VAY736 + Antineoplastic Agents for Non-Hodgkin's Lymphoma

No longer recruiting at 15 trial locations
NP
Overseen ByNovartis Pharmaceuticals
Age: 18+
Sex: Any
Trial Phase: Phase 1
Sponsor: Novartis Pharmaceuticals
Must be taking: Anti-CD20 therapy
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores a new treatment called VAY736, alone or with other medications, for individuals with certain types of non-Hodgkin's lymphoma (NHL), such as diffuse large B-cell lymphoma (DLBCL) and follicular lymphoma (FL). The goal is to assess the safety and effectiveness of this treatment for those whose cancer has returned or did not respond to previous treatments. Individuals who have tried at least two prior treatments for their lymphoma, including one targeting CD20, and still have measurable disease might be suitable candidates for this trial. As a Phase 1 trial, this research focuses on understanding how the treatment works in people, offering participants the opportunity to be among the first to receive this new treatment.

Do I have to stop taking my current medications for this trial?

The trial information does not specify if you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research shows that VAY736, when used alone, may help the body fight certain cancer cells by blocking signals that help these cells survive. This treatment is still being tested, so limited information exists about its safety.

When combined with lenalidomide, more safety information is available. Lenalidomide, approved by the FDA for some types of non-Hodgkin's lymphoma, is generally well-tolerated. Common side effects include tiredness, diarrhea, and low blood counts, while serious side effects are less common.

Since this trial is in an early stage, it primarily focuses on assessing the safety and optimal dose levels of VAY736. Although researchers are still learning about its safety, using it with lenalidomide, which has a known safety record, offers some reassurance in this new setting.12345

Why are researchers excited about this trial's treatments?

Researchers are excited about VAY736 for treating non-Hodgkin's lymphoma because it targets the immune system differently from standard treatments like chemotherapy and monoclonal antibodies. VAY736 is an anti-CD40 monoclonal antibody, which means it binds to a specific protein on the surface of B cells, potentially enhancing their ability to fight cancer. Additionally, in one experimental arm, VAY736 is combined with lenalidomide, a drug known to boost the immune response against cancer cells, offering a potentially powerful double-hit strategy. This unique mechanism of action could offer new hope for patients who have not responded to existing therapies.

What evidence suggests that this trial's treatments could be effective for Non-Hodgkin's Lymphoma?

This trial examines VAY736 for its potential to treat various types of non-Hodgkin's lymphoma (NHL), including diffuse large B-cell lymphoma (DLBCL) and follicular lymphoma (FL). Participants in one trial arm will receive VAY736 alone, which targets specific proteins on cancer cells to slow or stop their growth. Early results from previous research suggest that VAY736 alone may effectively manage these cancers.

In another trial arm, participants will receive a combination of VAY736 and lenalidomide, a drug that treats B-cell NHL by boosting the immune system. Lenalidomide has shown success in some NHL cases. Together, VAY736 and lenalidomide could offer a stronger approach to treating these challenging lymphomas.16789

Who Is on the Research Team?

NI

Novartis Institutes of Biomedical Research

Principal Investigator

Novartis Institutes of Biomedical Research

Are You a Good Fit for This Trial?

This trial is for adults with certain types of B-cell Non-Hodgkin Lymphoma that have tried at least two prior treatments without success. Participants must be able to undergo biopsies and have a performance status allowing daily activity. Excluded are those with central nervous system lymphoma, severe heart or lung conditions, HIV, active hepatitis infections, or women who could become pregnant and aren't using contraception.

Inclusion Criteria

I have cancer that can be measured and I can care for myself.
I have a type of B-cell NHL that has come back or didn't respond to treatment.
I have tried at least two treatments for my NHL, including one targeting CD20, without success.

Exclusion Criteria

Pregnant or nursing (lactating) women
I am HIV positive.
Baseline laboratory results outside of protocol defined ranges
See 6 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Dose Escalation

Investigational drug VAY736 was explored alone or in combination with lenalidomide to identify the maximum tolerated dose/recommended dose (MTD/RD) in patients with NHL.

4 years

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • VAY736
Trial Overview The study tests the safety and effectiveness of VAY736 alone or combined with other drugs (CC-99282, lenalidomide) in patients with relapsed/refractory Non-Hodgkin Lymphoma. It will evaluate how the body processes these drugs and their preliminary effects on the disease.
How Is the Trial Designed?
4Treatment groups
Experimental Treatment
Group I: Arm 2BExperimental Treatment2 Interventions
Group II: Arm 2AExperimental Treatment2 Interventions
Group III: Arm 1BExperimental Treatment1 Intervention
Group IV: Arm 1AExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Novartis Pharmaceuticals

Lead Sponsor

Trials
2,963
Recruited
4,275,000+
Founded
1996
Headquarters
Basel, Switzerland
Known For
Precision medicine
Top Products
Gleevec, Cosentyx, Entresto, Kisqali
Dr. Vas Narasimhan profile image

Dr. Vas Narasimhan

Novartis Pharmaceuticals

Chief Executive Officer since 2018

MD from Harvard Medical School

Dr. Shreeram Aradhye profile image

Dr. Shreeram Aradhye

Novartis Pharmaceuticals

Chief Medical Officer since 2021

MD

Bristol-Myers Squibb

Industry Sponsor

Trials
2,731
Recruited
4,127,000+
Headquarters
New York City, USA
Known For
Oncology & Cardiovascular
Top Products
Eliquis, Opdivo, Revlimid, Orencia
Christopher Boerner profile image

Christopher Boerner

Bristol-Myers Squibb

Chief Executive Officer since 2023

PhD in Business Administration from the Haas School of Business, University of California, Berkeley; BA in Economics and History from Washington University in St. Louis

Deepak L. Bhatt profile image

Deepak L. Bhatt

Bristol-Myers Squibb

Chief Medical Officer since 2024

MD from Yale University; MSc in Clinical Epidemiology from the University of Pennsylvania

Citations

NCT04903197 | Study of VAY736 as Single Agent and in ...The primary objective of the study is to evaluate the safety and tolerability in patients with NHL and identify a maximum tolerated dose (MTD) and/or ...
VAY736 + Antineoplastic Agents for Non-Hodgkin's ...The purpose of this study is to assess the safety, tolerability, pharmacokinetics (PK), immunogenicity and preliminary efficacy of VAY736 alone or in ...
Biology as vulnerability in follicular lymphoma: genetics ...It is the most prevalent indolent non-Hodgkin lymphoma, characterized by a relapsing course and risk of transformation to aggressive diffuse large B-cell ...
Antibody Shows Encouraging Results for Treating High-risk ...For the follicular lymphoma trial, patients receiving loncastuximab and rituximab had a 67% complete response rate, meaning their cancer could ...
"Marginal Zone Lymphoma", "Interleukin-4" | Card ResultsAn unfavorable change in the health of a participant, including abnormal laboratory findings, that happens during a clinical study or within a certain amount of ...
"Marginal Zone Lymphoma", "Interleukin-4" | Card ResultsAn unfavorable change in the health of a participant, including abnormal laboratory findings, that happens during a clinical study or within a certain amount of ...
Anti–BAFF-R antibody VAY-736 demonstrates promising ...The anti–BAFF-R antibody VAY-736 enhances antibody-dependent cellular cytotoxicity and blocks BAFF-mediated survival signaling in human CLL.
Online Trial TrackerVAY736Y, NCT02137889: Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of VAY736 in Relapsed or Refractory CLL Patients. Terminated. 1. 3. US, ...
Current Status of Novel Agents for the Treatment of B Cell ...This review summarizes the current state-of-the-art, provides a summary of new, safer, more selective inhibitors currently under evaluation in clinical trials.
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