A Study of Zilovertamab Vedotin (MK-2140) as Monotherapy and in Combination in Participants With Aggressive and Indolent B-cell Malignancies (MK-2140-006)
Chronic Lymphocytic Leukemia, Mantle Cell Lymphoma, Follicular Lymphoma
About this trial
This is an interventional treatment trial for Chronic Lymphocytic Leukemia
Eligibility Criteria
The main inclusion criteria include, but are not limited to the following:
Inclusion Criteria:
- For aggressive B-cell malignancies MCL and RTL: Has histologically confirmed biopsy according to the 2016 World Health Organization (WHO) classification of neoplasms of the hematopoietic and lymphoid tissues and has relapsed or refractory disease.
- For indolent B-cell malignancies FL and CLL: Has histologically confirmed biopsy and has relapsed or refractory disease after at least 2 prior systemic therapies and no other available therapy.
- Participants who are hepatitis B surface antigen (HBsAg) positive are eligible if they have received hepatitis B virus (HBV) antiviral therapy for at least 4 weeks and have undetectable HBV viral load prior to randomization/allocation.
- Have an ECOG performance status of 0 to 2 assessed within 7 days before cycle 1 day 1.
Exclusion Criteria:
- Has received solid organ transplant at any time.
- Has clinically significant (ie, active) cardiovascular disease: cerebral vascular accident/stroke (<6 months prior to enrollment), myocardial infarction (<6 months prior to enrollment), unstable angina (<6 months prior to enrollment), congestive heart failure (New York Heart Association Classification Class ≥II), or serious cardiac arrhythmia requiring medication.
- Has pericardial effusion or clinically significant pleural effusion.
- Has ongoing Grade >1 peripheral neuropathy.
- Has a demyelinating form of Charcot-Marie-Tooth disease.
- Has a history of a second malignancy, unless potentially curative treatment has been completed with no evidence of malignancy for 2 years.
- Participants with FL who have transformed to a more aggressive type of lymphoma.
- Has received prior systemic anticancer therapy, including investigational agents, within 5 half-lives or 4 weeks (if prior therapy was a monoclonal antibodies) or 2 weeks (small molecules like kinase inhibitors) prior to the first dose of study intervention.
- Has received prior radiotherapy within 28 days of start of study intervention. Participants must have recovered from all radiation-related toxicities.
- Has ongoing corticosteroid therapy exceeding 30 mg daily of prednisone equivalent.
- Has received a live or live-attenuated vaccine within 30 days before the first dose of study intervention.
- Has known active central nervous system (CNS) lymphoma involvement or active CNS involvement by lymphoma.
- Has an active infection requiring systemic therapy.
- Has a known history of human immunodeficiency virus (HIV) infection.
- Active HBV or hepatitis C virus (HCV) infection.
- For MCL, has any clinically significant gastrointestinal abnormalities that might alter absorption.
Sites / Locations
- Alaska Oncology and Hematology ( Site 0037)Recruiting
- Banner MD Anderson Cancer Center - University Medical Center Phoenix-Medical Oncology ( Site 0036)Recruiting
- University of Colorado Anschutz Medical Campus-The Center for Cancer and Blood Disorders ( Site 0008Recruiting
- Cancer Care Specialists of Illinois ( Site 0031)Recruiting
- Norton Women's and Children's Hospital-Norton Cancer Institute - St. Matthews ( Site 0007)Recruiting
- Greenebaum Comprehensive Cancer Center-Hematology & Multiple Myeloma ( Site 0010)Recruiting
- Tufts Medical Center ( Site 0024)Recruiting
- Massachusetts General Hospital ( Site 0018)Recruiting
- Dana-Farber Cancer Institute-Lymphoma ( Site 0026)Recruiting
- University of Michigan ( Site 0009)Recruiting
- Icahn School of Medicine at Mount Sinai ( Site 0023)Recruiting
- Sanford Fargo Medical Center-Roger Maris Cancer Center ( Site 0014)Recruiting
- The James Cancer Hospital and Solove Research Institute at The Ohio State University Comprehensive CRecruiting
- Avera Cancer Institute- Research ( Site 0011)Recruiting
- Medical Oncology Associates, PS ( Site 0005)Recruiting
- University of Wisconsin Hospitals and Clinics-Carbone Cancer Center ( Site 0030)Recruiting
- MEDICAL COLLEGE OF WISCONSIN ( Site 0021)Recruiting
- Liga Norte Riograndense Contra o Câncer-Centro de Pesquisa Clínica ( Site 1807)Recruiting
- ICESP - INSTITUTO DO CÂNCER DO ESTADO DE SÃO PAULO ( Site 1808)Recruiting
- Hospital Paulistano-Americas Oncologia ( Site 1805)Recruiting
- BC Cancer Vancouver-Clinical Trials Unit ( Site 0201)Recruiting
- The Moncton Hospital-Oncology ( Site 0211)Recruiting
- QEII Health Sciences Centre - Victoria General Site ( Site 0213)Recruiting
- Lawson Health Research Institute - London Health Sciences Ce-London Regional Cancer Program ( Site 0Recruiting
- Princess Margaret Cancer Centre-Division of Medical Oncology and Hematology ( Site 0200)Recruiting
- Jewish General Hospital ( Site 0202)Recruiting
- IC La Serena Research ( Site 1909)Recruiting
- Centro de Estudios Clínicos SAGA-CECSAGA ( Site 1907)Recruiting
- Clínica Alemana de Santiago ( Site 1903)Recruiting
- Beijing Cancer hospital ( Site 1200)Recruiting
- Sun Yat-sen University Cancer Center ( Site 1201)Recruiting
- Zhujiang Hospital ( Site 1207)Recruiting
- Southern Medical University Nanfang Hospital ( Site 1202)Recruiting
- Henan Cancer Hospital-hematology department ( Site 1212)Recruiting
- Union Hospital Tongji Medical College Huazhong University of Science and Technology ( Site 1210)Recruiting
- Tongji Hospital Tongji Medical,Science & Technology ( Site 1221)Recruiting
- The First Affiliated Hospital of Soochow University-hematology department ( Site 1218)Recruiting
- The Affiliated Hospital of Xuzhou Medical College ( Site 1223)Recruiting
- The First Affiliated Hospital of Nanchang University ( Site 1204)Recruiting
- Jiangxi Provincial Cancer Hospital ( Site 1213)Recruiting
- Jilin Province Tumor Hospital-oncology department ( Site 1220)Recruiting
- Fudan University Shanghai Cancer Center ( Site 1208)Recruiting
- West China Hospital of Sichuan University-Head and Neck Oncology ( Site 1206)Recruiting
- The First Affiliated Hospital, Zhejiang University ( Site 1211)Recruiting
- Zhejiang Cancer Hospital ( Site 1214)Recruiting
- Fakultní nemocnice Brno Bohunice-Interni hematologicka a onkologicka klinika ( Site 0300)Recruiting
- Fakultni nemocnice Ostrava-Klinika Hematoonkologie ( Site 0301)Recruiting
- Vseobecna fakultni nemocnice v Praze-I. Interní klinika - klinika hematologie ( Site 0302)Recruiting
- North Estonia Medical Centre Foundation ( Site 0401)Recruiting
- Universitaetsklinikum Ulm ( Site 0502)Recruiting
- Universitaetsklinikum Koeln ( Site 0506)Recruiting
- St. James's Hospital ( Site 0600)Recruiting
- Emek Medical Center-Hematology Unit ( Site 0705)Recruiting
- Soroka Medical Center-Hematology Department ( Site 0707)Recruiting
- Rambam Health Care Campus-Hematology and Bone Marrow Transplantation ( Site 0706)Recruiting
- Hadassah Medical Center ( Site 0701)Recruiting
- Sheba Medical Center-Hemato Oncology ( Site 0700)Recruiting
- IRCCS - AOU di Bologna-SSD: Diagnosi e terapie dei linfomi e delle sindromi linfoproliferative cronRecruiting
- Humanitas-U.O di Oncologia medica ed Ematologia ( Site 0802)Recruiting
- Azienda Ospedaliera Nazionale SS. Antonio e Biagio e Cesare -Azienda Ospedaliera Nazionale SS. AntRecruiting
- National Hospital Organization Nagoya Medical Center ( Site 1108)Recruiting
- Hokkaido University Hospital ( Site 1104)Recruiting
- Tokai University Hospital- Isehara Campus ( Site 1100)Recruiting
- Tohoku University Hospital ( Site 1106)Recruiting
- Kindai University Hospital- Osakasayama Campus ( Site 1102)Recruiting
- National Cancer Center Hospital ( Site 1103)Recruiting
- Japanese Foundation for Cancer Research ( Site 1101)Recruiting
- Okayama University Hospital ( Site 1107)Recruiting
- Seoul National University Hospital ( Site 1300)Recruiting
- Samsung Medical Center ( Site 1301)Recruiting
- Wojewodzkie Wielospecjalistyczne Centrum Onkologii i Traumat-Oddiał Hematologii Ogólnej ( Site 1008)Recruiting
- Centrum Onkologii Ziemi Lubelskiej-Oddzial Hematologiczny ( Site 1006)Recruiting
- Pratia MCM Krakow ( Site 1001)Recruiting
- Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - P-Klinika Nowotworów Układu Chłonnego ( SRecruiting
- Samodzielny Publiczny Zakład Opieki Zdrowotnej MSWiA w Olsztynie-Oddzial Kliniczny Hematologii ( SitRecruiting
- Champalimaud Foundation ( Site 2002)Recruiting
- 2CA BRAGA ( Site 2001)Recruiting
- Instituto Português de Oncologia do Porto Francisco Gentil, EPE ( Site 2000)Recruiting
- National Cancer Centre Singapore ( Site 1500)Recruiting
- Instituto Catalan de Oncologia - Hospital Duran i Reynals-Haematology Department ( Site 4003)Recruiting
- Hospital Universitari Vall d'Hebron ( Site 4004)Recruiting
- Hospital Universitario de Salamanca - Complejo Asistencial Universitario de Salamanca-Hematology ( SRecruiting
- Skånes Universitetssjukhus Lund ( Site 5000)Recruiting
- Akademiska sjukhuset-Blod- och tumörsjukdomar ( Site 5002)Recruiting
- Mega Medipol-Hematology ( Site 6009)Recruiting
- Ankara Universitesi Tip Fakultesi Hastanesi-hematology ( Site 6001)Recruiting
- Trakya University ( Site 6005)Recruiting
- Ege Universitesi Hastanesi ( Site 6002)Recruiting
- Ondokuz Mayıs Universitesi-Oncology department ( Site 6004)Recruiting
- The Royal Cornwall Hospital-Haematology ( Site 7006)Recruiting
- The Churchill Hospital ( Site 7002)Recruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Cohort A
Cohort B
Cohort C
Cohort D
Cohort E
Cohort F
Participants will receive zilovertamab vedotin 2.5 mg/kg every 3 weeks (Q3W) until disease progression or discontinuation.
Participants will receive zilovertamab vedotin 2.5 mg/kg every 3 weeks (Q3W) until disease progression or discontinuation.
Participants will receive zilovertamab vedotin every 3 weeks (Q3W) combined with nemtabrutinib daily until disease progression or discontinuation.
Participants will receive either zilovertamab vedotin 2.5 mg/kg every 3 weeks (Q3W) or 2.0 mg/kg with infusions on Days 1 and 8 of each 3 week cycle (Q2/3W) until disease progression or discontinuation.
Participants will receive either zilovertamab vedotin 2.5 mg/kg every 3 weeks (Q3W) or 2.0 mg/kg with infusions on Days 1 and 8 of each 3 week cycle (Q2/3W) until disease progression or discontinuation.
Participants will receive either zilovertamab vedotin 2.5 mg/kg every 3 weeks (Q3W) or 2.0 mg/kg with infusions on Days 1 and 8 of each 3 week cycle (Q2/3W) until disease progression or discontinuation.