A First-in-Human, Phase 1 Trial to Assess Safety, Tolerability, and Preliminary Efficacy of LY4152199, a B-Cell Activation Factor Receptor (BAFF-R) T-Cell Engager Bispecific Antibody in Adult Participants With Previously Treated B-Cell Malignanciesa
Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
Estimated life expectancy of ≥12 weeks as judged by the investigator
Must be able to comply with inpatient/outpatient treatment, laboratory monitoring, and required clinic visits for the duration of trial participation
Must have adequate organ function
Must have measurable or assessable disease for respective B-cell malignancy
Must have failed or were intolerant to at least 2 prior lines of therapy
Phase 1a dose escalation (Cohort A): Must have histologically confirmed relapsed/refractory B-cell malignancy:
Eligible malignancies include diffuse large B-cell lymphoma (NOS or transformed from FL) and FL (Grades 1 to 3a)
Phase 1a dose optimization (Cohort B1):
Must have histologically confirmed relapsed/refractory DLBCL, either de novo or transformed
Phase 1a dose optimization (Cohort B2):
Must have FL (grades 1 to 3a)
Key Exclusion Criteria
All individuals
Known or suspected central nervous system (CNS) involvement by systemic lymphoma or leukemia
Current or history of CNS disease, such as stroke, epilepsy, CNS vasculitis, or neurodegenerative disease
Any unresolved toxicities from prior therapy at the time of starting trial treatment except for alopecia
Autologous stem cell transplantation within 100 days of this study for post autologous transplant individuals
Residual symptoms of neurotoxicity or cytopenias from prior chimeric antigen receptor-modified T-cell (CAR-T) or bispecifics. Exception: Cytopenia related to prior CAR-T or bispecifics allowed
Known or suspected history of macrophage activation syndrome or hemophagocytic lymphohistiocytosis (HLH)
Active second malignancy, unless in remission, with life expectancy greater than 2 years, and with documented sponsor approval are eligible
History of or active autoimmune disease
Significant cardiovascular disease
Active uncontrolled systemic infection or other clinically significant medical conditions
Prior treatment with BAFF-R directed therapies (eg, monoclonal antibody, CAR-T, or bispecific antibody)
Pregnant and/or planning to breastfeed during the trial or within 90 days of the last dose of study intervention
a
This clinical trial is being conducted globally.
b
Includes DLBCL not otherwise specified and transformed from FL.
c
Grades 1 to 3a.
d
Administered intravenously.
e
Step-up dosing is required for the first cycle at each dose level.
f
At least 2 dose levels will be evaluated.
For information on trial enrollment, locations, and more, call
1-800-545-5979.