search
Back to results

A Study to Assess AFM13 in Patients With Hodgkin Lymphoma

Primary Purpose

Hodgkin Lymphoma

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
AFM 13
Sponsored by
Affimed GmbH
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hodgkin Lymphoma focused on measuring Phase I, Dose escalation, AFM 13, Natural killer cell

Eligibility Criteria

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

Inclusion Criteria:

  1. Histological diagnosis of relapsed or refractory Hodgkin lymphoma expressing the CD30 antigen.
  2. Age ≥18 years.
  3. Both genders.
  4. Patients who have relapsed or are refractory after at least two prior potentially curative therapies including autologous stem cell transplantation (ASCT). Patients with a progressive disease after the first-line therapy who are ineligible for, or refused to receive high dose chemotherapy and/or ASCT for the second-line therapy, or any other established curative therapy, are also eligible.
  5. Completed radiotherapy, chemotherapy, and/or treatment with other investigational agents at least 3 weeks prior to study entry.
  6. Patients who received ASCT should have fully recovered prior to study entry.
  7. Eastern Cooperative Oncology Group (ECOG) status of ≤2.
  8. Laboratory data:

    1. Platelet count >75,000/mm3;
    2. Hemoglobin >9.0 g/dL (may be maintained by transfusion);
    3. Absolute neutrophil count >1500/mm3;
    4. ALT/AST (Alanine aminotransferase/Aspartate aminotransferase)<2.5 times the upper limit of normal (ULN);
    5. Total bilirubin <1.5 times ULN;
    6. Creatinine <1.5 mg/dL.
  9. Female patients of childbearing potential who are not surgically sterile or postmenopausal and male patients who are not surgically sterile must agree to use medically effective contraception during the treatment period and up to 60 days after the last AFM13 administration. The patient must agree to sign his or her consent on this particular inclusion criterion.
  10. Ability to give written, informed consent prior to any study-specific screening procedures, with the understanding that the consent may be withdrawn by the patient at any time without prejudice.
  11. Be willing and able to comply with the study protocol for the duration of the study.

Exclusion Criteria:

  1. Any significant diseases (other than HL (Hodgkin Lymphoma)) or clinically significant findings, including psychiatric and behavioral problems, medical history and/or physical examination findings that would preclude the patient from participating in the study.
  2. History or clinical evidence of central nervous system (CNS) HL.
  3. Allogeneic SCT.
  4. Major surgery within 4 weeks prior to study entry.
  5. Known hypersensitivity to recombinant proteins or any excipient contained in the drug formulation.
  6. Known history of another primary malignancy that has not been in remission for at least 5 years. Non-concurrent non-melanoma skin cancer and cervical carcinoma in situ or squamous intraepithelial lesions (e.g., cervical intraepithelial neoplasia [CIN] or prostatic intraepithelial/intraductal neoplasia [PIN]) are allowed.
  7. Any active viral, bacterial, or systemic fungal infection within 4 weeks prior to study entry.
  8. Known to be positive for human immunodeficiency virus (HIV), hepatitis B virus surface antigen (HBsAg), or hepatitis C virus (HCV).
  9. History of significant chronic or recurrent infections requiring treatment.
  10. Receiving systemic steroid prednisone or equivalent during the 3 weeks immediately preceding enrollment.
  11. Pregnant or breast-feeding.

Sites / Locations

  • The University of Texas MD Anderson Cancer Center
  • University Hosptial Cologne
  • University Hospital Würzburg

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

AFM13

Arm Description

IV (intravenous) infusion, dose escalation

Outcomes

Primary Outcome Measures

To determine the safety and tolerability of AFM13 monotherapy.
Measure occurrence of adverse events and monitor laboratory safety parameters. Immunogenicity of AFM13.

Secondary Outcome Measures

To determine the OBD (Optimal Biological Dose) or MTD (Maximum Tolerated Dose) of AFM13
To define the pharmacokinetic profile of AFM13.
To test levels of AFM13 in blood samples and assess curve compared to dose of AFM13 administered.
To analyse immunological markers of activity
ADCC, NK cell, Complement and Cytokine levels in the serum will be measured at different time points to assess the level of activity resulting from administration of AFM13.
To assess the immunogenicity of AFM13.
To assess the activity of AFM13
To measure immunological activity useing biomarkers in the blood and to measure response of the disease in FDG-PET and CT scans.

Full Information

First Posted
October 5, 2010
Last Updated
June 25, 2013
Sponsor
Affimed GmbH
search

1. Study Identification

Unique Protocol Identification Number
NCT01221571
Brief Title
A Study to Assess AFM13 in Patients With Hodgkin Lymphoma
Official Title
A Pharmacodynamically-Guided Dose Escalation Phase I Study to Assess the Safety of AFM13 (Recombinant Antibody Construct Against Human CD30 and CD16A) in Patients With Refractory and/or Relapsed Hodgkin Lymphoma
Study Type
Interventional

2. Study Status

Record Verification Date
February 2011
Overall Recruitment Status
Completed
Study Start Date
October 2010 (undefined)
Primary Completion Date
May 2013 (Actual)
Study Completion Date
June 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Affimed GmbH

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The aim of this study is to determine the safety, tolerability, pharmacokinetics and activity of single cycles of AFM13 in patients with CD30 positive refractory and/or relapsed Hodgkin lymphoma.
Detailed Description
Study Objectives: The overall objective of this study is to determine the safety, tolerability, pharmacokinetics and activity of single cycles of AFM13 in patients with CD30 positive refractory and/or relapsed Hodgkin lymphoma. Objectives: To determine the safety and tolerability of increasing doses of single cycles of AFM13 monotherapy. To determine the OBD (Optimal Biological Dose) or MTD (Maximum Tolerated Dose) of AFM13; whichever is reached first. To define the pharmacokinetic profile of AFM13. To analyse immunological markers e.g. ADCC (Antibody dependent cell mediated cytotoxicity), NK (Natural killer) cell activity, complement activation and depletion, and cytokine release. To assess the immunogenicity of AFM13. To assess the activity of AFM13.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hodgkin Lymphoma
Keywords
Phase I, Dose escalation, AFM 13, Natural killer cell

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
28 (Actual)

8. Arms, Groups, and Interventions

Arm Title
AFM13
Arm Type
Experimental
Arm Description
IV (intravenous) infusion, dose escalation
Intervention Type
Drug
Intervention Name(s)
AFM 13
Intervention Description
Cohort escalation then expansion phase design. Starting dose 0.01 mg/kg. 4 weekly drug administrations.
Primary Outcome Measure Information:
Title
To determine the safety and tolerability of AFM13 monotherapy.
Description
Measure occurrence of adverse events and monitor laboratory safety parameters. Immunogenicity of AFM13.
Time Frame
Length of Study
Secondary Outcome Measure Information:
Title
To determine the OBD (Optimal Biological Dose) or MTD (Maximum Tolerated Dose) of AFM13
Time Frame
Length of study
Title
To define the pharmacokinetic profile of AFM13.
Description
To test levels of AFM13 in blood samples and assess curve compared to dose of AFM13 administered.
Time Frame
Length of study
Title
To analyse immunological markers of activity
Description
ADCC, NK cell, Complement and Cytokine levels in the serum will be measured at different time points to assess the level of activity resulting from administration of AFM13.
Time Frame
Length of study
Title
To assess the immunogenicity of AFM13.
Time Frame
length of study
Title
To assess the activity of AFM13
Description
To measure immunological activity useing biomarkers in the blood and to measure response of the disease in FDG-PET and CT scans.
Time Frame
length of study

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histological diagnosis of relapsed or refractory Hodgkin lymphoma expressing the CD30 antigen. Age ≥18 years. Both genders. Patients who have relapsed or are refractory after at least two prior potentially curative therapies including autologous stem cell transplantation (ASCT). Patients with a progressive disease after the first-line therapy who are ineligible for, or refused to receive high dose chemotherapy and/or ASCT for the second-line therapy, or any other established curative therapy, are also eligible. Completed radiotherapy, chemotherapy, and/or treatment with other investigational agents at least 3 weeks prior to study entry. Patients who received ASCT should have fully recovered prior to study entry. Eastern Cooperative Oncology Group (ECOG) status of ≤2. Laboratory data: Platelet count >75,000/mm3; Hemoglobin >9.0 g/dL (may be maintained by transfusion); Absolute neutrophil count >1500/mm3; ALT/AST (Alanine aminotransferase/Aspartate aminotransferase)<2.5 times the upper limit of normal (ULN); Total bilirubin <1.5 times ULN; Creatinine <1.5 mg/dL. Female patients of childbearing potential who are not surgically sterile or postmenopausal and male patients who are not surgically sterile must agree to use medically effective contraception during the treatment period and up to 60 days after the last AFM13 administration. The patient must agree to sign his or her consent on this particular inclusion criterion. Ability to give written, informed consent prior to any study-specific screening procedures, with the understanding that the consent may be withdrawn by the patient at any time without prejudice. Be willing and able to comply with the study protocol for the duration of the study. Exclusion Criteria: Any significant diseases (other than HL (Hodgkin Lymphoma)) or clinically significant findings, including psychiatric and behavioral problems, medical history and/or physical examination findings that would preclude the patient from participating in the study. History or clinical evidence of central nervous system (CNS) HL. Allogeneic SCT. Major surgery within 4 weeks prior to study entry. Known hypersensitivity to recombinant proteins or any excipient contained in the drug formulation. Known history of another primary malignancy that has not been in remission for at least 5 years. Non-concurrent non-melanoma skin cancer and cervical carcinoma in situ or squamous intraepithelial lesions (e.g., cervical intraepithelial neoplasia [CIN] or prostatic intraepithelial/intraductal neoplasia [PIN]) are allowed. Any active viral, bacterial, or systemic fungal infection within 4 weeks prior to study entry. Known to be positive for human immunodeficiency virus (HIV), hepatitis B virus surface antigen (HBsAg), or hepatitis C virus (HCV). History of significant chronic or recurrent infections requiring treatment. Receiving systemic steroid prednisone or equivalent during the 3 weeks immediately preceding enrollment. Pregnant or breast-feeding.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Andreas Engert, Professor
Organizational Affiliation
University Hospital Cologne, Germany
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Anas Younes, Professor
Organizational Affiliation
MD Anderson Cancer Center, Houston, Texas
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Max S Topp, Professor
Organizational Affiliation
University Hospital Würzburg, Germany
Official's Role
Principal Investigator
Facility Information:
Facility Name
The University of Texas MD Anderson Cancer Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77030-2374
Country
United States
Facility Name
University Hosptial Cologne
City
Koln
State/Province
Köln
ZIP/Postal Code
50924 Köln
Country
Germany
Facility Name
University Hospital Würzburg
City
Würzburg
ZIP/Postal Code
97080
Country
Germany

12. IPD Sharing Statement

Citations:
PubMed Identifier
25887777
Citation
Rothe A, Sasse S, Topp MS, Eichenauer DA, Hummel H, Reiners KS, Dietlein M, Kuhnert G, Kessler J, Buerkle C, Ravic M, Knackmuss S, Marschner JP, Pogge von Strandmann E, Borchmann P, Engert A. A phase 1 study of the bispecific anti-CD30/CD16A antibody construct AFM13 in patients with relapsed or refractory Hodgkin lymphoma. Blood. 2015 Jun 25;125(26):4024-31. doi: 10.1182/blood-2014-12-614636. Epub 2015 Apr 17.
Results Reference
derived
PubMed Identifier
23459515
Citation
Reiners KS, Kessler J, Sauer M, Rothe A, Hansen HP, Reusch U, Hucke C, Kohl U, Durkop H, Engert A, von Strandmann EP. Rescue of impaired NK cell activity in hodgkin lymphoma with bispecific antibodies in vitro and in patients. Mol Ther. 2013 Apr;21(4):895-903. doi: 10.1038/mt.2013.14. Epub 2013 Mar 5.
Results Reference
derived

Learn more about this trial

A Study to Assess AFM13 in Patients With Hodgkin Lymphoma

We'll reach out to this number within 24 hrs