Relapsed Hodgkin LymphomaPhase 2NCT04052997
Study to Evaluate the Efficacy and Safety of Camidanlumab Tesirine (ADCT-301) in Patients With Relapsed or Refractory Hodgkin Lymphoma
A Phase 2 study testing Camidanlumab Tesirine in people with Relapsed Hodgkin Lymphoma and Refractory Hodgkin Lymphoma, run by ADC Therapeutics S.A. at 73 sites in 11 countries.
Trial summary
The purpose of this study is to evaluate the clinical efficacy and safety of Camidanlumab Tesirine (ADCT-301) in participants with relapsed or refractory Hodgkin Lymphoma (HL). Read more about this study
- Who is it for?
- Ages 16 years and older
- Conditions the study is for
- Relapsed Hodgkin Lymphoma, Refractory Hodgkin Lymphoma
- What is being tested?
- Camidanlumab Tesirine
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 117 participants
- Where
- 73 sitesin 11 countries
- Study dates
- 13 Sep 2019to 19 Jan 2023
- 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 16 years and older
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Written informed consent must be obtained prior to any procedures.
- Male or female participant aged 18 years or older. (16 years or older at US based sites)
- Pathologic diagnosis of classical Hodgkin lymphoma (cHL).
- Patients with relapsed or refractory cHL, who have received at least 3 prior lines of systemic therapy (or at least 2 prior lines in HSCT ineligible patients) including brentuximab vedotin and a checkpoint inhibitor approved for cHL (e.g., nivolumab or pembrolizumab). Note 1: Receipt of HSCT to be included in the number of prior therapies needed to meet eligibility.
- Measurable disease as defined by the 2014 Lugano Classification.
- Availability of formalin-fixed paraffin-embedded (FFPE) tumor tissue block (or minimum 10 freshly cut unstained slides if block is not available).
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- Note 1: Any biopsy since initial diagnosis is acceptable, but if several samples are available, the most recent sample is preferred.
- Note 2: If a sufficient amount of tissue is not available, a fresh biopsy may be taken, provided the procedure is not deemed high-risk and is clinically feasible, and provided it is approved locally.
- Eastern Cooperative Oncology Group (ECOG) performance status 0-2.
- Adequate organ function as defined by Screening laboratory values within the following parameters:
- Absolute neutrophil count (ANC) ≥ 1.0 × 103/μL (off growth factors at least 72 h).
- Platelet count ≥ 75 × 103/μL without transfusion in the past 2 weeks.
- ALT, AST, or GGT ≤ 2.5 × the upper limit of normal (ULN) if there is no liver involvement; ALT or AST ≤ 5 × ULN if there is liver involvement.
- Total bilirubin ≤ 1.5 × ULN (participants with known Gilbert's syndrome may have a total bilirubin up to ≤ 3 × ULN with direct bilirubin ≤ 1.5 × ULN).
- Blood creatinine ≤ 3.0 × ULN or calculated creatinine clearance ≥ 30 mL/min by the Cockcroft-Gault equation.
- Note: A laboratory assessment may be repeated a maximum of two times during the Screening Period to confirm eligibility.
- Negative beta-human chorionic gonadotropin (β-HCG) pregnancy test within 7 days prior to start of study drug for women of childbearing potential.
- Women of childbearing potential (WOCBP) must agree to use a highly effective method of contraception from the time of giving informed consent until at least 9.5 months after the last dose of Camidanlumab Tesirine. Men with female partners who are of childbearing potential must agree to use a highly effective method of contraception from the time of giving informed consent until at least 6.5 months after the participants receives his last dose of Camidanlumab Tesirine.
Who cannot join
- Previous treatment with Camidanlumab Tesirine.
- Participation in another investigational interventional study. Being in follow-up of another investigational study is allowed.
- Known history of hypersensitivity to or positive serum human anti-drug antibody (ADA) to a CD25 antibody.
- Allogenic or autologous transplant within 60 days prior to start of study drug.
- Active graft-versus-host disease (GVHD), except for non-neurologic symptoms as a manifestation of mild (≤ Grade 1) chronic GVHD.
- Post-transplantation lymphoproliferative disorders.
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- Active second primary malignancy other than non-melanoma skin cancers, non-metastatic prostate cancer, in situ cervical cancer, ductal or lobular carcinoma in situ of the breast, or other malignancy that the Sponsor's medical monitor and Investigator agree and document should not be exclusionary.
- History of symptomatic autoimmune disease (e.g., rheumatoid arthritis, systemic progressive sclerosis [scleroderma], systemic lupus erythematosus, Sjögren's syndrome, autoimmune vasculitis [e.g., Wegener's granulomatosis]) (subjects with vitiligo, type 1 diabetes mellitus, residual hypothyroidism, hypophysitis due to autoimmune condition only requiring hormone replacement may be enrolled).
- History of neuropathy considered of autoimmune origin (e.g., polyradiculopathy including Guillain-Barré syndrome and myasthenia gravis) or other central nervous system autoimmune disease (e.g., poliomyelitis, multiple sclerosis).
- History of recent infection (within 4 weeks of Cycle 1, Day 1 [C1D1]) considered to be caused by one of the following pathogens: HSV1, HSV2, VZV, EBV, CMV, measles, Influenza A, Zika virus, Chikungunya virus, mycoplasma pneumonia, Campylobacter jejuni, or enterovirus D68, or severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).
- Note: An influenza test and a pathogendirected SARS CoV-2 test (such as polymerase chain reaction) are mandatory and must be negative before initiating study treatment (tests to be performed 3 days or less prior to dosing on C1D1; an additional 2 days are allowed in the event of logistical issues for receiving the results on time).
- Participants known to be or having been infected with human immunodeficiency (HIV) virus, hepatitis B virus (HBV), or hepatitis C virus (HCV), and require anti-viral therapy or prophylaxis. Note: Serology testing is mandatory for patients with unknown status.
- History of Stevens-Johnson syndrome or toxic epidermal necrolysis.
- Failure to recover ≤ Grade 1 (Common Terminology Criteria for Adverse Events version 4.0 [CTCAE v4.0]) from acute non-hematologic toxicity (except ≤ Grade 2 neuropathy or alopecia), due to previous therapy, prior to screening.
- Hodgkin lymphoma (HL) with central nervous system involvement, including leptomeningeal disease.
- Clinically significant third space fluid accumulation (i.e., ascites requiring drainage or pleural effusion that is either requiring drainage or associated with shortness of breath).
- Breastfeeding or pregnant.
- Significant medical comorbidities, including uncontrolled hypertension (blood pressure [BP] ≥ 160/100 mmHg repeatedly), unstable angina, congestive heart failure (greater than New York Heart Association class II), electrocardiographic evidence of acute ischemia, coronary angioplasty or myocardial infarction within 3 months prior to screening, severe uncontrolled atrial or ventricular cardiac arrhythmia, poorly controlled diabetes, or severe chronic pulmonary disease.
- Major surgery, radiotherapy, chemotherapy, or other anti-neoplastic therapy, within 14 days prior to start of study drug, except shorter if approved by the Sponsor.
- Use of any other experimental medication within 30 days prior to start of study drug.
- Any live vaccine within 4 weeks prior to start of study drug and planned live vaccine administration after starting study drug.
- Congenital long QT (measure between Q wave and T wave in the electrocardiogram) syndrome, or a corrected QTc interval of ≥ 480 ms, at screening (unless secondary to pacemaker or bundle branch block).
- Any other significant medical illness, abnormality, or condition that would, in the Investigator's judgment, make the participants inappropriate for study participation or put the participant at risk.
Trial locations and contacts
73 sites in 11 countries.
73 sites in 11 countries
United States24 sites
Northside Hospital - Atlanta
Atlanta, Georgia, 30342
Hollings Cancer Center
Charleston, South Carolina, 29425
The University of Chicago Medicine
Chicago, Illinois, 60637
University Hospitals Seidman Cancer Center
Cleveland, Ohio, 44106
Cleveland Clinic - Taussig Cancer Center
Cleveland, Ohio, 44195
The Ohio State University Comprehensive Cancer Center
Columbus, Ohio, 43210
University of Texas Southwestern Medical Center
Dallas, Texas, 75390
City of Hope Comprehensive Cancer Center
Duarte, California, 91010
Virginia Cancer Specialists
Fairfax, Virginia, 22031
Hackensack University Medical Center
Hackensack, New Jersey, 07601
The University of Texas MD Anderson Cancer Center
Houston, Texas, 40207
Baptist MD Anderson Cancer Center
Jacksonville, Florida, 32207
Mayo Clinic - Jacksonville
Jacksonville, Florida, 32224
Norton Cancer Institute - Saint Matthews
Louisville, Kentucky, 40207
Froedtert Hospital
Milwaukee, Wisconsin, 53226
University of Minnesota
Minneapolis, Minnesota, 55455
Memorial Sloan-Kettering Cancer Center - New York
New York, New York, 10065
Mayo Clinic
Rochester, Minnesota, 55905
The University of Texas Health Science Center at San Antonio
San Antonio, Texas, 78229
UCSF Health - Hematology and Blood and Marrow Transplant Clinic
San Francisco, California, 94143
Mayo Clinic - Arizona
Scottsdale, Arizona, 85259
Washington University School of Medicine in Saint Louis
St Louis, Missouri, 63110
Stanford University Medical Center
Stanford, California, 94305
Stony Brook University Cancer Center
Stony Brook, New York, 11794-9452
Spain14 sites
Hospital de la Santa Creu i Sant Pau
Barcelona, 08025
Hospital Universitari Vall d'Hebrón
Barcelona, 08035
Hospital Clínic de Barcelona
Barcelona, 08036
Institut Català d'Oncologia - Hospital Duran i Reynals (ICO L'Hospitalet)
Barcelona, 08908
Hospital General Universitario Gregorio Marañón
Madrid, 28007
Hospital Universitario Fundación Jiménez Díaz
Madrid, 28040
Hospital Universitario 12 de Octubre
Madrid, 28041
Hospital Universitario La Paz
Madrid, 28046
Hospital Universitario HM Sanchinarro
Madrid, 28050
Hospital Universitario Ramón y Cajal
Madrid
Hospital Universitario Quirónsalud Madrid
Pozuelo de Alarcón, 28223
Complejo Asistencial Universitario de Salamanca - Hospital Clínico
Salamanca, 37007
Hospital Clínico Universitario de Valencia
Valencia, 46010
Hospital Universitari i Politècnic La Fe
Valencia, 46026
France8 sites
Hôpitaux Universitaires Henri Mondor
Créteil, 94000
Hôpital François Mitterrand
Dijon, 21000
Clinique Victor Hugo Le Mans
Le Mans, 72000
Hôpital Saint-Eloi
Montpellier, 34295
Hôpital Haut-Lévêque
Pessac, 33604
Centre Hospitalier Lyon-Sud
Pierre-Bénite, 69495
Hôpital Pontchaillou
Rennes, 35033
Centre de Lutte Contre le Cancer - Centre Henri-Becquerel
Rouen, 76038
United Kingdom6 sites
NHS Greater Glasgow and Clyde
Glasgow, G12 0YN
University College London Hospitals NHS Foundation Trust
London, NW1 2PG
The Royal Marsden NHS Foundation Trust
London, SW3 6JJ
The Christie NHS Foundation Trust
Manchester, M20 4BX
Oxford University Hospitals NHS Foundation Trust
Oxford, OX3 7LE
University Hospitals Plymouth NHS Trust
Plymouth, PL6 8DH
Belgium5 sites
Algemeen Ziekenhuis Sint-Jan Brugge-Oostende - Campus Sint-Jan
Bruges, 8000
Cliniques Universitaires Saint-Luc
Brussels, 1200
Grand Hôpital de Charleroi - Notre Dame
Charleroi, 6000
Hôpital de Jolimont
La Louvière
Centre Hospitalier Universitaire Universite Catholique de Louvain - Site Godinne
Yvoir, B-5530
Italy5 sites
Azienda Ospedaliera Nazionale SS. Antonio e Biagio e C. Arrigo - Alessandria
Alessandria, 15121
Azienda Ospedaliero-Universitaria di Bologna Policlinico Sant Orsola-Malpighi
Bologna, 40138
Istituto Clinico Humanitas
Milan, 20089
Istituto Nazionale Tumori IRCCS Fondazione G. Pascale
Naples, 80100
Istituto Oncologico Veneto - IRCCS
Padova, 35128
Canada3 sites
The Ottawa Hospital - General Campus
Ottawa, K1H 8L6
Princess Margaret Cancer Centre
Toronto, V5Z 4E6
British Columbia Cancer Agency
Vancouver, British Columbia, BC V5Z 4E6
Czechia3 sites
Fakultní Nemocnice Brno
Brno, 625 00
Fakultní Nemocnice Královské Vinohrady
Prague, 100 34
Vseobecna fakultni nemocnice v Praze
Prague, 128 08
Hungary2 sites
Debreceni Egyetem Klinikai Központ
Debrecen, 4032
Pécsi Tudományegyetem
Pécs, 7624
Poland2 sites
Szpital Wojewódzki w Opolu
Opole, 45-061
Dolnośląskie Centrum Transplantacji Komórkowych z Krajowym Bankiem Dawców Szpiku
Wroclaw
About this study
Official title: A Phase 2, Open-Label, Single-Arm Study to Evaluate the Efficacy and Safety of Camidanlumab Tesirine (ADCT-301) in Patients With Relapsed or Refractory Hodgkin Lymphoma
The purpose of this study is to evaluate the clinical efficacy and safety of Camidanlumab Tesirine (ADCT-301) in participants with relapsed or refractory Hodgkin Lymphoma (HL).
Read the detailed description
This is a phase 2, multi-center, open-label, single-arm study of efficacy and safety of Camidanlumab Tesirine (ADCT-301) in participants with relapsed or refractory Hodgkin lymphoma. This study will enroll approximately 100 participants.
Camidanlumab Tesirine (ADCT-301) is an antibody drug conjugate (ADC), composed of the human monoclonal antibody, HuMax®-TAC, which is directed against human CD25. The antibody is conjugated through a protease cleavable linker to SG3199, a pyrrolobenzodiazepine (PBD) dimer cytotoxin.
For each participant the study will include a screening period (of up to 28 days), a treatment period (cycles of 3 weeks), and a follow-up period (approximately every 12-week visits) for up to 3 years after treatment discontinuation.
Participants may continue treatment for up to 1 year or until disease progression, unacceptable toxicity, or other discontinuation criteria, whichever occurs first.
Additionally, patients benefiting clinically at 1 year may continue treatment after a case by case review with the Sponsor.
- Being tested
- Camidanlumab Tesirine
- Keywords
- Camidanlumab Tesirine; Relapsed or Refractory Hodgkins Lymphoma; Classical Hodgkins Lymphoma; Lymphoma
- Medical subject headings
- Hodgkin Disease, Recurrence, Lymphoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Camidanlumab TesirineDrug
Also called ADCT-301
Intravenous Infusion
| Study group | Role | What they receive |
|---|---|---|
| Camidanlumab Tesirine | Experimental | Camidanlumab Tesirine is administered as a 30- minute intravenous (IV) infusion on Day 1 of each cycle (every 3 weeks). Camidanlumab Tesirine will be administered at a dose of 45 μg/kg every 3 weeks for 2 cycles, then 30 μg/kg for subsequent cycles. Receives: Drug: Camidanlumab Tesirine |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Response Rate (ORR)
ORR according to the 2014 Lugano classification as determined by central review in all-treated participants.ORR will be defined as the proportion of participants with a best overall response (BOR) of complete response (CR) or partial response (PR). Data from the All-treated Population.
Measured: Up to 3 years
Secondary outcomes (39)
Duration of Response (DOR)
DOR defined as the time from the first documentation of tumor response to disease progression or death.
Measured: Up to 3 years
CR Rate
CR rate defined as the number of treated participants with a best overall response (BOR) of CR.
Measured: Up to 3 years
Relapse-Free Survival (RFS)
RFS defined as the time from the documentation of CR to disease progression or death.
Measured: Up to 3 years
Progression-Free Survival (PFS)
PFS defined as the time from first dose of study drug until the first date of either disease progression or death due to any cause.
Measured: Up to 3 years
Overall Survival (OS)
OS defined as the time from first dose of study drug until death due to any cause.
Measured: Up to 3 years
Number of Participants Who Received Hematopoietic Stem Cell Transplant (HSCT)
Participants receiving HSCT following camidanlumab tesirine, and without any other anticancer therapy in between, other than the therapies preparing for HSCT, were included in this analysis.
Measured: Up to 3 years
Number of Participants Who Experienced At Least One Treatment-Emergent Adverse Event (TEAE)
An adverse event (AE) is defined as any untoward medical occurrence in a participant or clinical investigation where participants are administered a pharmaceutical product, which does not necessarily have to have a causal relationship with this treatment. A TEAE is defined as an AE that occurs or worsens in the period extending from the first dose of study drug to 30 days after the last dose of study drug in this study or start of a new anticancer therapy/procedure, whichever comes earlier. Clinically significant changes in vital signs, clinical laboratory results, and electrocardiogram were reported as AEs.
Measured: Up to 3 years
Number of Participants Who Experienced At Least One Serious Adverse Event (SAE)
An SAE is defined as any adverse event (AE) that:
- results in death.
- is life threatening.
- requires inpatient hospitalization or prolongation of existing hospitalization (hospitalization for elective procedures or for protocol compliance is not considered an SAE).
- results in persistent or significant disability/incapacity.
- is a congenital anomaly/birth defect.
- important medical events that do not meet the preceding criteria but based on appropriate medical judgement may jeopardize the participant or may require medical or surgical intervention to prevent any of the outcomes listed above. Clinically significant changes in vital signs, clinical laboratory results, and electrocardiogram were reported as AEs.
Measured: Up to 3 years
Number of Participants With ECOG Performance Status Score of 0-3 at the End of Trial (EOT)
The ECOG Performance Status is a scale used to asses a person's level of functioning in terms of their ability to care for themselves, daily activity, and physical ability. The scale consists of 6 grades, ranging from 0 to 5. A grade of 0 indicates the person is fully active and able to carry on as normal, and a grade of 5 indicates death.
Measured: EOT (up to 3 years)
Maximum Observed Plasma Concentration (Cmax) of Camidanlumab Tesirine Total Antibody
Measured: Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h). Cycle 2: day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Cmax of Camidanlumab Tesirine Unconjugated Warhead SG3199
Measured: Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h). Cycle 2: day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Cmax of Camidanlumab Tesirine PBD-Conjugated Antibody
Measured: Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h). Cycle 2: day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Area Under the Plasma Concentration-Time Curve From Time 0 to the End of the Dosing Interval (AUCtau) For Camidanlumab Tesirine Total Antibody
Measured: Cycle 2 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
AUCtau For Camidanlumab Tesirine PBD-Conjugated Antibody
Measured: Cycle 2 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
AUCtau For Camidanlumab Tesirine Unconjugated Warhead SG3199
No data collected for this endpoint.
Measured: Cycle 2 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) For Camidanlumab Tesirine Total Antibody
Measured: Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h). Cycle 2: day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
AUClast For Camidanlumab Tesirine PBD-Conjugated Antibody
Measured: Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h). Cycle 2: day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
AUClast For Camidanlumab Tesirine Unconjugated Warhead SG3199
Measured: Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h). Cycle 2: day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Area Under the Plasma Concentration-Time Curve From Time 0 to Infinity (AUCinf) For Camidanlumab Tesirine Total Antibody
Measured: Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
AUCinf For Camidanlumab Tesirine PBD-Conjugated Antibody
Measured: Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
AUCinf For Camidanlumab Tesirine Unconjugated Warhead SG3199
Measured: Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Clearance (CL) For Camidanlumab Tesirine Total Antibody
Measured: Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
CL For Camidanlumab Tesirine PBD-Conjugated Antibody
Measured: Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
CL For Camidanlumab Tesirine Unconjugated Warhead SG3199
Measured: Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Clearance at Steady State (CLss) For Camidanlumab Tesirine Total Antibody
Measured: Cycle 2 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
CLss For Camidanlumab Tesirine PBD-Conjugated Antibody
Measured: Cycle 2 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
CLss For Camidanlumab Tesirine Unconjugated Warhead SG3199
Measured: Cycle 2 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Apparent Terminal Elimination Half-Life (T1/2) For Camidanlumab Tesirine Total Antibody
Measured: Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h). Cycle 2: day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
T1/2 For Camidanlumab Tesirine PBD-Conjugated Antibody
Measured: Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h). Cycle 2: day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
T1/2 For Camidanlumab Tesirine Unconjugated Warhead SG3199
Measured: Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h). Cycle 2: day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Volume of Distribution at Steady State (Vss) For Camidanlumab Tesirine Total Antibody
Measured: Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h). Cycle 2: day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Vss For Camidanlumab Tesirine PBD-Conjugated Antibody
Measured: Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h). Cycle 2: day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Vss For Camidanlumab Tesirine Unconjugated Warhead SG3199
Measured: Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h). Cycle 2: day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Accumulation Index (AI) For Camidanlumab Tesirine Total Antibody
AI is the ratio of area under the serum concentration-time curve (AUC) from 0 to 21 days for Cycle 2 divided by AUC from 0 to 21 days for Cycle 1.
Measured: Cycle 1 and 2: day 0 to 21
AI For Camidanlumab Tesirine PBD-Conjugated Antibody
AI is the ratio of AUC from 0 to 21 days for Cycle 2 divided by AUC from 0 to 21 days for Cycle 1.
Measured: Cycle 1 and 2: day 0 to 21
AI For Camidanlumab Tesirine Unconjugated Warhead SG3199
AI is the ratio of AUC from 0 to 21 days for Cycle 2 divided by AUC from 0 to 21 days for Cycle 1.
Measured: Cycle 1 and 2: day 0 to 21
Number of Participants With Confirmed Positive Anti-Drug Antibody (ADA) Responses Post Dose
Detection of ADAs was performed by using a screening assay for identification of antibody positive samples/participants, a confirmation assay, and titer assessment.
Measured: Up to 3 years
Change From Baseline in Health-Related Quality of Life (HRQoL) as Measured by EuroQoL-5 Dimensions-5 Levels (EQ-5D-5L) Visual Analog Scale (VAS)
Participants were asked to indicate their health state on a VAS with scores ranging from 'the worst health you can imagine' (score 0) to 'the best health you can imagine' (score 100). Participants are asked to mark an "X" on the VAS to indicate their own health and then to report the score in a text box. Positive changes from Baseline represent an an improvement in heath.
Measured: Baseline, Day 1 of Cycles 2 to 15 (one cycle = 21 days) and EOT (up to 3 years)
Change From Baseline in HRQoL as Measured by Functional Assessment of Cancer Therapy - Lymphoma (FACT-Lym)
The FACT-Lym consists of a 27-item general core questionnaire (i.e., Functional Assessment of Cancer Therapy - General [FACT-G]) and a 15-item disease-specific questionnaire (Lymphoma Subscale). The FACT-G includes 4 domains: physical well-being, social/family well-being, emotional well-being, and functional well-being. The total FACT-Lym score (0-168) was obtained by summing individual subscale scores. Higher scores for the scales indicate better quality of life. Change was calculated as the value at the last observation minus the value at baseline.
Measured: Baseline, Day 1 of Cycles 2 to 15 (one cycle = 21 days) and EOT (up to 3 years)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Aug 2019
- Study start13 Sep 2019
- Primary completion19 Jan 2023
- Study completion19 Jan 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Relapsed Hodgkin LymphomaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- 117 participants (actual)
Sponsor and investigators
- Lead sponsor
- ADC Therapeutics S.A.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04052997
- Sponsor's protocol ID
- ADCT-301-201
- Other IDs
- 2018-002556-32, 2018
- Status last verified
- Mar 2024
- First submitted
- 7 Aug 2019
- Last updated
- 28 Mar 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Herrera AF, Ansell SM, Zinzani PL, Radford J, Maddocks K, Pinto A, Collins GP, Bachanova V, Bartlett NL, Bence-Bruckler I, Hamadani M, Kline J, Mayer J, Savage KJ, Advani RH, Caimi PF, Casasnovas RO, Feldman T, Hess B, Bastos-Oreiro M, Iyengar S, Szomor A, Townsend W, Andre M, Dyczkowski J, Havenith K, Toukam M, Pantano S, Cruz HG, Wang L, Negievich Y, Lucero M, Wuerthner J, Carlo-Stella C. Camidanlumab tesirine for relapsed or refractory classic Hodgkin lymphoma: a phase 2 study. Blood Adv. 2025 Dec 9;9(23):6205-6217. doi: 10.1182/bloodadvances.2024015600.
PubMed 40811783
Study at a glance
From the registry record, last updated by the sponsor on 28 Mar 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2, Open-Label, Single-Arm Study to Evaluate the Efficacy and Safety of Camidanlumab Tesirine (ADCT-301) in Patients With Relapsed or Refractory Hodgkin Lymphoma
- ClinicalTrials.gov ID
- NCT04052997
- Acronym / sponsor ID
- ADCT-301-201
- Keywords
- Camidanlumab Tesirine; Relapsed or Refractory Hodgkins Lymphoma; Classical Hodgkins Lymphoma; Lymphoma
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 117 participants (actual)
- Lead sponsor
- ADC Therapeutics S.A.Industry (pharma, biotech, devices)
- Study start
- 13 Sep 2019 (actual)
- Primary completion
- 19 Jan 2023 (actual)
- Study completion
- 19 Jan 2023 (actual)
- First posted
- 12 Aug 2019 (actual)
- Results
- Posted 28 Mar 2024
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the clinical efficacy and safety of Camidanlumab Tesirine (ADCT-301) in participants with relapsed or refractory Hodgkin Lymphoma (HL).
Detailed description
This is a phase 2, multi-center, open-label, single-arm study of efficacy and safety of Camidanlumab Tesirine (ADCT-301) in participants with relapsed or refractory Hodgkin lymphoma. This study will enroll approximately 100 participants.
Camidanlumab Tesirine (ADCT-301) is an antibody drug conjugate (ADC), composed of the human monoclonal antibody, HuMax®-TAC, which is directed against human CD25. The antibody is conjugated through a protease cleavable linker to SG3199, a pyrrolobenzodiazepine (PBD) dimer cytotoxin.
For each participant the study will include a screening period (of up to 28 days), a treatment period (cycles of 3 weeks), and a follow-up period (approximately every 12-week visits) for up to 3 years after treatment discontinuation.
Participants may continue treatment for up to 1 year or until disease progression, unacceptable toxicity, or other discontinuation criteria, whichever occurs first.
Additionally, patients benefiting clinically at 1 year may continue treatment after a case by case review with the Sponsor.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Camidanlumab Tesirine | Experimental | Drug: Camidanlumab TesirineCamidanlumab Tesirine is administered as a 30- minute intravenous (IV) infusion on Day 1 of each cycle (every 3 weeks). Camidanlumab Tesirine will be administered at a dose of 45 μg/kg every 3 weeks for 2 cycles, then 30 μg/kg for subsequent cycles. |
Who may qualify
- Ages
- 16 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (18 listed)
- Written informed consent must be obtained prior to any procedures.
- Male or female participant aged 18 years or older. (16 years or older at US based sites)
- Pathologic diagnosis of classical Hodgkin lymphoma (cHL).
- Patients with relapsed or refractory cHL, who have received at least 3 prior lines of systemic therapy (or at least 2 prior lines in HSCT ineligible patients) including brentuximab vedotin and a checkpoint inhibitor approved for cHL (e.g., nivolumab or pembrolizumab). Note 1: Receipt of HSCT to be included in the number of prior therapies needed to meet eligibility.
- Measurable disease as defined by the 2014 Lugano Classification.
Key exclusion criteria (23 listed)
- Previous treatment with Camidanlumab Tesirine.
- Participation in another investigational interventional study. Being in follow-up of another investigational study is allowed.
- Known history of hypersensitivity to or positive serum human anti-drug antibody (ADA) to a CD25 antibody.
- Allogenic or autologous transplant within 60 days prior to start of study drug.
- Active graft-versus-host disease (GVHD), except for non-neurologic symptoms as a manifestation of mild (≤ Grade 1) chronic GVHD.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Camidanlumab TesirineAlso: ADCT-301Intravenous Infusion | Drug | Camidanlumab Tesirine |
Primary outcome
Overall Response Rate (ORR)
Time frame: Up to 3 years
ORR according to the 2014 Lugano classification as determined by central review in all-treated participants.ORR will be defined as the proportion of participants with a best overall response (BOR) of complete response (CR) or partial response (PR). Data from the All-treated Population.
39 secondary outcomes
Duration of Response (DOR)
Time frame: Up to 3 years
CR Rate
Time frame: Up to 3 years
Relapse-Free Survival (RFS)
Time frame: Up to 3 years
Progression-Free Survival (PFS)
Time frame: Up to 3 years
Overall Survival (OS)
Time frame: Up to 3 years
Number of Participants Who Received Hematopoietic Stem Cell Transplant (HSCT)
Time frame: Up to 3 years
Number of Participants Who Experienced At Least One Treatment-Emergent Adverse Event (TEAE)
Time frame: Up to 3 years
Number of Participants Who Experienced At Least One Serious Adverse Event (SAE)
Time frame: Up to 3 years
Number of Participants With ECOG Performance Status Score of 0-3 at the End of Trial (EOT)
Time frame: EOT (up to 3 years)
Maximum Observed Plasma Concentration (Cmax) of Camidanlumab Tesirine Total Antibody
Time frame: Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h). Cycle 2: day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Cmax of Camidanlumab Tesirine Unconjugated Warhead SG3199
Time frame: Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h). Cycle 2: day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Cmax of Camidanlumab Tesirine PBD-Conjugated Antibody
Time frame: Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h). Cycle 2: day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Area Under the Plasma Concentration-Time Curve From Time 0 to the End of the Dosing Interval (AUCtau) For Camidanlumab Tesirine Total Antibody
Time frame: Cycle 2 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
AUCtau For Camidanlumab Tesirine PBD-Conjugated Antibody
Time frame: Cycle 2 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
AUCtau For Camidanlumab Tesirine Unconjugated Warhead SG3199
Time frame: Cycle 2 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) For Camidanlumab Tesirine Total Antibody
Time frame: Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h). Cycle 2: day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
AUClast For Camidanlumab Tesirine PBD-Conjugated Antibody
Time frame: Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h). Cycle 2: day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
AUClast For Camidanlumab Tesirine Unconjugated Warhead SG3199
Time frame: Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h). Cycle 2: day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Area Under the Plasma Concentration-Time Curve From Time 0 to Infinity (AUCinf) For Camidanlumab Tesirine Total Antibody
Time frame: Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
AUCinf For Camidanlumab Tesirine PBD-Conjugated Antibody
Time frame: Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
AUCinf For Camidanlumab Tesirine Unconjugated Warhead SG3199
Time frame: Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Clearance (CL) For Camidanlumab Tesirine Total Antibody
Time frame: Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
CL For Camidanlumab Tesirine PBD-Conjugated Antibody
Time frame: Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
CL For Camidanlumab Tesirine Unconjugated Warhead SG3199
Time frame: Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Clearance at Steady State (CLss) For Camidanlumab Tesirine Total Antibody
Time frame: Cycle 2 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
CLss For Camidanlumab Tesirine PBD-Conjugated Antibody
Time frame: Cycle 2 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
CLss For Camidanlumab Tesirine Unconjugated Warhead SG3199
Time frame: Cycle 2 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Apparent Terminal Elimination Half-Life (T1/2) For Camidanlumab Tesirine Total Antibody
Time frame: Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h). Cycle 2: day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
T1/2 For Camidanlumab Tesirine PBD-Conjugated Antibody
Time frame: Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h). Cycle 2: day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
T1/2 For Camidanlumab Tesirine Unconjugated Warhead SG3199
Time frame: Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h). Cycle 2: day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Volume of Distribution at Steady State (Vss) For Camidanlumab Tesirine Total Antibody
Time frame: Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h). Cycle 2: day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Vss For Camidanlumab Tesirine PBD-Conjugated Antibody
Time frame: Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h). Cycle 2: day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Vss For Camidanlumab Tesirine Unconjugated Warhead SG3199
Time frame: Cycle 1 (one cycle = 21 days): day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h). Cycle 2: day 1 (predose, EOI, 4h postdose), day 8 (168h), day 15 (336h)
Accumulation Index (AI) For Camidanlumab Tesirine Total Antibody
Time frame: Cycle 1 and 2: day 0 to 21
AI For Camidanlumab Tesirine PBD-Conjugated Antibody
Time frame: Cycle 1 and 2: day 0 to 21
AI For Camidanlumab Tesirine Unconjugated Warhead SG3199
Time frame: Cycle 1 and 2: day 0 to 21
Number of Participants With Confirmed Positive Anti-Drug Antibody (ADA) Responses Post Dose
Time frame: Up to 3 years
Change From Baseline in Health-Related Quality of Life (HRQoL) as Measured by EuroQoL-5 Dimensions-5 Levels (EQ-5D-5L) Visual Analog Scale (VAS)
Time frame: Baseline, Day 1 of Cycles 2 to 15 (one cycle = 21 days) and EOT (up to 3 years)
Change From Baseline in HRQoL as Measured by Functional Assessment of Cancer Therapy - Lymphoma (FACT-Lym)
Time frame: Baseline, Day 1 of Cycles 2 to 15 (one cycle = 21 days) and EOT (up to 3 years)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Mar 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 40811783Herrera AF, Ansell SM, Zinzani PL, Radford J, Maddocks K, Pinto A, Collins GP, Bachanova V, Bartlett NL, Bence-Bruckler I, Hamadani M, Kline J, Mayer J, Savage KJ, Advani RH, Caimi PF, Casasnovas RO, Feldman T, Hess B, Bastos-Oreiro M, Iyengar S, Szomor A, Townsend W, Andre M, Dyczkowski J, Havenith K, Toukam M, Pantano S, Cruz HG, Wang L, Negievich Y, Lucero M, Wuerthner J, Carlo-Stella C. Camidanlumab tesirine for relapsed or refractory classic Hodgkin lymphoma: a phase 2 study. Blood Adv. 2025 Dec 9;9(23):6205-6217. doi: 10.1182/bloodadvances.2024015600.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
73 sites in 11 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Camidanlumab Tesirine in people with Relapsed Hodgkin Lymphoma and Refractory Hodgkin Lymphoma, run by ADC Therapeutics S.A. at 73 sites in 11 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 18 inclusion and 23 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 28 Mar 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 73 sites in United States, Spain, France, United Kingdom, Belgium and 6 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 28 Mar 2024). 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: Up to 3 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 NCT04052997, 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 28 Mar 2024.