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RecruitingInterventionalPhase 1/Phase 2

LIGHTBEAM-U01 Substudy 01A: A Phase 1/2 Substudy to Evaluate the Safety and Efficacy of Zilovertamab Vedotin in Pediatric and Young Adult Participants With Hematologic Malignancies or Solid Tumors

NCT ID: NCT06395103Sponsor: Merck Sharp & Dohme LLCLast updated: 2026-06-08

Summary

Substudy 01A is part of a platform study. The purpose of this study is to assess the efficacy and safety of zilovertamab vedotin in pediatric participants with relapsed or refractory B-cell acute lymphoblastic leukemia (B-ALL), diffuse large B-cell lymphoma (DLBCL)/Burkitt lymphoma, or neuroblastoma and in pediatric and young adult participants with Ewing sarcoma.

Arms & interventions

  • BiologicalZilovertamab vedotin

    Administered via IV infusion

Outcome measures

Primary

  • Part 1: Number of Participants from 1 to <18 years of Age Who Experience a Dose-Limiting Toxicity (DLT)

    Number of participants experiencing toxicities that are possibly, probably, or definitely related to study therapy; that meet pre-defined severity criteria; and result in a change in the given dose.

    Time frame: Up to 42 days

  • Part 1: Number of Participants from 1 to <18 years of Age Who Experience One or More Adverse Events (AEs)

    An AE is defined as any untoward medical occurrence associated with the use of a drug in a participant, whether or not considered drug related. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product and does not imply any judgment about causality. The number of participants in Part 1 who experience at least 1 AE will be presented.

    Time frame: Up to approximately 54 months

  • Part 1: Number of Participants from 1 to <18 years of Age Who Discontinue Study Treatment Due to AEs

    An AE is defined as any untoward medical occurrence associated with the use of a drug in a participant, whether or not considered drug related. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product and does not imply any judgment about causality. The number of participants in Part 1 who discontinue study treatment due to an AE will be presented.

    Time frame: Up to approximately 54 months

  • Part 1: Number of Participants from 1 to <18 years of Age Who Receive Dose Modification Due to AEs

    An AE is defined as any untoward medical occurrence associated with the use of a drug in a participant, whether or not considered drug related. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product and does not imply any judgment about causality. The number of participants in Part 1 who receive a dose modification due to an AE will be presented.

    Time frame: Up to approximately 54 months

  • Part 1 and Part 2: Objective Response (OR) for Participants with B-Cell Acute Lymphoblastic Leukemia (B-ALL)

    OR for participants with B-ALL is defined as complete response (CR) or complete response with incomplete hematologic recovery (CRi) based on investigator's assessment per Ponte-di-Legno Consortium criteria. For Part 1 and Part 2, the OR for participants with B-ALL as assessed by investigator will be presented.

    Time frame: Up to approximately 54 months

  • Part 1 and Part 2: OR for Participants with Diffuse Large B-Cell Lymphoma (DLBCL)/Burkitt Lymphoma, Neuroblastoma, and Ewing Sarcoma

    OR for participants with DLBCL/Burkitt lymphoma, neuroblastoma, and Ewing sarcoma is defined as complete response (CR) or partial response (PR) based on investigator's assessment per International Pediatric Non-Hodgkin Lymphoma (IPNHL) Response Criteria for participants with DLBCL/Burkitt lymphoma, per International Neuroblastoma Response Criteria (INRC) for neuroblastoma, and per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 for Ewing sarcoma. For Part 1 and Part 2, the OR for participants with DLBCL/Burkitt lymphoma, neuroblastoma, and Ewing sarcoma as assessed by investigator will be presented.

    Time frame: Up to approximately 54 months

Secondary

  • Part 1 and Part 2: Area Under the Curve (AUC) of Total Antibody

    Time frame: Predose on Day 1 of Cycles 1 through 6 and every 4 cycles thereafter, at end of infusion on Day 1 of Cycles 1 and 3, and on Days 3, 8, and 15 of Cycles 1 and 3. Each cycle is 21 days. (Up to approximately 54 months)

  • Part 1 and Part 2: Maximum Plasma Concentration (Cmax) of Total Antibody

    Time frame: Predose on Day 1 of Cycles 1 through 6 and every 4 cycles thereafter, at end of infusion on Day 1 of Cycles 1 and 3, and on Days 3, 8, and 15 of Cycles 1 and 3. Each cycle is 21 days. (Up to approximately 54 months)

  • Part 1 and Part 2: Plasma Trough Concentration (Ctrough) of Total Antibody

    Time frame: Predose on Day 1 of Cycles 1 through 6 and every 4 cycles thereafter, at end of infusion on Day 1 of Cycles 1 and 3, and on Days 3, 8, and 15 of Cycles 1 and 3. Each cycle is 21 days. (Up to approximately 54 months)

  • Part 1 and Part 2: Apparent Terminal Half-life (t1/2) of Total Antibody

    Time frame: Predose on Day 1 of Cycles 1 through 6 and every 4 cycles thereafter, at end of infusion on Day 1 of Cycles 1 and 3, and on Days 3, 8, and 15 of Cycles 1 and 3. Each cycle is 21 days. (Up to approximately 54 months)

  • Part 1 and Part 2: AUC of Antibody-Drug Conjugate (ADC)

    Time frame: Predose on Day 1 of Cycles 1 through 6 and every 4 cycles thereafter, at end of infusion on Day 1 of Cycles 1 and 3, and on Days 3, 8, and 15 of Cycles 1 and 3. Each cycle is 21 days. (Up to approximately 54 months)

  • Part 1 and Part 2: Cmax of ADC

    Time frame: Predose on Day 1 of Cycles 1 through 6 and every 4 cycles thereafter, at end of infusion on Day 1 of Cycles 1 and 3, and on Days 3, 8, and 15 of Cycles 1 and 3. Each cycle is 21 days. (Up to approximately 54 months)

  • Part 1 and Part 2: Ctrough of ADC

    Time frame: Predose on Day 1 of Cycles 1 through 6 and every 4 cycles thereafter, at end of infusion on Day 1 of Cycles 1 and 3, and on Days 3, 8, and 15 of Cycles 1 and 3. Each cycle is 21 days. (Up to approximately 54 months)

  • Part 1 and Part 2: t1/2 of ADC

    Time frame: Predose on Day 1 of Cycles 1 through 6 and every 4 cycles thereafter, at end of infusion on Day 1 of Cycles 1 and 3, and on Days 3, 8, and 15 of Cycles 1 and 3. Each cycle is 21 days. (Up to approximately 54 months)

  • Part 1 and Part 2: AUC of Monomethyl Auristatin E (MMAE)

    Time frame: Predose on Day 1 of Cycles 1 through 6 and every 4 cycles thereafter, at end of infusion on Day 1 of Cycles 1 and 3, and on Days 3, 8, and 15 of Cycles 1 and 3. Each cycle is 21 days. (Up to approximately 54 months)

  • Part 1 and Part 2: Cmax of MMAE

    Time frame: Predose on Day 1 of Cycles 1 through 6 and every 4 cycles thereafter, at end of infusion on Day 1 of Cycles 1 and 3, and on Days 3, 8, and 15 of Cycles 1 and 3. Each cycle is 21 days. (Up to approximately 54 months)

  • Part 1 and Part 2: Ctrough of MMAE

    Time frame: Predose on Day 1 of Cycles 1 through 6 and every 4 cycles thereafter, at end of infusion on Day 1 of Cycles 1 and 3, and on Days 3, 8, and 15 of Cycles 1 and 3. Each cycle is 21 days. (Up to approximately 54 months)

  • Part 1 and Part 2: t1/2 of MMAE

    Time frame: Predose on Day 1 of Cycles 1 through 6 and every 4 cycles thereafter, at end of infusion on Day 1 of Cycles 1 and 3, and on Days 3, 8, and 15 of Cycles 1 and 3. Each cycle is 21 days. (Up to approximately 54 months)

  • Part 2: Number of Participants Who Experience One or More AEs

    Time frame: Up to approximately 54 months

  • Part 2: Number of Participants Who Discontinue Study Treatment Due to AEs

    Time frame: Up to approximately 54 months

  • Part 2: Number of Participants Who Receive Dose Modification Due to AEs

    Time frame: Up to approximately 54 months

  • Part 1 and Part 2: Incidence of Antidrug Antibodies (ADAs) to Zilovertamab Vedotin

    Time frame: Predose on Day 1 of Cycles 1, 2, 3, 4, 5, 6 and every 4 cycles thereafter. Each cycle is 21 days. (Up to approximately 54 months)

  • Part 1 and Part 2: Duration of Response (DOR)

    Time frame: Up to approximately 54 months

  • Part 1 and Part 2: Percentage of Participants with DLBCL/Burkitt Lymphoma Who Receive Stem Cell Transplant (SCT)

    Time frame: Up to approximately 54 months

  • Part 1 and Part 2: Percentage of Participants with B-ALL Who Receive SCT

    Time frame: Up to approximately 54 months

  • Part 1 and Part 2: Percentage of Participants with B-ALL Who Receive Chimeric Antigen Receptor T (CAR-T)

    Time frame: Up to approximately 54 months

Eligibility criteria

Sex: AllAge: 6 Months to 25 YearsHealthy volunteers: No
The main inclusion and exclusion criteria include but are not limited to the following: Inclusion Criteria: * For hematological malignancies: Confirmed diagnosis of B-precursor B-ALL or DLBCL/Burkitt lymphoma according to World Health Organization (WHO) classification of neoplasms of the lymphoid tissues. * For solid tumor malignancies: Histologically confirmed diagnosis of neuroblastoma or Ewing sarcoma. Exclusion Criteria: * History of solid organ transplant. * Clinically significant (ie, active) cardiovascular disease. * Known history of liver cirrhosis. * Ongoing Grade \>1 peripheral neuropathy. * Demyelinating form of Charcot-Marie-Tooth disease. * Diagnosed with Down syndrome. * Ongoing graft-versus-host disease (GVHD) of any grade or receiving systemic GVHD treatment or prophylaxis. * History of human immunodeficiency virus (HIV) infection. * Contraindication or hypersensitivity to any of the study intervention components. * Received prior radiotherapy within 4 weeks of start of study intervention. Participants must have recovered from all radiation-related toxicities. * Ongoing, chronic corticosteroid therapy (exceeding 10 mg daily of prednisone equivalent). Prednisone equivalent dosing must have been stable for at least 4 weeks before Cycle 1 Day 1 (C1D1). * Received a strong cytochrome P450 3A4 (CYP3A4) inhibitor within 7 days or a strong CYP3A4 inducer within 14 days before the start of study intervention or expected requirement for chronic use of a strong CYP3A4 inhibitor or inducer during the study intervention period and for 30 days after the last dose of study intervention * Received prior systemic anticancer therapy including investigational agents within 4 weeks before the first dose of study intervention (except for prophylactic intrathecal chemotherapy and/or cytoreductive therapy with steroids/hydroxyurea. * Received a live or live-attenuated vaccine within 30 days before the first dose of study intervention. Administration of killed vaccines is allowed. * Has received an investigational agent or has used an investigational device within 4 weeks prior to study intervention administration. * Known additional malignancy that is progressing or has required active treatment within the past 1 year. * Active infection requiring systemic therapy. * Known history of Hepatitis B or known active Hepatitis C virus infection. * Participants who have not adequately recovered from major surgery or have ongoing surgical complications.

Study locations (17)

Children's Hospital Los Angeles ( Site 1006)

Los Angeles, California, 90027

Recruiting
Study Coordinator · Contact

Children's Hospital Colorado-Center for Cancer and Blood Disorders ( Site 1016)

Aurora, Colorado, 80045

Recruiting
Study Coordinator · Contact

Yale New Haven Hospital ( Site 1012)

New Haven, Connecticut, 06510

Recruiting
Study Coordinator · Contact

Johns Hopkins All Children's Hospital ( Site 1025)

St. Petersburg, Florida, 33701

Recruiting
Study Coordinator · Contact

University of Iowa-Holden Comprehensive Cancer Center ( Site 1017)

Iowa City, Iowa, 52242

Recruiting
Study Coordinator · Contact

Dana-Farber Cancer Institute ( Site 1013)

Boston, Massachusetts, 02215

Recruiting
Study Coordinator · Contact

Corewell Health ( Site 1001)

Grand Rapids, Michigan, 49503

Recruiting
Study Coordinator · Contact

Children's Mercy Hospital ( Site 1024)

Kansas City, Missouri, 64108

Recruiting
Study Coordinator · Contact

Rutgers Cancer Institute of New Jersey ( Site 1008)

New Brunswick, New Jersey, 08903

Recruiting
Study Coordinator · Contact

Memorial Sloan Kettering Cancer Center ( Site 1010)

New York, New York, 10065

Recruiting
Study Coordinator · Contact

New York Medical College ( Site 1023)

Valhalla, New York, 10595

Recruiting
Study Coordinator · Contact

Sanford Fargo Medical Center-Roger Maris Cancer Center ( Site 1003)

Fargo, North Dakota, 58102

Recruiting
Study Coordinator · Contact

Oregon Health and Science University ( Site 1004)

Portland, Oregon, 97239

Recruiting
Study Coordinator · Contact

Children's Hospital of Philadelphia (CHOP) ( Site 1021)

Philadelphia, Pennsylvania, 19104

Recruiting
Study Coordinator · Contact

Sanford Children's Hospital-Sanford Children's Specialty Clinic ( Site 1015)

Sioux Falls, South Dakota, 57105

Recruiting
Study Coordinator · Contact

University of Texas MD Anderson Cancer Center ( Site 1007)

Houston, Texas, 77030

Recruiting
Study Coordinator · Contact

Intermountain - Primary Children's Hospital ( Site 1014)

Salt Lake City, Utah, 84113

Recruiting
Study Coordinator · Contact