BI-1206 + anti-CD20 in patients with CD32b positive B-cell malignancy

  • Research type

    Research Study

  • Full title

    A Cancer Research UK Phase I/IIa clinical trial of BI-1206; an antibody to FcƔRIIB (CD32b), as a single agent and in combination with an anti-CD20 antibody in patients with CD32b positive B-cell malignancy.

  • IRAS ID

    201430

  • Contact name

    Julie Silvester

  • Contact email

    julie.silvester@cancer.org.uk

  • Sponsor organisation

    Cancer Research UK, Centre for Drug Development

  • Eudract number

    2015-004999-29

  • Duration of Study in the UK

    5 years, 3 months, 28 days

  • Research summary

    The molecule CD32b is thought to be present on many B-cells including the malignant B-cells in some types of lymphoma and leukaemia. The study drug, BI-1206, is an anti-CD32b monoclonal antibody which attaches to CD32b on the surface of B-cells and is thought to act by recruiting host immune cells toward the tumour leading to cancer cell death as well as enhancing the anti-cancer effect of other anti-CD20 antibodies such as rituximab by stopping them being absorbed by cells.
    The proposed study is a first in man clinical trial of the drug called BI-1206 on its own and then also in combination with an anti-CD20 antibody (such as rituximab) which is commonly used to treat lymphoma and some types of leukaemia.
    The four main aims of this trial are to find out:
    - The maximum dose of BI-1206 that can be given safely to patients (to a maximum dose of 800mg) on it's own and in combination with an anti-CD20 antibody, rituximab.
    - More about the potential side effects of BI-1206 and how they can be managed.
    - What happens to BI-1206 inside the body.
    - The effect of BI-1206 treatment (with or without rituximab) on tumour size and survival.
    Approximately 81 patients with relapsed or refractory CD32b positive B-cell lymphoma or leukaemia will be entered into this study. This will include approximately 19 recruited for the BI-1206 dose escalation phase (Part A), up to 12 (likely 6) for a combination dose escalation and up to a further 50 patients recruited to two dose expansion cohorts; one of BI-1206 alone and one of BI-1206 plus rituximab (Part B). The final number will depend on the number of dose escalations required to reach the MTD.

  • REC name

    London - London Bridge Research Ethics Committee

  • REC reference

    16/LO/0853

  • Date of REC Opinion

    20 Jun 2016

  • REC opinion

    Further Information Favourable Opinion