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| ID | Type | Description | Link |
|---|---|---|---|
| 2015-004491-30 | EudraCT Number | ||
| 2024-514938-20-00 | EU Trial (CTIS) Number |
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This study has two parts with distinct study objectives and study design. In part A, odronextamab is studied as an intravenous (IV) administration with a dose escalation and a dose expansion phase for B-NHL and CLL. The dose escalation phase for B-NHL and the CLL study are closed at the time of protocol amendment 17. In part B, odronextamab is studied as a subcutaneous (SC) administration with a dose finding and a dose expansion phase for B-NHL.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part A | Experimental | DLBCL post CAR-T |
|
| 1N Part B | Experimental | FL |
|
| 2N Part B | Experimental | DLBCL |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Odronextamab multiple dose levels | Drug | Administered by intravenous (IV) infusion |
|
| Measure | Description | Time Frame |
|---|---|---|
| Safety/overall frequency of adverse events (AEs) | Part A and B | Up to 24 months |
| Safety/dose limiting toxicities (DLTs) | Part A and B | Up to 28 days |
| Antitumor activity as measured by the objective response rate (ORR) | Expansion Cohorts: • Diffuse large B-cell lymphoma (DLBCL) after failure of CAR-T therapy Part A | Through study completion, an average of 24 months |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetics (Concentration of odronextamab) | Peak plasma concentration (Cmax) of odronextamab Part A and B | Up to 10 months |
| Incidence of anti-drug antibodies (ADA) to odronextamab | Part A and B |
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Key Inclusion Criteria:
Have documented CD20+ B-cell malignancy, with active disease not responsive to prior therapy, for whom no standard of care options exists, and for whom treatment with an anti-CD20 antibody may be appropriate:
Patients with B-NHL must have had prior treatment with an anti-CD20 antibody therapy. Patients with CLL (Part A only) are not required to have received prior treatment with an anti-CD20 antibody therapy as defined in the protocol.
All patients must have at least one bi-dimensionally measurable lesion ≥1.5 cm) documented by CT or MRI scan, if CT scan is not feasible.
Eastern Cooperative Oncology Group (ECOG) performance status ≤1
Life expectancy of at least 6 months
Adequate bone marrow function as described in the protocol
Adequate organ function as described in the protocol
Willingness to undergo mandatory tumor biopsy pretreatment, if in the opinion of the investigator, the patient has an accessible lesion that can be biopsied without significant risk to the patient.
Willing and able to comply with clinic visits and study-related procedures
Provide signed informed consent or legally acceptable representative
Key Exclusion Criteria:
Primary central nervous system (CNS) lymphoma or known or suspected CNS involvement by non-primary CNS NHL
History of or current relevant CNS pathology such as
Standard anti-lymphoma chemotherapy (non-biologic) or radiotherapy within 28 days prior to first administration of study drug
Infection with human immunodeficiency virus (HIV) or chronic infection with hepatitis B virus (HBV), hepatitis C virus (HCV), or cytomegalovirus (CMV) infection [(as noted by detectable levels on a blood polymerase chain reaction (PCR) assay)].
Patients who have received a live vaccination within 28 days of first dose of study treatment
Note: Other protocol Inclusion/Exclusion criteria apply
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| Name | Affiliation | Role |
|---|---|---|
| Clinical Trial Management | Regeneron Pharmaceuticals | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of California, Irvine | Orange | California | 92868 | United States | ||
| Stanford University |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39786390 | Derived | Topp MS, Matasar M, Allan JN, Ansell SM, Barnes JA, Arnason JE, Michot JM, Goldschmidt N, O'Brien SM, Abadi U, Avivi I, Cheng Y, Flink DM, Zhu M, Brouwer-Visser J, Chaudhry A, Mohamed H, Ambati S, Crombie JL. Odronextamab monotherapy in R/R DLBCL after progression with CAR T-cell therapy: primary analysis of the ELM-1 study. Blood. 2025 Apr 3;145(14):1498-1509. doi: 10.1182/blood.2024027044. | |
| 35366963 |
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All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing.
When Regeneron has:
Qualified researchers can submit a proposal for access to individual patient or aggregate level data from a Regeneron-sponsored clinical trial through Vivli. Regeneron's Independent Research Request Evaluation Criteria can be found at: https://www.regeneron.com/sites/default/files/Regeneron-External-Data-Sharing-Policy-and-Independent-Research-Request-Evaluation-Criteria.pdf
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| Odronextamab multiple dose levels | Drug | Administered by subcutaneous (SC) injection |
|
|
| Over time; up to approximately 15 months |
| Titer of ADA to odronextamab | Part A and B | Over time; up to approximately 15 months |
| Incidence of neutralizing antibodies (NAb) to odronextamab over time | Part A and B | Over time; Up to approximately 15 months |
| Objective response rate (ORR) | For dose escalation portion and expansion cohorts:
For dose escalation and dose expansion cohorts:
| Through study completion, an average of 24 months |
| Progression-free survival | Part A and B | Up to 48 months |
| Overall Survival | Part A and B | Until death or lost to follow-up/ withdrawal, approximately up to 48 months |
| Duration of response (DOR) | Part A and B | Until progression, approximately up to 48 months |
| Minimal residual disease (MRD) for patients with CLL | Part A | Up to 24 months |
| Duration of Complete Response (DOCR) | Part B | Until progression, approximately up to 48 months |
| Stanford |
| California |
| 94305 |
| United States |
| H. Lee Moffitt Cancer Center | Tampa | Florida | 33612 | United States |
| Massachusetts General Hospital | Boston | Massachusetts | 02114 | United States |
| Beth Israel Deaconess Medical Center | Boston | Massachusetts | 02215 | United States |
| Dana Farber Cancer Institute (Massachusetts General Hospital and Beth Israel) | Boston | Massachusetts | 02215 | United States |
| Mayo Clinic | Rochester | Minnesota | 55905 | United States |
| Rutgers Cancer Institute of New Jersey | New Brunswick | New Jersey | 08901 | United States |
| Memorial Sloan Kettering Cancer Center | New York | New York | 10065 | United States |
| Weill Cornell Medical College | New York | New York | 10065 | United States |
| Centre Henri Becquerel | Rouen | Haute-Normandie | 76038 | France |
| CHU Hôpital Lyon Sud | Lyon | 69495 | France |
| Institut Gustave Roussy | Villejuif | Île-de-France Region | 94800 | France |
| Universitatsklinikum Wurzburg | Würzburg | Bavaria | 97080 | Germany |
| Meir Medical Center | Kfar Saba | Central District | 44281 | Israel |
| The Chaim Sheba Medical Center | Tel-Hashomer | Central District | 5265601 | Israel |
| Hadassah Medical Center | Jerusalem | Jerusalem | 9112001 | Israel |
| Assuta Ashdod University Hospital | Ashdod | Southern District | 7747629 | Israel |
| Rambam Health Care Campus - Hematology and Bone Marrow Transplantation Institute | Haifa | 3109601 | Israel |
| Lady Davis Carmel Medical Center | Haifa | 3436212 | Israel |
| Royal Cornwall Hospitals NHS Trust | Truro | Cornwall | tr1 3lq | United Kingdom |
| The Christie NHS Foundation Trust | Manchester | M20 4BX | United Kingdom |
| Derived |
| Bannerji R, Arnason JE, Advani RH, Brown JR, Allan JN, Ansell SM, Barnes JA, O'Brien SM, Chavez JC, Duell J, Rosenwald A, Crombie JL, Ufkin M, Li J, Zhu M, Ambati SR, Chaudhry A, Lowy I, Topp MS. Odronextamab, a human CD20xCD3 bispecific antibody in patients with CD20-positive B-cell malignancies (ELM-1): results from the relapsed or refractory non-Hodgkin lymphoma cohort in a single-arm, multicentre, phase 1 trial. Lancet Haematol. 2022 May;9(5):e327-e339. doi: 10.1016/S2352-3026(22)00072-2. Epub 2022 Apr 1. |
| 34997701 | Derived | Zhu M, Olson K, Kirshner JR, Khaksar Toroghi M, Yan H, Haber L, Meagher C, Flink DM, Ambati SR, Davis JD, DiCioccio AT, Smith EJ, Retter MW. Translational findings for odronextamab: From preclinical research to a first-in-human study in patients with CD20+ B-cell malignancies. Clin Transl Sci. 2022 Apr;15(4):954-966. doi: 10.1111/cts.13212. Epub 2022 Jan 7. |
| ID | Term |
|---|---|
| D008228 | Lymphoma, Non-Hodgkin |
| D015451 | Leukemia, Lymphocytic, Chronic, B-Cell |
| D016403 | Lymphoma, Large B-Cell, Diffuse |
| D008224 | Lymphoma, Follicular |
| ID | Term |
|---|---|
| D008223 | Lymphoma |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
| D015448 | Leukemia, B-Cell |
| D007945 | Leukemia, Lymphoid |
| D007938 | Leukemia |
| D006402 | Hematologic Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D016393 | Lymphoma, B-Cell |
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