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LGLL - Large Granular Lymphocytic LeukemiaPhase 1/2NCT05475925

A Study of DR-01 in Subjects With Large Granular Lymphocytic Leukemia or Cytotoxic Lymphomas

A Phase 1/2 study testing DR-01 in people with LGLL - Large Granular Lymphocytic Leukemia and Primary Cutaneous Gamma-Delta T-Cell Lymphoma, run by Dren Bio at 37 sites in 9 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

This is a multicenter, first-in-human, Phase 1/2 study to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and anti-tumor activity of DR-01 in adult patients with large granular lymphocytic leukemia or cytotoxic lymphomas Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
DR-01
Could I receive a placebo?
No, everyone receives an active treatment
How many people
200 participants
Where
37 sitesin 9 countries
Study dates
13 Jul 2022to Dec 2026
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

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

  • ≥18 years of age.
  • Able to understand and comply with protocol-required study procedures and voluntarily sign a written informed consent document.
  • Sufficient key organ performance and coagulation.
  • Female subjects of childbearing potential (postmenarcheal, has an intact uterus and at least one ovary, and is <1 year postmenopausal) must agree to use a highly effective method of contraception from enrollment through at least 12 months after last dose of DR-01.
  • Male subjects must agree to use acceptable effective method(s) of contraception.
  • Subjects with LGLL must also meet inclusion criteria 6 and 7.
Show all 18Show fewer
  • Must have discontinued at least one prior line of systemic therapy.
  • Additional immunophenotypic and symptomatic criteria must be met.
  • Disease-specific Inclusion Criteria (Cytotoxic Lymphomas):
  • Subjects with cytotoxic lymphomas must also meet inclusion criteria 8,9, and 10.
  • Subjects must have failed at least one prior systemic regimens.
  • Availability of post-progression tissue sample or willingness to consent to a baseline biopsy.
  • Histologically confirmed diagnosis of a cytotoxic lymphoma by a hematopathologist (according to the WHO 2016 classification [Swerdlow 2016]).
  • For Part A only, evaluable disease is acceptable.
  • For Part B2 only, evaluable by the following response criteria as documented during Screening:
  • For cytotoxic PTCL-NOS, ENKTL, MEITL, EATL, SPTCL - Subjects must have radiographically measurable disease by computed tomography (CT) or CT/positron emission tomography (PET) scan defined as at least one node measuring >1.5 cm or measurable extranodal lesion of at least 1.0 cm in longest diameter to be evaluated by Lugano criteria (Cheson 2014).
  • For PCGDTCL, ET-CTCL, HVLPD, cytotoxic CuPTCL-NOS - Subjects with primary cutaneous variants must have at least 1 measurable lesion that is evaluable using the Olsen criteria (Olsen 2021) or have leukemic involvement that can be evaluated using modified TPLL response criteria (Staber 2019).
  • For HSTCL, ANKL, SysEBV TCL - Subjects with hepatosplenic disease without measurable disease by Lugano criteria (Cheson 2014) or leukemic involvement in BM or peripheral blood that is evaluable for response using a modified TPLL response criteria (Staber 2019).

Who cannot join

  • Disease-specific Exclusion Criteria; LGLL and ANKL:
  • A reactive LGL lymphocytosis to a viral infection or LGL associated with myelodysplastic syndrome (MDS) or acute myeloid leukemia (AML).
  • The following exclusion criteria apply to all subjects:
  • Active systemic infection or severe localized infection requiring systemic antibiotics, antivirals or antifungals.
  • Active or suspected malignant central nervous system involvement.
  • Life-threatening, severe complications of malignancy (e.g., uncontrolled bleeding, pneumonia with hypoxia or shock, and/or disseminated intravascular coagulation).
Show all 17Show fewer
  • Active known second malignancy.
  • Infection with human immunodeficiency virus (HIV) type 1 or 2 (HIV-1 or HIV-2).
  • Hepatitis B infection (hepatitis B virus surface antigen [HBsAg] positive), or hepatitis C (hepatitis C virus [HCV] antibody positive, confirmed by HCV ribonucleic acid). Subjects with HCV with undetectable virus after treatment are eligible.
  • History of clinically significant cardiac disease or congestive heart failure greater than New York Heart Association (NYHA) Class II.
  • Use of systemic corticosteroids at prohibited dose levels within 15 days prior to C1D1 (except for prophylaxis for radiodiagnostic contrast reactions and study-defined premedication) or use of other non-biological immunosuppressive drugs within 15 days or 5 half-lives (whichever is less) prior to C1D1.
  • Any condition requiring hormonal therapy (except for contraception, hormone replacement therapy and hormonal prophylaxis for a prior malignancy).
  • Any other medical or psychiatric condition, or laboratory abnormality that would increase the risk associated with study participation, in the opinion of the Investigator or Medical Monitor.
  • Toxicities from previous anticancer therapies must have resolved to baseline levels or to Grade 1 (except for alopecia, peripheral neuropathy, or hematologic parameters meeting inclusion criteria).
  • Autologous HSCT within 40 days of C1D1, allogeneic HSCT within 90 days
  • Any immunosuppressive therapy for GVHD for subjects who are post allogeneic HSCT.
  • Major surgery within 28 days of C1D1 (requires more than local anesthesia or plexus blockade).

Trial locations and contacts

37 sites in 9 countries. Contact the study team or a site near you to ask about taking part.

37 sites in 9 countries

United States15 sites, 15 recruiting
  • Dren Investigational Site

    Birmingham, Alabama, 35233

    Dren Central Contact, 415-735-5277, DR-01-ONC-001_inquiries@drenbio.com

    Recruiting
  • Dren Investigational Site

    Boston, Massachusetts, 02114

    Dren Central Contact, 415-735-5277, DR-01-ONC-001_inquiries@drenbio.com

    Recruiting
  • Dren Investigational Site

    Charlottesville, Virginia, 22903

    Dren Central Contact, 415-735-5277, DR-01-ONC-001_inquiries@drenbio.com

    Recruiting
  • Dren Investigational Site

    Columbus, Ohio, 43210

    Dren Central Contact, 415-735-5277, DR-01-ONC-001_inquiries@drenbio.com

    Recruiting
  • Dren Investigational Site

    Duarte, California, 91010

    Dren Central Contact, 415-737-5277, DR-01-ONC-001_inquiries@drenbio.com

    Recruiting
  • Dren Investigational Site

    Fairfax, Virginia, 22031

    Dren Central Contact, 415-737-5277, DR-01-ONC-001_inquiries@drenbio.com

    Recruiting
  • Dren Investigational Site

    Houston, Texas, 77030

    Dren Central Contact, 415-737-5277, DR-01-ONC-001_inquiries@drenbio.com

    Recruiting
  • Dren Investigational Site

    Irvine, California, 92612

    Dren Central Contact, 415-737-5277, DR-01-ONC-001_inquiries@drenbio.com

    Recruiting
  • Dren Investigational Site

    New Haven, Connecticut, 06519

    Dren Central Contact, 415-737-5277, DR-01-ONC-001_inquiries@drenbio.com

    Recruiting
  • Dren Investigational Site 1

    New York, New York, 10021

    Dren Central Contact, 415-735-5277, DR-01-ONC-001_inquiries@drenbio.com

    Recruiting
  • Dren Investigational Site 2

    New York, New York, 10032

    Dren Central Contact, 415-737-5277, DR-01-ONC-001_inquiries@drenbio.com

    Not yet recruiting
  • Dren Investigational Site 2

    Pittsburgh, Pennsylvania, 15213

    Dren Central Contact, 415-737-5277, DR-01-ONC-001_inquiries@drenbio.com

    Recruiting
  • Dren Investigational Site

    Redwood City, California, 94063

    Dren Central Contact, 415-735-5277, DR-01-ONC-001_inquiries@drenbio.com

    Recruiting
  • Dren Investigational Site

    Seattle, Washington, 98109

    Dren Cntral Contact, 415-737-5277, DR-01-ONC-001_inquiries@drenbio.com

    Recruiting
  • Dren Investigational Site

    Tampa, Florida, 33612

    Dren Central Contact, 415-737-5277, DR-01-ONC-001_inquiries@drenbio.com

    Recruiting

Other trials in United States

South Korea6 sites, 6 recruiting
  • Dren Investigational Site 1

    Busan

    Dren Central Contact, 415-737-5277, DR-01-ONC-001_inquiries@drenbio.com

    Recruiting
  • Dren Investigational Site 2

    Busan

    Dren Central Contact, 415-737-5277, DR-01-ONC-001_inquiries@drenbio.com

    Recruiting
  • Dren Investigational Site

    Goyang-si

    Dren Central Contact, 415-737-5277, DR-01-ONC-001_inquiries@drenbio.com

    Recruiting
  • Dren Investigational Site 1

    Seoul

    Dren Central Contact, 415-737-5277, DR-01-ONC-001_inquiries@drenbio.com

    Recruiting
  • Dren Investigational Site 2

    Seoul

    Dren Central Contact, 415-737-5277, DR-01-ONC-001_inquiries@drenbio.com

    Recruiting
  • Dren Investigational Site 3

    Seoul

    Dren Central Contact, 415-737-5277, DR-01-ONC-001_inquiries@drenbio.com

    Recruiting

Other trials in South Korea

Australia3 sites, 3 recruiting
  • Dren Investigational Site

    Clayton, Victoria, 3168

    Dren Central Contact, 415-737-5277, DR-01-ONC-001_inquiries@drenbio.com

    Recruiting
  • Dren Investigational Site

    Nedlands, Washington, 6009

    Dren Central Contact, 415-735-5277, DR-01-ONC-001_inquiries@drenbio.com

    Recruiting
  • Dren Investigational Site

    Richmond, Victoria, 3121

    Dren Central Contact, 415-735-5277, DR-01-ONC-001_inquiries@drenbio.com

    Recruiting

Other trials in Australia

France3 sites, 3 recruiting
  • Dren Investigational Site

    Pierre-Bénite, 69310

    Dren Central Contact, 415-737-5277, DR-01-ONC-001_inquiries@drenbio.com

    Recruiting
  • Dren Investigational Site

    Rennes, 35000

    Dren Central Contact, 415-737-5277, DR-01-ONC-001_inquiries@drenbio.com

    Recruiting
  • Dren Investigational Site

    Toulouse, 31059

    Dren Central Contact, 415-737-5277, DR-01-ONC-001_inquiries@drenbio.com

    Recruiting

Other trials in France

Germany3 sites, 3 recruiting
  • Dren Investigational Site

    Berlin, 10117

    Dren Central Contact, 415-737-5277, DR-01-ONC-001_inquiries@drenbio.com

    Recruiting
  • Dren Investigational Site

    Cologne, 50937

    Dren Central Contact, 415-737-5277, DR-01-ONC-001_inquiries@drenbio.com

    Recruiting
  • Dren Investigational Site

    Leipzig, 04103

    Dren Central Contact, 415-737-5277, DR-01-ONC-001_inquiries@drenbio.com

    Recruiting

Other trials in Germany

Hong Kong2 sites, 2 recruiting
  • Dren Investigational Site 1

    Hong Kong, Hong Kong

    Dren Central Contact, 415-737-5277, DR-01-ONC-001_inquiries@drenbio.com

    Recruiting
  • Dren Investigational Site 2

    Hong Kong

    Dren Central Contact, 415-737-5277, DR-01-ONC-001_inquiries@drenbio.com

    Recruiting

Other trials in Hong Kong

Spain2 sites, 2 recruiting
  • Dren Investigational Site

    Barcelona, 08035

    Dren Central Contact, 415-737-5277, DR-01-ONC-001_inquiries@drenbio.com

    Recruiting
  • Dren Investigational Site

    Salamanca, 37007

    Dren Central Contact, 415-737-5277, DR-01-ONC-001_inquiries@drenbio.com

    Recruiting

Other trials in Spain

Taiwan2 sites, 2 recruiting
  • Dren Investigational Site

    Tainan

    Dren Central Contact, 415-737-5277, DR-01-ONC-001_inquiries@drenbio.com

    Recruiting
  • Dren Investigational Site

    Taipei

    Dren Central Contact, 415-737-5277, DR-01-ONC-001_inquiries@drenbio.com

    Recruiting

Other trials in Taiwan

Italy1 site, 1 recruiting
  • Dren Investigational Site

    Bologna, 40126

    Dren Central Contact, 415-737-5277, DR-01-ONC-001_inquiries@drenbio.com

    Recruiting

Other trials in Italy

About this study

Official title: A Multicenter, Open-Label, First-In-Human, Multiple Expansion Cohort, Phase 1/2 Study to Evaluate the Safety and Efficacy of DR-01 in Adult Subjects With Large Granular Lymphocytic Leukemia or Cytotoxic Lymphomas

This is a multicenter, first-in-human, Phase 1/2 study to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and anti-tumor activity of DR-01 in adult patients with large granular lymphocytic leukemia or cytotoxic lymphomas

Being tested
DR-01
Keywords
LGLL, Cytotoxic, Lymphoma, ANKL, EATL, MEITL, ENKL, HSTCL, Leukemia, SPTCL, ENKTL, CTCL, PTCL-NOS, TCL
Medical subject headings
Leukemia, Large Granular Lymphocytic, Subcutaneous panniculitis-like T-cell lymphoma, Lymphoma, Extranodal NK-T-Cell, Enteropathy-Associated T-Cell Lymphoma, Lymphoma, Leukemia

What participants receive

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

  • DR-01Drug

    DR-01 is a non-fucosylated, human immunoglobulin G1 (IgG1) monoclonal antibody.

Study groups in NCT05475925
Study groupRoleWhat they receive
Part A Dose Escalation 1 mg/kg of DR-01ExperimentalSubjects in this arm will initially receive 1 mg/kg at either the Primary regimen (bi-weekly dosing for fist month), Secondary regimen (doses at Days 1, 8, 15, 29 during first month), or Tertiary regimen (dosing days 1-5, 15, 29 during first month), followed by monthly dosing (up to 6 mg/kg) thereafter for up to 25 cycles total.
Receives: Drug: DR-01
Part A Dose Escalation 3 mg/kg of DR-01ExperimentalSubjects in this arm will initially receive 3 mg/kg at either the Primary regimen (bi-weekly dosing for fist month), Secondary regimen (doses at Days 1, 8, 15, 29 during first month), or Tertiary regimen (dosing days 1-5, 15, 29 during first month), followed by monthly dosing (up to 10 mg/kg) thereafter for up to 25 cycles total.
Receives: Drug: DR-01
Part A Dose Escalation 6 mg/kg of DR-01ExperimentalSubjects in this arm will initially receive 6 mg/kg at either the Primary regimen (bi-weekly dosing for fist month), Secondary regimen (doses at Days 1, 8, 15, 29 during first month), or Tertiary regimen (dosing days 1-5, 15, 29 during first month), followed by monthly dosing (up to 10 mg/kg) thereafter for up to 25 cycles total.
Receives: Drug: DR-01
Part A Dose Escalation 10 mg/kg of DR-01ExperimentalSubjects in this arm will initially receive 10 mg/kg at either the Primary regimen (bi-weekly dosing for fist month), Secondary regimen (doses at Days 1, 8, 15, 29 during first month), or Tertiary regimen (dosing days 1-5, 15, 29 during first month), followed by monthly dosing (up to 10 mg/kg) thereafter for up to 25 cycles total.
Receives: Drug: DR-01
Part A Dose De-escalation 0.3 to <1 mg/kg of DR-01ExperimentalThis cohort would only be triggered should a DLT occur at Dose Level 1 or if recommended by the Safety Review Committee. Subjects in this arm would initially receive 0.3 to <1 mg/kg at either the Primary regimen (bi-weekly dosing for fist month), Secondary regimen (doses at Days 1, 8, 15, 29 during first month), or Tertiary regimen (dosing days 1-5, 15, 29 during first month), followed by monthly dosing (up to 3 mg/kg) thereafter for up to 25 cycles total.
Receives: Drug: DR-01
Part B Dose Expansion (Cohort B1) Optimized Dose/Regimen of DR-01ExperimentalSubjects in this arm will receive the pharmacologically optimized dose/regimen for LGL leukemia subjects determined in Part A. Depending on the selected dose/regimen, subjects will receive target dose at either the Primary regimen (bi-weekly dosing for fist month), Secondary regimen (doses at Days 1, 8, 15, 29 during first month), or Tertiary regimen (dosing days 1-5, 15, 29 during first month), followed by monthly dosing thereafter for up to 25 doses total.
Receives: Drug: DR-01
Part B Dose Expansion (Cohort B2) Optimized Dose/Regimen of DR-01ExperimentalSubjects in this arm will receive the pharmacologically optimized dose/regimen for cytotoxic lymphoma subjects determined in Part A. Depending on the selected dose/regimen, subjects will receive target dose at either the Primary regimen (bi-weekly dosing for fist month), Secondary regimen (doses at Days 1, 8, 15, 29 during first month), or Tertiary regimen (dosing days 1-5, 15, 29 during first month), followed by monthly dosing thereafter for up to 25 doses total.
Receives: Drug: DR-01

What is being measured

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

  1. Part A: Safety and Tolerability. To determine the incidence and severity of adverse events as assessed by CTCAE v5.0.

    Measured: Up to 25 months

  2. Part A: Safety and Tolerability. To determine the incidence and severity of dose limiting toxicities (DLTs) as defined by protocol specified DLT criteria.

    Measured: During First 28 days (Cycle 1)

  3. Part A: To determine potential pharmacologically optimized dose/regimen for DR-01 in LGL leukemia and cytotoxic lymphoma populations as determined using an integrated assessment of efficacy, safety, PK/PD, and exposure-response relationships.

    Measured: Up to 6 months

  4. Part B: Overall Response Rate (ORR), defined as the proportion of subjects with Complete Response (CR) or Partial Response (PR) based on disease-specific response criteria.

    Measured: Up to 24 months

Timeline

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

  1. First posted27 Jul 2022
  2. Study start13 Jul 2022
  3. Primary completionDec 2026 (estimated)
  4. Study completionDec 2026 (estimated)

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 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
200 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05475925
Sponsor's protocol ID
DR-01-ONC-001
Status last verified
Jun 2026
First submitted
21 Jul 2022
Last updated
17 Jun 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No
Expanded access
Available

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing DR-01 in people with LGLL - Large Granular Lymphocytic Leukemia and Primary Cutaneous Gamma-Delta T-Cell Lymphoma, run by Dren Bio at 37 sites in 9 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 17 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: looking for participants now, as of the sponsor's last update on 17 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 37 sites in United States, South Korea, Australia, France, Germany and 4 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 combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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?

This study is still under way. Results are not available in the source record yet.

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

Contact Dren Central Contact (415-737-5277, DR-01-ONC-001_inquiries@drenbio.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Part A: Safety and Tolerability. To determine the incidence and severity of adverse events as assessed by CTCAE v5.0. (time frame: Up to 25 months). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 17 Jun 2026.

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