ORR) as assessed by independent review committee (IRC)
Time Frame
through study completion,an average of 5 year
Title
The safety and tolerability of CM355
Description
Incidence, nature, and severity of adverse events (AEs) as judged according to NCI-CTCAE v5.0.
Time Frame
through study completion,an average of 5 year
Secondary Outcome Measure Information:
Title
Peak Plasma Concentration (Cmax)
Description
Dose Escalation peak plasma concentration (ng/mL)
Time Frame
Every cycle (21 days), until the end of treatment
Title
Area under the plasma concentration versus time curve (AUC)
Description
Dose Escalation AUC(μg·h/mL)
Time Frame
Every cycle (21 days), until the end of treatment
Title
Peak time
Description
Time of maximum observed plasma concentration (Tmax)
Time Frame
Every cycle (21 days), until the end of treatment
Title
T1/2
Description
Terminal half-life of CM355
Time Frame
Every cycle (21 days), until the end of treatment
Title
Clearanc (CL)
Description
Total body clearance of the drug from plasma (CL) of CM355
Time Frame
Every cycle (21 days), until the end of treatment
Title
Anti-CM355 antibodies (ADAs)
Description
Incidence of anti-CM355 antibodies (ADAs) and their correlation with clinical outcomes.
Time Frame
Every cycle (21 days), until the end of treatment
Title
Objective response rate (ORR)
Description
Objective response rate (ORR) as assessed by investigators
Time Frame
through study completion,an average of 5 year
Title
Complete response rate (CRR)
Description
Complete response rate (CRR) as assessed by investigators or independent review committee (IRC)
Time Frame
through study completion,an average of 5 year
Title
Duration of response (DOR)
Description
Duration of response (DOR) as assessed by investigators or Independent review committee (IRC)
Time Frame
through study completion,an average of 5 year
Title
Progression-Free-Survival (PFS)
Description
Progression-Free-Survival (PFS) as assessed by investigators or independent review committee (IRC)
Time Frame
through study completion,an average of 5 year
Title
overall survival (OS)
Description
overall survival (OS) as assessed by investigators or independent review committee (IRC)
Time Frame
through study completion,an average of 5 year
Other Pre-specified Outcome Measures:
Title
Cytokines
Description
To conduct qualitative and quantitative analyses of the level of changes in cytokines (IL-2, IL-6, IL-10, INF-γ, and TNF-α).
Time Frame
Up to 17 cycles (21 days per cycle)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Aged ≥ 18 years old. Eastern Cooperative Oncology Group (ECOG, see Appendix 3) PS score of 0-1. Histopathologically confirmed relapsed or refractory B-cell NHL has been confirmed or anticipated to express CD20 in lymphoma lesions. According to Lugano criteria, imaging evaluation shows at least one bidimensionally measurable lesion. The level of organ function of patients must In line with the testing standard of the clinical trial center prior to the first dose of the investigational drug Expected survival ≥ 3 months. All toxicities caused by prior anticancer therapy must have recovered to grade ≤ 1 (based on CTCAE v5.0) except alopecia and fatigue. Female patients with childbearing potential should have a negative blood pregnancy test result within 7 days prior to the first dose. Female patients with childbearing potential or male patients and their partners must agree to take effective contraceptive measures from the signing of the ICF to at least 6 months after the last dose of investigational drug. Female patients cannot breastfeed or plan to become pregnant during the study until at least 6 months after the last dose of investigational drug. The patient voluntarily joined the study and signed the ICF. Exclusion Criteria: Active or past central nervous system (CNS) lymphoma. Other active malignancies occurring within 5 years prior to the first dose of investigational drug, with the exception of radically treated local curable cancers. The patient has a disease or medical history that needs to be excluded as specified in the Clinical Trial Protocol. Any active infection requiring systemic therapy via intravenous infusion within 14 days prior to the first dose of investigational drug. According to the trial scheme, patients infected with hepatitis B virus, hepatitis C virus, HIV, EBV, CMV, syphilis, or patients with active pulmonary tuberculosis or history of pulmonary tuberculosis infection are not suitable to participate in the study. Any severe or uncontrolled systemic disease. History of severe allergic reactions (CTCAE v5.0 classification is greater than 3 grades) to humanized monoclonal antibodies, or known hypersensitivity to any component of CM355. Any mental or cognitive disorder that may limit the patient's understanding and execution of the ICF and compliance with the study. Medication history and surgical history: Having received allogeneic hematopoietic stem cell transplantation or received auto-HSCT within 100 days prior to the first dose. Active bleeding within 2 months prior to screening, or receiving anticoagulants, or other bleeding symptoms requiring medical intervention. Having undergone major surgery within 28 days prior to the first dose, or minor surgery within 2 weeks prior to the first dose; invasive examinations for the purpose of diagnosis are not considered as surgery; except for the insertion of vascular access device. Patients who experienced grade ≥ 3, severe or life-threatening immune-related adverse events or grade 1-2 immune-related adverse events that did not return to baseline levels after treatment discontinuation in a previous immunotherapy. Patients who have received any other investigational anti-cancer drug therapy within 28 days prior to the first dose. Inoculation of live attenuated vaccines within 28 days prior to the first dose, or anticipation that live attenuated vaccines will be required during the study. Patients who have received any drugs therapy that need to be excluded from the Clinical Trial Protocol within a certain period of time for the first administration. Prior participation in other clinical trials within 28 days prior to the first dose of the investigational drug, or planning to participate in this study and other clinical trials at the same time. Known alcoholism or drug abuse history. Other conditions determined by the investigator that render patients unsuitable for participation in this study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yuqin Song, M.D.
Organizational Affiliation
Beijing university cancer hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Beijing university cancer hospital
City
Beijing
Country
China

12. IPD Sharing Statement

Learn more about this trial

A Phase I/II Study of CM355 in Patients With Relapsed or Refractory B-Cell Non-Hodgkin's Lymphoma (B-NHL)

We'll reach out to this number within 24 hrs