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A Study of MIL62 Combined With Orelabrutinib for the Treatment of R/R CD20+B Cell Lymphoma

Primary Purpose

B-cell Lymphoma Recurrent, B-cell Lymphoma Refractory

Status
Active
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
Orelabrutinib
Recombinant humanized monoclonal antibody MIL62 injection
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 B-cell Lymphoma Recurrent focused on measuring CD20+

Eligibility Criteria

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

Inclusion Criteria:

  1. Age ≥18 years, gender not limited
  2. Dose escalation phase: Histologically confirmed CD20 positive B-cell non-Hodgkin's lymphoma; Expansion stage: R/R NHL Or histologically diagnosed CD20 positive chronic lymphocytic leukemia/small lymphocytic lymphoma;
  3. Dose escalation phase :Patients who have received at least one treatment regimen Expansion stage:Patients who have received at least one to four treatment regimens with at least one regimen containing rituximab;
  4. Eastern cancer collaboration group(ECOG) physical status score: 0-2
  5. Laboratory tests performed within 7 days prior to the first acceptance of the study drug met the protocol criteria.
  6. Expected survival ≥6 months
  7. Sign a written informed consent.

Exclusion Criteria:

  1. Expansion stage: DLBCL transformed from follicular lymphoma, DLBCL with follicular lymphoma, and lymphomas with primary or central nervous system involvement.
  2. Received any of the anti-tumor treatments(note in the protocol) before the first study drug.
  3. Previous use of any anticancer vaccine.
  4. Patients who had received hematopoietic stem cell transplantation within 3 months before the first administration
  5. Patients scheduled for major surgery within 28 days prior to initial administration or during the expected study period.
  6. Patients who Is participating in other clinical trials or first administration less than 28 days after the end of the previous clinical trial.
  7. Receiving prednisone treatment or other corticosteroid treatment with the same dose as prednisone ;Patients who require warfarin or an equivalent vitamin K antagonist;
  8. During the study period, drugs with moderate or severe inhibition or strong induction of cytochrome CYP3A4 were taken together;
  9. Subject has a history of any of the diseases note in the protocol;
  10. Patients with infections;
  11. Impact testing scheme compliance or other serious results explain the poor control of the merger of the disease(note in the protocol);
  12. Toxicity of any previous anticancer treatment has not recovered to ≤1, except for hair loss;
  13. A history of severe allergic reactions to humanized monoclonal antibodies or known allergies to any component of Orelabrutinib or MIL62;
  14. Inability to swallow research drugs, or the presence of conditions that significantly affect gastrointestinal function;
  15. Hepatitis b surface antigen (HBsAg) and/or hepatitis b core antibody (HBcAb) are positive ; Hepatitis c virus (HCV) antibody positive and HCV RNA positive patients; Human immunodeficiency virus (HIV) serum response was positive;
  16. Pregnant and lactating women; For women of childbearing age who have not undergone sterilization surgery: do not agree to use appropriate methods of contraception;
  17. For men not undergoing sterilization: do not agree to use the barrier method of contraception;
  18. Other circumstances considered inappropriate for the study by the investigator.

Sites / Locations

  • The First Affiliated Hospital of Bengbu Medical College
  • Beijing Hospital
  • Beijing Shijitan hospital, capital medical university
  • Cancer hospital, Chinese academy of medical sciences
  • Affiliated Hospital of Hebei University
  • Henan Tumor Hospital
  • Hunan Cancer Hospital
  • First Affiliated Hospital of Soochow University
  • The First Hospital of Jilin University
  • Tianjin People's Hospital

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Single Arm

Arm Description

Outcomes

Primary Outcome Measures

Dose limiting toxicity (DLT)(Dose escalation phase)
Safety observation indicator
Maximum tolerated dose (MTD) (Dose escalation phase)
Safety observation indicator
Recommended dose for phase 2 trials of two-drug combinations (RP2D) (Dose escalation phase)
Safety observation indicator
objective remission rate(ORR) (Dose expansion phase)
Efficacy observation indicator

Secondary Outcome Measures

objective remission rate(ORR)
Efficacy observation indicator
Area under the plasma concentration vs time curve(AUC)
pharmacokinetic parameter of MIL62 combined with Orelabrutinib in the treatment
Apparent half-life for designated elimination phases (t½)
pharmacokinetic parameter of MIL62 combined with Orelabrutinib in the treatment
The peak plasma concentration (Cmax)
pharmacokinetic parameter of MIL62 combined with Orelabrutinib in the treatment
Duration of remission(DOR)
Efficacy observation indicator
Progression-free survival(PFS) in the treatment of R/R CD20+B cell lymphoma
Preliminary evaluation of MIL62 combined with Orelabrutinib in the treatment of relapsed/refractory CD20+B cell lymphoma with 3-year progression-free survival
overall survival(OS) in the treatment of R/R CD20+B cell lymphoma
Preliminary evaluation of MIL62 combined with Orelabrutinib in the treatment of recurrent/refractory CD20+B cell lymphoma with 3-year overall survival
Duration of remission(DOR) in the treatment of R/R NHL
Preliminary evaluation of remission duration of MIL62 combined with Orelabrutinib in the treatment of Recurrent/refractory Non Hodgkin Lymphoma
Progression-free survival(PFS) in the treatment of R/R NHL
Preliminary evaluation of MIL62 combined with Orelabrutinib in the treatment of Recurrent/refractory Non Hodgkin Lymphoma with 3-year progression-free survival
overall survival(OS) in the treatment of R/R NHL
Preliminary evaluation of MIL62 combined with Orelabrutinib in the treatment of Recurrent/refractory Non Hodgkin Lymphoma with 3-year overall survival

Full Information

First Posted
March 5, 2020
Last Updated
November 11, 2022
Sponsor
Beijing InnoCare Pharma Tech Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT04304040
Brief Title
A Study of MIL62 Combined With Orelabrutinib for the Treatment of R/R CD20+B Cell Lymphoma
Official Title
A Phase I/IIa Study on Dose-escalation and Extension of Recombinant Humanized Type II CD20 Monoclonal Antibody MIL62 Injection Combined With BTK Inhibitor Orelabrutinib in the Treatment of Recurrent/Refractory CD20+B-cell Lymphoma
Study Type
Interventional

2. Study Status

Record Verification Date
October 2022
Overall Recruitment Status
Active, not recruiting
Study Start Date
July 28, 2020 (Actual)
Primary Completion Date
December 30, 2025 (Anticipated)
Study Completion Date
December 30, 2025 (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
Data Monitoring Committee
No

5. Study Description

Brief Summary
Dose escalation and expansion phase I/IIa clinical study of recombinant humanized type II CD20 monoclonal antibody MIL62 injection combined with a novel selective Bruton Tyrosine Kinase(BTK) inhibitor Orelabrutinib in the treatment of recurrent/refractory CD20+B cell lymphoma

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
B-cell Lymphoma Recurrent, B-cell Lymphoma Refractory
Keywords
CD20+

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
43 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Single Arm
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
Orelabrutinib
Intervention Description
BTK inhibitor Orelabrutinib low dose or high dose; Part A:28days/cycle, Cycle1:35days; Part B:21 days/cycle, Cycle1:28days.
Intervention Type
Drug
Intervention Name(s)
Recombinant humanized monoclonal antibody MIL62 injection
Intervention Description
Recombinant humanized monoclonal antibody MIL62 injection, 800mg or1000mg each time, Part A:28days/cycle, Cycle1:35days; Part B:21 days/cycle, Cycle1:28days.
Primary Outcome Measure Information:
Title
Dose limiting toxicity (DLT)(Dose escalation phase)
Description
Safety observation indicator
Time Frame
At the end of Cycle 1 (each cycle is 28 days)
Title
Maximum tolerated dose (MTD) (Dose escalation phase)
Description
Safety observation indicator
Time Frame
At the end of Cycle 1 (each cycle is 28 days)
Title
Recommended dose for phase 2 trials of two-drug combinations (RP2D) (Dose escalation phase)
Description
Safety observation indicator
Time Frame
At the end of Cycle 1 (each cycle is 28 days)
Title
objective remission rate(ORR) (Dose expansion phase)
Description
Efficacy observation indicator
Time Frame
At the end of Cycle 30 (each cycle is 28 days)
Secondary Outcome Measure Information:
Title
objective remission rate(ORR)
Description
Efficacy observation indicator
Time Frame
At the end of Cycle 30 (each cycle is 28 days)
Title
Area under the plasma concentration vs time curve(AUC)
Description
pharmacokinetic parameter of MIL62 combined with Orelabrutinib in the treatment
Time Frame
At the end of Cycle 6 (each cycle is 28 days)
Title
Apparent half-life for designated elimination phases (t½)
Description
pharmacokinetic parameter of MIL62 combined with Orelabrutinib in the treatment
Time Frame
At the end of Cycle 6 (each cycle is 28 days)
Title
The peak plasma concentration (Cmax)
Description
pharmacokinetic parameter of MIL62 combined with Orelabrutinib in the treatment
Time Frame
At the end of Cycle 6 (each cycle is 28 days)
Title
Duration of remission(DOR)
Description
Efficacy observation indicator
Time Frame
3 years after first treatment
Title
Progression-free survival(PFS) in the treatment of R/R CD20+B cell lymphoma
Description
Preliminary evaluation of MIL62 combined with Orelabrutinib in the treatment of relapsed/refractory CD20+B cell lymphoma with 3-year progression-free survival
Time Frame
3 years after first treatment
Title
overall survival(OS) in the treatment of R/R CD20+B cell lymphoma
Description
Preliminary evaluation of MIL62 combined with Orelabrutinib in the treatment of recurrent/refractory CD20+B cell lymphoma with 3-year overall survival
Time Frame
3 years after first treatment
Title
Duration of remission(DOR) in the treatment of R/R NHL
Description
Preliminary evaluation of remission duration of MIL62 combined with Orelabrutinib in the treatment of Recurrent/refractory Non Hodgkin Lymphoma
Time Frame
3 years after first treatment
Title
Progression-free survival(PFS) in the treatment of R/R NHL
Description
Preliminary evaluation of MIL62 combined with Orelabrutinib in the treatment of Recurrent/refractory Non Hodgkin Lymphoma with 3-year progression-free survival
Time Frame
3 years after first treatment
Title
overall survival(OS) in the treatment of R/R NHL
Description
Preliminary evaluation of MIL62 combined with Orelabrutinib in the treatment of Recurrent/refractory Non Hodgkin Lymphoma with 3-year overall survival
Time Frame
3 years after first treatment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age ≥18 years, gender not limited Dose escalation phase: Histologically confirmed CD20 positive B-cell non-Hodgkin's lymphoma; Expansion stage: R/R NHL Or histologically diagnosed CD20 positive chronic lymphocytic leukemia/small lymphocytic lymphoma; Dose escalation phase :Patients who have received at least one treatment regimen Expansion stage:Patients who have received at least one to four treatment regimens with at least one regimen containing rituximab; Eastern cancer collaboration group(ECOG) physical status score: 0-2 Laboratory tests performed within 7 days prior to the first acceptance of the study drug met the protocol criteria. Expected survival ≥6 months Sign a written informed consent. Exclusion Criteria: Expansion stage: DLBCL transformed from follicular lymphoma, DLBCL with follicular lymphoma, and lymphomas with primary or central nervous system involvement. Received any of the anti-tumor treatments(note in the protocol) before the first study drug. Previous use of any anticancer vaccine. Patients who had received hematopoietic stem cell transplantation within 3 months before the first administration Patients scheduled for major surgery within 28 days prior to initial administration or during the expected study period. Patients who Is participating in other clinical trials or first administration less than 28 days after the end of the previous clinical trial. Receiving prednisone treatment or other corticosteroid treatment with the same dose as prednisone ;Patients who require warfarin or an equivalent vitamin K antagonist; During the study period, drugs with moderate or severe inhibition or strong induction of cytochrome CYP3A4 were taken together; Subject has a history of any of the diseases note in the protocol; Patients with infections; Impact testing scheme compliance or other serious results explain the poor control of the merger of the disease(note in the protocol); Toxicity of any previous anticancer treatment has not recovered to ≤1, except for hair loss; A history of severe allergic reactions to humanized monoclonal antibodies or known allergies to any component of Orelabrutinib or MIL62; Inability to swallow research drugs, or the presence of conditions that significantly affect gastrointestinal function; Hepatitis b surface antigen (HBsAg) and/or hepatitis b core antibody (HBcAb) are positive ; Hepatitis c virus (HCV) antibody positive and HCV RNA positive patients; Human immunodeficiency virus (HIV) serum response was positive; Pregnant and lactating women; For women of childbearing age who have not undergone sterilization surgery: do not agree to use appropriate methods of contraception; For men not undergoing sterilization: do not agree to use the barrier method of contraception; Other circumstances considered inappropriate for the study by the investigator.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yuankai Shi, PhD
Organizational Affiliation
Cancer Institute and Hospital, Chinese Academy of Medical Sciences
Official's Role
Principal Investigator
Facility Information:
Facility Name
The First Affiliated Hospital of Bengbu Medical College
City
Bengbu
State/Province
Anhui
ZIP/Postal Code
100000
Country
China
Facility Name
Beijing Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100000
Country
China
Facility Name
Beijing Shijitan hospital, capital medical university
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100000
Country
China
Facility Name
Cancer hospital, Chinese academy of medical sciences
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100000
Country
China
Facility Name
Affiliated Hospital of Hebei University
City
Baoding
State/Province
Hebei
ZIP/Postal Code
100000
Country
China
Facility Name
Henan Tumor Hospital
City
Zhengzhou
State/Province
Henan
ZIP/Postal Code
100000
Country
China
Facility Name
Hunan Cancer Hospital
City
Changsha
State/Province
Hunan
ZIP/Postal Code
100000
Country
China
Facility Name
First Affiliated Hospital of Soochow University
City
Suzhou
State/Province
Jiangsu
ZIP/Postal Code
100000
Country
China
Facility Name
The First Hospital of Jilin University
City
Changchun
State/Province
Jilin
ZIP/Postal Code
100000
Country
China
Facility Name
Tianjin People's Hospital
City
Tianjin
State/Province
Tianjin
ZIP/Postal Code
100000
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No

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A Study of MIL62 Combined With Orelabrutinib for the Treatment of R/R CD20+B Cell Lymphoma

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