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TerminatedNCT04240704Updated Oct 10, 2025

Safety and Preliminary Efficacy of JBH492 Monotherapy in Patients With CLL and NHL

A Phase 1 interventional study of JBH492 in Non-Hodgkins Lymphoma and Chronic Lymphocytic Leukemia, sponsored by Novartis Pharmaceuticals. Terminated at 8 sites in 7 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-10-10.

Sponsored by Novartis Pharmaceuticals · Phase 1, Interventional, and Treatment

Why this study was terminated
Business, strategic, and development considerations and not due to any safety concerns

From the registry’s dates

  • Primary completion was Sep 2024, 2 years 1 month ago, and no results have been posted to the registry.
Phase
Phase 1
Study type
Interventional
Enrollment
25
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of the First-In-Human study was to assess the safety, tolerability, pharmacokinetics (PK), immunogenicity and preliminary efficacy of JBH492 as single agent.

Read the detailed description

This was a FIH, open-label, phase I/Ib, multi-center study, which consisted of a dose escalation part of JBH492 as a single agent, followed by an expansion part. The escalation part was conducted in patients with relapsed/refractory chronic lymphocytic leukemia (r/r CLL) and Non-Hodgkin's Lymphoma (r/r NHL). Once the maximum tolerated dose/recommended dose (MTD/RD) of single agent JBH492 was determined, the study continued with an expansion part with single agent JBH492 in defined patient populations.

02

Conditions studied

  • Non-Hodgkins Lymphoma
  • Chronic Lymphocytic Leukemia

Keywords

  • CLL
  • NHL
  • CCR7
  • JBH492
  • ADC
  • Chronic Lymphocytic Leukemia
  • Non-Hodgkins Lymphoma
03

In context

Lymphoma, Non-Hodgkin

1,989 studies on the registry are indexed under Lymphoma, Non-Hodgkin; 307 are open to participants now.

This study's enrollment of 25 is below the median of 41 across 1,703 interventional studies indexed under Lymphoma, Non-Hodgkin.

Browse Lymphoma, Non-Hodgkin studies →

Lead sponsor

Novartis Pharmaceuticals is the lead sponsor of 2,673 studies on the registry; 228 are open to participants now.

Of its 576 completed or terminated interventional studies of FDA-regulated products, 431 (75%) 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

Eligibility criteria

Inclusion Criteria:

For patients with CLL:

  • Confirmed diagnosis of chronic lymphocytic leukemia (CLL)

For patients with NHL:

  • Histologically confirmed diagnosis of B- or T-cell non-Hodgkins lymphoma (NHL).
  • Must have a site of disease amenable to biopsy, and be suitable and willing to undergo study required biopsies at screening and during therapy.

Exclusion Criteria, applicable to both CLL and NHL:

  • History of anaphylactic or other severe hypersensitivity/infusion reactions to ADCs, monoclonal antibodies (mAbs) and/or their excipients such that the patient in unable to tolerate immunoglobulin/monoclonal antibody administration
  • Any prior history of treatment with maytansine (DM1 or DM4)-based ADC
  • Known intolerance to a maytansinoid
  • Patients with any active or chronic corneal disorders
  • Patients who have any other condition that precludes monitoring of the retina or fundus
  • Patients with active CNS involvement are excluded, except if the CNS involvement has been effectively treated and provided that local treatment was completed >4 weeks before first dose of study treatment. Patients that have been effectively treated for CNS disease and are stable under systemic therapy may be enrolled provided all other inclusion and exclusion criteria are met. Patients who received prophylactic intrathecal treatment are eligible, if treatment discontinued >5 half-lives prior to the first dose of study treatment
  • Impaired cardiac function or clinically significant cardiac disease
  • Known history of Human Immunodeficiency Virus (HIV) infection
  • Active HBV or HCV infection. Patients whose disease is controlled under antiviral therapy should not be excluded. Patients who are anti-HBcAb positive should be HBsAg negative and HBV-DNA negative to be eligible

Other inclusion and exclusion criteria may apply.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
25 participants (actual)

Study arms

  • Experimental
    JBH492 single agent

    Patients with R/R CLL or NHL

    Drug: JBH492

Interventions

  • DrugJBH492

    Anti-CCR7 antibody-drug conjugate (ADC)

06

What researchers measure

Primary outcomes

  1. Incidence and severity of dose limiting toxicities (DLTs)

    A dose-limiting toxicity (DLT) is defined as an adverse event or abnormal laboratory value that occurs during the first cycle of treatment with JBH492 and meets any of the protocol specified criteria, unless incontrovertibly related to underlying disease, intercurrent illness or concomitant medications.

    Time frame: 32 months

  2. Incidence and severity of Adverse Events (AEs)

    An adverse event ( treatment emergent) is defined as the appearance of (or worsening of any pre-existing) undesirable sign(s), symptom(s), or medical condition(s) that occur after patient's signed informed consent has been obtained.

    Time frame: 32 months

  3. Incidence and severity of Serious Adverse Events (SAEs)

    A Serious adverse event (SAE) is defined as one of the following: * Is fatal or life-threatening * Results in persistent or significant disability/incapacity * Constitutes a congenital anomaly/birth defect * Is medically significant * Requires inpatient hospitalization or prolongation of existing hospitalization.

    Time frame: 32 months

  4. Number of patients with dose interruptions

    Tolerability measured by the number of subjects who have interruptions of study treatment and reason for interruptions

    Time frame: 32 months

  5. Number of patients with dose reductions

    Tolerability measured by the number of subjects who have reductions of study treatment and reason for reductions

    Time frame: 32 months

  6. Dose intensity

    Tolerability measured by the dose intensity of study drug, Relative Dose intensity for subjects with non-zero duration of exposure is computed as the ratio of dose intensity and planned dose intensity

    Time frame: 32 months

Secondary outcomes

  1. Overall response rate (ORR)

    The overall response rate (ORR), defined as the proportion of subjects with best overall response (BOR) of complete response (CR) or partial response (PR), as per local review and according to the iwCLL guideline (CLL) or Lugano Classification (NHL).

    Time frame: 32 months

  2. Best overall response (BOR)

    The best overall response (BOR) is the best reponse recorded in a patient from the start of treatment until disease progression.

    Time frame: 32 months

  3. Duration of Response (DOR)

    The time between the date of first documented response (CR or PR) and the date of first documented progression or death due to underlying cancer.

    Time frame: 32 months

  4. Progression Free Survival (PFS)

    PFS is defined as the time from the date of start of treatment to the date of the first documented progression or death due to any cause

    Time frame: 32 months

  5. Pharmacokinetics (PK) parameter AUClast

    The area under the plasma concentration-time curve (AUC) of JBH492 from time zero to the last measurable concentration sampling time (tlast) for four analytes (total antibody, total antibody-drug-conjugate, DM4, sDM4)

    Time frame: 32 months

  6. PK parameter AUCinf

    The AUC from time zero to infinity (mass × time × volume-1) for four analytes (total antibody, total antibody-drug-conjugate, DM4, sDM4)

    Time frame: 32 months

  7. PK parameter AUCtau

    The AUC calculated to the end of a dosing interval (tau) (mass × time × volume-1) for four analytes (total antibody, total antibody-drug-conjugate, DM4, sDM4)

    Time frame: 32 months

  8. PK parameter Cmax and Cmin

    The maximum (peak) and minimum observed serum drug concentration (mass × volume-1) for four analytes (total antibody, total antibody-drug-conjugate, DM4, sDM4)

    Time frame: 32 months

  9. PK parameter Tmax

    The time to reach maximum (peak) serum drug concentration (time) for four analytes (total antibody, total antibody-drug-conjugate, DM4, sDM4)

    Time frame: 32 months

  10. PK parameter T1/2

    The elimination half-life associated with the terminal slope (λz) of a semi logarithmic concentration-time curve (time) for four analytes (total antibody, total antibody-drug-conjugate, DM4, sDM4)

    Time frame: 32 months

  11. Incidence of anti-JBH492 antibodies

    Number of subjects with anti-JBH492 antibodies (Anti-Drug Antibodies)

    Time frame: 32 months

07

Study locations

8 sites
  • Novartis Investigative Site
    Helsinki, FIN-00029, Finland
  • Novartis Investigative Site
    Dresden, 01307, Germany
  • Novartis Investigative Site
    Freiburg im Breisgau, 79106, Germany
  • Novartis Investigative Site
    Tel Aviv, 6423906, Israel
  • Novartis Investigative Site
    Chuo Ku, Tokyo 104 0045, Japan
  • Novartis Investigative Site
    Singapore, 169608, Singapore
  • Novartis Investigative Site
    Seoul, 03080, South Korea
  • Novartis Investigative Site
    Barcelona, Catalonia 08035, Spain
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References and documents

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 10, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04240704
Lead sponsor
Novartis Pharmaceuticals
Responsible party
Sponsor
First posted
Jan 27, 2020
Start date
Sep 7, 2020
Primary completion
Sep 5, 2024
Completion
Sep 5, 2024
Last update
Oct 10, 2025

Oversight

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

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This study is terminated, as verified in Oct 2025. You cannot join it, but the record below documents what was studied.

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