A Phase 1/2 Study of Betalutin for Treatment of Relapsed Non-Hodgkin Lymphoma
LYMRIT-37-01
A Phase 1/2 Study of Lutetium (177Lu)-Lilotomab Satetraxetan (Betalutin®) Antibody-radionuclide-conjugate for Treatment of Relapsed Non-Hodgkin Lymphoma.
1 other identifier
interventional
191
23 countries
94
Brief Summary
This study is a Phase 1/2 open-label three part study in patients with relapsed indolent Non-Hodgkin's lymohoma (NHL) (Parts A and C) or relapsed/refractory follicular lymphoma (FL) (Part B).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1
Started Dec 2012
Longer than P75 for phase_1
94 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 1, 2012
CompletedFirst Submitted
Initial submission to the registry
February 19, 2013
CompletedFirst Posted
Study publicly available on registry
February 21, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 25, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
October 27, 2022
CompletedResults Posted
Study results publicly available
January 10, 2024
CompletedJune 21, 2024
December 1, 2023
9.9 years
February 19, 2013
March 31, 2023
June 19, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Part A, Phase I
Number of participants with dose limiting toxicities (DLTs) in Part A
12 weeks
Part A, Phase IIa
Tumour response rates in patients in Part A receiving Betalutin based on evaluation of CT scan images including PET/CT imaging (and bone marrow biopsy if applicable).
5 years
Part B, Phase IIb
Overall response rate in Part B defined as the number of participants with a best response of complete remission or partial remission at any time
up to 5 years
Study Arms (13)
Part A, Arm 1: 10 MBq/kg Betalutin with lower dose lilotomab pre-dosing
EXPERIMENTAL10 MBq/kg (based on body weight) Betalutin with 40 mg lilotomab pre-dosing
Part A, Arm 1: 15 MBq/kg Betalutin with lower dose lilotomab pre-dosing
EXPERIMENTAL15 MBq/kg (based on body weight) Betalutin with 40 mg lilotomab pre-dosing
Part A, Arm 1: 20 MBq/kg Betalutin with lower dose lilotomab pre-dosing
EXPERIMENTAL20 MBq/kg (based on body weight) Betalutin with 40 mg lilotomab pre-dosing
Part A, Arm 2: 10 MBq/kg Betalutin with no pre-dosing
EXPERIMENTAL10 MBq/kg (based on body weight) Betalutin without pre-dosing
Part A, Arm 2: 15 MBq/kg Betalutin with no pre-dosing
EXPERIMENTAL15 MBq/kg (based on body weight) Betalutin without pre-dosing
Part A, Arm 3: 15 MBq/kg Betalutin with rituximab pre-dosing
EXPERIMENTAL15 MBq/kg (based on body weight) Betalutin with rituximab pre-dosing
Part A, Arm 4: 15 MBq/kg Betalutin with higher dose lilotomab pre-dosing
EXPERIMENTAL15 MBq/kg (based on body weight) Betalutin with 100 mg/m2 (based on body surface area) lilotomab pre-dosing
Part A, Arm 4: 20 MBq/kg Betalutin with higher dose lilotomab pre-dosing
EXPERIMENTAL20 MBq/kg (based on body weight) Betalutin with 100 mg/m2 (based on body surface area) lilotomab pre-dosing
Part A, Arm 5: 20 MBq/kg Betalutin with intermediate dose lilotomab pre-dosing
EXPERIMENTAL20 MBq/kg (based on body weight) Betalutin with 60 mg/m2 (based on body surface area) lilotomab pre-dosing
Part B, Arm 1: 15 MBq/kg Betalutin with lower dose lilotomab pre-dosing
EXPERIMENTAL15 MBq/kg (based on body weight) Betalutin with 40 mg lilotomab pre-dosing
Part B, Arm 2: 20 MBq/kg Betalutin with higher dose lilotomab pre-dosing
EXPERIMENTAL20 MBq/kg (based on body weight) Betalutin with 100 mg/m2 (based on body surface area) lilotomab pre-dosing
Part B, Arm 3: 12.5 MBq/kg Betalutin with lower dose lilotomab pre-dosing
EXPERIMENTAL12.5 MBq/kg (based on body weight) Betalutin with 40 mg lilotomab pre-dosing
Part C: 15 MBq/kg Betalutin with lower dose lilotomab pre-dosing
EXPERIMENTAL15 MBq/kg (based on body weight) Betalutin with 40 mg lilotomab pre-dosing
Interventions
Eligibility Criteria
You may qualify if:
- Histologically confirmed (by World Health Organization \[WHO\] classification) relapsed incurable non-Hodgkin B-cell lymphoma of following subtypes; follicular grade I-IIIA (for Part C, this excludes patients meeting Part B criteria, who should enter Part B), marginal zone, small lymphocytic, lymphoplasmacytic, mantle cell.
- Age ≥ 18 years.
- Part A: A pre-study WHO performance status of 0-1; Part C: WHO performance status of 0-2.
- Life expectancy should be ≥3 months.
- \<25% tumour cells in bone marrow biopsy (biopsy taken from a site not previously irradiated).
- Measurable disease by radiological methods.
- Women of childbearing potential must:
- understand that the study medication is expected to have teratogenic risk.
- have a negative pregnancy test.
- agree to use, and be able to comply with, effective contraception without interruption, 4 weeks before starting study medication, throughout study medication therapy and for 12 months after end of study medication therapy, even if she has amenorrhoea.
- Male patients must agree to use condoms during intercourse throughout study medication therapy and the following 12 months.
- Patients previously treated with native rituximab are eligible.
- The patient is willing and able to comply with the protocol, and agrees to return to the hospital for follow up visits and examination.
- The patient has been fully informed about the study and has signed the informed consent form.
You may not qualify if:
- Medical contraindications, including uncontrolled infection, severe cardiac, pulmonary, neurologic, psychiatric or metabolic disease, uncontrolled asthma/allergy requiring systemic steroids, known to be human immunodeficiency virus (HIV) positive.
- \. Laboratory values within 15 days pre-registration:
- Absolute neutrophil counts (ANC) ≤1.5×109/L.
- Part A: Platelet count ≤150×109/L; Part C: Platelet count \<150×109/L. For Part C, criteria 2a and 2b must be satisfied within 72 hours of the administration of rituximab
- Total bilirubin ≥30 mmol/L (Part A only). Total bilirubin \> 1.5×ULN (except patients with documented Gilbert's syndrome \[≥3.0 mg/dL\]) (Part C only).
- Alkaline phosphatase (ALP) and alanine transaminase (ALT) ≥4×normal level (Part A only).
- Aspartate transaminase (AST), ALT or ALP \>2.5×ULN (or \>5.0×ULN with liver involvement by primary disease). (Part C only).
- Creatinine ≥115 µmol/L (men), 97 µmol/L (women) (Part A only). Serum creatinine ≥1.5×ULN (Part C only).
- Haemoglobin \<9.0 g/dL (Part C only). 3. Known central nervous system (CNS) involvement of lymphoma. 4. Previous total body irradiation. 5. Positive test for human anti-murine antibody (HAMA) at screening. 6. Chemotherapy or immunotherapy received within the last 4 weeks prior to start of study treatment. Pre treatment with rituximab is allowed.
- \. Pregnant or lactating women. 8. Previous hematopoietic stem cell transplantation (autologous and allogenic). 9. Part A: Previous treatment with radioimmunotherapy. Part C: Not applicable. 10. Actively participating in another study or received an IMP within 4 weeks prior to enrolment.
- \. Receipt of live-attenuated vaccine within 30 days prior to enrolment. 12. Part A and Part C: Test positive for hepatitis B (HBsAg and anti-HBc). Part C only: Test positive for hepatitis C and human immunodeficiency virus (HIV).
- \. A known hypersensitivity to rituximab, lilotomab, Betalutin or murine proteins or any excipient used in rituximab, lilotomab, or Betalutin.
- Part B:
- Histologically confirmed (by WHO classification) relapsed non-Hodgkin B-cell FL (grade I IIIA).
- \. Male or female aged ≥18 years. 3. Received at least 2 prior systemic anti-neoplastic or immunotherapy-based regimens (maintenance therapy following a CR/PR is not considered to be a separate line of therapy). Systemic regimens including agents such as idelalisib or other PI3K inhibitors qualify as a prior line of therapy.
- +36 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Nordic Nanovectorlead
- ICON Clinical Researchcollaborator
Study Sites (96)
University Of Arkansas For Medical Sciences
Little Rock, Arkansas, 72205, United States
Pacific Shores Medical Group
Long Beach, California, 90813, United States
University of California, San Francisco (UCSF)
San Francisco, California, 94143, United States
Boca Raton Regional Hospital
Boca Raton, Florida, 33486, United States
Loyola University Medical Center
Maywood, Illinois, 60153, United States
Norton Cancer Institute
Louisville, Kentucky, 40207, United States
Ochsner Clinic Foundation
New Orleans, Louisiana, 70121, United States
Stony Brook University Medical Center
Stony Brook, New York, 11794, United States
Duke University Medical Center
Durham, North Carolina, 27710, United States
Oregon Health & Science University
Portland, Oregon, 97239, United States
University of Pennsylvania
Philadelphia, Pennsylvania, 19104, United States
West Penn Hospital
Pittsburgh, Pennsylvania, 15224, United States
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, 15232, United States
Baylor College of Medicine
Dallas, Texas, 75246, United States
Royal Hobart Hospital
Hobart, 7000, Australia
Medizinische Universitaet Innsbruck
Innsbruck, 6020, Austria
Medizinische Universität Wien - AKH Wien, Universitaetsklinik fuer Innere Medizin I
Vienna, 1090, Austria
Universitair Ziekenhuis Gent (UZ Gent)
Ghent, 9000, Belgium
CH Jolimont
La Louvière, Belgium
UZ Leuven
Leuven, 3000, Belgium
London Health Sciences Centre
London, N6A 5W9, Canada
Sault Area Hospital
Sault Ste. Marie, P6B 0A8, Canada
Princes Margaret Cancer Centre
Toronto, M5G 2M, Canada
Clinical Hospital Centre Zagreb
Zagreb, 10 000, Croatia
University Hospital Olomouc
Olomouc, 779 00, Czechia
FNsP Ostrava
Ostrava-Poruba, 708 52, Czechia
Aarhus Universitetshospital
Aarhus, DK-8000, Denmark
Odense Univerisity Hospital
Odense, DK-5000, Denmark
Helsinki University Hospital Comprehensive Cancer Center
Helsinki, Finland
Central Hospital Of Central Finland
Jyväskylä, Finland
Institut Bergonie
Bordeaux, France
Chu Grenoble - Hopital Michallon
Grenoble, France
Hôpital Saint Louis
Paris, 75010, France
AP-HP La Pitié salpétrière
Paris, 75013, France
Centre Hospitalier Lyon Sud
Pierre-Bénite, France
Centre Hospitalier Regional Universitaire de Tours (CHRU de Tours) - Hopital Bretonneau
Tours, France
Orszagos Onkologiai Intezet, A-Belgyogyaszati Onkologiai Osztaly
Budapest, Hungary
Semmelweis Egyetem, I Belgyogyaszati Klinika, Hematologiai Osztaly
Budapest, Hungary
Mater Misericordiae University Hospital
Dublin, Ireland
St James's Hospital
Dublin, Ireland
University Hospital Galway
Galway, Ireland
Haemek Medical Center
Afula, Israel
Asaf Harofeh Medical Center
Be’er Ya‘aqov, Israel
Bnai Zion Medical Center (BZMC)
Haifa, Israel
Rambam Health Care Campus (RHCC)
Haifa, Israel
יHadassah Ein Karem Medical Center
Jerusalem, Israel
Sourasky Medical Center
Tel Aviv, Israel
SS Antonio & Biagio and C. Arrigo Hospital
Alessandria, Italy
"Istituto di Ematologia ed Oncologia Medica "" L. & A. Seragnoli""-Policlinico S. Orsola Malpighi"
Bologna, 40138, Italy
Universita Degli Studi Di Firenze-Azienda Ospedaliero-Universitaria Careggi (AOUC)
Florence, 50134, Italy
Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS
Meldola, Italy
Istituto Europeo di Oncologia (IEO)
Milan, Italy
"Istituto Nazionale Tumori Fondazione G. Pascale"
Napoli, Italy
Azienda Ospedaliera Arcispedale Santa Maria Nuova - IRCCS
Reggio Emilia, Italy
AO Ordine Mauriziano di Torino
Torino, Italy
University Medical Center Groningen
Groningen, Netherlands
Haukeland Universitetssjukehus
Bergen, Norway
The Norwegian Radium Hospital
Oslo, 0310, Norway
St Olav Hospital
Trondheim, 7006, Norway
Szpital Morski Im.Pck W Gdynia
Gdynia, Poland
Pratia MCM Kraków
Krakow, 50-510, Poland
Centrum Onkologii
Warsaw, 02-097, Poland
National University Hospital
Singapore, Singapore
Chonbuk National University Hospital
Jeonju, South Korea
Samsung Medical Center
Seoul, South Korea
Ulsan University Hospital
Ulsan, South Korea
Corporacio Sanitaria Parc Taulí
Barcelona, Spain
Hospital Universitario Puerta del Mar
Cadiz, Spain
Hospital Universitario Puerta de Hierro de Majadahonda
Majadahonda, Spain
Complexo Hospitalario Universitario de Ourense
Ourense, Spain
Clinica Universidad De Navarra
Pamplona, Spain
Hospital Clinico Universitario de Salamanca
Salamanca, Spain
Hospital Universitario Virgen Macarena
Seville, Spain
Health Research Institute La Fe - Hospital La Fe
Valencia, 46020, Spain
Hospital Universitario Doctor Peset
Valencia, 46026, Spain
Cancercentrum -Center of Oncology
Umeå, Sweden
Kantonsspital Graubünden
Chur, Switzerland
Cukurova Universitesi Tip Fakültesi, Ic Hastaliklari Anabilim Dali
Adana, Turkey (Türkiye)
Ankara Onkoloji Egitim ve Arastirma Hastanesi
Ankara, Turkey (Türkiye)
Ankara Universitesi Tip Fakultesi Cebeci Hastanesi Ic
Ankara, Turkey (Türkiye)
Hacettepe University Oncology Hospital
Ankara, Turkey (Türkiye)
Eskisehir Osmangazi Universitesi Tip Fakultesi Ic Hastaliklar
Eskişehir, Turkey (Türkiye)
Istanbul Universitesi Istanbul Tip Fakultesi
Fatih, Turkey (Türkiye)
Ege Universitesi Tip Fakültesi
Izmir, Turkey (Türkiye)
Celal Bayar Universitesi Tip Fakultesi
Manisa, Turkey (Türkiye)
Ondokuz Mayis Universitesi
Samsun, Turkey (Türkiye)
Gaziantep Universitesi Sahinbey Arastirma ve Uygulama
Şehitkamil, Turkey (Türkiye)
Dorset Cancer Centre Poole Hospital
Poole, Dorset, BH15 2JB, United Kingdom
Bristol Haematology and Oncology Centre
Bristol, BS2 8ED, United Kingdom
Western General Hospital
Edinburgh, United Kingdom
Beatson West of Scotland Cancer Centre
Glasgow, G12 0YN, United Kingdom
Imperial College Healthcare NHS Trust, Hammersmith Hospital
London, W12 0HS, United Kingdom
University College London Hospitals Nhs Foundation Trust
London, United Kingdom
The Christie NHS Foundation Trust
Manchester, M20 4BX, United Kingdom
Derriford Hospital
Plymouth, United Kingdom
The Royal Marsden NHS Foundation Trust
Sutton, United Kingdom
Related Publications (6)
Dahle J, Repetto-Llamazares AH, Mollatt CS, Melhus KB, Bruland OS, Kolstad A, Larsen RH. Evaluating antigen targeting and anti-tumor activity of a new anti-CD37 radioimmunoconjugate against non-Hodgkin's lymphoma. Anticancer Res. 2013 Jan;33(1):85-95.
PMID: 23267131BACKGROUNDRepetto-Llamazares AH, Larsen RH, Mollatt C, Lassmann M, Dahle J. Biodistribution and dosimetry of (177)Lu-tetulomab, a new radioimmunoconjugate for treatment of non-Hodgkin lymphoma. Curr Radiopharm. 2013 Mar;6(1):20-7. doi: 10.2174/1874471011306010004.
PMID: 23256748BACKGROUNDCheson BD, Pfistner B, Juweid ME, Gascoyne RD, Specht L, Horning SJ, Coiffier B, Fisher RI, Hagenbeek A, Zucca E, Rosen ST, Stroobants S, Lister TA, Hoppe RT, Dreyling M, Tobinai K, Vose JM, Connors JM, Federico M, Diehl V; International Harmonization Project on Lymphoma. Revised response criteria for malignant lymphoma. J Clin Oncol. 2007 Feb 10;25(5):579-86. doi: 10.1200/JCO.2006.09.2403. Epub 2007 Jan 22.
PMID: 17242396BACKGROUNDCheson BD, Fisher RI, Barrington SF, Cavalli F, Schwartz LH, Zucca E, Lister TA; Alliance, Australasian Leukaemia and Lymphoma Group; Eastern Cooperative Oncology Group; European Mantle Cell Lymphoma Consortium; Italian Lymphoma Foundation; European Organisation for Research; Treatment of Cancer/Dutch Hemato-Oncology Group; Grupo Espanol de Medula Osea; German High-Grade Lymphoma Study Group; German Hodgkin's Study Group; Japanese Lymphorra Study Group; Lymphoma Study Association; NCIC Clinical Trials Group; Nordic Lymphoma Study Group; Southwest Oncology Group; United Kingdom National Cancer Research Institute. Recommendations for initial evaluation, staging, and response assessment of Hodgkin and non-Hodgkin lymphoma: the Lugano classification. J Clin Oncol. 2014 Sep 20;32(27):3059-68. doi: 10.1200/JCO.2013.54.8800.
PMID: 25113753BACKGROUNDLondalen A, Blakkisrud J, Revheim ME, Madsbu UE, Dahle J, Kolstad A, Stokke C. FDG PET/CT parameters and correlations with tumor-absorbed doses in a phase 1 trial of 177Lu-lilotomab satetraxetan for treatment of relapsed non-Hodgkin lymphoma. Eur J Nucl Med Mol Imaging. 2021 Jun;48(6):1902-1914. doi: 10.1007/s00259-020-05098-x. Epub 2020 Nov 16.
PMID: 33196921DERIVEDKolstad A, Illidge T, Bolstad N, Spetalen S, Madsbu U, Stokke C, Blakkisrud J, Londalen A, O'Rourke N, Beasley M, Jurczak W, Fagerli UM, Kascak M, Bayne M, Obr A, Dahle J, Rojkjaer L, Pascal V, Holte H. Phase 1/2a study of 177Lu-lilotomab satetraxetan in relapsed/refractory indolent non-Hodgkin lymphoma. Blood Adv. 2020 Sep 8;4(17):4091-4101. doi: 10.1182/bloodadvances.2020002583.
PMID: 32877524DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Head of Clinical Operations
- Organization
- Nordic Nanovector
Study Officials
- STUDY DIRECTOR
Chris Freitag
Nordic Nanovector
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- LTE60
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SEQUENTIAL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 19, 2013
First Posted
February 21, 2013
Study Start
December 1, 2012
Primary Completion
October 25, 2022
Study Completion
October 27, 2022
Last Updated
June 21, 2024
Results First Posted
January 10, 2024
Record last verified: 2023-12