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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT04052997
Other study ID # ADCT-301-201
Secondary ID 2018-002556-32
Status Completed
Phase Phase 2
First received
Last updated
Start date September 13, 2019
Est. completion date January 19, 2023

Study information

Verified date March 2024
Source ADC Therapeutics S.A.
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of this study is to evaluate the clinical efficacy and safety of Camidanlumab Tesirine (ADCT-301) in participants with relapsed or refractory Hodgkin Lymphoma (HL).


Description:

This is a phase 2, multi-center, open-label, single-arm study of efficacy and safety of Camidanlumab Tesirine (ADCT-301) in participants with relapsed or refractory Hodgkin lymphoma. This study will enroll approximately 100 participants. Camidanlumab Tesirine (ADCT-301) is an antibody drug conjugate (ADC), composed of the human monoclonal antibody, HuMax®-TAC, which is directed against human CD25. The antibody is conjugated through a protease cleavable linker to SG3199, a pyrrolobenzodiazepine (PBD) dimer cytotoxin. For each participant the study will include a screening period (of up to 28 days), a treatment period (cycles of 3 weeks), and a follow-up period (approximately every 12-week visits) for up to 3 years after treatment discontinuation. Participants may continue treatment for up to 1 year or until disease progression, unacceptable toxicity, or other discontinuation criteria, whichever occurs first. Additionally, patients benefiting clinically at 1 year may continue treatment after a case by case review with the Sponsor.


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Study Design


Intervention

Drug:
Camidanlumab Tesirine
Intravenous Infusion

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Sponsors (1)

Lead Sponsor Collaborator
ADC Therapeutics S.A.

Countries where clinical trial is conducted

United States,  Belgium,  Canada,  Czechia,  France,  Germany,  Hungary,  Italy,  Poland,  Spain,  United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Primary Overall Response Rate (ORR) ORR according to the 2014 Lugano classification as determined by central review in all-treated participants.ORR will be defined as the proportion of participants with a best overall response (BOR) of complete response (CR) or partial response (PR). Data from the All-treated Population. Up to 3 years
Secondary Duration of Response (DOR) DOR defined as the time from the first documentation of tumor response to disease progression or death. Up to 3 years
Secondary CR Rate CR rate defined as the number of treated participants with a best overall response (BOR) of CR. Up to 3 years
Secondary Relapse-Free Survival (RFS) RFS defined as the time from the documentation of CR to disease progression or death. Up to 3 years
Secondary Progression-Free Survival (PFS) PFS defined as the time from first dose of study drug until the first date of either disease progression or death due to any cause. Up to 3 years
Secondary Overall Survival (OS) OS defined as the time from first dose of study drug until death due to any cause. Up to 3 years
Secondary Number of Participants Who Received Hematopoietic Stem Cell Transplant (HSCT) Participants receiving HSCT following camidanlumab tesirine, and without any other anticancer therapy in between, other than the therapies preparing for HSCT, were included in this analysis. Up to 3 years
Secondary Number of Participants Who Experienced At Least One Treatment-Emergent Adverse Event (TEAE) An adverse event (AE) is defined as any untoward medical occurrence in a participant or clinical investigation where participants are administered a pharmaceutical product, which does not necessarily have to have a causal relationship with this treatment. A TEAE is defined as an AE that occurs or worsens in the period extending from the first dose of study drug to 30 days after the last dose of study drug in this study or start of a new anticancer therapy/procedure, whichever comes earlier. Clinically significant changes in vital signs, clinical laboratory results, and electrocardiogram were reported as AEs. Up to 3 years
Secondary Number of Participants Who Experienced At Least One Serious Adverse Event (SAE) An SAE is defined as any adverse event (AE) that:
results in death.
is life threatening.
requires inpatient hospitalization or prolongation of existing hospitalization (hospitalization for elective procedures or for protocol compliance is not considered an SAE).
results in persistent or significant disability/incapacity.
is a congenital anomaly/birth defect.
important medical events that do not meet the preceding criteria but based on appropriate medical judgement may jeopardize the participant or may require medical or surgical intervention to prevent any of the outcomes listed above. Clinically significant changes in vital signs, clinical laboratory results, and electrocardiogram were reported as AEs.
Up to 3 years
Secondary Number of Participants With ECOG Performance Status Score of 0-3 at the End of Trial (EOT) The ECOG Performance Status is a scale used to asses a person's level of functioning in terms of their ability to care for themselves, daily activity, and physical ability. The scale consists of 6 grades, ranging from 0 to 5. A grade of 0 indicates the person is fully active and able to carry on as normal, and a grade of 5 indicates death. EOT (up to 3 years)
Secondary Maximum Observed Plasma Concentration (Cmax) of Camidanlumab Tesirine Total Antibody Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h). Cycle 2: day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Secondary Cmax of Camidanlumab Tesirine Unconjugated Warhead SG3199 Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h). Cycle 2: day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Secondary Cmax of Camidanlumab Tesirine PBD-Conjugated Antibody Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h). Cycle 2: day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Secondary Area Under the Plasma Concentration-Time Curve From Time 0 to the End of the Dosing Interval (AUCtau) For Camidanlumab Tesirine Total Antibody Cycle 2 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Secondary AUCtau For Camidanlumab Tesirine PBD-Conjugated Antibody Cycle 2 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Secondary AUCtau For Camidanlumab Tesirine Unconjugated Warhead SG3199 No data collected for this endpoint. Cycle 2 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Secondary Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) For Camidanlumab Tesirine Total Antibody Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h). Cycle 2: day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Secondary AUClast For Camidanlumab Tesirine PBD-Conjugated Antibody Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h). Cycle 2: day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Secondary AUClast For Camidanlumab Tesirine Unconjugated Warhead SG3199 Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h). Cycle 2: day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Secondary Area Under the Plasma Concentration-Time Curve From Time 0 to Infinity (AUCinf) For Camidanlumab Tesirine Total Antibody Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Secondary AUCinf For Camidanlumab Tesirine PBD-Conjugated Antibody Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Secondary AUCinf For Camidanlumab Tesirine Unconjugated Warhead SG3199 Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Secondary Clearance (CL) For Camidanlumab Tesirine Total Antibody Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Secondary CL For Camidanlumab Tesirine PBD-Conjugated Antibody Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Secondary CL For Camidanlumab Tesirine Unconjugated Warhead SG3199 Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Secondary Clearance at Steady State (CLss) For Camidanlumab Tesirine Total Antibody Cycle 2 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Secondary CLss For Camidanlumab Tesirine PBD-Conjugated Antibody Cycle 2 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Secondary CLss For Camidanlumab Tesirine Unconjugated Warhead SG3199 Cycle 2 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Secondary Apparent Terminal Elimination Half-Life (T1/2) For Camidanlumab Tesirine Total Antibody Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h). Cycle 2: day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Secondary T1/2 For Camidanlumab Tesirine PBD-Conjugated Antibody Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h). Cycle 2: day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Secondary T1/2 For Camidanlumab Tesirine Unconjugated Warhead SG3199 Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h). Cycle 2: day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Secondary Volume of Distribution at Steady State (Vss) For Camidanlumab Tesirine Total Antibody Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h). Cycle 2: day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Secondary Vss For Camidanlumab Tesirine PBD-Conjugated Antibody Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h). Cycle 2: day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Secondary Vss For Camidanlumab Tesirine Unconjugated Warhead SG3199 Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h). Cycle 2: day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Secondary Accumulation Index (AI) For Camidanlumab Tesirine Total Antibody AI is the ratio of area under the serum concentration-time curve (AUC) from 0 to 21 days for Cycle 2 divided by AUC from 0 to 21 days for Cycle 1. Cycle 1 and 2: day 0 to 21
Secondary AI For Camidanlumab Tesirine PBD-Conjugated Antibody AI is the ratio of AUC from 0 to 21 days for Cycle 2 divided by AUC from 0 to 21 days for Cycle 1. Cycle 1 and 2: day 0 to 21
Secondary AI For Camidanlumab Tesirine Unconjugated Warhead SG3199 AI is the ratio of AUC from 0 to 21 days for Cycle 2 divided by AUC from 0 to 21 days for Cycle 1. Cycle 1 and 2: day 0 to 21
Secondary Number of Participants With Confirmed Positive Anti-Drug Antibody (ADA) Responses Post Dose Detection of ADAs was performed by using a screening assay for identification of antibody positive samples/participants, a confirmation assay, and titer assessment. Up to 3 years
Secondary Change From Baseline in Health-Related Quality of Life (HRQoL) as Measured by EuroQoL-5 Dimensions-5 Levels (EQ-5D-5L) Visual Analog Scale (VAS) Participants were asked to indicate their health state on a VAS with scores ranging from 'the worst health you can imagine' (score 0) to 'the best health you can imagine' (score 100). Participants are asked to mark an "X" on the VAS to indicate their own health and then to report the score in a text box. Positive changes from Baseline represent an an improvement in heath. Baseline, Day 1 of Cycles 2 to 15 (one cycle = 21 days) and EOT (up to 3 years)
Secondary Change From Baseline in HRQoL as Measured by Functional Assessment of Cancer Therapy - Lymphoma (FACT-Lym) The FACT-Lym consists of a 27-item general core questionnaire (i.e., Functional Assessment of Cancer Therapy - General [FACT-G]) and a 15-item disease-specific questionnaire (Lymphoma Subscale). The FACT-G includes 4 domains: physical well-being, social/family well-being, emotional well-being, and functional well-being. The total FACT-Lym score (0-168) was obtained by summing individual subscale scores. Higher scores for the scales indicate better quality of life. Change was calculated as the value at the last observation minus the value at baseline. Baseline, Day 1 of Cycles 2 to 15 (one cycle = 21 days) and EOT (up to 3 years)
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