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CompletedNCT02581878Updated Nov 25, 2020

Safety and Tolerability of BAY1862864 Injection in Subjects With Relapsed or Refractory CD22-positive Non-Hodgkin's Lymphoma

A Phase 1 interventional study of BAY1862864 in Lymphoma, Non-Hodgkin, sponsored by Bayer. Completed at 4 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-11-25.

Sponsored by Bayer · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
21
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
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Study summary

To establish a recommended dose of BAY1862864 Injection and to investigate how the study drug acts in the body, on the cancer cells and how safe it is in patients with advanced non-Hodgkin's lymphoma (NHL)

Read the detailed description

The study will be divided into two parts: a "dose-escalation part" to evaluate safety profile and to explore the Maximum tolerated dose (MTD) and an "expansion part" to evaluate further the safety and tumor response profile of BAY1862864 Injection at the selected dose.

02

Conditions studied

  • Lymphoma, Non-Hodgkin

Keywords

  • Thorium-227
  • BAY1862864 Injection
  • Safety
  • Pharmacokinetics
  • CD22
  • Radioimmunotherapy
03

In context

Lymphoma

5,578 studies on the registry are indexed under Lymphoma; 825 are open to participants now.

This study's enrollment of 21 is below the median of 40 across 4,508 interventional studies indexed under Lymphoma.

Browse Lymphoma studies →

Lead sponsor

Bayer is the lead sponsor of 1,643 studies on the registry; 57 are open to participants now.

Of its 209 completed or terminated interventional studies of FDA-regulated products, 129 (62%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Subject has relapsed or refractory CD22-positive histologically confirmed NHL
  • An archival paraffin-embedded tissue or fresh biopsy is available for the retrospective quantitative assessment of CD22 levels
  • Bone marrow involvement of cellular marrow with lymphoma determined to be \< 25%
  • Subject has failed at least one prior chemo-/immunotherapy-based regimen
  • Life expectancy of at least 12 weeks
  • Not eligible for, or refused, or failed high-dose therapy combined with autologous stem cell rescue (HDT ASCR)
  • Eastern Cooperative Oncology Group (ECOG) performance status of ≤2
  • Women of childbearing potential must have negative pregnancy test within seven days before the start of treatment
  • Subject was using adequate barrier birth control measures before the study and is willing to continue use of these during the entire course of the study and for the twelve months after the last administration of BAY1862864 Injection
  • Adequate bone-marrow, hepatic and renal function
  • Subject is capable of giving informed consent and has provided such consent in writing

Exclusion criteria

Exclusion Criteria:

  • Previous exposure to the study drug. Previous exposure to CD22 antibody within six months before screening. Any radio-immunotherapy within six months before screening.
  • History of anaphylactic reactions to monoclonal antibody therapy. Known or suspected allergy or intolerance to any agent to be given in the course of this study.
  • Anti-cancer immunotherapy and/or anti cancer chemotherapy within four weeks before the first dose of study drug
  • Previous therapy with fludarabine-containing regimens within three months before screening
  • Participation in any other clinical trial in which the subject received active therapy within four weeks before the first scheduled dose of study drug
  • Any toxic effects (CTCAE ≥ Grade 2) of previous anti cancer therapy (incl. radiotherapy) that have not yet stabilized or significant post-treatment toxicities have been observed
  • Prior definitive radiotherapy completed less than four weeks before the date scheduled for first dose of BAY1862864
  • History of symptomatic metastatic brain or meningeal tumors. Presence of new or progressive brain metastases.
  • History of clinically significant cardiac disease
  • Clinically relevant findings in the ECG.
  • Uncontrolled hypertension, defined as systolic blood pressure > 160 mmHg and / or diastolic blood pressure > 100 mmHg, despite optimum medical management
  • History of arterial or venous thrombotic or embolic events, such as cerebrovascular accident (including transient ischemic attack), deep vein thrombosis, or clinically relevant pulmonary embolism within three months before the first administration of BAY1862864 (except for adequately treated catheter-related venous thrombosis occurring more than one month before start of study medication)
  • Autologous bone-marrow transplant or stem-cell rescue within three months before the first administration of BAY1862864
  • Organ allograft (except for corneal transplant) or allogeneic bone-marrow transplant at any time before the first administration of BAY1862864
  • Positive result of hepatitis B virus (HBV-DNA) and/or human immunodeficiency virus antibody (HIV-Ab) test
  • Liver cirrhosis, defined as Child-Pugh class B or C
  • Any active infection of CTCAE Grade ≥2
  • Previous or concurrent cancer that is distinct in primary site or histology from the cancer being evaluated in this study
  • Major surgery or significant trauma within four weeks before the first administration of BAY1862864
  • Any treatment with biological response modifiers (such as, but not limited to, granulocyte colony-stimulating factor, G CSF), or any blood transfusion, within three weeks before first administration of BAY1862864
  • Substance abuse, medical, psychological or social conditions that may interfere with the subject's participation in the study or evaluation of the study result
  • Current pregnancy or breast-feeding
  • Any condition that is unstable or could jeopardize the safety of the subject and his/her compliance with study requirements
  • Close affiliation with the investigation site
  • Any use by the subject of illicit drugs or other substances that may, in the opinion of the investigator or his/her designated associate(s), have a reasonable chance of contributing to toxicity or otherwise confound the results
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
21 participants (actual)

Study arms

  • Experimental
    Cohort 1a

    Cancer patients with relapsed or refractory non-Hodgkin's lymphoma will be randomized to receive an injection of study drug (BAY1862864) with a dosage of 1.5 MBq (2 mg antibody chelator conjugate \[ACC\]).

    Drug: BAY1862864

  • Experimental
    Cohort 1b

    Cancer patients with relapsed or refractory non-Hodgkin's lymphoma will be randomized to receive an injection of study drug (BAY1862864) with a dosage of 1.5 MBq (10 mg ACC).

    Drug: BAY1862864

  • Experimental
    Cohort 2

    Cancer patients with relapsed or refractory non-Hodgkin's lymphoma will be randomized to receive an injection of study drug (BAY1862864) with a dosage of 3.1 MBq (10 mg ACC).

    Drug: BAY1862864

  • Experimental
    Cohort 3

    Cancer patients with relapsed or refractory non-Hodgkin's lymphoma will be randomized to receive an injection of study drug (BAY1862864) with a dosage of 4.6 MBq (10 mg ACC).

    Drug: BAY1862864

  • Experimental
    Cohort 4

    Cancer patients with relapsed or refractory non-Hodgkin's lymphoma will be randomized to receive an injection of study drug (BAY1862864) with a dosage of 6.1 MBq (10 mg ACC).

    Drug: BAY1862864

Interventions

  • DrugBAY1862864

    Radiopharmaceutical, injection: Up to four treatment cycles lasting six weeks each; in each cycle, a single treatment on Day 1. In this dose-escalation part of the study, the radioactivity dose will start at 1.5 MBq and increase in steps of 1.5 MBq, with a antibody-chelator conjugate dose of 2 or 10 mg.

06

What researchers measure

Primary outcomes

  1. Maximum tolerated dose assessed by the number of subjects with dose-limiting toxicities (DLTs)

    Time frame: Up to 6 weeks

07

Study locations

4 sites
  • Skanes Universitetssjukhus
    Lund, 221 85, Sweden
  • Southampton General Hospital
    Southampton, Hampshire SO16 6YD, United Kingdom
  • Royal Marsden NHS Trust (Surrey)
    Sutton, Surrey SM2 5PT, United Kingdom
  • Royal Free Hospital
    London, NW3 2QG, United Kingdom
08

References and documents

Publications

  • Linden O, Bates AT, Cunningham D, Hindorf C, Larsson E, Cleton A, Pinkert J, Huang F, Bladt F, Hennekes H, Oedegaardstuen LI, Sturm I, McNamara C. 227Th-Labeled Anti-CD22 Antibody (BAY 1862864) in Relapsed/Refractory CD22-Positive Non-Hodgkin Lymphoma: A First-in-Human, Phase I Study. Cancer Biother Radiopharm. 2021 Oct;36(8):672-681. doi: 10.1089/cbr.2020.4653. Epub 2021 Apr 21. PubMed 33887152 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 25, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02581878
Lead sponsor
Bayer
Responsible party
Sponsor
First posted
Oct 21, 2015
Start date
Nov 20, 2015
Primary completion
Nov 11, 2019
Completion
Nov 26, 2019
Last update
Nov 25, 2020

Study contacts

Bayer Study Director
study director · Bayer

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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