Phase 1, Open-label, Dose-escalation and Expansion Study of TNB-486, a Bispecific Antibody Targeting CD19 in Subjects with Relapsed or Refractory B-Cell Non-Hodgkin Lymphoma.
Primary:
- Evaluate the safety and tolerability of TNB-486 when administered as monotherapy
- Determine the maximum tolerated dose (MTD) and/or recommended phase 2 dose (RP2D) for TNB-486 when administered as monotherapy
- Evaluate the pharmacokinetics (PK) of TNB-486 when administered as monotherapy.
Secondary:
- Evaluate the clinical activity of TNB-486 when administered as monotherapy.
- Evaluate anti-drug antibody titers for TNB-486 when administered as monotherapy
Exploratory:
- Evaluate pharmacodynamic and exploratory biomarkers and assess their association with safety, pharmacokinetics, and clinical activity.
- Rutgers University
Inclusion Criteria: - Biopsy proven B-NHL, including DLBCL, HGBL, or FL. -. In order to be eligible for this study subjects must not be candidates for treatment regimens known to provide clinical benefit in B-NHL. CAR T-naive subjects are allowed if they have declined, are considered ineligible for, or do not have timely access to CAR T cell therapies. - Subject has an Eastern Cooperative Oncology Group (ECOG) Performance Status of ≤ 2. - Subject must have adequate liver, bone marrow and kidney function (eGFR ≥ 50 mL/min). - Subject must have locally confirmed CD19 positivity (must be documented after time of progression from last CD19-targeted therapy, if received) - Subject must have at least 1 measurable disease site - Subject must have ANC >/= 1000/mm3, platelets >/= 50,000 mm3, hemoglobin >/= 8.0 g/dL. Transfusion and/or growth factor are allowed but counts must be stable for at least 72 hours afterwards prior to screening - Subject must have a total bilirubin <1.5x ULN, AST/ALT < 3xULN Exclusion Criteria: - Subject has been diagnosed with or treated for another malignancy whose natural history or treatment may interfere with the safety or efficacy assessment of the investigational regimen. - Subject has active central nervous system (CNS) involvement by their B-NHL. Subjects may be eligible with a distant history of CNS involvement that has been adequately treated with no evidence of recurrence within last 6 months from screening. - Subject has a history of leukemic presentation of their B-NHL. - Subject has history or presence of clinically significant CNS pathology - Subject has CNS involvement from active or history of autoimmune disease. - Subject received CD19 CAR T therapy within 3 months prior to first dose. - Subject experienced Grade ≥ 3 cytokine release syndrome (CRS) following prior T-cell engager (TCE) or CAR T-cell therapy. - Subject experienced Grade ≥ 2 neurotoxicity/immune effector cell-associated neurotoxicity syndrome (ICANS) following prior TCE or CAR T-cell therapy. - Subject has received a peripheral autologous stem cell transplant (SCT) within 12 weeks, or an allogeneic SCT within 1 year of the first dose of study drug treatment or has received an SCT and requires ongoing immunosuppressive therapy. - Subjects with human immunodeficiency virus (HIV) infection, or subjects with chronic or active infection with hepatitis B virus (HBV) or hepatitis C virus (HCV). HIV-infected patients on effective anti-retroviral therapy with undetectable viral load within 6 months are eligible for this trial. Subjects with chronic HBV may be enrolled if the HBV viral load is undetectable on suppressive therapy, or if the subject has a documented cure. Subjects with HCV who have a documented cure may be enrolled. - Subject has a history of major cardiac abnormalities. - If female, subject must not be pregnant or breastfeeding.
Please note that we have obtained the inclusion and exclusion criteria information from the National Institutes of Health’s clinical trials web site ClinicalTrials.gov. The listed criteria may not necessarily reflect recent amendments to the protocol and the current criteria.
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