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NCT Number: NCT07249905

Dose Escalation and Dose Expansion Study of MDX2003 in Patients With Different Types of Lymphoma

This study is designed to characterize the safety, tolerability, and anti-tumor activity of MDX2003 in patients with different types of lymphoma

Recruiting

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Key information

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Participant must be ≥ 18 years of age.
  • Participant has a confirmed diagnosis of large B-cell lymphoma (including DLBCL, high-grade B-cell lymphoma [HGBCL], primary mediastinal B-cell lymphoma [PMBCL], etc), FL, MCL, marginal zone lymphoma, transformation of indolent B-cell lymphoma, or lymphoplasmacytic lymphoma, including Waldenstrom macroglobulinemia.
  • Participant has relapsed or progressed on at least 2 prior lines of therapy.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2.
  • All participants must have measurable disease via computed tomography (CT), magnetic resonance imaging (MRI), or positron emission tomography (PET)-CT.
  • Documented CD19 or CD20 positivity of their B-cell neoplasm based on any representative pathology report from the past 3 months.
  • Adequate hematologic, hepatic and renal function.
  • All contraceptive use by men and women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
  • Capable of giving signed informed consent.

Exclusion criteria

  • Known or suspected history of hemophagocytic lymphohistiocytosis (HLH).
  • Unresolved toxicities from previous anticancer therapy.
  • Primary central nervous system (CNS) lymphoma or known CNS involvement with lymphoma.
  • Active medical condition requiring chronic systemic steroid use (>10 mg/day prednisone or equivalent of >140 mg over the last 14 days) or immunosuppressive therapy, within 6 months prior to the first dose of MDX2003.
  • Known positivity with human immunodeficiency virus (HIV), known active hepatitis B or C, or uncontrolled chronic or ongoing infection requiring intravenous treatment.
  • Participant has a history of allogenic tissue or solid organ transplant, with the exception of corneal transplants.
  • Known hypersensitivity to allopurinol or rasburicase.
  • Participant has a seizure disorder requiring therapy at the time of screening (such as steroids or anti-epileptics).
  • Participant is not suitable for participation, whatever the reason, as judged by the Investigator, including medical or clinical conditions.

Treatment and study plan

MDX2003

Drug

MDX2003 intravenous infusion

Primary outcomes

  1. Part A only- Identify the Maximum Tolerated Dose (MTD) for expansion for further development of MDX2003

    Time frame: 28 days

    Maximum Tolerated Dose is determined following the evaluation of MDX2003 safety, including the incidences of dose-limiting toxicities (DLTs), MDX2003 anti-tumor activity, and MDX2003 pharmacokinetics/pharmacodynamics.

  2. All Study Parts: Adverse Events (AEs)

    Time frame: Baseline until 90 days after the participant has the last dose of MDX2003

    Incidence and severity of adverse events (AEs) and serious AEs (SAEs), including changes in clinical laboratory parameters, graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) v5.0 or American Society for Transplantation and Cellular Therapy (ASTCT) consensus grading criteria, including changes in clinical laboratory parameters.

  3. Part B only- Assess the preliminary anti-lymphoma activity of MDX2003

    Time frame: From date of enrollment until the end of treatment, up to approximately 6 months

    Objective response rate is defined as the proportion of patients who achieve a complete response (CR) or partial response (PR) per Lugano Classification.

Secondary outcomes

  1. All Study Parts: Measure of terminal half-life (t1/2) of MDX2003

    Time frame: 6 months

    Characterize pharmacokinetic (PK) parameter t1/2 after intravenous infusion of MDX2003.

  2. All Study Parts: Measure of area under the serum concentration-time curve (AUC) of MDX2003

    Time frame: 6 months

    Characterize pharmacokinetic (PK) parameter AUC after intravenous infusion of MDX2003.

  3. All Study Parts: Measure of time to maximum concentration (Tmax) of MDX2003

    Time frame: 6 months

    Characterize pharmacokinetic (PK) parameter Tmax after intravenous infusion of MDX2003.

  4. All Study Parts: Measure of maximum serum concentration (Cmax) of MDX2003

    Time frame: 6 months

    Characterize pharmacokinetic (PK) parameter Cmax after intravenous infusion of MDX2003.

  5. All Study Parts: Measure of volume of distribution (Vd) of MDX2003

    Time frame: 6 months

    Characterize pharmacokinetic (PK) parameter Vd after intravenous infusion of MDX2003.

  6. All Study Parts: Measure of system clearance of MDX2003

    Time frame: 6 months

    Characterize pharmacokinetic (PK) parameter of system clearance after intravenous infusion of MDX2003.

  7. All Study Parts: Evaluation of MDX2003 immunogenicity

    Time frame: 6 months

    The presence and persistence of anti-MDX2003 antibodies.

Study contacts

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

ModeX Therapeutics, An OPKO Health Company

CONTACT

[email protected]

+1 857-233-9936

Sponsors and collaborators

Lead sponsor

ModeX Therapeutics, An OPKO Health Company

Industry

Registry information

Official study title

A Phase 1/2 Clinical Study Evaluating MDX2003 in Participants With Relapsed, Progressive, or Refractory B-Cell Malignancies

Important dates

Study start
2026
Primary completion
2028
Study completion
2030
First posted
Nov 25, 2025
Registry last updated
May 4, 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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