Dose Escalation and Dose Expansion Study of MDX2003 in Patients With Different Types of Lymphoma

Trial statusRecruiting
Trial phasePhase 1, Phase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorModeX Therapeutics, An OPKO Health Company

About this trial

This study is designed to characterize the safety, tolerability, and anti-tumor activity of MDX2003 in patients with different types of lymphoma

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Participant must be ≥ 18 years of age.

Participant has a confirmed diagnosis of large B-cell lymphoma (including DLBCL, high-grade B-cell lymphoma [HGBCL], primary mediastinal B-cell lymphoma [PMBCL], etc), FL, MCL, marginal zone lymphoma, transformation of indolent B-cell lymphoma, or lymphoplasmacytic lymphoma, including Waldenstrom macroglobulinemia.

Participant has relapsed or progressed on at least 2 prior lines of therapy.

Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2.

Disqualifiers

Known or suspected history of hemophagocytic lymphohistiocytosis (HLH).

Unresolved toxicities from previous anticancer therapy.

Primary central nervous system (CNS) lymphoma or known CNS involvement with lymphoma.

Active medical condition requiring chronic systemic steroid use (>10 mg/day prednisone or equivalent of >140 mg over the last 14 days) or immunosuppressive therapy, within 6 months prior to the first dose of MDX2003.

Trial design

Design model

Single group

Treatments tested in this trial

  • MDX2003

    Drug

    MDX2003 intravenous infusion

Treatment groups

180 Participants
are divided into 2 treatment groups
Group A: Dose Escalation- Part AExperimental treatment 1 intervention
Group B: Indication Optimization- Part BExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Part A only- Identify the Maximum Tolerated Dose (MTD) for expansion for further development of MDX2003

Maximum Tolerated Dose is determined following the evaluation of MDX2003 safety, including the incidences of dose-limiting toxicities (DLTs), MDX2003 anti-tumor activity, and MDX2003 pharmacokinetics/pharmacodynamics.

Time frame
28 days
2

All Study Parts: Adverse Events (AEs)

Incidence and severity of adverse events (AEs) and serious AEs (SAEs), including changes in clinical laboratory parameters, graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) v5.0 or American Society for Transplantation and Cellular Therapy (ASTCT) consensus grading criteria, including changes in clinical laboratory parameters.

Time frame
Baseline until 90 days after the participant has the last dose of MDX2003
3

Part B only- Assess the preliminary anti-lymphoma activity of MDX2003

Objective response rate is defined as the proportion of patients who achieve a complete response (CR) or partial response (PR) per Lugano Classification.

Time frame
From date of enrollment until the end of treatment, up to approximately 6 months

Secondary outcomes

1

All Study Parts: Measure of terminal half-life (t1/2) of MDX2003

Characterize pharmacokinetic (PK) parameter t1/2 after intravenous infusion of MDX2003.

Time frame
6 months
2

All Study Parts: Measure of area under the serum concentration-time curve (AUC) of MDX2003

Characterize pharmacokinetic (PK) parameter AUC after intravenous infusion of MDX2003.

Time frame
6 months
3

All Study Parts: Measure of time to maximum concentration (Tmax) of MDX2003

Characterize pharmacokinetic (PK) parameter Tmax after intravenous infusion of MDX2003.

Time frame
6 months
4

All Study Parts: Measure of maximum serum concentration (Cmax) of MDX2003

Characterize pharmacokinetic (PK) parameter Cmax after intravenous infusion of MDX2003.

Time frame
6 months

Other outcomes

Sponsors and contacts

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