Description:
Phase 1b: To determine the maximum tolerated dose (MTD) of blinatumomab in combination with
pembrolizumab in adult subjects with relapsed or refractory (r/r) DLBCL
Title
- Brief Title: Open Label Study Investigating the Safety and Efficacy of Blinatumomab in Combination With Pembrolizumab (KEYNOTE-348)
- Official Title: A Phase 1b Open Label Study Investigating the Safety and Efficacy of Blinatumomab in Combination With Pembrolizumab in Adult Subjects With Relapsed or Refractory Diffuse Large B-Cell Lymphoma (DLBCL) (KEYNOTE-348)
Clinical Trial IDs
- ORG STUDY ID:
20150290
- SECONDARY ID:
2016-002191-27
- NCT ID:
NCT03340766
Conditions
- Relapsed or Refractory Diffuse Large B Cell Lymphoma (DLBCL)
Interventions
Drug | Synonyms | Arms |
---|
Blinatumomab | Blincyto, AMG 103, Formerly known as MT103 or bscCD19xCD3 | COHORT IIIa |
Pembrolizumab | Keytruda | COHORT IIIa |
Purpose
Phase 1b: To determine the maximum tolerated dose (MTD) of blinatumomab in combination with
pembrolizumab in adult subjects with relapsed or refractory (r/r) DLBCL
Trial Arms
Name | Type | Description | Interventions |
---|
COHORT Ia | Experimental | Blinatumomab 9 to 28 microgram plus Pembrolizumab (day 15). | - Blinatumomab
- Pembrolizumab
|
COHORT IIa | Experimental | Blinatumomab 9 to 28 to 56 microgram plus Pembrolizumab (day 19). | - Blinatumomab
- Pembrolizumab
|
COHORT IIIa | Experimental | Blinatumomab 9 to 28 to 112 microgram plus Pembrolizumab (day 19). | - Blinatumomab
- Pembrolizumab
|
Expansion Cohort | Experimental | This cohort will test the Maximum Tolerated Dose of Blinatumomab in combination with Pembrolizumab identified using cohort design from cohorts Ia, IIa, and IIIa tested in Part 1 of the study. | - Blinatumomab
- Pembrolizumab
|
Eligibility Criteria
Inclusion Criteria:
- Have histologically confirmed Diffuse Large B-Cell Lymphoma that is either:
- Refractory after at least one regimen of systemic chemotherapy and/or targeted
therapy, or
- In first or later relapse if have received at least 2 systemic regimens since time of
diagnosis, or
- Relapsed post-autologous or allogeneic HSCT with adequate organ function after
proximity to transplantation time exclusions as specified in Exclusion Criteria 208
and 209
- Have measureable disease
- Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2
- Life expectancy of ≥ 12 weeks in the opinion of the Investigator
- Biopsy proven DLBCL (biopsy proven at least at primary diagnosis of DLBCL)
Other Inclusion Criteria May Apply
Exclusion Criteria:
- Richter's transformation (DLBCL arising in the setting of prior chronic lymphocytic
leukemia) or Primary Mediastinal B cell Lymphoma (PMBCL)
- History or presence of clinically relevant Central Nervous System pathology such as
epilepsy, paresis, aphasia, stroke, severe brain injury, dementia, Parkinson's
disease, cerebellar disease, organic brain syndrome, or psychosis.
- Has a diagnosis of immunodeficiency or has received systemic steroid therapy (in
excess of 10 mg daily of prednisone equivalent) or any other form of immunosuppressive
therapy within 7 days prior to the first dose of protocol specified therapy.
- Has undergone prior allogeneic HSCT:
- within the last 5 years OR
- greater than 5 years ago but has active graft versus host disease (GvHD) requiring
systemic treatment.
- Has received autologous HSCT within 6 weeks prior to start of treatment.
Other Exclusion Criteria May Apply.
Maximum Eligible Age: | 100 Years |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Incidence of dose limiting toxicities (DLTs) |
Time Frame: | Up to study day 63, depending on cohort dosing and schedule |
Safety Issue: | |
Description: | Incidence of dose limiting toxicities (DLTs) will be assessed during each cohort |
Secondary Outcome Measures
Measure: | Objective Response |
Time Frame: | Study week 10 and every 12 weeks thereafter, for up to 24 months |
Safety Issue: | |
Description: | Objective response (OR) (including CR and PR) by the Lugano Classification (Cheson et al, 2014) and Revised Response Criteria (Cheson et al, 2007) |
Measure: | Progression Free Survival |
Time Frame: | Study week 10 and every 12 weeks thereafter, for up to 24 months |
Safety Issue: | |
Description: | Progression Free Survival (PFS) by Cheson Criteria |
Measure: | Overall Survival |
Time Frame: | Subjects followed for survival up to 48 months (24 months after last dose of pembrolizumab) |
Safety Issue: | |
Description: | Overall Survival (OS) will be determined for 24 months following the last dose of pembrolizumab. |
Measure: | Duration of response |
Time Frame: | Study week 10 and every 12 weeks thereafter, for up to 24 months |
Safety Issue: | |
Description: | Duration of response (DOR) for subjects with OR (ie, CR and partial remission [PR]) by the Lugano Classification (Cheson et al, 2014) |
Measure: | Blinatumomab Steady state concentration |
Time Frame: | Up to study day 43, depending on cohort dosing and schedule |
Safety Issue: | |
Description: | Pharmacokinetic profile of Blinatumomab: Steady state concentration (Css) |
Measure: | Blinatumomab Clearance rate |
Time Frame: | Up to study day 43, depending on cohort dosing and schedule |
Safety Issue: | |
Description: | Pharmacokinetic profile of Blinatumomab - Clearance rate |
Measure: | Pembrolizumab Peak Plasma Concentration |
Time Frame: | Up to 25 months |
Safety Issue: | |
Description: | Pembrolizumab Pharmacokinetic parameter: Peak Plasma Concentration (Cmx) |
Measure: | Pembrolizumab Minimum plasma concentration |
Time Frame: | Up to 25 months |
Safety Issue: | |
Description: | Pharmacokinetic profile of Pembrolizumab: Minumum plasma concentration (Cmn) |
Measure: | Pembrolizumab PK Parameter - AUC |
Time Frame: | Up to 25 months |
Safety Issue: | |
Description: | Pharmacokinetic profile of Pembrolizumab: Area under the plasma concentration versus time curve (AUC) |
Measure: | Complete response |
Time Frame: | Study week 10 and every 12 weeks thereafter, for up to 24 months |
Safety Issue: | |
Description: | Complete response (CR) by Lugano Classification (Cheson et al, 2014) and Revised Response Criteria (Cheson et al, 2007) |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Active, not recruiting |
Lead Sponsor: | Amgen |
Trial Keywords
- DLBCL Relapsed post-autologous or allogeneic hematopoietic stem cell transplantation (HSCT)
- Antibodies
- Bispecific in combination with PD-1/PD-L1 inhibitor
Last Updated
February 2, 2021