search
Back to results

Assessment of the Safety and Efficacy of Balstilimab for the Treatment of Relapsed/Refractory Lymphomas (IMMONC0001)

Primary Purpose

Lymphoma

Status
Recruiting
Phase
Phase 2
Locations
Armenia
Study Type
Interventional
Intervention
Balstilimab
Sponsored by
Immune Oncology Research Institute
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Lymphoma

Eligibility Criteria

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

Inclusion Criteria: Voluntarily agree to participate by giving written informed consent ≥ 18 years of age Have a histologically confirmed diagnosis of a relapsed/refractory classical Hodgkin lymphoma (cHL) or primary mediastinal B-cell lymphoma (PMBCL) for which no standard therapy is available or standard therapy has failed or the patient does not have access to it. Has a life expectancy of at least 3 months and an ECOG performance status of ≤1 as determined by study Investigator Patients must have sufficient and adequate formalin-fixed tumor tissue sample available that is not older than 3 years; otherwise, a fresh biopsy is required. Archival tissue or fresh biopsy must be from a site not previously irradiated Has adequate organ function defined as the following laboratory values within 7 days of C1D1: Neutrophils ≥ 1500/μL (Must be stable and off any growth factor within 4 weeks of first study treatment administration) Platelets ≥ 75 × 103/μL (transfusion to achieve this level is not permitted within 2 weeks of first study treatment administration) Hemoglobin ≥ 8.0 g/dL (transfusion to achieve this level is not permitted within 2 weeks of first study treatment administration) Creatinine clearance ≥ 30 mL/min as measured or calculated per local institutional standards AST/ALT ≤ 3 × upper limit of normal (ULN) Total bilirubin ≤ 1.5 × ULN (except patients with Gilbert syndrome who must have a total bilirubin level of ≤ 3.0 × ULN) Women of childbearing potential (WOCP) must have a negative serum pregnancy test at Screening (within 7 days before first dose of study drug). Non-childbearing potential is defined as (by other than medical reasons): ≥ 50 years of age and has not menstruated for greater than 1 year Whose status is post hysterectomy, bilateral oophorectomy, or tubal ligation WOCP must be willing to use highly effective methods of contraception (defined in the informed consent form [ICF]) throughout the study, starting with the Screening Visit through 90 days after the last dose of study drug Note: Abstinence is acceptable if this is the established and preferred contraception for the patient. Male patients with a female partner(s) of childbearing potential must agree to use highly effective contraceptive measures throughout the study starting with the screening visit through 90 days after the last dose of study treatment is received. Males with pregnant partners must agree to use a condom; no additional method of contraception is required for the pregnant partner. Is willing and able to comply with the requirements of the protocol Exclusion Criteria: Has an inadequate period of time prior to first dose of study treatment that is defined as: Received systemic cytotoxic chemotherapy within 3 weeks before initiation of study treatment Received biological therapy or investigational therapy within 4 weeks or 5 circulating halve-lives, whichever is shorter Received small molecule/tyrosine kinase inhibitors within 2 weeks or 5 circulating half-lives, whichever is shorter Received radiation therapy within 3 weeks before initiation of study treatment, except for palliative radiation therapy, which can be received 2 weeks prior to initiation of study treatment Had major surgery within 4 weeks before initiation of study treatment Has gone through disease progression after receiving prior therapy with: a. Any antibody/drug targeting T-cell co-regulatory proteins (immune checkpoints) such as anti-PD-1 and anti-PD-L1 antibodies Has persisting AEs related to prior immunotherapy of NCI-CTCAE v5.0 Grade ≥ 2 severity. Is expected to require any other form of systemic or localized antineoplastic therapy while on study (including maintenance therapy with another agent, radiation therapy, and/or surgical resection) Has known allergy or hypersensitivity to any component of balstilimab, any history of anaphylaxis, or uncontrolled asthma Has active or history of autoimmune disease that requires systemic treatment within 2 years of the start of study drug (ie, with use of disease-modifying agents, corticosteroids, or immunosuppressive drugs) Note: Patients with autoimmune conditions requiring hormone replacement therapy or topical treatments are eligible. Patients with a condition requiring systemic treatment with either corticosteroids (> 10 mg daily prednisone equivalent) within 14 days or another immunosuppressive medication within 30 days of the first dose of study treatment. Inhaled or topical steroids, and adrenal replacement steroid doses (≤ 10 mg daily prednisone equivalent) are permitted in the absence of active autoimmune disease. Has had an allogeneic tissue/solid organ transplant Clinically significant (i.e., active) cardiovascular disease: cerebral vascular accident/stroke or myocardial infarction within 6 months of enrollment, unstable angina, congestive heart failure (New York Heart Association class ≥ III), or serious uncontrolled cardiac arrhythmia requiring medication. a. QTcF (QTc interval corrected using Fridericia's formula) of > 480 ms. Any evidence of current interstitial lung disease (ILD) or pneumonitis, or prior history of ILD or non-infectious pneumonitis requiring glucocorticoids. Has known untreated hepatitis B/hepatitis C virus (HBV/HCV) or tuberculosis. Active HBV is defined as a known positive hepatitis B surface antigen result. Active HCV is defined by a known positive hepatitis C antibody result and known quantitative HCV RNA results greater than the lower limits of detection of the assay Uncontrolled infection with human immunodeficiency virus (HIV). Patients on stable highly active antiretroviral therapy with undetectable viral load and normal CD4 counts for at least 6 months prior to study entry are eligible. Serological testing for HIV at screening is not required. Has other systemic conditions or organ abnormalities that in the opinion of the Investigator may interfere with the conduct and/or interpretation of the current study Has known psychiatric or substance use disorders that would interfere with cooperation or compromise participation with the requirements of the study Is legally incapacitated or has limited legal capacity Is pregnant or breastfeeding Has received a live/attenuated vaccine within 14 days of first dose of study treatment and other vaccines within 48 hours of first dose of study treatment Has other co-morbidities that would alter risk-benefit of providing balstilimab (determined by treating physician's assessment) Is receiving other therapy that would alter risk-benefit of providing balstilimab (determined by treating physician's assessment)

Sites / Locations

  • Hematology Center named after prof. R. YeolyanRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Balstilimab

Arm Description

300 mg IV every 3 weeks for a maximum of 24 months

Outcomes

Primary Outcome Measures

Objective Response Rate (ORR)
ORR is defined as the percentage of participants with complete response (CR) or partial response (PR) assessed per the Lugano criteria

Secondary Outcome Measures

Duration of Response (DOR)
DOR is defined as time from first observation of response to first observation of documented disease progression per the Lugano criteria or death within 12 weeks of last tumor assessment
Disease Control Rate (DCR)
DCR is defined as the percentage of patients who have achieved complete response, partial response or stable disease per the Lugano criteria
Duration of Stable Disease (SD)
Duration of SD is measured from the start of treatment until the criteria for progression are met, per the Lugano criteria
Time to Response
Time to Response is defined as the time from the first dose date to first observation of confirmed response per the Lugano criteria
Progression-Free Survival (PFS) Time
PFS time is defined as time from first treatment administration to first observation of documented disease progression (or death within 12 weeks after last tumor assessment), per the Lugano criteria
Overall Survival (OS) Time
OS Time is defined as time from start of treatment to death
Baseline expression of PD-L1 association with ORR
Tumor PD-L1 status will be determined and correlation with ORR will be investigated
Baseline expression of PD-L1 association with DOR
Tumor PD-L1 status will be determined and correlation with DOR will be investigated
Baseline expression of PD-L1 association with PFS
Tumor PD-L1 status will be determined and correlation with PFS time will be investigated
Baseline expression of PD-L1 association with OS
Tumor PD-L1 status will be determined and correlation with OS time will be investigated
Frequency, severity, and duration of treatment emergent adverse events (TEAEs) and laboratory abnormalities
TEAEs are reported using the National Cancer Institute - Common Terminology Criteria for Adverse Events (NCI-CTCAE) v5.0

Full Information

First Posted
May 11, 2023
Last Updated
September 26, 2023
Sponsor
Immune Oncology Research Institute
Collaborators
Agenus Inc.
search

1. Study Identification

Unique Protocol Identification Number
NCT05891821
Brief Title
Assessment of the Safety and Efficacy of Balstilimab for the Treatment of Relapsed/Refractory Lymphomas (IMMONC0001)
Official Title
Assessment of the Safety and Efficacy of Balstilimab for the Treatment of Relapsed/Refractory Lymphomas (IMMONC0001)
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Recruiting
Study Start Date
September 1, 2023 (Actual)
Primary Completion Date
September 2029 (Anticipated)
Study Completion Date
September 2029 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Immune Oncology Research Institute
Collaborators
Agenus Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
The goal of this study is to see if the drug balstilimab is safe and effective in participants with relapsed/refractory lymphomas. Participants will receive balstilimab every 3 weeks and their outcomes will be assessed periodically.
Detailed Description
This is a single-arm, open-label phase 2 study to evaluate the safety and efficacy of single agent balstilimab in participants with relapsed/refractory lymphoma. The study will enroll participants with relapsed/refractory classical Hodgkin lymphoma or primary mediastinal B-cell lymphoma. The participants will receive balstilimab (BAL) 300 mg IV every 3 weeks. BAL infusions will be administered within 30 minutes (± 5 min) using an infusion pump. The total estimated maximum time of study participation for each patient is approximately 49 months across 3 periods: Screening Period: approximately 28 days Treatment Period: up to 24 months, or until any criterion for stopping the study drug or withdrawal from the study occurs Follow-up Period: up to 24 months from last dose of study treatment for every patient who is alive Study Duration Recruitment: 2 years Treatment: 2 years Follow-up: 2 years

6. Conditions and Keywords

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

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Balstilimab
Arm Type
Experimental
Arm Description
300 mg IV every 3 weeks for a maximum of 24 months
Intervention Type
Drug
Intervention Name(s)
Balstilimab
Other Intervention Name(s)
AGEN2034
Intervention Description
An anti-programmed death (ligand) 1 [PD-(L)1] monoclonal antibody
Primary Outcome Measure Information:
Title
Objective Response Rate (ORR)
Description
ORR is defined as the percentage of participants with complete response (CR) or partial response (PR) assessed per the Lugano criteria
Time Frame
First dose to up to 27 months
Secondary Outcome Measure Information:
Title
Duration of Response (DOR)
Description
DOR is defined as time from first observation of response to first observation of documented disease progression per the Lugano criteria or death within 12 weeks of last tumor assessment
Time Frame
First dose to up to 27 months
Title
Disease Control Rate (DCR)
Description
DCR is defined as the percentage of patients who have achieved complete response, partial response or stable disease per the Lugano criteria
Time Frame
First dose to up to 27 months
Title
Duration of Stable Disease (SD)
Description
Duration of SD is measured from the start of treatment until the criteria for progression are met, per the Lugano criteria
Time Frame
First dose to up to 27 months
Title
Time to Response
Description
Time to Response is defined as the time from the first dose date to first observation of confirmed response per the Lugano criteria
Time Frame
First dose to up to 27 months
Title
Progression-Free Survival (PFS) Time
Description
PFS time is defined as time from first treatment administration to first observation of documented disease progression (or death within 12 weeks after last tumor assessment), per the Lugano criteria
Time Frame
First dose to up to 27 months
Title
Overall Survival (OS) Time
Description
OS Time is defined as time from start of treatment to death
Time Frame
First dose to up to 48 months
Title
Baseline expression of PD-L1 association with ORR
Description
Tumor PD-L1 status will be determined and correlation with ORR will be investigated
Time Frame
First dose to up to 48 months
Title
Baseline expression of PD-L1 association with DOR
Description
Tumor PD-L1 status will be determined and correlation with DOR will be investigated
Time Frame
First dose to up to 48 months
Title
Baseline expression of PD-L1 association with PFS
Description
Tumor PD-L1 status will be determined and correlation with PFS time will be investigated
Time Frame
First dose to up to 48 months
Title
Baseline expression of PD-L1 association with OS
Description
Tumor PD-L1 status will be determined and correlation with OS time will be investigated
Time Frame
First dose to up to 48 months
Title
Frequency, severity, and duration of treatment emergent adverse events (TEAEs) and laboratory abnormalities
Description
TEAEs are reported using the National Cancer Institute - Common Terminology Criteria for Adverse Events (NCI-CTCAE) v5.0
Time Frame
First dose to up to 27 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Voluntarily agree to participate by giving written informed consent ≥ 18 years of age Have a histologically confirmed diagnosis of a relapsed/refractory classical Hodgkin lymphoma (cHL) or primary mediastinal B-cell lymphoma (PMBCL) for which no standard therapy is available or standard therapy has failed or the patient does not have access to it. Has a life expectancy of at least 3 months and an ECOG performance status of ≤1 as determined by study Investigator Patients must have sufficient and adequate formalin-fixed tumor tissue sample available that is not older than 3 years; otherwise, a fresh biopsy is required. Archival tissue or fresh biopsy must be from a site not previously irradiated Has adequate organ function defined as the following laboratory values within 7 days of C1D1: Neutrophils ≥ 1500/μL (Must be stable and off any growth factor within 4 weeks of first study treatment administration) Platelets ≥ 75 × 103/μL (transfusion to achieve this level is not permitted within 2 weeks of first study treatment administration) Hemoglobin ≥ 8.0 g/dL (transfusion to achieve this level is not permitted within 2 weeks of first study treatment administration) Creatinine clearance ≥ 30 mL/min as measured or calculated per local institutional standards AST/ALT ≤ 3 × upper limit of normal (ULN) Total bilirubin ≤ 1.5 × ULN (except patients with Gilbert syndrome who must have a total bilirubin level of ≤ 3.0 × ULN) Women of childbearing potential (WOCP) must have a negative serum pregnancy test at Screening (within 7 days before first dose of study drug). Non-childbearing potential is defined as (by other than medical reasons): ≥ 50 years of age and has not menstruated for greater than 1 year Whose status is post hysterectomy, bilateral oophorectomy, or tubal ligation WOCP must be willing to use highly effective methods of contraception (defined in the informed consent form [ICF]) throughout the study, starting with the Screening Visit through 90 days after the last dose of study drug Note: Abstinence is acceptable if this is the established and preferred contraception for the patient. Male patients with a female partner(s) of childbearing potential must agree to use highly effective contraceptive measures throughout the study starting with the screening visit through 90 days after the last dose of study treatment is received. Males with pregnant partners must agree to use a condom; no additional method of contraception is required for the pregnant partner. Is willing and able to comply with the requirements of the protocol Exclusion Criteria: Has an inadequate period of time prior to first dose of study treatment that is defined as: Received systemic cytotoxic chemotherapy within 3 weeks before initiation of study treatment Received biological therapy or investigational therapy within 4 weeks or 5 circulating halve-lives, whichever is shorter Received small molecule/tyrosine kinase inhibitors within 2 weeks or 5 circulating half-lives, whichever is shorter Received radiation therapy within 3 weeks before initiation of study treatment, except for palliative radiation therapy, which can be received 2 weeks prior to initiation of study treatment Had major surgery within 4 weeks before initiation of study treatment Has gone through disease progression after receiving prior therapy with: a. Any antibody/drug targeting T-cell co-regulatory proteins (immune checkpoints) such as anti-PD-1 and anti-PD-L1 antibodies Has persisting AEs related to prior immunotherapy of NCI-CTCAE v5.0 Grade ≥ 2 severity. Is expected to require any other form of systemic or localized antineoplastic therapy while on study (including maintenance therapy with another agent, radiation therapy, and/or surgical resection) Has known allergy or hypersensitivity to any component of balstilimab, any history of anaphylaxis, or uncontrolled asthma Has active or history of autoimmune disease that requires systemic treatment within 2 years of the start of study drug (ie, with use of disease-modifying agents, corticosteroids, or immunosuppressive drugs) Note: Patients with autoimmune conditions requiring hormone replacement therapy or topical treatments are eligible. Patients with a condition requiring systemic treatment with either corticosteroids (> 10 mg daily prednisone equivalent) within 14 days or another immunosuppressive medication within 30 days of the first dose of study treatment. Inhaled or topical steroids, and adrenal replacement steroid doses (≤ 10 mg daily prednisone equivalent) are permitted in the absence of active autoimmune disease. Has had an allogeneic tissue/solid organ transplant Clinically significant (i.e., active) cardiovascular disease: cerebral vascular accident/stroke or myocardial infarction within 6 months of enrollment, unstable angina, congestive heart failure (New York Heart Association class ≥ III), or serious uncontrolled cardiac arrhythmia requiring medication. a. QTcF (QTc interval corrected using Fridericia's formula) of > 480 ms. Any evidence of current interstitial lung disease (ILD) or pneumonitis, or prior history of ILD or non-infectious pneumonitis requiring glucocorticoids. Has known untreated hepatitis B/hepatitis C virus (HBV/HCV) or tuberculosis. Active HBV is defined as a known positive hepatitis B surface antigen result. Active HCV is defined by a known positive hepatitis C antibody result and known quantitative HCV RNA results greater than the lower limits of detection of the assay Uncontrolled infection with human immunodeficiency virus (HIV). Patients on stable highly active antiretroviral therapy with undetectable viral load and normal CD4 counts for at least 6 months prior to study entry are eligible. Serological testing for HIV at screening is not required. Has other systemic conditions or organ abnormalities that in the opinion of the Investigator may interfere with the conduct and/or interpretation of the current study Has known psychiatric or substance use disorders that would interfere with cooperation or compromise participation with the requirements of the study Is legally incapacitated or has limited legal capacity Is pregnant or breastfeeding Has received a live/attenuated vaccine within 14 days of first dose of study treatment and other vaccines within 48 hours of first dose of study treatment Has other co-morbidities that would alter risk-benefit of providing balstilimab (determined by treating physician's assessment) Is receiving other therapy that would alter risk-benefit of providing balstilimab (determined by treating physician's assessment)
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Astghik Voskanyan, MD
Phone
+374 (10) 283800
Email
astghikvos@gmail.com
First Name & Middle Initial & Last Name or Official Title & Degree
Samvel Bardakhchyan, MD, PhD
Phone
+374 (10) 283800
Email
bardakchyan-5samvel@yandex.ru
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Gevorg Tamamyan, MD, PhD, DSc
Organizational Affiliation
Immune Oncology Research Institute
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Samvel Bardakhchyan, MD, PhD
Organizational Affiliation
Immune Oncology Research Institute
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Astghik Voskanyan, MD
Organizational Affiliation
Hematology Center named after Prof. R. Yeolyan
Official's Role
Principal Investigator
Facility Information:
Facility Name
Hematology Center named after prof. R. Yeolyan
City
Yerevan
ZIP/Postal Code
0014
Country
Armenia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Astghik Voskanyan, MD
Phone
+374 (010) 283800
Email
astghikvos@gmail.com

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Assessment of the Safety and Efficacy of Balstilimab for the Treatment of Relapsed/Refractory Lymphomas (IMMONC0001)

We'll reach out to this number within 24 hrs