Safety evaluation of a new drug for advanced lymphomas
A Phase 1, Open-label Study to Evaluate PF-08046044/SGN-35C in Adults With Advanced Malignancies.
This study is testing a new drug for adults with advanced lymphomas who have run out of other treatment options to see if it is safe and effective.
Quick facts
| Phase | Phase 1 |
|---|---|
| Study type | Interventional |
| Enrollment | 210 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Seagen Inc. Industry-sponsored |
| Drugs / interventions | brentuximab, chimeric antigen receptor, chemotherapy, cyclophosphamide, doxorubicin, prednisone |
| Locations | 43 sites (Duarte, California and 42 other locations) |
| Trial ID | NCT06254495 on ClinicalTrials.gov |
What this trial studies
This clinical trial is focused on evaluating the safety and efficacy of a new drug called PF-08046044/SGN-35C in adults with advanced lymphomas, including classical Hodgkin lymphoma, peripheral T cell lymphoma, and diffuse large B cell lymphoma. The study is divided into three parts: the first two parts will determine the optimal dosing and schedule for the drug, while the third part will assess its safety and effectiveness in treating the selected lymphomas. Participants will be those who have no appropriate standard therapy available and have previously undergone multiple treatments. This is the first time this drug is being tested in humans.
Who should consider this trial
Good fit: Ideal candidates for this study are adults with relapsed or refractory lymphomas who have limited treatment options.
Not a fit: Patients with early-stage lymphomas or those who have not yet received standard therapies may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could provide a new treatment option for patients with advanced lymphomas who have exhausted other therapies.
How similar studies have performed: Other studies have shown promise with similar investigational drugs targeting advanced lymphomas, indicating potential for success in this approach.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria:
* Tumor type
* For dose escalation and back fill and dose optimization (Parts A and B):
* Participants with a histologically confirmed lymphoid neoplasm who in the judgement of the investigator have no appropriate standard therapy available at the time of enrollment and are a candidate for PF-08046044/SGN- 35C treatment. Eligible subtypes and treatment status are as follows:
* Participants with relapsed/refractory (R/R) cHL: should have received at least 3 prior systemic therapies including autologous stem cell transplant \[ASCT\] (ASCT and the associated high-dose chemotherapy prior to ASCT are considered to be 1 prior line, along with post-transplant consolidation if progression has not occurred between transplant and start of consolidation) or an anti-PD-1 agent (or refused/were ineligible); or 2 prior systemic therapies if, according to the investigator, no other appropriate standard treatment is available.
* Participants with R/R PTCL (excluding systematic anaplastic large cell lymphoma \[sALCL\]): should have received at least 2 prior systemic therapies, or 1 prior systemic therapy if, according to the investigator, no other appropriate standard treatment is available.
* Participants with R/R sALCL: should have received at least 2 prior systemic therapies, including 1 brentuximab vedotin-containing regimen, or 1 prior line of systemic therapy including brentuximab vedotin, cyclophosphamide, doxorubicin, and prednisone.
* Participants with R/R DLBCL: should have received at least 2 prior systemic therapies, including ASCT and chimeric antigen receptor (CAR) T-cell therapy, or were ineligible, or refused.
* Participants with PTCL and DLBCL must have a detectable cluster of differentiation 30 (CD30) expression level (≥1%) in tumor tissue from the most recent biopsy obtained at or after relapse by local testing.
* For dose expansion (Part C):
* Participants are eligible irrespective of CD30 expression on tumor tissue; however, participants must provide tumor tissue for evaluation of CD30 expression from the most recent biopsy obtained at or after relapse.
* Participants with cHL, PTCL, sALCL, and DLBCL: Eligible subtypes are the same as defined in Parts A and B
* If activated, the biology cohort may enroll the populations included in Parts A, B, and C.
* Eastern Cooperative Oncology Group (ECOG) Performance Status score of ≤1
* Fluorodeoxyglucose positron emission tomography (FDG-PET) avid and bidimensional measurable disease as documented by radiographic technique (spiral computed tomography \[CT\] preferred)
Exclusion Criteria:
* Previous exposure to any antibody-drug conjugates (ADCs) with camptothecin-based payload.
* History of another malignancy within 3 years before the first dose of study drug, or any evidence of residual disease from a previously diagnosed malignancy. Exceptions are malignancies with a negligible risk of metastasis or death
* Active central nervous system (CNS) disease related to the underlying malignancy. Participants with a history of CNS disease related to the underlying malignancy are allowed if prior CNS disease has been treated and the participant is clinically stable (defined as not currently receiving steroid treatment for symptoms related to cerebral/meningeal disease and with no ongoing related AE).
* Received previous ASCT infusion \<12 weeks prior to the first dose of SGN-35C.
* Previous allogeneic stem cell transplant (SCT) if they meet any of the following criteria:
* \<100 days from allogeneic SCT. Participants ≥100 days from allogeneic SCT who are stable without immunosuppressive therapy for at least 12 weeks are permitted.
* Active acute or chronic graft-versus-host disease (GVHD) or receiving immunosuppressive therapy as treatment for or prophylaxis against GVHD.
* History of clinically significant GI bleeding, intestinal obstruction, or GI perforation within 6 months of initiation of trial treatment.
Where this trial is running
Duarte, California and 42 other locations
- City of Hope (City of Hope National Medical Center, City Of Hope Medical Center) — Duarte, California, United States (Recruiting)
- City of Hope — Duarte, California, United States (Recruiting)
- IP Address: City of Hope Investigational Drug Services(IDS) — Duarte, California, United States (Recruiting)
- UCSD Medical Center - Encinitas — Encinitas, California, United States (Recruiting)
- UC San Diego / Moores Cancer Center — La Jolla, California, United States (Recruiting)
- UC San Diego Medical Center - La Jolla (Jacobs Medical Center / Thornton Pavilion) — La Jolla, California, United States (Recruiting)
- UC San Diego/Moores Cancer Center — La Jolla, California, United States (Recruiting)
- UCSD Koman Family Outpatient Pavilion — La Jolla, California, United States (Recruiting)
- UC San Diego Medical Center - Hillcrest — San Diego, California, United States (Recruiting)
- UCSD Medical Center - Rancho Bernardo — San Diego, California, United States (Recruiting)
- University of California San Francisco | HDFCCC - Hematopoietic Malignancies — San Francisco, California, United States (Recruiting)
- University of California, San Francisco | HDFCCC - Hematopoietic Malignancies — San Francisco, California, United States (Recruiting)
- UCSD Medical Center - Vista — Vista, California, United States (Recruiting)
- Sylvester Comprehensive Cancer Center- The Lennar Foundation Medical Center — Coral Gables, Florida, United States (Recruiting)
- University of Miami Hospital and Clinics - Deerfield Beach — Deerfield Beach, Florida, United States (Recruiting)
- Sylvester Comprehensive Cancer Center - Hollywood — Hollywood, Florida, United States (Recruiting)
- University Of Miami Hospital and Clinics/Sylvester Comprehensive Cancer Center — Miami, Florida, United States (Recruiting)
- University Of Miami Hospitals And Clinics — Miami, Florida, United States (Recruiting)
- Sylvester Comprehensive Cancer Center - Kendall — Miami, Florida, United States (Recruiting)
- The University of Kansas Cancer Center, Investigational Drug Services — Fairway, Kansas, United States (Recruiting)
- University of Kansas Clinical Research Center — Fairway, Kansas, United States (Recruiting)
- The University of Kansas Hospital Cambridge Tower A — Kansas City, Kansas, United States (Recruiting)
- The University of Kansas Hospital — Kansas City, Kansas, United States (Recruiting)
- The University of Kansas Medical Center Medical Office Building — Kansas City, Kansas, United States (Recruiting)
- The University of Kansas Cancer Center - Overland Park — Overland Park, Kansas, United States (Recruiting)
- The University of Kansas Cancer Center - Indian Creek Campus — Overland Park, Kansas, United States (Recruiting)
- University of Kansas Cancer Center — Westwood, Kansas, United States (Recruiting)
- The University of Kansas Cancer Center - Lee's Summit — Lee's Summit, Missouri, United States (Recruiting)
- Nebraska Medicine - Bellevue Medical Center — Bellevue, Nebraska, United States (Recruiting)
- Nebraska Medical Center — Omaha, Nebraska, United States (Recruiting)
- Nebraska Medicine - Village Pointe — Omaha, Nebraska, United States (Recruiting)
- University of Nebraska Medical Center — Omaha, Nebraska, United States (Recruiting)
- Roswell Park Comprehensive Cancer Center — Buffalo, New York, United States (Not_yet_recruiting)
- Fred Hutchinson Cancer Research Center | Seattle, WA — Seattle, Washington, United States (Recruiting)
- University of Washington — Seattle, Washington, United States (Recruiting)
- Rigshospitalet University Hospital of Copenhagen — Copenhagen Ø, Denmark (Recruiting)
- Charite Universitatsmedizin berlin — Berlin, Germany (Not_yet_recruiting)
- Charite Universitatsmedizin berlin — Berlin, Germany (Not_yet_recruiting)
- Labor Berlin - Charite Vivantes GmbH — Berlin, Germany (Not_yet_recruiting)
- Centro Ricerche Cliniche di Verona s.r.l. — Verona, Italy (Recruiting)
- Hospital Universitari Vall d'Hebron — Barcelona, Spain (Recruiting)
- The Royal Marsden NHS Foundation Trust (RM) — London, United Kingdom (Not_yet_recruiting)
- The Christie NHS Foundation Trust — Manchester, United Kingdom (Recruiting)
Study contacts
- Study coordinator: Pfizer CT.gov Call Center
- Email: ClinicalTrials.gov_Inquiries@pfizer.com
- Phone: 1-800-718-1021
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.