Study to Evaluate Adverse Events, Change in Disease Activity, and How Intravenously Infused ABBV-291 Moves Through the Body in Adult Participants With Non-Hodgkin's Lymphoma

Last updated: April 23, 2025
Sponsor: AbbVie
Overall Status: Active - Recruiting

Phase

1

Condition

Non-hodgkin's Lymphoma

Leukemia

Lymphoproliferative Disorders

Treatment

ABBV-291

Clinical Study ID

NCT06667687
M24-893
2024-512586-13-00
  • Ages > 18
  • All Genders

Study Summary

Non-Hodgkin's lymphoma (NHL) is a cancer that arises from the transformation of normal B and T lymphocytes (white blood cells). The purpose of this study is to assess the safety, tolerability, pharmacokinetics, and preliminary efficacy of ABBV-291 in adult participants in relapsed or refractory (R/R) NHL, including but not limited to diffuse large b-cell lymphoma (DLBCL), mantle cell lymphoma (MCL), and follicular lymphoma (FL). Adverse events will be assessed.

ABBV-291 is an investigational drug being developed for the treatment of NHL. This study will include a dose escalation phase to determine the maximum administered dose (MAD)/Maximum tolerated dose (MTD) of ABBV-291 and a dose expansion/optimization phase to determine the change in disease activity in participants with R/R NHL. Approximately 165 adult participants with multiple NHL subtypes will be enrolled in the study in sites world wide

In the dose escalation phase of the study participants will receive escalating Intravenously (IV) infused doses of ABBV-291, until the MAD/MTD is determined. In the dose expansion/optimization phase of the study participants receive IV infused ABBV-291, as part of the approximately 74 month study duration.

There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at an approved institution (hospital or clinic). The effect of the treatment will be frequently checked by medical assessments, blood tests, and side effects.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • For dose escalation (Part 1) only: Participants must have documented diagnosis ofB-cell malignancies including (but not limited to) the following, with histologybased on criteria established by the World Health Organization (WHO), and measurabledisease requiring treatment:

  • Mantle cell lymphoma (MCL);

  • Marginal zone lymphoma (MZL);

  • Waldenstrom macroglobulinemia (WM);

  • Diffuse large b-cell lymphoma (DLBCL) (including: germinal center B-cell type,activated B-cell type, primary cutaneous DLBCL [leg type], Epstein-Barrvirus-positive (EBV+) DLBCL [not otherwise specified], DLBCL associated withchronic inflammation, human herpesvirus 8-positive [HHV8+] DLBCL [not otherwisespecified], B cell lymphoma [unclassifiable] with features intermediate betweenDLBCL and classical Hodgkin lymphoma, high-grade B-cell lymphoma [not otherwisespecified], high-grade B-cell lymphoma [with MYC (avian myelocytomatosis viraloncogene homolog) and BCL2 and/or BCL6 rearrangements], DLBCL arising fromfollicular lymphoma [FL] [transformed FL]);

  • FL Grades 1 to 3B;

  • For dose expansion (Part 2) only: Participants must have documented diagnosis of oneof the following B-cell malignancies, with histology based on criteria establishedby the WHO, and measurable disease requiring treatment:

  • Part 2a only: DLBCL (including: germinal center B-cell type, activated B-celltype, primary cutaneous DLBCL [leg type], EBV+ DLBCL [not otherwise specified],DLBCL associated with chronic inflammation, HHV8+ DLBCL [not otherwisespecified], B-cell lymphoma [unclassifiable] with features intermediate betweenDLBCL and classical Hodgkin lymphoma, high-grade B-cell lymphoma [not otherwisespecified], high-grade B-cell lymphoma [with MYC and BCL2 and/or BCL6rearrangements], DLBCL arising from FL [transformed FL]);

  • Part 2b only: FL Grades 1 to 3B;

  • Part 2c only: Mantle cell lymphoma;

  • For all participants (Parts 1 and 2):

  • Must be considered relapsed or refractory to, or intolerant of, at least 2 ormore prior lines of therapy known to provide a clinical benefit for theircondition, and for whom there is no appropriate locally available therapy knownto provide clinical benefit (e.g., standard chemotherapy or autologous stemcell transplantation [ASCT]).

  • Indolent non-Hodkin's lymphoma (NHL) participants must meet relevant diseasespecific requirements for treatment (e.g., National Comprehensive CancerNetwork [NCCN], Groupe d'Etude des Lymphomes Folliculaires [GELF]).

  • History of allogeneic stem cell transplantation must be stable off ofimmunosuppression for at least 3 months.

  • For participants enrolled in backfill cohorts or at dose levels previouslycleared, subjects must provide consent to an on-treatment fresh tumor biopsyfrom the same tumor lesion as the baseline tumor tissue. This requirement maybe waived at the discretion of the contract research organization (CRO) MedicalMonitor if collecting a biopsy would place the subject at risk of harm or wouldrequire a technically complicated procedure based on tumor location as assessedby the investigator or could hinder a subject's ability to participate in thestudy.

  • Previously treated with a CD79b-targeting therapy (e.g., CD79b monoclonalantibody) a core or excision tumor biopsy subsequent to the most recentCD79b-targeting therapy must be collected. Tumor biopsy requirements may bemodified by Sponsor during the study. This requirement may be waived at thediscretion of the contract research organization (CRO) Medical Monitor ifcollecting a biopsy would place the subject at risk of harm or would require atechnically complicated procedure based on tumor location as assessed by theinvestigator or could hinder a subject's ability to participate in the study.

  • CD79b expression status will be assessed in all participants.

  • Have an eastern cooperative oncology group (ECOG) Performance Status of 0 or 1.

  • Laboratory values meeting the criteria in the protocol within the screening periodprior to the first dose of study drug (if multiple samples are drawn within thescreening period, the sample/result immediately prior to Cycle 1 Day 1 isapplicable).

  • Availability of representative baseline tumor tissue (most recent archived tumortissue or fresh biopsy collected during screening phase) suitable forimmunohistochemistry (IHC) testing. This requirement may be waived at the discretionof the CRO Medical Monitor if collecting a biopsy at screening would place theparticipant at risk of harm or would require a technically complicated procedurebased on tumor location as assessed by the investigator or could hinder aparticipant's ability to participate in the study.

Exclusion

Exclusion Criteria:

  • History of interstitial lung disease (ILD) or pneumonitis that required treatmentwith systemic steroids, or any evidence of active ILD or pneumonitis.

  • Treatment with any of the following:

  • Anticancer therapy including chemotherapy, radiotherapy, small molecule,investigational, and biologic agents within 14 days (or at least 5 half-lives,whichever is shorter), prior to the first dose of the study treatment;

  • CD79b-directed agents (e.g., CD79b monoclonal antibody therapy) within 4 weeks (or at least 5 half-lives, whichever is shorter) prior to the first dose ofstudy treatment.

  • Prior treatment with an antibody drug conjugate that consists of atopoisomerase I inhibitor.

Study Design

Total Participants: 165
Treatment Group(s): 1
Primary Treatment: ABBV-291
Phase: 1
Study Start date:
January 16, 2025
Estimated Completion Date:
November 30, 2031

Connect with a study center

  • Tel Aviv Sourasky Medical Center /ID# 261659

    Tel Aviv, Tel-Aviv 6423906
    Israel

    Active - Recruiting

  • Hadassah Medical Center-Hebrew University /ID# 261658

    Jerusalem, Yerushalayim 91120
    Israel

    Active - Recruiting

  • The Cancer Institute Hospital Of JFCR /ID# 267470

    Koto-ku, Tokyo 135-8550
    Japan

    Active - Recruiting

  • Carolina BioOncology Institute /ID# 265259

    Huntersville, North Carolina 28078
    United States

    Active - Recruiting

  • Willamette Valley Cancer Institute and Research Center /ID# 270945

    Eugene, Oregon 97401
    United States

    Active - Recruiting

  • Texas Oncology - Central/South Texas /ID# 270946

    Austin, Texas 78705
    United States

    Active - Recruiting

  • START Mountain Region /ID# 267592

    West Valley City, Utah 84119-3602
    United States

    Active - Recruiting

  • Virginia Cancer Specialists - Fairfax /ID# 265082

    Fairfax, Virginia 22031
    United States

    Active - Recruiting

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