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Completed

NCT Number: NCT02290951

Study to Investigate the Safety and Tolerability of Odronextamab in Patients With CD20+ B-Cell Malignancies

This study has two parts with distinct study objectives and study design. In part A, odronextamab is studied as an intravenous (IV) administration with a dose escalation and a dose expansion phase for B-NHL and CLL. The dose escalation phase for B-NHL and the CLL study are closed at the time of protocol amendment 17. In part B, odronextamab is studied as a subcutaneous (SC) administration with a dose finding and a dose expansion phase for B-NHL.

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Key information

Who can participate

Healthy volunteers accepted: No

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

Key Inclusion Criteria:

  • Have documented CD20+ B-cell malignancy, with active disease not responsive to prior therapy, for whom no standard of care options exists, and for whom treatment with an anti-CD20 antibody may be appropriate:
  • Part A (IV administration) B-NHL confirmed by National Cancer Institute (NCI) working group criteria
  • Part B (SC administration): Confirmed diagnosis of B-NHL requiring therapy as defined by WHO classification 2017
  • Patients with B-NHL must have had prior treatment with an anti-CD20 antibody therapy. Patients with CLL (Part A only) are not required to have received prior treatment with an anti-CD20 antibody therapy as defined in the protocol.
  • For the inclusion in the disease-specific expansion cohort enrolling DLBCL patients after failure of CAR-T therapy, the patient must have recovered from the toxicities of the lymphodepletion therapy and CAR-T infusion.
  • For inclusion in Part B, patients must have FL grade 1-3a or DLBCL (with or without prior CAR-T) per the criteria above, and:
  • Patients with FL grade 1-3a and DLBCL must have received at least 2 prior lines of systemic therapy, including an anti-CD20 antibody and an alkylating agent
  • All patients must have at least one bi-dimensionally measurable lesion ≥1.5 cm) documented by CT or MRI scan, if CT scan is not feasible.
  • Eastern Cooperative Oncology Group (ECOG) performance status ≤1
  • Life expectancy of at least 6 months
  • Adequate bone marrow function as described in the protocol
  • Adequate organ function as described in the protocol
  • Willingness to undergo mandatory tumor biopsy pretreatment, if in the opinion of the investigator, the patient has an accessible lesion that can be biopsied without significant risk to the patient.
  • Willing and able to comply with clinic visits and study-related procedures
  • Provide signed informed consent or legally acceptable representative

Key Exclusion Criteria:

  • Primary central nervous system (CNS) lymphoma or known or suspected CNS involvement by non-primary CNS NHL
  • History of or current relevant CNS pathology such as
  • Epilepsy, seizure, paresis, aphasia, apoplexia, severe brain injuries, cerebellar disease, organic brain syndrome, psychosis, or
  • Evidence for presence of inflammatory lesions and/or vasculitis on cerebral MRI
  • Standard anti-lymphoma chemotherapy (non-biologic) or radiotherapy within 28 days prior to first administration of study drug
  • Infection with human immunodeficiency virus (HIV) or chronic infection with hepatitis B virus (HBV), hepatitis C virus (HCV), or cytomegalovirus (CMV) infection [(as noted by detectable levels on a blood polymerase chain reaction (PCR) assay)].
  • Patients with hepatitis B (HepBsAg+) who have controlled infection (serum hepatitis B virus deoxyribonucleic acid (DNA) that is below the limit of detection AND receiving anti-viral therapy for hepatitis B) are permitted upon consultation with the physician managing the infection.
  • Patients who show detectable levels of CMV at screening will need to be treated with appropriate antiviral therapy and demonstrate at least 2 undetectable levels of CMV by PCR assay (at least 7 days apart) before being re-considered for eligibility.
  • Patients who have received a live vaccination within 28 days of first dose of study treatment

Note: Other protocol Inclusion/Exclusion criteria apply

Treatment and study plan

Odronextamab multiple dose levels

Drug

Administered by intravenous (IV) infusion

Other names: REGN1979

Primary outcomes

  1. Safety/overall frequency of adverse events (AEs)

    Time frame: Up to 24 months

    Part A and B

  2. Safety/dose limiting toxicities (DLTs)

    Time frame: Up to 28 days

    Part A and B

  3. Antitumor activity as measured by the objective response rate (ORR)

    Time frame: Through study completion, an average of 24 months

    Expansion Cohorts:

    • Diffuse large B-cell lymphoma (DLBCL) after failure of CAR-T therapy

    Part A

Secondary outcomes

  1. Pharmacokinetics (Concentration of odronextamab)

    Time frame: Up to 10 months

    Peak plasma concentration (Cmax) of odronextamab

    Part A and B

  2. Incidence of anti-drug antibodies (ADA) to odronextamab

    Time frame: Over time; up to approximately 15 months

    Part A and B

  3. Titer of ADA to odronextamab

    Time frame: Over time; up to approximately 15 months

    Part A and B

  4. Incidence of neutralizing antibodies (NAb) to odronextamab over time

    Time frame: Over time; Up to approximately 15 months

    Part A and B

  5. Objective response rate (ORR)

    Time frame: Through study completion, an average of 24 months

    For dose escalation portion and expansion cohorts:

    • Aggressive lymphoma expansion cohort 2
    • FL grade 1-3a expansion cohorts 1 and 2 (Part A)

    For dose escalation and dose expansion cohorts:

    • FL grade 1-3a
    • DLBCL
    • DLBCL post CAR T failure (Part B)
  6. Progression-free survival

    Time frame: Up to 48 months

    Part A and B

  7. Overall Survival

    Time frame: Until death or lost to follow-up/ withdrawal, approximately up to 48 months

    Part A and B

  8. Duration of response (DOR)

    Time frame: Until progression, approximately up to 48 months

    Part A and B

  9. Minimal residual disease (MRD) for patients with CLL

    Time frame: Up to 24 months

    Part A

  10. Duration of Complete Response (DOCR)

    Time frame: Until progression, approximately up to 48 months

    Part B

Sponsors and collaborators

Lead sponsor

Regeneron Pharmaceuticals

Industry

Registry information

Official study title

An Open-Label, Multi-Center Phase 1 Study to Investigate the Safety and Tolerability of REGN1979, an Anti-CD20 x Anti-CD3 Bispecific Monoclonal Antibody, in Patients With CD20+ B-Cell Malignancies Previously Treated With CD20-Directed Antibody Therapy (ELM-1)

Acronym: ELM-1

Important dates

Study start
2015
Primary completion
2025
Study completion
2025
First posted
Nov 14, 2014
Registry last updated
Oct 10, 2025

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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