A First-in-Human Study of KK2223 in Participants With Relapsed or Refractory T Cell Non-Hodgkin Lymphoma

Trial statusRecruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age18+
SponsorKyowa Kirin, Inc.

About this trial

The purpose of this study is to determine the safety, tolerability, PK and pharmacodynamics of KK2223 in adult participants with relapsed or refractory peripheral T cell lymphoma (PTCL) or cutaneous T cell lymphoma (CTCL).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adults (≥18 years) with confirmed T-cell lymphoma subtypes: PTCL (including nodal T-follicular helper cell lymphoma, ALCL, PTCL NOS) for Parts 1 and 2; CTCL (mycosis fungoides or Sézary syndrome, stages IIB-IV) for Parts 1 and 2, with specific disease involvement criteria in Part 2.

PTCL participants must have relapsed/refractory/intolerant to ≥1 systemic therapy; CD30+ PTCL must have prior brentuximab vedotin treatment or intolerance, and/or ALK-positive ALCL participants should have previously received crizotinib if indicated (crizotinib administration is applicable to US sites only). CTCL participants must have relapsed/refractory/intolerant to ≥2 systemic therapies.

Availability of tumor tissue (current or archival) is required.

Measurable disease required: nodal/extranodal lesions for PTCL and assessable skin disease for CTCL.

Disqualifiers

Recent autologous or allogeneic transplant within 120 days before treatment; active GVHD or ongoing immunosuppression after allogeneic transplant; prior HSCT and with active VOD/SOS

Pregnant or breastfeeding females, or those intending pregnancy.

History of HIV, HBV, or HCV infections generally excluded, except for controlled or resolved cases as defined.

Uncontrolled infections requiring antibiotics, antivirals, or antifungals at screening through treatment start.

Trial design

Design model

Sequential

Treatments tested in this trial

  • KK2223

    Drug

    Intravenous infusion

Treatment groups

72 Participants
are divided into 2 treatment groups
Group A: Part One (Dose Escalation)Experimental treatment 1 intervention
Group B: Part Two (Backfill)Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Assess the incidence of treatment-emergent adverse events and determine the maximum tolerated dose (MTD) of KK2223 in patients with relapsed or refractory peripheral or cutaneous T cell lymphoma (PTCL/CTCL).

Number of participants with treatment-related adverse events as assessed by CTCAE v5.0 (all 72 potentially treated subjects)

Time frame
Through study completion, an average of 1.5 years
2

Assess the incidence of treatment-emergent adverse events and determine the maximum tolerated dose (MTD) of KK2223 in patients with relapsed or refractory peripheral or cutaneous T cell lymphoma (PTCL/CTCL).

Vital signs (mmHg in Systolic/Diastolic blood pressure)

Time frame
Through study completion, an average of 1.5 years
3

Assess the incidence of treatment-emergent adverse events and determine the maximum tolerated dose (MTD) of KK2223 in patients with relapsed or refractory peripheral or cutaneous T cell lymphoma (PTCL/CTCL).

Pulse rate (beats/min)

Time frame
Through study completion, an average of 1.5 years
4

Assess the incidence of treatment-emergent adverse events and determine the maximum tolerated dose (MTD) of KK2223 in patients with relapsed or refractory peripheral or cutaneous T cell lymphoma (PTCL/CTCL).

Respiratory Rate (breath/min)

Time frame
Through study completion, an average of 1.5 years

Secondary outcomes

1

Mean Blood Drug Concentration

The mean drug concentration in the blood

Time frame
Through study completion, an average of 1.5 years
2

To evaluate the immunogenicity of KK2223.

Incidence of Anti drug antibodies (ADA) in blood

Time frame
Through study completion, an average of 1.5 years
3

To evaluate the preliminary anti-tumor activity of KK2223 (Investigator assessed).

% in Overall Response Rate (ORR)

Time frame
Through study completion, an average of 1.5 years
4

To evaluate the preliminary anti-tumor activity of KK2223 (Investigator assessed).

% in Compartment Response (if applicable)

Time frame
Through study completion, an average of 1.5 years

Other outcomes

Sponsors and contacts

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