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
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
Study locations (17)
Children's Hospital Los Angeles ( Site 1006)
Los Angeles, California, 90027
Children's Hospital Colorado-Center for Cancer and Blood Disorders ( Site 1016)
Aurora, Colorado, 80045
Yale New Haven Hospital ( Site 1012)
New Haven, Connecticut, 06510
Johns Hopkins All Children's Hospital ( Site 1025)
St. Petersburg, Florida, 33701
University of Iowa-Holden Comprehensive Cancer Center ( Site 1017)
Iowa City, Iowa, 52242
Dana-Farber Cancer Institute ( Site 1013)
Boston, Massachusetts, 02215
Corewell Health ( Site 1001)
Grand Rapids, Michigan, 49503
Children's Mercy Hospital ( Site 1024)
Kansas City, Missouri, 64108
Rutgers Cancer Institute of New Jersey ( Site 1008)
New Brunswick, New Jersey, 08903
Memorial Sloan Kettering Cancer Center ( Site 1010)
New York, New York, 10065
New York Medical College ( Site 1023)
Valhalla, New York, 10595
Sanford Fargo Medical Center-Roger Maris Cancer Center ( Site 1003)
Fargo, North Dakota, 58102
Oregon Health and Science University ( Site 1004)
Portland, Oregon, 97239
Children's Hospital of Philadelphia (CHOP) ( Site 1021)
Philadelphia, Pennsylvania, 19104
Sanford Children's Hospital-Sanford Children's Specialty Clinic ( Site 1015)
Sioux Falls, South Dakota, 57105
University of Texas MD Anderson Cancer Center ( Site 1007)
Houston, Texas, 77030
Intermountain - Primary Children's Hospital ( Site 1014)
Salt Lake City, Utah, 84113