Testing the safety of two experimental drugs for aggressive B-cell lymphoma
A Phase 1 Study to Assess Safety and Tolerability of Odronextamab (REGN1979) an Anti-CD20 x Anti-CD3 Bispecific Monoclonal Antibody, and Cemiplimab (REGN2810), an Anti-Programmed Death-1 Monoclonal Antibody in Patients With B-Cell Malignancies (CLIO-1)
This study is testing a combination of two new drugs to see if they are safe and effective for adults with aggressive B-cell lymphoma that hasn't responded to other treatments.
Quick facts
| Phase | Phase 1 |
|---|---|
| Study type | Interventional |
| Enrollment | 62 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Regeneron Pharmaceuticals Industry-sponsored |
| Drugs / interventions | odronextamab, cemiplimab |
| Locations | 39 sites (Santa Monica, California and 38 other locations) |
| Trial ID | NCT02651662 on ClinicalTrials.gov |
What this trial studies
This study investigates the safety and tolerability of a combination of two experimental drugs, odronextamab and cemiplimab, in adult patients with relapsed or refractory aggressive B-cell lymphoma. The research aims to determine the recommended dose regimen for these drugs while assessing their effectiveness and potential side effects. Additionally, the study will evaluate how the body responds to the drugs, including the production of antibodies that may affect treatment outcomes. Participants will undergo regular monitoring and assessments throughout the study.
Who should consider this trial
Good fit: Ideal candidates are adults with documented CD20+ aggressive B-cell non-Hodgkin lymphoma that has relapsed after at least two prior lines of systemic therapy.
Not a fit: Patients with primary central nervous system lymphoma or those with known CNS involvement by non-primary CNS NHL may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could provide a new treatment option for patients with aggressive B-cell lymphoma who have not responded to previous therapies.
How similar studies have performed: Other studies have shown promise with similar combinations of immunotherapies, suggesting potential for success in this approach.
Eligibility criteria
Show full inclusion / exclusion criteria
Key Inclusion Criteria: 1. Have documented CD20+ aggressive B-cell NHL that is either not responsive to or relapsed after at least 2 prior lines of systemic therapy, for whom treatment with an anti-CD20 antibody may be appropriate. In addition, prior treatments should at least contain an anti-CD20 antibody and an alkylating agent. 2. Must have at least 1 nodal lesion (≥1.5 cm), or at least one extranodal lesion with longest transverse diameter (LDi) greater than 1.0 cm, documented by diagnostic imaging (computed tomography \[CT\] or magnetic resonance imaging \[MRI\]). 3. Eastern Cooperative Oncology Group (ECOG) performance status ≤1 4. Adequate bone marrow and hepatic function, as defined in the protocol 5. Willing and able to comply with clinic visits and study-related procedures 6. Provide signed informed consent Key Exclusion Criteria: 1. Primary central nervous system (CNS) lymphoma, or known or suspected CNS involvement by non-primary CNS NHL 2. History of or current relevant CNS pathology, as described in the protocol 3. Ongoing or recent (within 2 years) evidence of significant autoimmune disease that required treatment with systemic immunosuppressive treatments, which may suggest risk for immune-mediated adverse events (iAEs) 4. Prior therapies, as described in the protocol 5. Uncontrolled infection with human immunodeficiency virus (HIV), hepatitis B or hepatitis C infection or other uncontrolled infection 6. Cytomegalovirus infection as noted by detectable levels on peripheral blood polymerase chain reaction (PCR) assay until the infection is well controlled. 7. Known hypersensitivity to both allopurinol and rasburicase 8. Pregnant or breastfeeding women 9. Women of childbearing potential, or men who are unwilling to practice highly effective contraception prior to the initial dose/start of the first treatment, during the study, and for at least 6 months after the last dose, as defined in the protocol 10. Patients prior diagnosis of hemophagocytic lymphohistiocytosis (HLH) or macrophage activation syndrome (MAS) Note: Other protocol-defined Inclusion/Exclusion criteria apply
Where this trial is running
Santa Monica, California and 38 other locations
- University of California Los Angeles Medical Center — Santa Monica, California, United States (Withdrawn)
- Johns Hopkins University — Baltimore, Maryland, United States (Completed)
- Dana Farber/Harvard Cancer Center - PO box 849168 — Boston, Massachusetts, United States (Completed)
- Harvard Medical School - Beth Israel Deaconess Medical Center — Boston, Massachusetts, United States (Recruiting)
- Cancer & Hematology Centers of Western Michigan — Grand Rapids, Michigan, United States (Completed)
- Dartmouth Hitchcock Medical Center — Lebanon, New Hampshire, United States (Withdrawn)
- New York Presbyterian Hospital - Weill-Cornell — New York, New York, United States (Withdrawn)
- University Hospitals Cleveland Medical Center — Cleveland, Ohio, United States (Completed)
- Cleveland Clinic Foundation — Cleveland, Ohio, United States (Withdrawn)
- Penn Medicine: University of Pennsylvania Health System — Philadelphia, Pennsylvania, United States (Withdrawn)
- South Texas Oncology And Hematology — San Antonio, Texas, United States (Withdrawn)
- Uniklinikum Salzburg (LKH) Universitatsklinik fur Innere Medizin III — Salzburg, Austria (Recruiting)
- Medical University Vienna — Vienna, Austria (Recruiting)
- Regeneron Research Facility — Heidelberg, Baden-Wurttemberg, Germany (Withdrawn)
- Universitatsklinikum Koln — Koln, North Rhine Westphalia, Germany (Withdrawn)
- Universitatsklinik Wurzburg, Med Klinik und Poliklinik II, Zentrum Innere Medizin — W rzburg, Wurzburg, Germany (Withdrawn)
- University Hospital Frankfurt — Frankfurt am Main, Germany (Completed)
- Universitatsklinikum Jena — Jena, Germany (Completed)
- Universitatsklinikum Schleswig-Holstein, Campus Kiel — Kiel, Germany (Completed)
- Soroka — Beer Sheva, Israel (Recruiting)
- Hadassah Medical Center — Jerusalem, Israel (Recruiting)
- Chaim Sheba Medical Center — Ramat-Gan, Israel (Recruiting)
- Tel Aviv Sourasky Medical Center — Tel Aviv, Israel (Recruiting)
- Pratia MCM Krakow — Krakow, Malopolska, Poland (Recruiting)
- Uniwersyteckie Centrum Kliniczne — Gdansk, Pomorskie, Poland (Recruiting)
- Pratia Onkologia Katowice — Katowice, Poland (Recruiting)
- Copernicus Memorial Hospital — Lodz, Poland (Recruiting)
- Narodowy Instytut Onkologii im Marii Sklodowskiej Curie Panstwowy Instytut Badawczy Warszawa — Warszawa, Poland (Recruiting)
- Hospital Universitario Marques de Valdecilla — Santander, Cantabria, Spain (Recruiting)
- Hospital Universitario Puerta de Hierro - Majadahonda — Majadahonda, Madrid, Spain (Recruiting)
- Hospital Universitario Quironsalud Madrid — Pozuelo de Alarcon, Madrid, Spain (Recruiting)
- Hospital Universitario Vall d'Hebron — Barcelona, Spain (Recruiting)
- Hospital Clinic de Barcelona — Barcelona, Spain (Recruiting)
- Hospital de la Santa Creu i Sant Pau — Barcelona, Spain (Recruiting)
- Institut Catala dOncologia (ICO Hospitalet) — Barcelona, Spain (Recruiting)
- MD Anderson Cancer Center- Madrid — Madrid, Spain (Completed)
- Hospital Universitario Fundacion Jimenez Diaz — Madrid, Spain (Recruiting)
- Hospital Universitario 12 de Octubre — Madrid, Spain (Recruiting)
- Hospital Clinico Universitario de Salamanca — Salamanca, Spain (Recruiting)
Study contacts
- Study coordinator: Clinical Trials Administrator
- Email: clinicaltrials@regeneron.com
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.