Diffuse Large B-Cell LymphomaChronic Lymphocytic LeukemiaB Cell MalignanciesNon-Hodgkin's Lymphoma
Investigational drug(s) / intervention(s)
ABBV-525
ABBV-525: Oral; Tablet
Study summary
B-cell malignancies are a group of cancers of B lymphocytes, a type of white blood cell responsible for fighting infections. The purpose of this study is to assess safety, tolerability, pharmacokinetics and preliminary efficacy of ABBV-525 as a monotherapy.
ABBV-525 is an investigational drug being developed for the treatment of B-Cell Malignancies. Study doctors put the participants in groups called treatment arms. Participants will receive ABBV-525 at different doses. Approximately 150 adult participants will be enrolled in the study across sites worldwide.
In part 1 (dose escalation), participants will receive escalating oral doses of ABBV-525. In part 2 (dose optimization), participants will receive one of two oral doses of ABBV-525, until the recommended phase 2 dose (RP2D) is determined. In part 3 (dose expansion), participants will receive the RP2D oral dose of ABBV-525. The estimated duration of the study is up to 64 months.
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 a hospital or clinic and may require frequent medical assessments, blood tests, and scans.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* Dose Escalation (Part 1) Only: Participants with a documented diagnosis of one of the following third line or later of treatment (3L)+ mature B-cell malignancies, from the World Health Organization (WHO)-defined histologies as defined in the protocol.
* Dose Optimization (Part 2) Only: Participants with documented diagnosis of chronic lymphocytic leukemia (CLL)/small lymphocytic lymphoma (SLL) with histology based on WHO criteria, with measurable disease requiring treatment as defined by the International Workshop on Chronic Lymphocytic Leukemia (iwCLL).
* Dose Expansion (Part 3) Only: Participants with documented diagnosis of one of the 3L+ mature B-cell malignancies based on WHO criteria listed in the protocol, with measurable disease requiring treatment.
* Participant has an Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) of 0, 1, or 2.
* Participant has a life expectancy \>= 12 weeks.
* Adequate hematological and hepatic function as defined in the protocol.
* Must have archival or freshly collected tumor tissue for correlative studies before study enrollment.
* Participants with prior central nervous system (CNS) disease that has been effectively treated may be eligible.
* Participants with resolved coronavirus disease 2019 (COVID-19) infection are eligible.
Exclusion Criteria:
* Known active CNS disease, or primary CNS lymphoma.
* Known bleeding disorders.
* Known history of stroke or intracranial hemorrhage within 12 months prior to first dose of study treatment.
* Uncontrolled active systemic infection, or active cytomegalovirus infection.
* Active and/or chronic hepatitis B or C infection and/or the criteria listed in the protocol.
* Known history of human immunodeficiency virus (HIV).
* Known active COVID-19 infection. Participant must not have signs/symptoms associated with COVID-19 infection or known exposure to a confirmed case of COVID-19 infection during screening. If participant has signs/symptoms suggestive of COVID-19 infection, the participant must have a negative molecular (e.g., polymerase chain reaction) test or 3 negative antigen test results at least 24 hours apart.
Primary outcome measure(s)
Number of Participants With Adverse Events (AE) — Up to Approximately 64 Months An AE is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. A serious adverse event (SAE) is defined as any untoward medical occurrence, whether associated with study drug or not, that results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, or is an important medical event requiring medical or surgical intervention to prevent serious outcome.
Number of Participants With Dose-Limiting Toxicities (DLT) — Up to Approximately 28 Days A DLT is defined as any AE for which a clear alternative cause cannot be established (eg, attributed to the disease under study, another disease, or to a concomitant medication by the study investigators or medical monitor).
Number of Tumor Lysis Syndrome (TLS) — Up to Approximately 64 Months TLS is confirmed by evaluation of electrolyte and fluid status and renal status including urine output.
Number of Participants With Clinically Significant Changes From Baseline in Clinical Laboratory Parameters — Up to Approximately 64 Months Clinical laboratory parameters included tests of hematology, chemistry, urinalysis and prolactin. The investigator will assess the results for clinical significance.
Number of Participants With Clinically Significant Changes From Baseline in Vital Sign Parameters — Up to Approximately 64 Months Vital sign parameters included body temperature, systolic and diastolic blood pressure, pulse rate, and respiratory rate. The investigator will assess the results for clinical significance.
Number of Participants With Clinically Significant Changes From Baseline in Electrocardiograms (ECG) — Up to Approximately 64 Months A standard 12-lead ECG will be performed. The investigator will assess the results for clinical significance.
Maximum Observed Plasma Concentration (Cmax) of ABBV-525 — Up to 12 Months Maximum observed plasma concentration of ABBV-525.
Time to Cmax (Tmax) of ABBV-525 — Up to 12 Months Time to Cmax of ABBV-525.
Area Under the Plasma Concentration-Time Curve (AUC) of ABBV-525 — Up to 12 Months Area under the plasma concentration-time curve of ABBV-525.
Trial sites (39)
Facility
City
Region
Status
University of California Los Angeles Medical Center /ID# 246357
Los Angeles
California
Yale University School of Medicine /ID# 259081
New Haven
Connecticut
Mount Sinai Medical Center-Miami Beach /ID# 248251
Miami Beach
Florida
Fort Wayne Medical Oncology and Hematology, Inc /ID# 250113
Fort Wayne
Indiana
Indiana University Melvin and Bren Simon Comprehensive Cancer Center /ID# 259872
Indianapolis
Indiana
Tulane Cancer Center Clinic /ID# 249586
New Orleans
Louisiana
START Midwest /ID# 252359
Grand Rapids
Michigan
Memorial Sloan Kettering Cancer Center-Koch Center /ID# 245459
New York
New York
Atrium Health Levine Cancer Institute /ID# 246363
Charlotte
North Carolina
University Of Cincinnati Medical Center /ID# 262288
Cincinnati
Ohio
University of Texas MD Anderson Cancer Center /ID# 245463
Houston
Texas
University of Utah Health Hospital /ID# 259924
Salt Lake City
Utah
Northwest Medical Specialties - Tacoma /ID# 260376
Tacoma
Washington
Bankstown-Lidcombe Hospital /ID# 260191
Bankstown
New South Wales
Orange Health Service /ID# 260473
Orange
New South Wales
Monash Health - Monash Medical Centre /ID# 246366
Clayton
Victoria
The Alfred Hospital /ID# 248592
Melbourne
Victoria
UZ Gent /ID# 246462
Ghent
Oost-Vlaanderen
Universitair Ziekenhuis Leuven /ID# 246461
Leuven
Vlaams-Brabant
CHRU Lille - Hopital Claude Huriez /ID# 252054
Lille
Nord
IUCT Oncopole /ID# 259409
Toulouse
Occitanie
Charite Universitaetsmedizin Berlin Campus Virchow-Klinikum /ID# 252062
Berlin
Germany
Shamir Medical Center /ID# 257711
Beer Ya'akov
Central District
Rabin Medical Center. /ID# 257665
Petah Tikva
Central District
Hadassah Medical Center-Hebrew University /ID# 251441
The Royal Marsden NHS Foundation Trust /ID# 250324
London
United Kingdom
The Christie Hospital /ID# 250325
Manchester
United Kingdom
Official registry record
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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