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Study to Evaluate Adverse Events and Change in Disease Activity in Adult Participants With B-Cell Malignancies Receiving Oral ABBV-525 Tablets

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AbbVie

Status and phase

Enrolling
Phase 1

Conditions

Non-Hodgkin's Lymphoma
B Cell Malignancies
Chronic Lymphocytic Leukemia
Diffuse Large B-Cell Lymphoma

Treatments

Drug: ABBV-525

Study type

Interventional

Funder types

Industry

Identifiers

NCT05618028
M23-324
2022-503136-13 (Other Identifier)

Details and patient eligibility

About

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 100 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.

Enrollment

100 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

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) who are 3L+, +/- cysteine-to-serine point mutation at residue 481 of BTK-domain active site (C481S 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 non-germinal center B cell (GCB) Diffuse large B-cell lymphoma (DLBCL) who are 3L+ chimeric antigen receptor T-cells (CAR-T)/Hematopoietic cell transplant (HCT) relapsed/refractory (R/R) and/or ineligible with histology based on WHO criteria, with measurable disease requiring treatment.
  • Participant has an Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) of 0 or 1.
  • 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 hepatitis B or C infection.
  • 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 (eg, polymerase chain reaction) test or 3 negative antigen test results at least 24 hours apart.

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Sequential Assignment

Masking

None (Open label)

100 participants in 3 patient groups

ABBV-525 Dose Escalation
Experimental group
Description:
Participants will receive escalating doses of ABBV-525 until doses for optimization are determined, as part of an approximately 64 month study period.
Treatment:
Drug: ABBV-525
ABBV-525 Dose Optimization
Experimental group
Description:
Participants will receive one of two doses of ABBV-525 until the recommended phase 2 dose (RP2D) is determined, as part of an approximately 64 month study period.
Treatment:
Drug: ABBV-525
ABBV-525 Dose Expansion
Experimental group
Description:
Participants will receive the RP2D dose of ABBV-525, as part of an approximately 64 month study period.
Treatment:
Drug: ABBV-525

Trial contacts and locations

30

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Central trial contact

ABBVIE CALL CENTER

Data sourced from clinicaltrials.gov

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