CheckMate 436: 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.

Authors

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Paul M. Barr

University of Rochester Medical Center, Rochester, NY

Paul M. Barr , Kenneth Robert Carson , Joshua Brody , Andrei R. Shustov , Alison J. Moskowitz , Justin Paul Kline , Kerry J. Savage , John Kuruvilla , Mary S. Campbell , Pier Luigi Zinzani , Gilles A. Salles , Aisha Masood , Stephen Maxted Ansell

Organizations

University of Rochester Medical Center, Rochester, NY, Washington University School of Medicine in St. Louis, St. Louis, MO, Icahn School of Medicine at Mount Sinai, New York, NY, University of Washington School of Medicine, Seattle, WA, Memorial Sloan-Kettering Cancer Center, New York, NY, University of Chicago Pritzker School of Medicine, Chicago, IL, British Columbia Cancer Agency, Center for Lymphoid Cancer, Vancouver, BC, Canada, Princess Margaret Cancer Centre, Toronto, ON, Canada, Seattle Genetics, Inc., Bothell, WA, Institute of Hematology "L. e A. Seràgnoli", University of Bologna, Bologna, Italy, Hospices Civils De Lyon, Cancer Research Center of Lyon, Claude Bernard University Lyon, Lyon, France, Bristol-Myers Squibb, Lawrenceville, NJ, Mayo Clinic, Rochester, MN

Research Funding

Pharmaceutical/Biotech Company

Background: Nivolumab (nivo) is a PD-1 immune checkpoint inhibitor that augments T-cell activation and host anti-tumor responses. PD-1 blockade has shown promise in B- and T-cell non-Hodgkin lymphoma (NHL),1 but many patients (pts) with NHL do not respond or progress after response. Combination therapy using anti-tumor agents with complementary mechanisms of action and low immunosuppressive impact may result in more frequent and durable responses. Brentuximab vedotin (BV) is an anti-CD30 antibody?drug conjugate that induces cell cycle arrest and apoptosis, with activity in a range of NHL tumors.2,3 Tumor cells undergoing BV-induced apoptosis have shown subsequent immune-mediated anti-tumor cytotoxicity.4 Therefore, nivo and BV may synergize if combined for relapsed/refractory (RR) NHL. Methods: CheckMate 436 (NCT02581631) is a phase 1?2, open-label, international, single-arm study evaluating nivo + BV for CD30-expressing RR NHL (study start: Dec 2015) in pts with RR diffuse large B-cell lymphoma, peripheral T-cell lymphoma (excluding anaplastic large cell lymphoma), and cutaneous T-cell lymphoma (mycosis fungoides/Sézary syndrome); cohorts with primary mediastinal B-cell lymphoma (PMBL) and mediastinal gray zone lymphoma were made eligible in Sept 2016. Pts with PMBL must be aged ≥15 y (≥18 y for other histologies). All pts must have CD30-expressing disease, defined by CD30 on ≥1% of tumor cells or tumor-infiltrating lymphocytes by immunohistochemistry. In the phase 1 component, 6 pts will receive nivo and BV until disease progression or unacceptable toxicity. In the phase 2 component, ~130 more pts across the 5 histologies will be enrolled and treated at the recommended dose. Primary endpoints: safety, tolerability, and investigator-assessed objective response rate; secondary endpoints: duration of response and complete response (CR), CR rate, and progression-free and overall survival. Accrual is ongoing. References: 1. Lesokhin A et al. JCO 2016;34:2698?704 2. Jacobsen E et al. Blood 2015;125:1394?402 3. Horwitz S et al. Blood 2014;123:3095?100 4. Gardai S et al. Cancer Res 2015;75(15 Suppl):2469 [abstract]. Clinical trial information: NCT02581631

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Abstract Details

Meeting

2017 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 35, 2017 (suppl; abstr TPS7577)

DOI

10.1200/JCO.2017.35.15_suppl.TPS7577

Abstract #

TPS7577

Poster Bd #

333b

Abstract Disclosures