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Non-Hodgkin LymphomaPhase 2NCT01685008

Study of Fc-Optimized Anti-CD19 Antibody (MOR00208) to Treat Non-Hodgkin's Lymphoma (NHL)

A Phase 2 study testing MOR00208 (formerly Xmab 5574) in people with Non-Hodgkin Lymphoma, run by MorphoSys AG at 22 sites in 7 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This is an open-label, multicenter study to characterize the safety and efficacy of the human anti-CD19 antibody MOR00208 in adult patients with relapsed/refractory non-Hodgkin's lymphoma (NHL) who have received at least 1 prior therapy containing rituximab (at least once). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Non-Hodgkin Lymphoma
What is being tested?
MOR00208 (formerly Xmab 5574)
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
92 participants
Where
22 sitesin 7 countries
Study dates
23 Apr 2013to 6 Apr 2022
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female patients ≥ 18 years of age.
  • Histologically-confirmed diagnosis according to Revised European American Lymphoma/World Health Organization classification, of the following B-cell lymphomas:
  • FL
  • Other indolent NHL (eg, MZL/MALT)
  • DLBCL
  • MCL
Show all 27Show fewer
  • Patients' NHL must have progressed after at least 1 prior rituximab containing regimen.
  • One site of measurable disease by magnetic resonance imaging (MRI) or computed tomography (CT) scan defined as at least one lesion that measures at least 1.5 × 1.5 cm.
  • Exception:
  • For patients with MCL only, patients with nonmeasurable disease but evaluable sites (bone marrow, spleen, peripheral blood, gastrointestinal tract) can be enrolled.
  • Patients who have previously received an autologous stem cell transplantation must be at least 4 weeks post-transplant before study drug administration and must have exhibited a full haematological recovery.
  • Discontinued previous monoclonal antibody therapy (except rituximab) or radioimmunotherapy administration for at least 60 days before study drug administration.
  • Off rituximab for at least 14 days before the screening visit and be confirmed to have either no response or have disease progression after rituximab treatment.
  • Patients with DLBCL had a positive [18F]fluorodeoxyglucose-positron emission tomography (FDG-PET) scan at baseline (Cheson 2007 response criteria).
  • Life expectancy of > 3 months.
  • Eastern Cooperative Oncology Group (ECOG) performance status of < 3.
  • Laboratory criteria at screening:
  • Absolute neutrophil count (ANC) ≥ 1.0 × 10^9/L
  • Platelet count ≥ 75 × 10^9/L without previous transfusion within 10 days of first study drug administration
  • Haemoglobin ≥ 8.0 g/dL (may have been transfused)
  • Serum creatinine < 2.0 x upper limit of normal (ULN)
  • Total bilirubin ≤ 2.0 × ULN
  • Alanine transaminase (ALT) and aspartate aminotransferase (AST) ≤ 2.5 × ULN
  • If a female of childbearing potential, a negative pregnancy test must be confirmed before enrolment and use of double-barrier contraception or oral contraceptive plus barrier contraceptive must be used during the study and for 3 months after the last dose, or confirmation of having undergone clinically documented total hysterectomy and/or oophorectomy, tubal ligation.
  • If a male, an effective barrier method of contraception must be used during the study and for 3 months after the last dose if the patient is sexually active with a female of childbearing potential.
  • Able to comply with all study-related procedures, medication use, and evaluations.
  • Able to understand and give written informed consent and comply with the study protocol.

Who cannot join

  • Previous treatment with cytotoxic chemotherapy, immunotherapy, radiotherapy or other lymphoma specific therapy within 14 days before the screening visit or patient has not recovered from side effects of previous lymphoma-specific therapy.
  • Treatment with a systemic investigational agent within 28 days before the screening visit.
  • Previous treatment with an anti-CD19 antibody or fragments.
  • Previous allogenic stem cell transplantation.
  • Known or suspected hypersensitivity to the excipients contained in the study drug formulation.
  • Clinically significant cardiovascular disease or cardiac insufficiency, cardiomyopathy, preexisting clinically significant arrhythmia, acute myocardial infarction within 3 months of enrolment, angina pectoris within 3 months of enrolment.
Show all 18Show fewer
  • Patients with positive hepatitis serology:
  • Hepatitis B (HBV): Patients with positive serology for HBV defined as positivity for hepatitis B surface antigen (HBsAg) or total anti-hepatitis B core antibody (anti-HBc). Patients positive for anti-HBc may be included if HBV DNA is not detectable.
  • Hepatitis C (HCV): Patients positive HCV serology (defined as positive for anti-HCV antibody [anti-HCV]) unless HCV-ribonucleic acid (RNA) is confirmed negative.
  • History of HIV infection.
  • Any active systemic infection (viral, fungal, or bacterial) requiring active parenteral antibiotic therapy within 4 weeks of study drug administration.
  • Current treatment with immunosuppressive agents other than prescribed corticosteroids (not more than 10-mg prednisone equivalent).
  • Major surgery or radiation therapy within 4 weeks before first study drug administration.
  • Systemic diseases (cardiovascular, renal, hepatic, etc) that would prevent study treatment in the investigator's opinion.
  • History or clinical evidence of central nervous system (CNS), meningeal, or epidural disease, including brain metastasis.
  • Active treatment/chemotherapy for another primary malignancy within the past 5 years (except for ductal breast cancer in situ, non-melanoma skin cancer, prostate cancer not requiring treatment, and cervical carcinoma in situ).
  • Pregnancy or breastfeeding in women and women of childbearing potential not using an acceptable method of birth control.
  • History of noncompliance to medical regimens or patients who are considered potentially unreliable not cooperative.

Trial locations and contacts

22 sites in 7 countries.

22 sites in 7 countries

Italy5 sites
  • MorphoSys Research Site

    Bologna

  • MorphoSys Research Site

    Florence

  • Morphosys

    Genova

  • Morphosys Research Site

    Modena

  • Morphosys Research Site

    Novara

Other trials in Italy

United States4 sites
  • Morphosys Research Site

    Columbus, Ohio, 43201

  • MorphoSys Research Site

    Hackensack, New Jersey, 07601

  • Morphosys Research Site

    Lubbock, Texas, 79410

  • MorphoSys Research Site

    Norwalk, Connecticut, 06856

Other trials in United States

Poland4 sites
  • MorphoSys Research Site

    Chorzów

  • Morphosys Research Site

    Krakow

  • Morphosys Research Site

    Lódz

  • MorphoSys Research Site

    Słupsk

Other trials in Poland

Germany3 sites
  • MorphoSys Research Site

    Berlin

  • MorphoSys Research Site

    Mainz

  • Morphosys Research Site

    Ulm

Other trials in Germany

Belgium2 sites
  • MorphoSys Research Site

    Brussels

  • MorphoSys Research Site

    Edegem

Other trials in Belgium

Hungary2 sites
  • Morphosys Research Site

    Budapest

  • Morphosys Research Site

    Debrecen

Other trials in Hungary

Spain2 sites
  • Morphosys Research Site

    Madrid

  • Morphosys Research Site

    Seville

Other trials in Spain

About this study

Official title: A Phase IIa, Open-label, Multicenter Study of Single-agent MOR00208, an Fc-optimized Anti-CD19 Antibody, in Patients With Relapsed or Refractory B-Cell Non-Hodgkin's Lymphoma

This is an open-label, multicenter study to characterize the safety and efficacy of the human anti-CD19 antibody MOR00208 in adult patients with relapsed/refractory non-Hodgkin's lymphoma (NHL) who have received at least 1 prior therapy containing rituximab (at least once).

Read the detailed description

The study enrols patients from four different NHL subtypes: follicular lymphoma (FL), diffuse large B-cell lymphoma (DLBCL), mantle cell lymphoma (MCL) and other indolent NHL (iNHL). The study will employ a two-stage design where the decision to further enrol any NHL subtype in stage 2 will depend on best responses after two or three cycles in stage 1.

Being tested
MOR00208 (formerly Xmab 5574)
Keywords
NHL, CD19, MOR208, MOR00208, Xmab5574, B-Cell Non-Hodgkin´s Lymphoma, Fc-optimized Anti-CD19 Antibody, Tafasitamab
Medical subject headings
Lymphoma, Non-Hodgkin

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • MOR00208 (formerly Xmab 5574)Drug

    Also called MOR208

Study groups in NCT01685008
Study groupRoleWhat they receive
MOR00208 (formerly Xmab5574)Experimentalintravenous Infusion of MOR00208, Fc-Optimized Anti-CD19 Antibody
Receives: Drug: MOR00208 (formerly Xmab 5574)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Overall Response Rate (ORR)

    Proportion of patients with Complete Remission (CR; disappearance of all evidence of disease) or Partial Remission (PR; regression of measurable disease and no new sites), assessed as per the 2007 International Working Group (IWG) response criteria by radiographic evaluations (CT, PET, MRI, or other).

    Measured: From first dose until Follow-up Visit 12, up to 4.5 years

Secondary outcomes (27)
  1. Stable Disease (SD) Rate

    Proportion of patients with Stable Disease (failure to attain CR/PR with no progressive disease)

    Measured: From first dose until Follow-up Visit 12, up to 4.5 years

  2. Duration of Response (DoR)

    Time from first CR or PR to first documentation of relapse/progression (any new lesion or increase by ≥ 50% of previously identified site)

    Measured: From first dose until Follow-up Visit 12, up to 4.5 years

  3. Time to Progression (TTP)

    Time from first dosing until documentation of progression or death due to lymphoma

    Measured: From first dose until Follow-up Visit 12, up to 4.5 years

  4. Progression-free Survival (PFS)

    Time from first dosing until progression or death due to any case

    Measured: From first dose until Follow-up Visit 12, up to 4.5 years

  5. Incidence and Severity of Adverse Events (AEs)

    Number of patients with treatment-emergent AEs rated Mild, Moderate, and Severe

    Measured: From first dose until 30 days after last dose of MOR00208, up to 8.5 years

  6. Number and Proportion of Patients Who Potentially Developed Anti-MOR00208 Antibodies and Semiquantitative Anti-MOR00208 Antibody Assessments

    Number of patients with at least one positive (+ve) post-Baseline sample containing positive anti-MOR00208 antibodies; Baseline (pre-dose) sample has to be tested negative (-ve)

    Measured: From first dose until Follow-up Visit 3, up to 7 months

  7. Pharmacokinetic (PK) Parameter: Maximum Serum Concentration Observed (Cmax) of MOR00208

    The highest concentration of MOR00208 measured in serum

    Measured: Estimated from first dose (samples taken on first day of dosing at pre-dose, end of infusion, after 1 hour, 4 hours, 24 hours, and pre-dose on Day 8)

  8. PK Parameter: Time to Maximum Serum Concentration Observed (Tmax) of MOR00208

    The time to highest concentration of MOR00208 measured in serum

    Measured: Estimated from first dose (samples taken on first day of dosing at pre-dose, end of infusion, after 1 hour, 4 hours, 24 hours, and pre-dose on Day 8)

  9. PK Parameter: Apparent Trough Serum Concentration Before Dosing (Clast) of MOR00208

    The last quantifiable concentration from the first dose of MOR00208

    Measured: Estimated from first dose (samples taken on first day of dosing at pre-dose, end of infusion, after 1 hour, 4 hours, 24 hours, and pre-dose on Day 8)

  10. PK Parameter: Area Under the Concentration Curve From Dose Time Zero to the Time the Last Quantifiable Concentration is Observed (AUC[0-t]) of MOR00208

    Area under the concentration curve. The time curve from time zero (0) to the time that the last concentration above the lower limit of quantification (LLQ) is observed.

    Measured: Estimated from first dose (samples taken on first day of dosing at pre-dose, end of infusion, after 1 hour, 4 hours, 24 hours, and pre-dose on Day 8)

  11. PK Parameter: Area Under the Concentration Curve From Dose Time Zero to Infinity (AUC[0-inf]) of MOR00208

    Area under the concentration curve. The time curve from time zero (0) to infinity (inf), where infinity is computed from AUC0-t + [Ct/λZ)]. Ct is calculated from the concentration at the last sampling time at which the sample is above LLQ.

    Measured: Estimated from final dose (samples collected on the last day of Cycle 3 [C3D28; each cycle is 28 days long], and Follow-up Visits 1 [C3D28 + 4 weeks], 2 [C3D28 + 10 weeks], and 3 [C3D28 + 16 weeks])

  12. PK Parameter: Apparent Terminal Rate Constant (λz) of MOR00208

    Apparent terminal rate constant calculated from the regression analysis (slope) from the log-transformed measured concentrations on the terminal phase of the time-point concentration curve

    Measured: Estimated from final dose (samples collected on the last day of Cycle 3 [C3D28; each cycle is 28 days long], and Follow-up Visits 1 [C3D28 + 4 weeks], 2 [C3D28 + 10 weeks], and 3 [C3D28 + 16 weeks])

  13. PK Parameter: Apparent Terminal Half-life (t[1/2]) of MOR00208

    Apparent terminal half-life calculated from ln(2)/λz

    Measured: Estimated from final dose (samples collected on the last day of Cycle 3 [C3D28; each cycle is 28 days long], and Follow-up Visits 1 [C3D28 + 4 weeks], 2 [C3D28 + 10 weeks], and 3 [C3D28 + 16 weeks])

  14. PK Parameter: Total Body Clearance (CL) of MOR00208

    Total body clearance calculated for single or multiple doses: dose(s)/AUC(0-inf)

    Measured: Estimated from final dose (samples collected on the last day of Cycle 3 [C3D28; each cycle is 28 days long], and Follow-up Visits 1 [C3D28 + 4 weeks], 2 [C3D28 + 10 weeks], and 3 [C3D28 + 16 weeks])

  15. PK Parameter: Apparent Volume of Distribution (Vz) of MOR00208

    Apparent volume of distribution during the terminal phase, calculated from dose/(AUC(0-inf)*λz)

    Measured: Estimated from final dose (samples collected on the last day of Cycle 3 [C3D28; each cycle is 28 days long], and Follow-up Visits 1 [C3D28 + 4 weeks], 2 [C3D28 + 10 weeks], and 3 [C3D28 + 16 weeks])

  16. Absolute Change From Baseline in Measurements of B-cell Populations

    Actual change from baseline will be summarized descriptively by visit for the pharmacodynamic parameter: B-cell populations

    Measured: Cycle 1 Day 1 (Baseline) to Cycle 1: Days 8, 15, and 22; Cycles 2 and 3: Days 1, 15, and 28 (each cycle is 28 days); End of Study (up to 7.5 years)

  17. Percent Change From Baseline in Measurements of B-cell Populations

    Relative change from baseline will be summarized descriptively by visit for the pharmacodynamic parameter: B-cell populations

    Measured: Cycle 1 Day 1 (Baseline) to Cycle 1: Days 8, 15, and 22; Cycles 2 and 3: Days 1, 15, and 28 (each cycle is 28 days); End of Study (up to 7.5 years)

  18. Absolute Change From Baseline in Measurements of T-cell Populations

    Actual change from baseline will be summarized descriptively by visit for the pharmacodynamic parameter: T-cell populations

    Measured: Cycle 1 Day 1 (Baseline) to Cycle 1: Days 8, 15, and 22; Cycles 2 and 3: Days 1, 15, and 28 (each cycle is 28 days); End of Study (up to 7.5 years)

  19. Percent Change From Baseline in Measurements of T-cell Populations

    Relative change from baseline will be summarized descriptively by visit for the pharmacodynamic parameter: T-cell populations

    Measured: Cycle 1 Day 1 (Baseline) to Cycle 1: Days 8, 15, and 22; Cycles 2 and 3: Days 1, 15, and 28 (each cycle is 28 days); End of Study (up to 7.5 years)

  20. Absolute Change From Baseline in Measurements of NK Cell Populations

    Actual change from baseline will be summarized descriptively by visit for the pharmacodynamic parameter: NK cell populations

    Measured: Cycle 1 Day 1 (Baseline) to Cycle 1: Days 8, 15, and 22; Cycles 2 and 3: Days 1, 15, and 28 (each cycle is 28 days); End of Study (up to 7.5 years)

  21. Percent Change From Baseline in Measurements of NK Cell Populations

    Relative change from baseline will be summarized descriptively by visit for the pharmacodynamic parameter: NK cell populations

    Measured: Cycle 1 Day 1 (Baseline) to Cycle 1: Days 8, 15, and 22; Cycles 2 and 3: Days 1, 15, and 28 (each cycle is 28 days); End of Study (up to 7.5 years)

  22. Evaluation of AEs Stratified by Baseline CD19 Expression on Malignant Lymphoma Cells

    Incidence of AEs as stratified by presence of CD19 on malignant lymphoma cells detected by tumor biopsy/aspirate during Screening

    Measured: From first dose until 30 days after last dose of MOR00208, up to 8.5 years

  23. Evaluation of ORR Stratified by Baseline CD19 Expression on Malignant Lymphoma Cells

    The analysis of the primary endpoint (ORR) will additionally be stratified by presence of CD19 on malignant lymphoma cells detected by tumor biopsy/aspirate during Screening

    Measured: From first dose until Follow-up Visit 12, up to 4.5 years

  24. Evaluation of AEs Stratified by FcγRIIa Polymorphism

    Incidence of AEs as stratified by FcγRIIa polymorphism subgroups (genotypes HH, HR, or RR)

    Measured: From first dose until 30 days after last dose of MOR00208, up to 8.5 years

  25. Evaluation of AEs Stratified by FcγRIIIa Polymorphism

    Incidence of AEs as stratified by FcγRIIIa polymorphism subgroups (genotypes FF, FV, or VV)

    Measured: From first dose until 30 days after last dose of MOR00208, up to 8.5 years

  26. Evaluation of ORR Stratified by FcγRIIa Polymorphism

    The analysis of the primary endpoint (ORR) will additionally be stratified by FcγRIIa polymorphism subgroups (genotypes HH, HR, or RR)

    Measured: From first dose until Follow-up Visit 12, up to 4.5 years

  27. Evaluation of ORR Stratified by FcγRIIIa Polymorphism

    The analysis of the primary endpoint (ORR) will additionally be stratified by FcγRIIIa polymorphism subgroups (genotypes FF, FV, or VV)

    Measured: From first dose until Follow-up Visit 12, up to 4.5 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 Sep 2012 (estimated)
  2. Study start23 Apr 2013
  3. Primary completion6 Apr 2022
  4. Study completion6 Apr 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
92 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01685008
Sponsor's protocol ID
MOR208C201
Other IDs
2012-002659-41
Status last verified
Oct 2023
First submitted
3 Sep 2012
Last updated
7 Nov 2023
Data monitoring committee
No

Publications

  • Jurczak W, Zinzani PL, Gaidano G, Goy A, Provencio M, Nagy Z, Robak T, Maddocks K, Buske C, Ambarkhane S, Winderlich M, Dirnberger-Hertweck M, Korolkiewicz R, Blum KA. Phase IIa study of the CD19 antibody MOR208 in patients with relapsed or refractory B-cell non-Hodgkin's lymphoma. Ann Oncol. 2018 May 1;29(5):1266-1272. doi: 10.1093/annonc/mdy056.

    PubMed 29444231

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing MOR00208 (formerly Xmab 5574) in people with Non-Hodgkin Lymphoma, run by MorphoSys AG at 22 sites in 7 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 27 inclusion and 18 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 7 Nov 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 22 sites in Italy, United States, Poland, Germany, Belgium and 2 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 7 Nov 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Overall Response Rate (ORR) (time frame: From first dose until Follow-up Visit 12, up to 4.5 years). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01685008, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 Nov 2023.

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