A phase 1/2 study to evaluate safety and efficacy of nivolumab plus brentuximab vedotin in patients with CD30-expressing relapsed/refractory non-Hodgkin lymphomas (NHLs).

Authors

null

Philippe Armand

Dana-Farber Cancer Institute, Boston, MA

Philippe Armand , Joshua Brody , Paul M. Barr , Andrei R. Shustov , Alison J. Moskowitz , Justin Paul Kline , Kerry J. Savage , John Kuruvilla , Neil C. Josephson , Pier Luigi Zinzani , Gilles A. Salles , Aisha Masood , Stephen Maxted Ansell

Organizations

Dana-Farber Cancer Institute, Boston, MA, Icahn School of Medicine at Mount Sinai, New York, NY, University of Rochester Medical Center, Rochester, NY, University of Washington School of Medicine, Seattle, WA, Memorial Sloan Kettering Cancer Center, New York, NY, University of Chicago, Chicago, IL, British Columbia Cancer Agency Center for Lymphoid Cancer, Vancouver, BC, Canada, Princess Margaret Cancer Centre, Toronto, ON, Canada, Seattle Genetics, Bothell, WA, Institute of Hematology, University of Bologna, Bologna, Italy, Hospices Civils de Lyon, Université Lyon-1, Lyon, France, Bristol-Myers Squibb, Princeton, NJ, Division of Hematology, Mayo Clinic, Rochester, MN

Research Funding

Pharmaceutical/Biotech Company

Background: Nivolumab (nivo) is a fully-human immunoglobulin G4 monoclonal antibody immune checkpoint inhibitor that targets programmed death receptor-1 (PD-1) to restore active T-cell immune responses against the tumor. While PD-1 blockade has shown encouraging activity in aggressive B-cell and T-cell NHL,1 the majority of patients (pts) either do not respond or progress after an initial response. Combination therapy with therapeutic agents such as antibody-drug conjugates may increase the frequency and durability of responses, through both direct cell killing and immunogenic consequences of cell death. Brentuximab vedotin (BV) is a CD30-directed antibody-drug conjugate that has shown anti-tumor activity in a wide range of lymphoid malignancies. BV works primarily by inducing cell cycle arrest and apoptotic death in CD30-expressing cells. As BV may also mediate immunogenic cell death, it could synergize with PD-1 blockade.2 We hypothesize that nivo and BV may induce frequent and durable responses in pts with CD30+ relapsed, refractory T-cell NHL and diffuse large B-cell lymphoma (DLBCL). Methods: This phase 1/2 open-label, international, multicenter study (NCT02581631), investigates the safety and efficacy of nivo combined with BV in pts with relapsed/refractory NHL. Pts (aged ≥ 18 yrs) with relapsed/refractory DLBCL, peripheral T-cell lymphoma (excluding anaplastic large cell lymphoma), or cutaneous T-cell lymphoma (mycosis fungoides/Sézary syndrome) are eligible. All pts must have expression of CD30 on ≥ 1% of tumor cells (by IHC analysis). In the ph1 portion, pts will receive nivo + BV with dose de-escalation for excessive toxicity. In the ph2 portion, an extra 90 pts will be enrolled across the 3 histologic subgroups. Primary endpoints: safety, tolerability, and objective response rate. Secondary endpoints: duration of response, complete response rate, duration of complete response, progression-free survival, overall survival, and biomarker analyses. Accrual is ongoing. References: 1. Armand P et al. Haematologica 2015;100(Suppl 1):S808 [abstract] 2. Gardai SJ et al. Cancer Res 2015;75(15 Suppl):2469 [abstract] Clinical trial information: NCT02581631

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Abstract Details

Meeting

2016 ASCO Annual Meeting

Session Type

Poster Session

Session Title

Hematologic Malignancies—Lymphoma and Chronic Lymphocytic Leukemia

Track

Hematologic Malignancies—Lymphoma and Chronic Lymphocytic Leukemia

Sub Track

Non-Hodgkin Lymphoma

Clinical Trial Registration Number

NCT02581631

Citation

J Clin Oncol 34, 2016 (suppl; abstr TPS7576)

DOI

10.1200/JCO.2016.34.15_suppl.TPS7576

Abstract #

TPS7576

Poster Bd #

130a

Abstract Disclosures