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Recruiting

NCT Number: NCT05806099

A Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Efficacy Study of MBS303 in B-Cell NHL

This is a Phase I/Ⅱ, multicenter, open-label, dose-escalation study designed to evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics(PD) and efficacy of a novel T-Cell bispecific (TCB), MBS303, administered by intravenous (IV) infusion in participants with relapsed or refractory B-cell NHL. This entry-to-human study consists of 2 parts: a dose escalation part (Phase I) and an expansion part (Phase Ⅱ)

Recruiting

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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

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Able and willing to provide written informed consent and to comply with the study protocol.
  • Adult patients, ≥18 years of age;
  • CD20+ B-cell Non-Hodgkin Lymphoma who have relapsed after or failed to respond to at least one prior treatment regimen with an anti-CD20 monoclonal antibody and for whom there is no available therapy expected to improve survival;
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1;
  • Life expectancy ≥3 months;
  • Measurable disease, defined as at lease one bi-dimensionally measurable nodal lesion, defined as >1.5 cm in its longest dimension, or at least one bi-dimensionally measureable extranodal lesion, defined as >1.0 cm in its longest dimension
  • Adequate hematologic, hepatic, and renal function.

Exclusion criteria

  • Chronic lymphoblastic leukemia, Burkitt lymphoma or lymphoplasmacytic lymphom;
  • History of central nervous system (CNS) lymphoma or other CNS disease;
  • Participants with known active infection, including bacterial, viral, parasite, mycobacterial, or other infections (excluding nail bed fungal infections);
  • Surgery, chemotherapy, targeted therapy, immunotherapy, radiation therapy, tumor embolization, or other antitumor therapy within 28 days prior to the first MBS303;
  • Active or suspected autoimmune diseases;
  • Known severe allergic reaction or/and infusion reaction to monoclonal antibody;
  • Evidence of significant, uncontrolled concomitant disease;
  • Major surgery within 28 days prior to the first MBS303 administration or expected to undergo major surgery during the study treatment;
  • History of another invasive malignant tumors in past 3 years;
  • Participant with history of confirmed progressive multifocal leukoencephalopathy (PML);
  • Severe hemorrhagic diseases such as hemophilia A, hemophilia B, vascular hemophilia, or spontaneous bleeding requiring blood transfusion or other medical intervention;
  • Infection with human immunodeficiency virus (HIV), hepatitis B or hepatitis C (including HBsAg, HBcAb positive with abnormal HBV DNA or HCV RNA);
  • Pregnant or lactating women; Females of childbearing potential (FCBP) must agree to use two reliable forms of contraception simultaneously or to practice complete abstinence from heterosexual contact during the following time periods related to this study: 1) while participating in the study; 2) for at least 12 months after discontinuation of all study treatments.

Treatment and study plan

MBS303

Drug

Phase I: The patients confirming to the eligibility criteria will be assigned to one of the 7 dose groups (0.05/0.15/0.45 mg ~ 1.5/6/60 mg, respectively) based on the sequence of inclusion. Each patient will receive MBS303 as per the schedule specified in the respective arms. Based on the safety data of the previous dose groups, if pretreatment with MIL62 is required after disussion by the sponsor and the investigators, the subject should be given an IV infusion of MIL62 1000 mg single dose on the D-7.

Phase Ⅱ: One or two recommended doses will be selected based on the results of Phase I. Each patient will receive one of the two recommended doses MBS303 as step-up doses on D1 (low dose) and D8 (intermediate dose) of C1 and at the target dose on D1 of C2-17 (21-day cycles). Based on the previous safety data, if pretreatment with MIL62 is required after disussion by the sponsor and the investigators, the subjects should be given an IV infusion of MIL62 1000 mg single dose on the D-7

Primary outcomes

  1. Phase I:Percentage of Participants with Adverse Events (AEs)

    Time frame: From Baseline up to approximately 13 months

    Percentage of Participants with AEs and SAEs Assessed by NCI CTCAE v5.0

  2. Phase I:Incidence of Dose Limiting Toxicities (DLTs)

    Time frame: From Baseline up to 3 weeks

  3. Phase I:Maximum Tolerated Dose (MTD) of MBS303

    Time frame: From Baseline up to 3 weeks

  4. Phase I:Recommended Phase Ⅱ Dose (RP2D) of MBS303

    Time frame: From Baseline up to 4 years

  5. Phase Ⅱ :Antitumor activity as measured by the objective response rate (ORR)

    Time frame: Up to approximately 2 years

Secondary outcomes

  1. Phase I and Ⅱ :Pharmacokinetics: AUC

    Time frame: up to approximately 1 year

    The area under the curve (AUC) of serum concentration of MBS303 after the administration

  2. Phase I and Ⅱ :Pharmacokinetics: t1/2

    Time frame: up to approximately 1 year

    Half-life (t1/2) of MBS303 after administration

  3. Phase I and Ⅱ :Pharmacokinetics: CL

    Time frame: up to approximately 1 year

    Clearance (CL) of MBS303 after administration

  4. Phase I and Ⅱ :Pharmacokinetics: Vd

    Time frame: up to approximately 1 year

    Volume of distribution (Vd) of MBS303 after administration

  5. Phase I and Ⅱ :Efficacy: Complete Response Rate (CRR) of MBS303 as Assessed Using Standard Criteria for NHL

    Time frame: Up to approximately 2 years

  6. Phase I and Ⅱ :Efficacy: Duration of Response (DOR) of MBS303 as Assessed Using Standard Criteria for NHL

    Time frame: Up to approximately 2 years

  7. Phase I and Ⅱ :Efficacy: Progression-Free Survival (PFS) of MBS303 as Assessed Using Standard Criteria for NHL

    Time frame: Up to approximately 2 years

  8. Phase I and Ⅱ :Efficacy: Overall Survival (OS) of MBS303

    Time frame: Up to approximately 2 years

  9. Phase I and Ⅱ :Immunogenicity: Anti-Drug Antibodies (ADA) to MBS303

    Time frame: Up to approximately 1 year

  10. Phase I :Efficacy: ORR

    Time frame: Up to approximately 2 years

Study contacts

Contact information is provided by the study sponsor or research team.

Yuqin Song, Doctor

CONTACT

[email protected]

8610-88196118

Sponsors and collaborators

Lead sponsor

Beijing Mabworks Biotech Co., Ltd.

Industry

Registry information

Official study title

A Phase I/Ⅱ Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Efficacy of MBS303 in Patients With Relapsed/Refractory B-Cell Non-Hodgkin's Lymphoma

Important dates

Study start
2023
Primary completion
2025
Study completion
2026
First posted
Apr 10, 2023
Registry last updated
Nov 20, 2024

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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