A Novel Vaccine (EO2463) as Monotherapy and in Combination, for Treatment of Patients With Indolent Non-Hodgkin Lymphoma

NCT ID: NCT04669171

Last Updated: 2024-12-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

RECRUITING

Clinical Phase

PHASE1/PHASE2

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-07-05

Study Completion Date

2032-05-30

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The purpose of this study is to define the recommended Phase 2 Dose, safety, tolerability, immunogenicity, and preliminary efficacy of EO2463 during monotherapy and in combination with lenalidomide and/or rituximab in patients with indolent NHL

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

EO2463 Is an innovative cancer peptide therapeutic vaccine based on the homologies between tumor associated antigens and microbiome-derived peptides that will be administered alone and in combination with lenalidomide, rituximab, and lenalidomide/rituximab to generate safety and preliminary efficacy data in patients with indolent NHL

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Follicular Lymphoma Marginal Zone Lymphoma

Keywords

Explore important study keywords that can help with search, categorization, and topic discovery.

Follicular Lymphoma Marginal Zone Lymphoma Rituximab Lenalidomide Vaccine

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Cohort 1

Safety Lead-In, Dose-Finding, Cohort, with a 3-by-3 design of EO2463 for 6 weeks followed by addition of lenalidomide week 7 and rituximab week 19 (depending on response). Four to 18 evaluable (previously treated) patients with Follicular Lymphoma (FL) or Marginal Zone Lymphoma (MZL) will be Included based on safety findings

Group Type EXPERIMENTAL

EO2463

Intervention Type BIOLOGICAL

Multiple dose of EO2463

lenalidomide

Intervention Type DRUG

D1-21 of 4-weekly cycles

rituximab

Intervention Type BIOLOGICAL

Multiple doses of rituximab

Cohort 2

15 Previously untreated patients with FL Or MZL. Evaluation of EO2463 monotherapy at the established dose in Cohort 1

Group Type EXPERIMENTAL

EO2463

Intervention Type BIOLOGICAL

Multiple dose of EO2463

Cohort 3

15 Previously untreated patients with FL or MZL. Evaluation of EO2463 at the established dose in cohort 1 as monotherapy for 6 weeks and in combination with rituximab from week 7

Group Type EXPERIMENTAL

EO2463

Intervention Type BIOLOGICAL

Multiple dose of EO2463

rituximab

Intervention Type BIOLOGICAL

Multiple doses of rituximab

Cohort 4

15 Previously treated patients with FL Or MZL. Evaluation of EO2463 at the established dose in Cohort 1 in combination with lenalidomide and with addition of rituximab from week 19 onwards (depending on response)

Group Type EXPERIMENTAL

EO2463

Intervention Type BIOLOGICAL

Multiple dose of EO2463

lenalidomide

Intervention Type DRUG

D1-21 of 4-weekly cycles

rituximab

Intervention Type BIOLOGICAL

Multiple doses of rituximab

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

EO2463

Multiple dose of EO2463

Intervention Type BIOLOGICAL

lenalidomide

D1-21 of 4-weekly cycles

Intervention Type DRUG

rituximab

Multiple doses of rituximab

Intervention Type BIOLOGICAL

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

Revlimid MabThera

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

1. For inclusion in Cohorts 1 and 4 patients should have relapsed/refractory, biopsy-proven grade 1, 2 or 3A, FL or MZL, ECOG performance status 0 to 2, and have received at least one prior line of treatment.
2. For inclusion in Cohort 2 patients should have newly diagnosed, previously untreated (radiotherapy as only prior treatment is allowed), biopsy-proven grade 1, 2 or 3A, FL or MZL. ECOG performance status 0 or 1, low tumor burden by Groupe d'Etude des Lymphomes Folliculaires (GELF) criteria, and not be in need of standard of care therapy according to the assessment of the treating physician.
3. For inclusion in Cohort 3 patients should have newly diagnosed, previously untreated (radiotherapy as only prior treatment is allowed), biopsy-proven grade 1, 2 or 3A, FL or MZL. ECOG performance status 0 or 1, low tumor burden by GELF criteria and be in need of therapy according to the assessment of the treating physician.
4. Patients with an age ≥ 18 years old.
5. Patients who are human leukocyte antigen (HLA)-A2 positive.
6. Patients should have radiologically measurable disease with a lymph node or tumor mass greater than or equal to 1.5 cm in at least one dimension.
7. Males or non-pregnant, non-lactating, females.
8. Patients willing and able to comply with the scheduled visits, treatment plan, laboratory tests, and other study procedures indicated in the protocol.
9. Patients having received the information sheet and who have provided written informed consent prior to any study-related procedures.

Exclusion Criteria

1. Patients treated with dexamethasone \> 2 mg/day or equivalent (i.e. 13 mg/day of prednisone, or 53 mg/day of hydrocortisone) within 14 days before the first EO2463 administration, unless required to treat an adverse event.
2. Patients with grade 3B FL or transformation to an aggressive lymphoma subtype.
3. Patients with only one prior treatment and a high-risk profile as defined by first progression of disease within 24 months of diagnosis (the exclusion is not applicable for patients with more than one prior line treatment).
4. Patients with prior exposure to EO2463.
6. Patients to be included in Cohorts 1 and 4, and who have received rituximab or other B cell ablation therapy within 8 weeks of start of study treatment.
7. Patients with abnormal laboratory values.
8. Patients with persistent Grade 3 or 4 toxicities.
9. Uncontrolled central nervous system (CNS) metastasis.
10. Other malignancy or prior malignancy with a disease-free interval of less than 3 years.
11. Patients with clinically significant disease.
12. Patients with suspected autoimmune or active autoimmune disorder or known history of an autoimmune neurologic condition (e.g. Guillain-Barré syndrome).
13. Patients with history of solid organ transplantation or allogeneic hematopoietic stem cell transplantation.
14. Pregnant and breastfeeding patients.
15. Patients with history or presence of human immunodeficiency virus and/or potentially active hepatitis B virus/hepatitis C virus infection.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Enterome

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Jan Fagerberg, MD

Role: STUDY_DIRECTOR

Enterome

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Dana Farber Cancer Institute

Boston, Massachusetts, United States

Site Status RECRUITING

Mayo Clinic

Rochester, Minnesota, United States

Site Status RECRUITING

University of Rochester Medical Center (URMC) - Wilmot Cancer Institute (WCI) (James P. Wilmot Cancer Center)

Rochester, New York, United States

Site Status RECRUITING

University of Washington-Seattle Cancer Care Alliance

Seattle, Washington, United States

Site Status RECRUITING

CHU d'Amiens-Picardie - Hopital SUD

Amiens, , France

Site Status RECRUITING

University of Bologna

Bologna, , Italy

Site Status RECRUITING

IRCCS Policlinico San Matteo Foundation - University of Pavia

Naples, , Italy

Site Status RECRUITING

IRCCS Policlinico San Matteo Foundation - University of Pavia

Pavia, , Italy

Site Status RECRUITING

University Hospital Vall d'Hebron, Institute of Oncology

Barcelona, , Spain

Site Status RECRUITING

Clinica Universidad de Navarra

Madrid, , Spain

Site Status RECRUITING

Clinica Universidad de Navarra

Pamplona, , Spain

Site Status RECRUITING

Hospital Clinico Universitario de Salamanca

Salamanca, , Spain

Site Status RECRUITING

Countries

Review the countries where the study has at least one active or historical site.

United States France Italy Spain

Central Contacts

Reach out to these primary contacts for questions about participation or study logistics.

Jan Fagerberg, MD, PhD

Role: CONTACT

Phone: +32 3 205 55 55

Email: [email protected]

Karlijn Kroon, MD

Role: CONTACT

Phone: +33 611300589

Email: [email protected]

Facility Contacts

Find local site contact details for specific facilities participating in the trial.

Reid Merryman, Dr

Role: primary

Jose Caetano Villasboas Bisneto, Dr

Role: primary

Jonathan Friedberg, Dr

Role: primary

Stephen Smith, Dr

Role: primary

Jean-Pierre Marolleau, Dr

Role: primary

Pier Luigi Zinzani, Dr

Role: primary

Antonio Pinto, Dr

Role: primary

Luca Arcaini, Dr

Role: primary

Francisco Bosch Albareda, Dr

Role: primary

Carlos Grande, Dr

Role: primary

Carlos Grande Garcia, Dr

Role: primary

Norma C Gutierrez, Dr

Role: primary

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

EONHL1-20

Identifier Type: -

Identifier Source: org_study_id