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The decision to discontinue LAVA-051clinical trial follows a recent review of the competitive landscape that has continued to evolve (Business decision). The decision is not due to safety concerns.
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A phase 1, first-in-human trial to evaluate the safety and tolerability of LAVA-051 in patients with relapsed or refractory Chronic Lymphocytic Leukemia (CLL), Multiple Myeloma (MM), or Acute Myeloid Leukemia (AML).
An open-label, phase 1 dose escalation trial with disease-specific expansion cohorts to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, immunogenicity, and preliminary anti-tumor activity of LAVA-051 in patients with relapsed or refractory CLL, MM, or AML.
The trial was intended to be a Phase 1/2 trial (but the trial never moved forward to Phase 2).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| LAVA-051 | Experimental | Part 1 (dose escalation): LAVA-051 will be given to patients via intravenous (IV) infusion with dose escalation. A selected group of patients will also receive a low dose of interleukin 2 via subcutaneous injection.
Part 2 (dose expansion): patients will receive LAVA-051 at the dose and regimen established in Part 1 of the study |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| LAVA-051 | Biological | In part 1 and part 2, LAVA-051 will be administered via intravenous (IV) infusion |
|
| Measure | Description | Time Frame |
|---|---|---|
| Part 1 & Part 2 - Frequency and severity of AEs: | Frequency, severity, and grading of Adverse Events using the Common Terminology Criteria and grading for Adverse Events (CTCAE) v5.0. CRS will be evaluated using the ASTCT. | Approximately 6 months |
| Part 1 - Frequency and type of DLT | A DLT is defined as an adverse event that is unrelated to disease progression, intercurrent illness, or concomitant medications and is occurring during the first 28 days of treatment. These events will be classified according to the CTCAE v5.0; CRS will be evaluated according to the ASTCT consensus criteria | First 28 days of treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Part 1 & Part 2: Number of participants with an antitumor response | Antitumor response for CLL per iwCLL guidelines, MM per IMWG-based response criteria, and AML per ELN criteria | Approximately 6 months |
| Part 1 & Part 2: Pharmacokinetics of LAVA-051, area under the plasma concentration versus time curve (AUC) |
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KEY INCLUSION CRITERIA
Patient must be 18 years of age inclusive or above at the time of signing the informed consent.
Patients with documented diagnosis of relapsed or refractory CLL, MM, or AML who have failed to respond to or who have relapsed after prior therapy and are not amenable to standard treatments or for whom no standard treatments are available.
Predicated life expectancy of ≥ 3 months.
ECOG performance status of 0 or 1.
Males or non-pregnant, non-breastfeeding females who are either:
Capable of giving signed and dated informed consent prior to initiation of any trial-related procedures.
KEY EXCLUSION CRITERIA
Other eligibility criteria will apply during full screening.
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| Name | Affiliation | Role |
|---|---|---|
| Clinical Trials Management | Lava Therapeutics | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Emory Winship Cancer Institute | Atlanta | Georgia | 30322 | United States | ||
| NYU Langone Health |
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| Interleukin 2 | Biological | In Part 1 and Part 2, a low dose of interleukin 2 will be given via subcutaneous injection with LAVA-051 in a selected group of patients |
|
Area under the plasma concentration versus time curve (AUC) of LAVA-051 will be assessed in all patients treated with LAVA-051 |
| Approximately 6 months |
| Part 1 & Part 2: Incidence and prevalence anti-LAVA-051 antibodies | Development of antibodies (anti-drug antibodies) to LAVA-051 will be evaluated | Approximately 6 months |
| New York |
| New York |
| 10016 |
| United States |
| Levine Cancer Institute, Atrium Health | Charlotte | North Carolina | 28204 | United States |
| Cleveland Clinic | Cleveland | Ohio | 44195 | United States |
| MD Anderson Cancer Center | Houston | Texas | 77030 | United States |
| CHU Lille | Lille | 59037 | France |
| University Hospital of Nantes | Nantes | 44093 | France |
| Amsterdam UMC, location VUmc | Amsterdam | North Holland | 1081 HV | Netherlands |
| Amsterdam UMC, location AMC | Amsterdam | North Holland | 1105 AZ | Netherlands |
| Erasmus MC | Rotterdam | South Holland | 3015 GD | Netherlands |
| University Hospital Vall d'Hebron | Barcelona | 08035 | Spain |
| Cima University of Navarra | Madrid | 28027 | Spain |
| Clinica Universida de Navarra | Pamplona | 31008 | Spain |
| Hospital Clinico Universitario de Salamanca | Salamanca | 37007 | Spain |
| ID | Term |
|---|---|
| D015451 | Leukemia, Lymphocytic, Chronic, B-Cell |
| D009101 | Multiple Myeloma |
| D015470 | Leukemia, Myeloid, Acute |
| D012008 | Recurrence |
| ID | Term |
|---|---|
| D015448 | Leukemia, B-Cell |
| D007945 | Leukemia, Lymphoid |
| D007938 | Leukemia |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D054219 | Neoplasms, Plasma Cell |
| D020141 | Hemostatic Disorders |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D010265 | Paraproteinemias |
| D001796 | Blood Protein Disorders |
| D006474 | Hemorrhagic Disorders |
| D007951 | Leukemia, Myeloid |
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| ID | Term |
|---|---|
| D007376 | Interleukin-2 |
| ID | Term |
|---|---|
| D007378 | Interleukins |
| D016207 | Cytokines |
| D036341 | Intercellular Signaling Peptides and Proteins |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
| D008222 | Lymphokines |
| D011506 | Proteins |
| D001685 | Biological Factors |
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