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Brief Title: A Study of Imvotamab Monotherapy and in Combination in Subjects With Relapsed/Refractory Non-Hodgkin Lymphoma
Official Title: A Phase 1/2 Open-label, Multicenter Study Evaluating the Safety and Pharmacokinetics of Imvotamab (IGM-2323) as a Single Agent and in Combination in Subjects With Relapsed/Refractory Non-Hodgkin Lymphomas
Study ID: NCT04082936
Brief Summary: This is a Phase 1/2 study of imvotamab in adult subjects with relapsed or refractory B-cell Non-Hodgkin Lymphoma. This study will consist of a dose-escalation stage, a combination stage, and a randomized dose-expansion stage where subjects will be enrolled into indication-specific expansion cohorts. imvotamab will be administered intravenously (IV). Additional CD20-positive NHL histologies (e.g. MZL and MCL), may be allowed with Medical Monitor approval during the Dose-Escalation Phase of the study.
Detailed Description: Imvotamab is an engineered bispecific IgM antibody for the treatment of patients with CD20-positive cancers. It contains ten high affinity binding domains for CD20, and one binding domain for CD3. Imvotamab is able to eliminate CD20-positive lymphoma cells by engaging T-cells and lymphoma cells, leading to T-cell dependent cellular cytotoxicity. Additionally, imvotamab is also able to eliminate lymphoma cells by recruiting complement to the surface of lymphoma cells, leading to complement dependent cytotoxicity. In our preclinical studies, we observed activity against rituximab resistant cells carrying low levels of CD20. We have also observed much lower cytokine release with imvotamab relative to comparable IgG format bispecific T-cell engaging antibodies, which is expected to result in reduced risk of the serious adverse effects from cytokine release syndrome (CRS). For the combination stage, imvotamab will be combined with loncastuximab tesirine, a CD19-targeting antibody drug conjugate.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
City of Hope, Duarte, California, United States
Moffitt Cancer Center, Tampa, Florida, United States
Norton Cancer Institute, Louisville, Kentucky, United States
Dana Farber Cancer Institute (DFCI), Boston, Massachusetts, United States
NYU, New York, New York, United States
MSKCC, New York, New York, United States
Tennessee Oncology, Nashville, Tennessee, United States
MD Anderson Cancer Center, Houston, Texas, United States
Fred Hutch, Seattle, Washington, United States
Monash Health, Clayton, Victoria, Australia
St. Vincent's Hospital Melbourne, Fitzroy, Victoria, Australia
Linear Clinical Resaerch, Nedlands, Western Australia, Australia
Fakultní nemocnice Královské Vinohrady, Praha 10, , Czechia
CHU de Poitiers, Poitiers, , France
Gustave Roussy, Villejuif, , France
ASST Papa Giovanni XXIII, Bergamo, BG, Italy
Fondazione Policlinico Universitario Agostino Gemelli, Roma, RM, Italy
Azienda Ospedaliero Universitaria di Bologna-Ematologia Bologna, Bologna, , Italy
Seoul National University Hospital, Seoul, , Korea, Republic of
Samsung Medical Center, Seoul, , Korea, Republic of
Hospital Santa Creu i Sant Pau, Barcelona, , Spain
Hospital Del Mar, Barcelona, , Spain
Hospital de la Santa Creu i Sant Pau, Barcelona, , Spain
Institut Catala d'Oncologia, Barcelona, , Spain
START-Madrid: Fundacion Jimenez Diaz, Madrid, , Spain
START-Madrid: Centro Integral Oncologico Clara Campal, Madrid, , Spain
Name: Ibrahim Qazi
Affiliation: IGM Biosciences, Inc.
Role: STUDY_DIRECTOR