About this trial
This is a phase I/II study. All subjects are patients diagnosed with relapse or refractory (R/R) classic Hodgkin lymphoma (cHL) and has progressed on treatment with PD-1/L1 inhibitor therapy. The purpose of this study is to evaluate the safety and efficacy of AK129 (bispecific antibody targeting LAG-3 and PD-1) monotherapy or in combination with AK117 (anti-CD47 monoclonal antibody) in R/R cHL with PD-1/L1 inhibitor treatment failure.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥ 18 years old at the time of enrolment.
Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
Expected Survival of ≥ 12 weeks.
Diagnosed as R/R cHL according to Lugano 2014 criteria.
Disqualifiers
Diagnosed with nodular lymphocyte-predominant Hodgkin lymphoma (NLPHL) or gray zone lymphoma.
Central nervous system (CNS) lymphoma involvement.
Known history of human T-cell leukemia virus type 1 (HTLV-1) infection.
Autologous hematopoietic stem cell transplantation (auto-HSCT) or chimeric antigen receptor T cell immunotherapy (CAR-T) within 90 days prior to the first dose of study treatment.
Trial design
Single group
Treatments tested in this trial
AK129
DrugSubjects receive AK129 intravenously.
AK117
DrugSubjects receive AK117 intravenously.
Treatment groups
Trial outcomes
Primary outcomes
Phase I: Number of participants with dose limiting toxicity (DLT)
Any untoward medical occurrence in a subject within the first 28 days following the first dose, considered related to the study treatment.
Phase I/II: Incidence and severity of adverse events (AEs)
Any untoward medical occurrence in a subject, temporally associated with the use of study treatment, whether or not considered related to the study treatment.
Phase I/II: Objective response rate (ORR)
The proportion of subjects achieving complete response (CR) or partial response (PR) assessed by investigator per Lugano 2014 criteria.
Secondary outcomes
Disease control rate (DCR)
The proportion of subjects achieving complete response (CR) , partial response (PR) or stable disease (SD) assessed by investigator per Lugano 2014 criteria.
Time to response (TTR)
The time from cycle 1 day 1(C1D1) to the first recorded response assessed by investigator per Lugano 2014 criteria.
Duration of response (DoR)
The time from the first recorded response until disease progression assessed by investigator or death due to any cause, whichever occurs first.
Progression-free survival (PFS)
The time from C1D1 until disease progression assessed by investigator or death due to any cause, whichever occurs first.