Phase 2 Study of AFM13 in Combination With AB-101 in Subjects With R/R HL and CD30+ PTCL

NCT ID: NCT05883449

Last Updated: 2025-08-20

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

25 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-10-10

Study Completion Date

2025-06-13

Brief Summary

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AFM13-203 is a phase 2, open-label, multi-center, multi-cohort study with a safety run-in followed by expansion cohorts. The study is evaluating the safety and efficacy of AFM13 in combination with AB-101 in subjects with R/R classical HL and CD30-positive PTCL.

Detailed Description

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The study will start with a safety run-in exploring AFM13/AB-101 combination treatment in subjects with classical HL. Two dose levels of AFM13 and AB-101, respectively, will be tested in 4 cohorts. Cohort 1 and 2 will enroll in parallel. Enrolment into Cohort 3 and 4 will start only if the combination treatment has been well tolerated.

Following the safety run-in observation period, a thorough risk-benefit analysis will be performed to determine 2 of the 4 cohorts/dose levels that will be further evaluated in the main part of the study which will also include subjects with classical HL and will follow a Simon two-stage design.

An additional exploratory cohort (Cohort 5) will enroll subjects with select CD30-positive PTCL subtypes after completion of the safety run-in.

All subjects will be treated with AFM13/AB-101 for a maximum of 3 cycles (cycle length is 48-days).

Conditions

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Relapsed or Refractory Hodgkin Lymphoma Peripheral T Cell Lymphoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Safety run-in in Hodgkin Lymphoma

4 safety run-in cohorts:

* Cohort 1: 200 mg AFM13 + AB-101 (2 × 10e9 cells on Day 1, Day 8, Day 15)
* Cohort 2: 300 mg AFM13 + AB-101 (2 × 10e9 cells on Day 1, Day 8, Day 15)
* Cohort 3: 200 mg AFM13 + AB-101 (4 × 10e9 cells on Day 1; 2 × 10e9 cells on Day 8, Day 15)
* Cohort 4: 300 mg AFM13 + AB-101 (4 × 10e9 cells on Day 1; 2 × 10e9 cells on Day 8, Day 15)

Group Type EXPERIMENTAL

AFM13

Intervention Type DRUG

anti-human CD30 × anti-human CD16A recombinant antibody therapy, intravenous infusion

AB-101

Intervention Type DRUG

NK cell therapy, intravenous infusion

Cyclophosphamide

Intervention Type DRUG

Lymphodepleting chemotherapy, intravenous infusion

Fludarabine

Intervention Type DRUG

Lymphodepleting chemotherapy, intravenous infusion

Interleukin-2

Intervention Type DRUG

Immune cytokine, subcutaneously

Dose Level A in Hodgkin Lymphoma

Randomized Simon 2-stage design in Hodgkin Lymphoma Dose Level A (selected from cohort 1-4 of Safety run-in)

Group Type EXPERIMENTAL

AFM13

Intervention Type DRUG

anti-human CD30 × anti-human CD16A recombinant antibody therapy, intravenous infusion

AB-101

Intervention Type DRUG

NK cell therapy, intravenous infusion

Cyclophosphamide

Intervention Type DRUG

Lymphodepleting chemotherapy, intravenous infusion

Fludarabine

Intervention Type DRUG

Lymphodepleting chemotherapy, intravenous infusion

Interleukin-2

Intervention Type DRUG

Immune cytokine, subcutaneously

Dose Level B in Hodgkin Lymphoma

Randomized Simon 2-stage design in Hodgkin Lymphoma Dose Level B (selected from cohort 1-4 of Safety run-in)

Group Type EXPERIMENTAL

AFM13

Intervention Type DRUG

anti-human CD30 × anti-human CD16A recombinant antibody therapy, intravenous infusion

AB-101

Intervention Type DRUG

NK cell therapy, intravenous infusion

Cyclophosphamide

Intervention Type DRUG

Lymphodepleting chemotherapy, intravenous infusion

Fludarabine

Intervention Type DRUG

Lymphodepleting chemotherapy, intravenous infusion

Interleukin-2

Intervention Type DRUG

Immune cytokine, subcutaneously

Exploratory: AFM13 + AB-101 on CD30-positive PTCL

AFM13 + AB-101 on select CD30-positive PTCL subtypes (Dose Level A or B)

Group Type EXPERIMENTAL

AFM13

Intervention Type DRUG

anti-human CD30 × anti-human CD16A recombinant antibody therapy, intravenous infusion

AB-101

Intervention Type DRUG

NK cell therapy, intravenous infusion

Cyclophosphamide

Intervention Type DRUG

Lymphodepleting chemotherapy, intravenous infusion

Fludarabine

Intervention Type DRUG

Lymphodepleting chemotherapy, intravenous infusion

Interleukin-2

Intervention Type DRUG

Immune cytokine, subcutaneously

Interventions

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AFM13

anti-human CD30 × anti-human CD16A recombinant antibody therapy, intravenous infusion

Intervention Type DRUG

AB-101

NK cell therapy, intravenous infusion

Intervention Type DRUG

Cyclophosphamide

Lymphodepleting chemotherapy, intravenous infusion

Intervention Type DRUG

Fludarabine

Lymphodepleting chemotherapy, intravenous infusion

Intervention Type DRUG

Interleukin-2

Immune cytokine, subcutaneously

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Subjects with a diagnosis of FDG-avid relapsed or refractory classical HL OR select subtypes of FDG-avid CD30-positive relapsed or refractory PTCL
* For subjects with R/R PTCL a pre-enrollment tumor biopsy positive for CD30 locally assessed by Ber-H2 targeted immunohistochemistry at ≥1% is mandatory (PTCL subtypes: PTCL-NOS, Angioimmunoblastic T-cell lymphoma, ALCL, anaplastic lymphoma kinase (ALK)-positive, ALCL, ALK-negative)
* Subjects with R/R classical HL must have received at least two lines of therapy including one prior line of combination chemotherapy. Prior therapy must also have included brentuximab vedotin and a PD1 check point inhibitor.
* Subjects with R/R PTCL must have received at least one prior line of combination chemotherapy. Subjects with ALCL subtype of PTCL must have received or been intolerant to brentuximab vedotin.
* Subjects with R/R classical HL AND R/R PTCL: Prior ASCT is permitted if completed at least 3 months prior to the first dose of study treatment. Prior allogeneic stem cell transplantation will be permitted if completed at least 1 year from study enrollment and there are no signs or symptoms of GVHD. Prior CAR-T therapy is permitted if last CAR-T dose completed at least 6 months prior to the first dose of study treatment.
* Ability to understand and sign the ICF

Exclusion Criteria

* Active central nervous system (CNS) involvement (untreated or uncontrolled parenchymal brain metastasis or positive cytology of cerebrospinal fluid)
* Previous treatment with AFM13 or CBNK cells
* History of a solid organ allograft, or an inflammatory or autoimmune disease likely to be exacerbated by IL-2 (including subjects requiring systemic treatment within the past 3 months or a documented history of clinically severe autoimmune disease that may require systemic steroids or immunosuppressive agents
* Treatment with any therapeutic mAb or immunosuppressive medications
* Known active Hepatitis B or C defined per protocol
* Active HIV Infection
* History of any other systemic malignancy, unless previously treated with curative intent and the subject has been disease free for 2 years or longer
* Active acute or chronic graft vs. host disease (GVHD) or GVHD requiring immunosuppressive treatment, clinically significant central nervous system (CNS) dysfunction
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Artiva Biotherapeutics, Inc.

INDUSTRY

Sponsor Role collaborator

Affimed GmbH

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Wunderle Lydia, MD

Role: STUDY_DIRECTOR

Affimed Inc.

Locations

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O'Neal Comprehensive Cancer Center at UAB

Birmingham, Alabama, United States

Site Status

City of Hope National Medical Center

Duarte, California, United States

Site Status

UC Irvine Health

Orange, California, United States

Site Status

Sarah Cannon Research Institute

Denver, Colorado, United States

Site Status

Norton Cancer Institute

Louisville, Kentucky, United States

Site Status

Beth Israel Deaconess Medical

Boston, Massachusetts, United States

Site Status

Karmanos Cancer Institute

Detroit, Michigan, United States

Site Status

Masonic Cancer Center, University of Minnesota

Minneapolis, Minnesota, United States

Site Status

Washington University School of Medicine

St Louis, Missouri, United States

Site Status

John Theurer Cancer Center

Hackensack, New Jersey, United States

Site Status

Memorial Sloan Kettering Cancer Center

New York, New York, United States

Site Status

UNC Immunotherapy Team, University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, United States

Site Status

Cleveland Clinic

Cleveland, Ohio, United States

Site Status

University of Pennsylvania, Abramson Cancer Center

Philadelphia, Pennsylvania, United States

Site Status

Fox Chase Cancer Center

Philadelphia, Pennsylvania, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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AFM13-203

Identifier Type: -

Identifier Source: org_study_id

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