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Active, not recruiting

NCT Number: NCT04077723

A Study to Evaluate the Safety, Pharmacokinetics and Preliminary Anti-Tumor Activity of Englumafusp Alfa in Combination With Obinutuzumab and in Combination With Glofitamab Following a Pre-Treatment Dose of Obinutuzumab in Participants With Relapsed/Refractory B-Cell Non-Hodgkin's Lymphoma

This is a phase I/II, open-label, dose-escalation study designed to evaluate the safety, tolerability, and efficacy of englumafusp alfa (RO7227166) in participants with relapsed/refractory Non-Hodgkin's Lymphoma (r/r NHL). Englumafusp alfa will be administered by intravenous (IV) infusion in combination with obinutuzumab and in combination with glofitamab. A fixed dose of obinutuzumab (Gpt; pre-treatment) will be administered up to seven days prior to the first administration of englumafusp alfa and seven days prior to the first administration of glofitamab. This entry-into-human study is divided into a dose-escalation stage (Part I and Part II) and a dose expansion stage (Part III).

Active, not recruiting

This study is active but is not currently recruiting participants.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

Peter Maccallum Cancer Centre, Melbourne, Victoria, Australia

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • History or status of a histologically-confirmed hematological malignancy that is expected to express CD19 and CD20; relapse after or failure to respond to at least one prior treatment regimen; no available treatment options that are expected to prolong survival (Part I and II); relapsed after or failed to respond to only one prior systemic treatment regimen (Part III)
  • Must have at least one measurable target lesion (>/= 1.5 cm) in its largest dimension by computed tomography scan
  • Able and willing to provide a fresh biopsy from a safely accessible site, per Investigator's determination, providing the participant has more than one measurable target lesion
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1, or </= 2 for some participants in Part III
  • Life expectancy of >/= 12 weeks
  • Adverse events from prior anti-cancer therapy must have resolved to Grade </= 1
  • Adequate liver, hematological, and renal function
  • Negative test results for acute or chronic hepatitis B virus infection
  • Negative test results for hepatitis C virus and HIV
  • The contraception and abstinence requirements are intended to prevent exposure of an embryo to the study treatment. The reliability of sexual abstinence for male and/or female enrollment eligibility needs to be evaluated in relation to the duration of the clinical study and the preferred and usual lifestyle of the participant. Periodic abstinence (e.g., calendar, ovulation, symptothermal, or post-ovulation methods) and withdrawal are not acceptable methods of preventing drug exposure
  • Female participants: A female participant is eligible to participate if she is not pregnant and not breastfeeding, and if at least one of the following applies: women of non-childbearing potential (WONCBP); women of child bearing potential (WOCBP) who agree to remain abstinent or use two highly effective contraceptive methods with a failure rate of <1% per year during the treatment period and for at least 18 months after obinutuzumab or 3.5 months after the last dose of englumafusp alfa, 2 months after last dose of glofitamab, or 3 months after the last dose of tocilizumab, whichever is longer. Examples of contraceptive methods with a failure rate of < 1% per year include bilateral tubal occlusion/ ligation, male sexual partner who is sterilized, established proper use of hormonal contraceptives that inhibit ovulation, hormone-releasing intrauterine devices and copper intrauterine devices. Hormonal contraceptive methods must be supplemented by a barrier method; have a negative pregnancy test (blood) within the 7 days prior to the first study treatment administration
  • Male participants: During the treatment period and for at least 3 months after obinutuzumab, or 3.5 months after the last dose of englumafusp alfa, 2 months after the last dose of glofitamab, or 2 months after the last dose of tocilizumab whichever is longer, agreement to: Remain abstinent or use contraceptive measures such as a condom plus an additional contraceptive method that together result in a failure rate of < 1% per year, with a partner who is a women of childbearing potential. With pregnant female partner, remain abstinent or use contraceptive measures such as a condom to avoid exposing the embryo; refrain from donating sperm during this same period

Exclusion criteria

  • Circulating lymphoma cells, defined by out of range (high) absolute lymphocyte count (ALC) or the presence of abnormal cells in the peripheral blood signifying circulating lymphoma cells (for some participants in Part III, ALC only)
  • Participants with acute bacterial, viral, or fungal infection at baseline, confirmed by a positive blood culture within 72 hours prior to obinutuzumab infusion or by clinical judgment in the absence of a positive blood culture
  • Participants with known active infection, or reactivation of a latent infection, whether bacterial, viral fungal, mycobacterial, or other pathogens (excluding fungal infections of nail beds) or any major episode of infection requiring hospitalization or treatment with IV antibiotics
  • Pregnant or breast-feeding or intending to become pregnant during the study
  • Prior treatment with systemic immunotherapeutic agents, including, but not limited to, radio-immunoconjugates, antibody-drug conjugates, immune/cytokines or monoclonal antibodies within 4 weeks or five half-lives of the drug, whichever is shorter, before obinutuzumab infusion
  • History of treatment-emergent immune-related AEs associated with prior immunotherapeutic agents and auto-immune disease
  • Treatment with standard radiotherapy, any chemotherapeutic agent, or treatment with any other investigational or approved anti-cancer agent within 4 weeks or 5 half-lives of the drug, whichever is shorter, prior to obinutuzumab infusion
  • Prior solid organ transplantation
  • Prior allogeneic stem cell transplant
  • Autologous stem cell transplant within 100 days prior to obinutuzumab infusion
  • History of severe allergic or anaphylactic reactions to monoclonal antibody therapy and confirmed progressive multifocal leukoencephalopathy
  • Current or past history of central nervous system (CNS) lymphoma and CNS disease
  • Evidence of significant, uncontrolled concomitant diseases that could affect compliance with the protocol or interpretation of results, including diabetes mellitus, history of relevant pulmonary disorders and known autoimmune diseases
  • Major surgery or significant traumatic injury < 28 days prior to the Gpt infusion or anticipation of the need for major surgery during study treatment
  • Participants with another invasive malignancy in the last 2 years
  • Significant cardiovascular disease
  • Administration of a live, attenuated vaccine within 4 weeks before Gpt infusion or anticipation that such a live attenuated vaccine will be required during the study
  • Received systemic immunosuppressive medications (including but not limited to cyclohosphamide, azathioprine, methotrexate, thalidomide, and anti-tumor necrosis factor agents) within two weeks prior to Gpt, with the exception of corticosteroid treatment <=25 mg/day of prednisone or equivalent, however there must be documentation that the participant was on a stable dose of at least a 2-week duration prior to Gpt infusion. Inhaled and topical steroids are permitted

Treatment and study plan

Englumafusp alfa

Drug

Englumafusp alfa will be administered by intravenous (IV) infusion three-weekly (Q3W) in combination with a fixed dose of obinutuzumab (Part I) and in combination with a fixed dose of glofitamab (Part II and Part III).

Other names: A CD19 Targeted 4-1BB Ligand; RO7227166

Obinutuzumab

Drug

A fixed dose of obinutuzumab will be administered up to 7 days prior to the first dose of englumafusp alfa, then in combination with obinutuzumab Q3W (Part I).

A fixed dose of obinutuzumab will be administered up to 7 days prior to the first dose of englumafusp alfa or between Day -3 and -7 (Part II and Part III).

Other names: Gpt, RO5072759, Gazyva, Gazyvaro

Glofitamab

Drug

A fixed dose of glofitamab will be administered Q3W in combination with englumafusp alfa in Part II and Part III

Other names: CD20-TCB, RO7082859

Tocilizumab

Drug

Participants will receive IV tocilizumab as needed to treat cytokine release syndrome (CRS).

Other names: Actemra, RoActemra

Primary outcomes

  1. Nature and frequency of dose-limiting toxicities (DLTs)

    Time frame: 28 days in Part I and Part II

  2. Proportion of Participants with Adverse Event (AE)

    Time frame: Part I: Up to 24 months; Part II: Up to 18 months; Part III: Up to 9 months or up to 18 months

    Incidence, nature, and severity of AEs graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v5.0

  3. Overall Response Rate (ORR)

    Time frame: Part I: Up to 24 months; Part II: Up to 18 months; Part III: Up to 9 months or up to 18 months

  4. Disease Control Rate (DCR)

    Time frame: Part I: Up to 24 months; Part II: Up to 18 months; Part III: Up to 9 months or up to 18 months

  5. Duration of Response (DOR)

    Time frame: After end of Study approximately every 3 months until death, loss to follow-up or study termination

  6. Progression-free Survival (PFS)

    Time frame: After end of Study approximately every 3 months until death, loss to follow-up or study termination

  7. Overall Survival (OS)

    Time frame: After end of Study approximately every 3 months until death, loss to follow-up or study termination

  8. Complete Response (CR)

    Time frame: Part III: Up to 9 months or up to 18 months

Secondary outcomes

  1. Total exposure (area under the concentration time curve [AUC]) of englumafusp alfa in combination with obinutuzumab and glofitamab

    Time frame: Part I: Up to 24 months; Part II: Up to 18 months; Part III: Up to 9 months or up to 18 months

  2. Maximum serum concentration (peak concentration, Cmax) of englumafusp alfa in combination with obinutuzumab and glofitamab

    Time frame: Part I: Up to 24 months; Part II: Up to 18 months; Part III: Up to 9 months or up to 18 months

  3. Minimum serum concentration (trough concentration, Cmin) of englumafusp alfa in combination with obinutuzumab and glofitamab

    Time frame: Part I: Up to 24 months; Part II: Up to 18 months; Part III: Up to 9 months or up to 18 months

  4. Clearance (CL) of englumafusp alfa in combination with obinutuzumab and glofitamab

    Time frame: Part I: Up to 24 months; Part II: Up to 18 months; Part III: Up to 9 months or up to 18 months

  5. Volume of distribution of steady state (Vss) and half-life (t1/2) of englumafusp alfa in combination with obinutuzumab and glofitamab

    Time frame: Part I: Up to 24 months; Part II: Up to 18 months; Part III: Up to 9 months or up to 18 months

  6. ORR

    Time frame: Part I: Up to 24 months; Part II: Up to 18 months; Part III: Up to 9 months or up to 18 months

  7. DCR

    Time frame: Part I: Up to 24 months; Part II: Up to 18 months; Part III: Up to 9 months or up to 18 months

  8. DOR

    Time frame: After end of Study approximately every 3 months until death, loss to follow-up or study termination

  9. PFS

    Time frame: After end of Study approximately every 3 months until death, loss to follow-up or study termination

  10. OS

    Time frame: After end of Study approximately every 3 months until death, loss to follow-up or study termination

  11. Proportion of Participants with Adverse Event (AE)

    Time frame: After end of Study approximately every 3 months until death, loss to follow-up or study termination

    Incidence, nature, and severity of AEs graded according to the NCI CTCAE v5.0

  12. Total exposure (area under the concentration time curve [AUC]) of englumafusp alfa in combination with glofitamab

    Time frame: Part III: Up to 9 months or up to 18 months

  13. Maximum serum concentration (peak concentration, Cmax) of englumafusp alfa in combination with glofitamab

    Time frame: Part III: Up to 9 months or up to 18 months

  14. Minimum serum concentration (trough concentration, Cmin) of englumafusp alfa in combination with glofitamab

    Time frame: Part III: Up to 9 months or up to 18 months

  15. Clearance (CL) of englumafusp alfa in combination with glofitamab

    Time frame: Part III: Up to 9 months or up to 18 months

  16. Volume of distribution of steady state (Vss) and half-life (t1/2) of englumafusp alfa in combination with glofitamab Part I/II/III

    Time frame: Part III: Up to 9 months or up to 18 months

  17. T-cell and Natural killer (NK)-cell status in blood, using markers of T and NK-cell lineage, function and activation including, but not limited to, CD3, CD8, 41BB, and Ki67 expression

    Time frame: Part I: Up to 24 months; Part II: Up to 18 months; Part III: Up to 9 months or up to 18 months

  18. B-cell reduction in blood and tumor tissue

    Time frame: Part I: Up to 24 months; Part II: Up to 18 months; Part III: Up to 9 months or up to 18 months

  19. Change from Baseline in englumafusp alfa Anti-Drug Antibody (ADA) Titer

    Time frame: Part 1: Up to 24 months; Part ll/lll: Up to 18 months

  20. Time to First Complete Response (TFCR)

    Time frame: Up to 18 months

  21. Time to First Overall Response (TFOR)

    Time frame: Up to 18 months

  22. Duration of Complete Response (DOCR)

    Time frame: Part III: Up to 9 months or up to 18 months

  23. Change from Baseline in Physical Function, Role Function, and Health-Related Quality of Life (HRQoL) Based on the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30)

    Time frame: Part III: Up to 9 months or up to 18 months

  24. Change from Baseline in Physical Function, Role Function, and HRQoL According to the Functional Assessment of Cancer Therapy-Lymphoma (FACT-Lym) Lymphoma Scale

    Time frame: Part III: Up to 9 months or up to 18 months

Sponsors and collaborators

Lead sponsor

Hoffmann-La Roche

Industry

Registry information

Official study title

An Open-Label, Phase I/II Study to Evaluate the Safety, Pharmacokinetics and Preliminary Anti-Tumor Activity of Englumafusp Alfa (RO7227166, A CD19 Targeted 4-1BB Ligand) in Combination With Obinutuzumab and in Combination With Glofitamab Following a Pre-treatment Dose of Obinutuzumab Administered in Participants With Relapsed/Refractory B-Cell Non-Hodgkin's Lymphoma

Important dates

Study start
2019
Primary completion
2027
Study completion
2027
First posted
Sep 4, 2019
Registry last updated
May 29, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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