A Trial to Study if REGN5837 in Combination With Odronextamab is Safe for Adult Participants With Aggressive B-cell Non-Hodgkin Lymphomas

Trial statusRecruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age18+
SponsorRegeneron Pharmaceuticals

About this trial

This study is researching an experimental drug called REGN5837 in combination with another drug, odronextamab (called "study drug\[s\]"), in patients with relapsed or refractory aggressive B-cell Non-Hodgkin Lymphomas (B-NHLs).

The study has 2 parts. The aim of the first part (dose escalation) is to find a safe dose of REGN5837 when given in combination with odronextamab.

The goal of the second part (dose expansion) is to use the REGN5837 drug dose found in the first part to see how well REGN5837 in combination with odronextamab works.

The study is looking at several other research questions, including:

* What side effects may happen from taking the study drugs * How much study drug is in the blood at different times * Whether the body makes antibodies against the study drugs (that could make the drugs less effective or could lead to side effects)

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Have documented CD20+ aggressive B-NHL, with disease that has progressed after at least 2 lines of systemic therapy containing an anti-CD20 antibody and an alkylating agent, as described in the protocol.

Measurable disease on cross sectional imaging as defined in the protocol

Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1

Adequate bone marrow, renal and hepatic function as defined in the protocol

Disqualifiers

Prior treatments with allogeneic stem cell transplantation or solid organ transplantation, treatment with anti-CD20 x anti- CD3 bispecific antibody, such as odronextamab

Diagnosis of Mantle Cell Lymphoma (MCL)

Primary Central Nervous System (CNS) lymphoma or known involvement by non-primary CNS lymphoma, as described in the protocol

Treatment with any systemic anti-lymphoma therapy within 5 half-lives or within 14 days prior to first administration of study drug, whichever is shorter, as described in the protocol

Trial design

Design model

Sequential

Treatments tested in this trial

  • Odronextamab

    Drug

    Administered per the protocol

  • REGN5837

    Drug

    Administered per the protocol

Treatment groups

107 Participants
are divided into 2 treatment groups
Group A: Dose escalation portionExperimental treatment 2 interventions
Group B: Dose expansion portionExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Incidence of Dose Limiting Toxicities (DLTs) of REGN5837 in combination with odronextamab

A DLT is defined as any non-haematologic and haematologic toxicity, as defined in the protocol, unless the event is clearly attributable to the underlying disease or to an extraneous cause (including concomitant medications).

Time frame
From Cycle 2, Day 1 to Cycle 2, Day 21 (each induction cycle is 21 days)
2

Incidence of Treatment-Emergent Adverse Events (TEAEs) of REGN5837 in combination with odronextamab

Treatment-emergent adverse events (TEAEs) are defined as those AEs that newly occurred or worsened during the on-treatment period and any treatment-related serious adverse events (SAEs) that occurred during the post-treatment period.

Time frame
Up to approximatively 5 years
3

Severity of TEAEs of REGN5837 in combination with odronextamab

Treatment-emergent adverse events (TEAEs) are defined as those AEs that newly occurred or worsened during the on-treatment period and any treatment-related serious adverse events (SAEs) that occurred during the post-treatment period.

Time frame
Up to approximatively 5 years
4

Incidence of Adverse Events of Special Interest (AESIs) of REGN5837 in combination with odronextamab

An AESI (serious or non-serious) is one of scientific and medical concern specific to the sponsor's product or program, for which ongoing monitoring and rapid communication by the investigator to the sponsor can be appropriate.

Time frame
Up to approximatively 5 years

Secondary outcomes

1

Concentrations of REGN5837 in the serum

Time frame
Up to 90 days post last study drug administration
2

Concentrations of odronextamab in the serum

Time frame
Up to 90 days post last study drug administration
3

Occurrence of Anti-Drug Antibodies (ADAs) to REGN5837

Time frame
Up to 90 days post last study drug administration
4

Occurrence of ADAs to odronextamab

Time frame
Up to 90 days post last study drug administration

Other outcomes

Sponsors and contacts

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