Study of PIT565 in Relapsed and/or Refractory B-cell Malignancies

Last updated: January 31, 2025
Sponsor: Novartis Pharmaceuticals
Overall Status: Active - Recruiting

Phase

1

Condition

Lymphoma, B-cell

Leukemia (Pediatric)

Treatment

PIT565

Clinical Study ID

NCT05397496
CPIT565A12101
2022-000367-45
  • Ages 18-100
  • All Genders

Study Summary

This is an open-label, multicenter, phase I study, which primary objective is to characterize the safety and tolerability of PIT565 and to identify maximal tolerated doses (MTDs) and/or recommended doses (RDs), schedule and route of administration in relapsed and/or refractory B-cell Non-Hodgkin lymphoma (R/R B-NHL) and relapsed and/or refractory B-cell acute lymphoblastic leukemia (R/R B-ALL).

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Signed informed consent must be obtained prior to participation in the study.

  • Male or female patients ≥18 years of age at the date of signing the informed consentform

  • Eastern Cooperative Oncology Group (ECOG) performance status ≤2

NHL patient population

  • Refractory or relapsed B-NHL

  • Must have relapsed after or failed to respond to at least two prior treatmenttherapies including an αCD20 monoclonal antibody containing chemotherapy combinationregimen

  • Must have at least one bi-dimensionally measurable nodal lesion or onebi-dimensionally measurable extranodal lesion, as measured on positron emissiontomography-computed tomography (PET/CT) scan

ALL patient population

  • Refractory or relapsed CD19-positive B-ALL

  • Morphologic disease in the bone marrow (≥ 5% blasts)

Exclusion

Exclusion Criteria:

  • History of severe hypersensitivity to any ingredient of the study treatment or itsexcipients

  • Contraindication to tocilizumab

  • History of ongoing, chronic or recurrent infectious disease, or evidence oftuberculosis infection

  • Malignant disease, other than that being treated in this study. Exceptions to thisexclusion include the following: malignancies that were treated curatively and havenot recurred within 2 years prior to study treatment; completely resected basal celland squamous cell skin cancers, and completely resected carcinoma in situ of anytype

  • Active central nervous system (CNS) involvement by malignancy or presence ofsymptomatic CNS metastases, or CNS metastases that require local CNS-directedtherapy (such as radiotherapy or surgery), or increasing doses of corticosteroidswithin the 2 weeks prior to the start of study treatment

  • Active, known or suspected autoimmune disease other than patients with vitiligo,residual hypothyroidism only requiring hormone replacement, psoriasis not requiringsystemic treatment or conditions not expected to recur

  • Patients receiving systemic treatment with any immunosuppressive medication

Other protocol-defined inclusion/exclusion criteria may apply.

Study Design

Total Participants: 140
Treatment Group(s): 1
Primary Treatment: PIT565
Phase: 1
Study Start date:
October 03, 2022
Estimated Completion Date:
June 05, 2028

Study Description

This is an open-label, multicenter, phase I study of PIT565 in patients with R/R B-NHL and R/R B-ALL.

The study comprises a dose escalation part of PIT565 in two independent groups (group A: R/R B-NHL and B: R/R B-ALL) and a dose expansion part in three independent groups (R/R large B-cell lymphoma (LBCL) randomized in 1:1 ratio to two RDs (A1 and A2), and R/R B-ALL (B1)).

During the dose escalation, the safety (including the dose-dose limiting toxicity (DLT) relationship) and tolerability of PIT565 will be assessed, and schedule(s), route(s) of administration and dose(s) will be identified for use in the expansion part based on the review of these data. The RD will also be guided by the available information on pharmacokinetics (PK), pharmacodynamics (PD), and preliminary anti-tumor activity. The dose escalation will be guided by an adaptive Bayesian logistic regression model (BLRM) following the Escalation with Overdose Control (EWOC) principle.

Different schedules and routes of administrations will be explored in the dose escalation groups.

The dose expansion will further explore the MTD(s) and/or RD(s) and the selected schedule(s) and route of administration(s) in the three patients' groups.

Connect with a study center

  • Novartis Investigative Site

    Gent, 9000
    Belgium

    Active - Recruiting

  • Novartis Investigative Site

    Creteil, 94010
    France

    Active - Recruiting

  • Novartis Investigative Site

    Marseille, 13273
    France

    Active - Recruiting

  • Novartis Investigative Site

    Tel Aviv, 6423906
    Israel

    Active - Recruiting

  • Novartis Investigative Site

    Bologna, BO 40138
    Italy

    Site Not Available

  • Novartis Investigative Site

    Milano, MI 20133
    Italy

    Site Not Available

  • Novartis Investigative Site

    Reggio Emilia, RE 42123
    Italy

    Active - Recruiting

  • Novartis Investigative Site

    Kashiwa, Chiba 277 8577
    Japan

    Active - Recruiting

  • Novartis Investigative Site

    Singapore, 169608
    Singapore

    Active - Recruiting

  • Novartis Investigative Site

    Barcelona, Catalunya 08036
    Spain

    Active - Recruiting

  • University Of Miami

    Miami, Florida 33136
    United States

    Active - Recruiting

  • University Of Miami .

    Miami, Florida 33136
    United States

    Active - Recruiting

  • Memorial Sloan Kettering Cancer Center

    New York, New York 10065
    United States

    Active - Recruiting

  • Memorial Sloan Kettering Cancer Ctr

    New York, New York 10065
    United States

    Active - Recruiting

  • Memorial Sloan Kettering Cancer Ctr .

    New York, New York 10065
    United States

    Active - Recruiting

  • Oregon Health Sciences University

    Portland, Oregon 97239
    United States

    Active - Recruiting

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