First-in-Human (FIH) Trial of GEN3009 in Subjects With Relapsed or Refractory B-Cell Non-Hodgkin Lymphomas

Last updated: October 23, 2024
Sponsor: Genmab
Overall Status: Terminated

Phase

1/2

Condition

Follicular Lymphoma

Leukemia

Hematologic Cancer

Treatment

GEN3009

Epcoritamab

Clinical Study ID

NCT04358458
GCT3009-01
NL72025.056.20
2019-002752-16
  • Ages > 18
  • All Genders

Study Summary

The drug that will be investigated in the study is an antibody, GEN3009. Since this is the first study of GEN3009 in humans, the main purpose is to evaluate safety. Besides safety, the study will determine the recommended GEN3009 dose to be tested in a larger group of patients and assess preliminary clinical activity of GEN3009. GEN3009 will be studied in a broad group of cancer patients, having different kinds of lymphomas. All patients will get GEN3009 either as a single treatment (monotherapy) or in combination with another antibody-candidate for treatment of cancer in the blood. The study consists of two parts: Part 1 tests increasing doses of GEN3009 ("escalation"), followed by Part 2 which tests the recommended GEN3009 dose from Part 1 ("expansion").

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  1. Be at least 18 years of age.

  2. Must sign an informed consent form prior to any screening procedures.

  3. Dose Escalation: Has histologically or cytologically confirmed relapsed and/orrefractory B-cell NHL with no available standard therapy or is not a candidate foravailable standard therapy, and for whom, in the opinion of the investigator, theexperimental therapy may be beneficial. All subjects must have received at least twoprior lines of systemic therapy. Dose Expansion: Has histologically or cytologically confirmed relapsed or refractoryB-cell NHL. All subjects must have received at least 2 prior lines of systemictherapy, and,

  4. For FL and DLBCL, at least 1 of the 2 prior lines of treatment must have been aCD20 containing systemic regimen;

  5. For CLL, subjects must have received at least one prior line of BTK inhibitoror BCL 2 inhibitor.

  6. Has one of the eligible subtypes of B-cell NHL : Dose Escalation: (DLBCL, HGBCL, PMBCL, FL, MCL, MZL, SLL, or CLL). Dose Expansion: (DLBCL, FL, CLL)

  7. Has measurable disease for B-cell NHL or has active disease for Chronic LymphocyticLeukemia (CLL).

  8. Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.

  9. Has adequate hepatic, renal, and bone marrow functions.

  10. Before the first dose of GEN3009, during the trial, and for 12 months after the lastdose of GEN3009 and/or the combination, a woman must be either not of childbearingpotential or of childbearing potential and practicing a highly effective method ofbirth control, and must have a negative serum beta-human chorionic gonadotropin (beta-hCG) and urine pregnancy test at screening.

  11. A man who is sexually active with a woman of childbearing potential and has not hada vasectomy must agree to use a barrier method of birth control.

  12. Subjects must have a life expectancy of at least 3 months.

Exclusion

Key Exclusion Criteria:

  1. Prior treatment with a CD37-targeting agent.

  2. Prior allogeneic Hematopoietic Stem Cell Transplantation (HSCT).

  3. Prior treatment with a CD3xCD20 bispecific antibody (Combination Expansion cohortonly).

  4. Autologous HSCT within 3 months before the first dose of GEN3009.

  5. Lymphomas leukemic phase: high absolute lymphocyte count or the presence of abnormalcells in the peripheral blood indicating circulating lymphoma cells.

  6. Treatment with an anti-cancer biologic including anti-CD20 therapy, radio-conjugatedor toxin-conjugated antibody or chimeric antigen receptor (CAR) T-cell therapywithin 4 weeks or 5 half-lives, whichever is shorter, before the first dose ofGEN3009. Treatment with small molecules such as BTK inhibitors, BCL2 inhibitors, orPI3K inhibitors within 5 half-lives prior to the first dose of GEN3009.

  7. Chemotherapy or radiation therapy within 2 weeks of the first dose of GEN3009.

  8. Treatment with an investigational drug or an invasive investigational medical devicewithin 4 weeks or 5 half-lives, whichever is shorter, prior to the first dose ofGEN3009, and at any time during the study treatment period.

  9. Autoimmune disease or other diseases that require permanent or high-doseimmunosuppressive therapy.

  10. Received a cumulative dose of corticosteroids more than the equivalent of 250 mg ofprednisone within the 2-week period before the first dose of GEN3009.

  11. Has uncontrolled intercurrent illness.

  12. Seizure disorder requiring therapy (such as steroids or anti-epileptics) (Combination Expansion cohort only).

  13. Toxicities from previous anti-cancer therapies have not resolved to baseline levelsor to Grade 1 or less except for alopecia and peripheral neuropathy.

  14. Primary central nervous system (CNS) lymphoma or known CNS involvement at screening.

  15. Known past or current malignancy other than inclusion diagnosis.

  16. Had allergic reactions to anti-CD20 or anti-CD37 monoclonal antibody treatment orintolerant to GEN3009 or to the combination therapy excipients.

  17. Has had major surgery within 4 weeks before screening or will not have fullyrecovered from surgery, or has major surgery planned during the time the subject isexpected to participate in the trial (or within 4 weeks after the last dose ofGEN3009 and/or the combination therapy).

  18. Known history/positive serology for hepatitis B.

  19. Known medical history or ongoing hepatitis C infection that has not been cured.

  20. Known history of seropositivity for HIV infection.

  21. Is a woman who is pregnant or breast-feeding, or who is planning to become pregnantwhile enrolled in this trial or within 12 months after the last dose of GEN3009and/or the combination therapy.

  22. Is a man who plans to father a child while enrolled in this trial or within 12months after the last dose of GEN3009 and/or the combination therapy.

  23. Has any condition for which, in the opinion of the investigator, participation wouldnot be in the best interest of the subject (eg, compromise the well-being) or thatcould prevent, limit, or confound the protocol-specified assessments. Additionally,vulnerable subjects or subjects under guardianship, curatorship, judicial protectionor deprived of liberty), are excluded from participation in this trial.

  24. Exposed to live/live attenuated vaccine within 4 weeks prior to initiation ofGEN3009 treatment.

NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Study Design

Total Participants: 46
Treatment Group(s): 2
Primary Treatment: GEN3009
Phase: 1/2
Study Start date:
March 13, 2020
Estimated Completion Date:
July 28, 2023

Study Description

This trial will be conducted in 2 parts: Part 1 (Dose Escalation) and Part 2 (Dose Expansion). All subjects in Part 1 will receive GEN3009, administered at various dose levels in 28-day cycles. Dose Limiting Toxicity (DLT) will be assessed during the first treatment cycle of Part 1 and the Maximum Tolerated Dose (MTD) and/or Recommended phase 2 dose (RP2D) will be identified.

Subjects in Part 2 will be treated with the Part 1-defined RP2D of GEN3009. Some subjects will receive GEN3009 in combination of a fixed dose of another antibody-candidate. Subjects in Part 2 are assigned either to one of 3 groups: Part 2 Monotherapy (hereafter referred to as 'Part 2A'), Part 2 Combination Safety Run-in ('Part2B') or Part 2 Combination ('Part2C').

Various types of B-cell NHLs are studied, including diffuse large B cell lymphoma (DLBCL), high-grade B cell lymphoma (HGBCL), mantle cell lymphoma (MCL), primary mediastinal large B-cell lymphoma (PMBCL), follicular lymphoma (FL), marginal zone lymphoma (MZL) and chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL).

Connect with a study center

  • GZA Ziekenhuizen

    Antwerp,
    Belgium

    Site Not Available

  • Grand Hôpital de Charleroi

    Charleroi,
    Belgium

    Site Not Available

  • UZ Leuven

    Leuven,
    Belgium

    Site Not Available

  • Rigshospitalet

    Copenhagen,
    Denmark

    Site Not Available

  • Odense Universitetshospital

    Odense,
    Denmark

    Site Not Available

  • Vejle Sygehus

    Vejle,
    Denmark

    Site Not Available

  • CHU de Nantes - Hotel Dieu

    Nantes,
    France

    Site Not Available

  • Centre Antoine Lacassagne

    Nice,
    France

    Site Not Available

  • Institut Gustave Roussy

    Villejuif,
    France

    Site Not Available

  • Amsterdam UMC, Locatie VUMC

    Amsterdam,
    Netherlands

    Site Not Available

  • Universitair Medisch Centrum Groningen (UMCG)

    Groningen,
    Netherlands

    Site Not Available

  • UMC Utrecht

    Utrecht,
    Netherlands

    Site Not Available

  • ICO Badalona - Hospital Universitari Germans Trias i Pujol

    Badalona, Barcelona 08916
    Spain

    Site Not Available

  • ICO l'Hospitalet - Hospital Duran i Reynals

    Barcelona, L'Hospitalet De Llobregat 08908
    Spain

    Site Not Available

  • Hospital Clinic de Barcelona

    Barcelona,
    Spain

    Site Not Available

  • Hospital Universitari Vall d'Hebron

    Barcelona, 08035
    Spain

    Site Not Available

  • Hospital Universitario Fundacion Jimenez Diaz

    Madrid,
    Spain

    Site Not Available

  • Leicester Royal Infirmary

    Leicester,
    United Kingdom

    Site Not Available

  • Royal Liverpool University Hospital

    Liverpool,
    United Kingdom

    Site Not Available

  • Southampton General Hospital

    Southampton, SO16 6YD
    United Kingdom

    Site Not Available

  • University of Arizona Cancer Center

    Tucson, Arizona 85719
    United States

    Site Not Available

  • City Of Hope National Medical Center

    Duarte, California 91010
    United States

    Site Not Available

  • Colorado Blood Cancer Institute

    Denver, Colorado 80218
    United States

    Site Not Available

  • University of Iowa Holden Comprehensive Cancer Center

    Iowa City, Iowa 52242
    United States

    Site Not Available

  • University of Michigan

    Ann Arbor, Michigan 48109
    United States

    Site Not Available

  • Weill Cornell Medicine

    New York, New York 10022
    United States

    Site Not Available

  • University Hospitals Cleveland Medical Center

    Cleveland, Ohio 44106
    United States

    Site Not Available

  • Ohio State University

    Columbus, Ohio 43210
    United States

    Site Not Available

  • OHSU Knight Cancer Institute

    Portland, Oregon 97210
    United States

    Site Not Available

  • University of Pennsylvania School of Medicine

    Philadelphia, Pennsylvania 19104
    United States

    Site Not Available

  • Medical University of South Carolina (MUSC)

    Charleston, South Carolina 29425
    United States

    Site Not Available

  • Mary Crowley Cancer Research Centers

    Dallas, Texas 75230
    United States

    Site Not Available

  • The University of Texas Southwestern Medical Center

    Dallas, Texas 75390
    United States

    Site Not Available

  • MD Anderson Cancer Center

    Houston, Texas 77030
    United States

    Site Not Available

  • University of Washington - Seattle Cancer Care Alliance

    Seattle, Washington 98133
    United States

    Site Not Available

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