search
Back to results

Exploratory Study of IMM01 for Injection in the Treatment of Refractory or Recurrent Hematologic Malignancy

Primary Purpose

Hematologic Malignancy

Status
Terminated
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
IMM01
Sponsored by
ImmuneOnco Biopharmaceuticals (Shanghai) Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hematologic Malignancy

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria: They are voluntary to sign an informed consent form, agree to follow and have the ability to complete all trial procedures with knowledge of the study; Male or female, aged ≥18 and ≤ 75 years; Patients with refractory or recurrent lymphoma diagnosed according to the 2016 WHO classification criteria; the relapsed, refractory lymphoma is defined as follows: Relapse is considered to occur when a new lesion appears at the primary site or elsewhere when response has been achieved with at least one current standard or commonly used regimen; Lymphoma is considered refractory if one of the following conditions is met: Less than 50% tumor shrinkage or disease progression occurs after ≥4 cycles of treatment with current standard or commonly used regimens; Patients who have achieved partial or complete response by current standard or commonly used regimens and relapsed within six months after termination of treatment; There is at least one measurable or evaluable tumor lesion (preferentially enrolled the measurable lesions), measurable lesions: lymph nodes with longest diameterof ≥15 mm, metastatic lesions (≥10 mm) at other sites; lesions previously treated with local therapy such as radiotherapy are considered measurable lesions if disease progression has been demonstrated; Patients with a performance status score of 0~2 according to the Eastern Cooperative Oncology Group (ECOG) scale; Expected life expectancy of at least 3 months; If prior anti-tumor therapy has been received , the interval to the first dose in this study should meet the following conditions: Those who have used chemotherapy drugs previously need to discontinue for more than 4 weeks.Those with a history of surgery, targeted therapy (including anti CD20 monoclonal antibodies such as rituximab; CD30 monoclonal antibodies such as Brentuximab Vedotin), therapy with anti tumor indications, and palliative radiotherapy should discontinue the treatment for more than 4 weeks;Those with prior CAR-T cell therapy or PD-1/PD-L1 monoclonal antibody therapy need to discontinue for at least 8 weeks;And they have recovered from toxic reactions to previous treatment to grade ≤ 1 identified by the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) v5.0 (NCI CTCAE v5.0) (except for residual alopecia). Suitable organs and hematopoietic functions are available. Absolute neutrophil count (ANC) ≥1.0×109/L (no use of short-acting leucopenia drugs within 1 week or no use of long-acting leucopenia drugs within 3 weeks). Patients have not received platelet transfusion within 1 week; platelets ≥75×109/L (without bone marrow infiltration)/ ≥50.0×109/L (with bone marrow infiltration). Patients have not received red blood cell transfusion within 2 weeks; hemoglobin ≥90 g/L (without bone marrow infiltration)/ ≥70 g/L (with bone marrow infiltration). Serum creatinine ≤ 1.5 times the upper limit of normal (ULN). AST and ALT ≤ 2.0 times ULN; Serum total bilirubin (TBIL) ≤ 2 times ULN; International normalized ratio (INR) ≤ 2 times ULN, or activated partial thromboplastin time (APPT) ≤ 1.5 times ULN; Male subjects and female subjects of childbearing age should agree to take effective contraceptive measures from the time they sign the informed consent until 6 months after the last dos Exclusion Criteria: Patients with any of the following cannot be enrolled: previous allogeneic hematopoietic stem cell transplantation and other organ transplantation; a history of autologous hematopoietic stem cell transplantation for not more than six months. Patients have participated in clinical trials of other drugs or medical devices within 4 weeks prior to the first dose of this study; Presence of central nervous system metastatic lesion; Patients with previous or current other malignancies (except cured stage IB or lower grade cervical cancer, non-invasive basal cell or squamous cell skin cancer; except other malignancies that have achieved complete response (CR) for >5 years and have not been treated with antineoplastic therapy for 5 years); Subjects with active autoimmune disease, or a history of autoimmune disease with a risk of relapse (e.g., systemic lupus erythematosus, rheumatoid arthritis, inflammatory bowel disease, autoimmune thyroid disease, multiple sclerosis, vasculitis, glomerulonephritis, etc., see Appendix 6), or patients at high risk (e.g., those requiring immunosuppressive therapy after undergoing organ transplantation). However, subjects with the following diseases are allowed to enroll : Those with autoimmune hypothyroidism who require hormone replacement therapy only; Those with skin conditions (such as eczema, rash covering less than 10% of the body's surface) that do not require systemic treatment; Patients who have undergone major surgery within 28 d prior to enrollment or who are expected to have major surgery during this study period including the 21 d screening period. Subjects requiring systemic corticosteroids (at a dose equivalent to >10 mg prednisone/d) or other immunosuppressive drugs within 14 d prior to enrollment or during the study period; the the patients meet the following conditions are allowed for enrollment: Subjects are allowed to use topical or inhaled glucocorticoids; Short-term (≤7 days) use of glucocorticoids for the prevention or treatment of non-autoimmune allergic diseases is allowed; Patients with a history of arterial thrombosis or deep vein thrombosis within 6 months prior to enrollment or with evidence or history of bleeding tendency within 2 months prior to enrollment, regardless of severity; partial prothrombin time (APTT) or prothrombin time (PT) > 1.2 × ULN; oral warfarin with an international normalized ratio (INR) > 1.2 × ULN Patients with acute lung disease, interstitial lung disease or pneumonia (except for local interstitial pneumonia induced by radiotherapy), pulmonary fibrosis, acute lung disease, etc.; Systemic diseases that have not been stably controlled after treatment, such as diabetes, severe organic cardiovascular disease, cardiac insufficiency, hypertension, heart block of degree II or higher, myocardial infarction within 6 months and cerebral infarction within 6 months, etc; Patients with positive HIV test; Patients with active tuberculosis disease at screening; Patients with HBsAg (+); with HBsAg (-) but HBV-DNA quantification exceeding the upper limit of the normal; Patients with HCV-Ab (+); with HCV-Ab (-) but HCV-RNA quantification exceeding the upper limit of the normal; Patients with serious infections within 4 weeks prior to the first dose, including but not limited to complications requiring hospitalization, sepsis or severe pneumonia. Patients with uncontrolled active infectious lesions requiring oral or intravenous antibiotic therapy; Subjects with a history of severe allergy or those who are known to have had severe allergic reactions to large molecular protein preparation/monoclonal antibodies, and any of the components of the investigational drug (greater than grade 3 according to NCI-CTCAE v5.0 classification); Patients with a history of alcohol, drug or substance abuse within the last 1 year; Patients with a clear previous history of neurological or psychiatric disorders with poor compliance, such as epilepsy, dementia; Pregnant and lactating women; Subjects with other conditions not suitable for participating in the study at the investigator's discretion

Sites / Locations

  • Chinese Academy of Medical Sciences and Peking Union Medical College,

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

IMM01 in subjects with hematologic malignancy

Arm Description

The escalation dosing were 3µg/kg, 10µg/kg, 50µg/kg, 150µg/kg, 500µg/kg, 1.0mg/kg, 1.5mg/kg and 2.0mg/kg. The extend cohorts were Hodgkin's lymphoma, B-cell lymphoma,NK/T-cell lymphoma,AML,MDS and MM cohorts

Outcomes

Primary Outcome Measures

Adverse Events (AEs) and Serious Adverse Events (SAEs)
Incidence and characteristics of adverse events (AEs), serious adverse events (SAEs)
Dose-limiting toxicities (DLTs)
Incidence and characteristics of dose-limiting toxicities (DLTs)
Maximum Tolerated Dose(MTD )
MTD is the highest dose in patients with DLT incidence <30%.

Secondary Outcome Measures

Anti-drug antibody (ADA)
To evaluate the immunogenicity of IMM01 in patients with refractory or recurrent hematologic malignancy
Overall Rate Response (ORR)
ORR is defined as the proportion of participants who have a partial response (PR) or critical response (CR)
Disease Control Rate (DCR)
DCR is defined as the proportion of participants who have a critical response (CR), partial response (PR) or disease stable (SD)
Duration of Response (DOR)
DOR is defined as time from date of initial documentation of a response (PR or CR) to date of first documented evidence of progressive disease (PD)
Progression-free survival (PFS)
Defined as the duration from the start of treatment until tumor progression or death of any cause
Maximum Plasma Concentration (Cmax)
Maximum Plasma Concentration observed in patients with IMM01 dosed
time to maximum concentration (Tmax)
time to maximum concentration observed in patients with IMM01 dosed

Full Information

First Posted
April 26, 2023
Last Updated
May 5, 2023
Sponsor
ImmuneOnco Biopharmaceuticals (Shanghai) Inc.
search

1. Study Identification

Unique Protocol Identification Number
NCT05860075
Brief Title
Exploratory Study of IMM01 for Injection in the Treatment of Refractory or Recurrent Hematologic Malignancy
Official Title
A Phase 1 Clinical Study to Evaluate IMM01 Safety, Tolerability, Pharmacokinetics and Anti-tumor Activity in Patients With Refractory or Recurrent Hematologic Malignancy
Study Type
Interventional

2. Study Status

Record Verification Date
April 2023
Overall Recruitment Status
Terminated
Why Stopped
No expected efficacy was observed in subsequent extended phase.The company decided to initiatively terminate the development of IMM01 as monotherapy and fully promote clinical development of combination therapy.
Study Start Date
November 19, 2019 (Actual)
Primary Completion Date
October 26, 2022 (Actual)
Study Completion Date
October 26, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
ImmuneOnco Biopharmaceuticals (Shanghai) Inc.

4. Oversight

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

5. Study Description

Brief Summary
This is a multi-center, open-label, dose-escalation and cohort-expansion phase I clinical study to evaluate the safety and tolerability, pharmacokinetics profile, efficacy and immunogenicity of IMM01 in subjects with refractory or recurrent hematologic malignancy.
Detailed Description
IMM01 is administered via intravenous infusion once week of cycle 1- 12 (4 weeks per cycle). The accelerated titration method and the traditional "3+3" method will be adopted to determine the maximum tolerated dose (MTD) and the recommended phase II dose (RP2D) in dose-escalation phase. Once the RP2D is determined, will explore for Classic Hodgkin's lymphoma, B-cell lymphoma,NK/T-cell lymphoma, AML, MDS and MM cohorts.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Model Description
This is an open-label, dose-escalation and cohort-expansion phase I clinical study to evaluate the safety and tolerability, pharmacokinetics profile, efficacy and immunogenicity of IMM01 in subjects with relapsed or refractory lymphoma.
Masking
None (Open Label)
Allocation
N/A
Enrollment
73 (Actual)

8. Arms, Groups, and Interventions

Arm Title
IMM01 in subjects with hematologic malignancy
Arm Type
Experimental
Arm Description
The escalation dosing were 3µg/kg, 10µg/kg, 50µg/kg, 150µg/kg, 500µg/kg, 1.0mg/kg, 1.5mg/kg and 2.0mg/kg. The extend cohorts were Hodgkin's lymphoma, B-cell lymphoma,NK/T-cell lymphoma,AML,MDS and MM cohorts
Intervention Type
Drug
Intervention Name(s)
IMM01
Other Intervention Name(s)
IMM01 is a recombinant human signal regulatory protein α (SIRPα) IgG1 fusion protein
Intervention Description
IMM01 will be administered once a week for 4 weeks.
Primary Outcome Measure Information:
Title
Adverse Events (AEs) and Serious Adverse Events (SAEs)
Description
Incidence and characteristics of adverse events (AEs), serious adverse events (SAEs)
Time Frame
48 weeks of treatment
Title
Dose-limiting toxicities (DLTs)
Description
Incidence and characteristics of dose-limiting toxicities (DLTs)
Time Frame
Evaluated during the first treamtment cycle of 28 days
Title
Maximum Tolerated Dose(MTD )
Description
MTD is the highest dose in patients with DLT incidence <30%.
Time Frame
48 weeks of treatment
Secondary Outcome Measure Information:
Title
Anti-drug antibody (ADA)
Description
To evaluate the immunogenicity of IMM01 in patients with refractory or recurrent hematologic malignancy
Time Frame
48 weeks of treatment
Title
Overall Rate Response (ORR)
Description
ORR is defined as the proportion of participants who have a partial response (PR) or critical response (CR)
Time Frame
When the last subject enrolled completes approximately 48 weeks of treatment
Title
Disease Control Rate (DCR)
Description
DCR is defined as the proportion of participants who have a critical response (CR), partial response (PR) or disease stable (SD)
Time Frame
From start of treatment to the last subject enrolled completes approximately 48 weeks of treatment]
Title
Duration of Response (DOR)
Description
DOR is defined as time from date of initial documentation of a response (PR or CR) to date of first documented evidence of progressive disease (PD)
Time Frame
From start of treatment to the last subject enrolled completes approximately 48 weeks of treatment
Title
Progression-free survival (PFS)
Description
Defined as the duration from the start of treatment until tumor progression or death of any cause
Time Frame
From start of treatment to treatment termination visit, up to 48 weeks
Title
Maximum Plasma Concentration (Cmax)
Description
Maximum Plasma Concentration observed in patients with IMM01 dosed
Time Frame
48 weeks of treatment
Title
time to maximum concentration (Tmax)
Description
time to maximum concentration observed in patients with IMM01 dosed
Time Frame
48 weeks of treatment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: They are voluntary to sign an informed consent form, agree to follow and have the ability to complete all trial procedures with knowledge of the study; Male or female, aged ≥18 and ≤ 75 years; Patients with refractory or recurrent lymphoma diagnosed according to the 2016 WHO classification criteria; the relapsed, refractory lymphoma is defined as follows: Relapse is considered to occur when a new lesion appears at the primary site or elsewhere when response has been achieved with at least one current standard or commonly used regimen; Lymphoma is considered refractory if one of the following conditions is met: Less than 50% tumor shrinkage or disease progression occurs after ≥4 cycles of treatment with current standard or commonly used regimens; Patients who have achieved partial or complete response by current standard or commonly used regimens and relapsed within six months after termination of treatment; There is at least one measurable or evaluable tumor lesion (preferentially enrolled the measurable lesions), measurable lesions: lymph nodes with longest diameterof ≥15 mm, metastatic lesions (≥10 mm) at other sites; lesions previously treated with local therapy such as radiotherapy are considered measurable lesions if disease progression has been demonstrated; Patients with a performance status score of 0~2 according to the Eastern Cooperative Oncology Group (ECOG) scale; Expected life expectancy of at least 3 months; If prior anti-tumor therapy has been received , the interval to the first dose in this study should meet the following conditions: Those who have used chemotherapy drugs previously need to discontinue for more than 4 weeks.Those with a history of surgery, targeted therapy (including anti CD20 monoclonal antibodies such as rituximab; CD30 monoclonal antibodies such as Brentuximab Vedotin), therapy with anti tumor indications, and palliative radiotherapy should discontinue the treatment for more than 4 weeks;Those with prior CAR-T cell therapy or PD-1/PD-L1 monoclonal antibody therapy need to discontinue for at least 8 weeks;And they have recovered from toxic reactions to previous treatment to grade ≤ 1 identified by the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) v5.0 (NCI CTCAE v5.0) (except for residual alopecia). Suitable organs and hematopoietic functions are available. Absolute neutrophil count (ANC) ≥1.0×109/L (no use of short-acting leucopenia drugs within 1 week or no use of long-acting leucopenia drugs within 3 weeks). Patients have not received platelet transfusion within 1 week; platelets ≥75×109/L (without bone marrow infiltration)/ ≥50.0×109/L (with bone marrow infiltration). Patients have not received red blood cell transfusion within 2 weeks; hemoglobin ≥90 g/L (without bone marrow infiltration)/ ≥70 g/L (with bone marrow infiltration). Serum creatinine ≤ 1.5 times the upper limit of normal (ULN). AST and ALT ≤ 2.0 times ULN; Serum total bilirubin (TBIL) ≤ 2 times ULN; International normalized ratio (INR) ≤ 2 times ULN, or activated partial thromboplastin time (APPT) ≤ 1.5 times ULN; Male subjects and female subjects of childbearing age should agree to take effective contraceptive measures from the time they sign the informed consent until 6 months after the last dos Exclusion Criteria: Patients with any of the following cannot be enrolled: previous allogeneic hematopoietic stem cell transplantation and other organ transplantation; a history of autologous hematopoietic stem cell transplantation for not more than six months. Patients have participated in clinical trials of other drugs or medical devices within 4 weeks prior to the first dose of this study; Presence of central nervous system metastatic lesion; Patients with previous or current other malignancies (except cured stage IB or lower grade cervical cancer, non-invasive basal cell or squamous cell skin cancer; except other malignancies that have achieved complete response (CR) for >5 years and have not been treated with antineoplastic therapy for 5 years); Subjects with active autoimmune disease, or a history of autoimmune disease with a risk of relapse (e.g., systemic lupus erythematosus, rheumatoid arthritis, inflammatory bowel disease, autoimmune thyroid disease, multiple sclerosis, vasculitis, glomerulonephritis, etc., see Appendix 6), or patients at high risk (e.g., those requiring immunosuppressive therapy after undergoing organ transplantation). However, subjects with the following diseases are allowed to enroll : Those with autoimmune hypothyroidism who require hormone replacement therapy only; Those with skin conditions (such as eczema, rash covering less than 10% of the body's surface) that do not require systemic treatment; Patients who have undergone major surgery within 28 d prior to enrollment or who are expected to have major surgery during this study period including the 21 d screening period. Subjects requiring systemic corticosteroids (at a dose equivalent to >10 mg prednisone/d) or other immunosuppressive drugs within 14 d prior to enrollment or during the study period; the the patients meet the following conditions are allowed for enrollment: Subjects are allowed to use topical or inhaled glucocorticoids; Short-term (≤7 days) use of glucocorticoids for the prevention or treatment of non-autoimmune allergic diseases is allowed; Patients with a history of arterial thrombosis or deep vein thrombosis within 6 months prior to enrollment or with evidence or history of bleeding tendency within 2 months prior to enrollment, regardless of severity; partial prothrombin time (APTT) or prothrombin time (PT) > 1.2 × ULN; oral warfarin with an international normalized ratio (INR) > 1.2 × ULN Patients with acute lung disease, interstitial lung disease or pneumonia (except for local interstitial pneumonia induced by radiotherapy), pulmonary fibrosis, acute lung disease, etc.; Systemic diseases that have not been stably controlled after treatment, such as diabetes, severe organic cardiovascular disease, cardiac insufficiency, hypertension, heart block of degree II or higher, myocardial infarction within 6 months and cerebral infarction within 6 months, etc; Patients with positive HIV test; Patients with active tuberculosis disease at screening; Patients with HBsAg (+); with HBsAg (-) but HBV-DNA quantification exceeding the upper limit of the normal; Patients with HCV-Ab (+); with HCV-Ab (-) but HCV-RNA quantification exceeding the upper limit of the normal; Patients with serious infections within 4 weeks prior to the first dose, including but not limited to complications requiring hospitalization, sepsis or severe pneumonia. Patients with uncontrolled active infectious lesions requiring oral or intravenous antibiotic therapy; Subjects with a history of severe allergy or those who are known to have had severe allergic reactions to large molecular protein preparation/monoclonal antibodies, and any of the components of the investigational drug (greater than grade 3 according to NCI-CTCAE v5.0 classification); Patients with a history of alcohol, drug or substance abuse within the last 1 year; Patients with a clear previous history of neurological or psychiatric disorders with poor compliance, such as epilepsy, dementia; Pregnant and lactating women; Subjects with other conditions not suitable for participating in the study at the investigator's discretion
Facility Information:
Facility Name
Chinese Academy of Medical Sciences and Peking Union Medical College,
City
Tianjin
State/Province
Tianjin
ZIP/Postal Code
300020
Country
China

12. IPD Sharing Statement

Learn more about this trial

Exploratory Study of IMM01 for Injection in the Treatment of Refractory or Recurrent Hematologic Malignancy

We'll reach out to this number within 24 hrs