Last reviewed · How we verify

NCT02603419

Avelumab In Patients With Previously Treated Advanced Stage Classical Hodgkin's Lymphoma (JAVELIN HODGKINS)

Terminated Phase 1 Results posted Last updated 24 April 2020
What this trial tests

Phase 1 trial testing Avelumab in Hodgkins Lymphoma in 34 participants. Terminated before completion.

Timeline
10 March 2016
Primary endpoint
1 December 2018
11 April 2019

Quick facts

Lead sponsorPfizer
PhasePhase 1
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment34
Start date10 March 2016
Primary completion1 December 2018
Estimated completion11 April 2019
Sites13 locations across Italy, United Kingdom, United States

Drugs / interventions tested

Conditions studied

Sponsor

Pfizer — full company profile →

Who can join

18 and older, any sex, with Hodgkins Lymphoma. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Lead-in Phase: Percent Target Occupancy (CD14+ Monocytes) at Day 2 of Cycle 1 Primary · Day 2 of Cycle 1

Target occupancy on peripheral blood CD14+ T-cells by avelumab was investigated in human blood in vitro by flow cytometry.

GroupValue95% CI
Lead-in Phase: Avelumab 70 mg Q2W99.5± 0.01
Lead-in Phase: Avelumab 350 mg Q2W97.7± 0.02
Lead-in Phase: Avelumab 500 mg Q3W97.6± 0.03
Lead-in Phase: Avelumab 500 mg Q2W99.7± 0.00
Lead-in Phase: Avelumab 10 mg/kg Q2W97.8± 0.03
Lead-in Phase: Percent Target Occupancy (CD14+ Monocytes) at Day 1 of Cycle 2 Primary · Day 1 of Cycle 2

Target occupancy on peripheral blood CD14+ T-cells by avelumab was investigated in human blood in vitro by flow cytometry.

GroupValue95% CI
Lead-in Phase: Avelumab 70 mg Q2W96.3± 0.04
Lead-in Phase: Avelumab 350 mg Q2W96.2± 0.08
Lead-in Phase: Avelumab 500 mg Q3W97.0± 0.04
Lead-in Phase: Avelumab 500 mg Q2W97.3± 0.05
Lead-in Phase: Avelumab 10 mg/kg Q2W98.8± 0.02
Lead-in Phase: Percent Target Occupancy (CD3+ T-Cells) at Day 2 of Cycle 1 Primary · Day 2 of Cycle 1

Target occupancy on peripheral blood CD3+ T-cells by avelumab was investigated in human blood in vitro by flow cytometry.

GroupValue95% CI
Lead-in Phase: Avelumab 70 mg Q2W99.0± 0.01
Lead-in Phase: Avelumab 350 mg Q2W99.0± 0.02
Lead-in Phase: Avelumab 500 mg Q3W96.8± 0.05
Lead-in Phase: Avelumab 500 mg Q2W99.7± 0.01
Lead-in Phase: Avelumab 10 mg/kg Q2W89.8± 0.22
Lead-in Phase: Percent Target Occupancy (CD3+ T-Cells) at Day 1 of Cycle 2 Primary · Day 1 of Cycle 2

Target occupancy on peripheral blood CD3+ T-cells by avelumab was investigated in human blood in vitro by flow cytometry.

GroupValue95% CI
Lead-in Phase: Avelumab 70 mg Q2W81.7± 0.37
Lead-in Phase: Avelumab 350 mg Q2W91.9± 0.14
Lead-in Phase: Avelumab 500 mg Q3W99.1± 0.02
Lead-in Phase: Avelumab 500 mg Q2W99.7± 0.01
Lead-in Phase: Avelumab 10 mg/kg Q2W98.7± 0.01
Lead-in Phase: Area Under the Plasma Concentration-Time Profile From Time Zero to Extrapolated Infinity (AUC0-inf) of Avelumab After Single Dose Primary · pre-dose, 1, 6, 24, 144, and 312 hours post-dose on Day 1 of Cycle 1

AUC(0-inf) was defined as area under the plasma concentration-time profile from time zero to extrapolated infinity AUC(0-inf), after single dose.

GroupValue95% CI
Lead-in Phase: Avelumab 70 mg Q2W2588± 59
Lead-in Phase: Avelumab 350 mg Q2W8600± 40
Lead-in Phase: Avelumab 500 mg Q3W15887± 29
Lead-in Phase: Avelumab 500 mg Q2W17647± 55
Lead-in Phase: Avelumab 10 mg/kg Q2W23789± 61
Lead-in Phase: Maximum Observed Plasma Concentration (Cmax) of Avelumab After Single Dose Primary · pre-dose, 1, 6, 24, 144, and 312 hours post-dose on Day 1 of Cycle 1
GroupValue95% CI
Lead-in Phase: Avelumab 70 mg Q2W24.0± 35
Lead-in Phase: Avelumab 350 mg Q2W68.4± 33
Lead-in Phase: Avelumab 500 mg Q3W126± 15
Lead-in Phase: Avelumab 500 mg Q2W143± 24
Lead-in Phase: Avelumab 10 mg/kg Q2W271± 16
Lead-in Phase: Maximum Observed Plasma Concentration (Cmax) of Avelumab After Multiple Dose Primary · pre-dose, 1, 6, 24, 144, and 312 hours post-dose on Day 1 of Cycle 2
GroupValue95% CI
Lead-in Phase: Avelumab 70 mg Q2W26.1± 21
Lead-in Phase: Avelumab 350 mg Q2W78.7± 19
Lead-in Phase: Avelumab 500 mg Q3W135± 8
Lead-in Phase: Avelumab 500 mg Q2W195± 46
Lead-in Phase: Avelumab 10 mg/kg Q2W273± 22
Lead-in Phase: Area Under the Plasma Concentration-Time Profile From Time Zero (Pre-Dose) to the Next Dose (AUC0-tau) of Avelumab After Single Dose Primary · pre-dose, 1, 6, 24, 144, and 312 hours post-dose on Day 1 of Cycle 1

AUCtau was defined as area under the plasma concentration-time profile from time zero (pre-dose) to the next dose (AUC0-tau) of avelumab, after single dose.

GroupValue95% CI
Lead-in Phase: Avelumab 70 mg Q2W1933± 64
Lead-in Phase: Avelumab 350 mg Q2W8450± 28
Lead-in Phase: Avelumab 500 mg Q3W15392± 27
Lead-in Phase: Avelumab 500 mg Q2W15436± 38
Lead-in Phase: Avelumab 10 mg/kg Q2W23780± 54
Lead-in Phase: Area Under the Plasma Concentration-Time Profile From Time Zero (Pre-Dose) to the Next Dose (AUC0-tau) of Avelumab After Multiple Dose Primary · pre-dose, 1, 6, 24, 144, and 312 hours post-dose on Day 1 of Cycle 2

AUCtau was defined as area under the plasma concentration-time profile from time zero (pre-dose) to the next dose (AUC0-tau) of avelumab, after multiple dose.

GroupValue95% CI
Lead-in Phase: Avelumab 70 mg Q2W2067± 6
Lead-in Phase: Avelumab 350 mg Q2W8789± 39
Lead-in Phase: Avelumab 500 mg Q3W19173± 23
Lead-in Phase: Avelumab 500 mg Q2W21053± 47
Lead-in Phase: Avelumab 10 mg/kg Q2W27196± 59
Lead-in Phase: Terminal Elimination Half-Life (t1/2) of Avelumab After Single Dose Primary · pre-dose, 1, 6, 24, 144, and 312 hours post-dose on Day 1 of Cycle 1

Terminal elimination half-life is the time measured for the plasma concentration to decrease by one half of avelumab, after single dose.

GroupValue95% CI
Lead-in Phase: Avelumab 70 mg Q2W3.49± 28
Lead-in Phase: Avelumab 350 mg Q2W3.25± 44
Lead-in Phase: Avelumab 500 mg Q3W4.04± 23
Lead-in Phase: Avelumab 500 mg Q2W4.38± 39
Lead-in Phase: Avelumab 10 mg/kg Q2W3.88± 38
Lead-in Phase: Terminal Elimination Half-Life (t1/2) of Avelumab After Multiple Dose Primary · pre-dose, 1, 6, 24, 144, and 312 hours post-dose on Day 1 of Cycle 2

Terminal elimination half-life is the time measured for the plasma concentration to decrease by one half of avelumab, after multiple dose.

GroupValue95% CI
Lead-in Phase: Avelumab 70 mg Q2W2.92± 13
Lead-in Phase: Avelumab 350 mg Q2W3.43± 43
Lead-in Phase: Avelumab 500 mg Q3W4.62± 17
Lead-in Phase: Avelumab 500 mg Q2W4.59± 36
Lead-in Phase: Avelumab 10 mg/kg Q2W4.23± 37
Lead-in Phase: Time to Attain Maximum Observed Plasma Concentration (Tmax) of Avelumab After Single Dose Primary · pre-dose, 1, 6, 24, 144, and 312 hours post-dose on Day 1 of Cycle 1

Time to reach maximum observed plasma concentration of avelumab, after single dose.

GroupValue95% CI
Lead-in Phase: Avelumab 70 mg Q2W1.131.00 – 1.22
Lead-in Phase: Avelumab 350 mg Q2W21.605.78 – 25.10
Lead-in Phase: Avelumab 500 mg Q3W1.991.23 – 24.30
Lead-in Phase: Avelumab 500 mg Q2W1.591.17 – 2.00
Lead-in Phase: Avelumab 10 mg/kg Q2W1.501.17 – 6.08

Adverse events — posted to ClinicalTrials.gov

Time frame: Lead-in phase: From first dose of study drug to 90 days after last administration of study drug (maximum duration of 32 months), Expansion phase: From first dose of study drug in expansion phase to 90 days after last administration of study drug (maximum duration of 14 months).. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Lead-in Phase: Avelumab 70 mg Q2W
Serious: 5/6 (83%)
Deaths: 1/6
Lead-in Phase: Avelumab 350 mg Q2W
Serious: 2/6 (33%)
Deaths: 4/6
Lead-in Phase: Avelumab 500 mg Q3W
Serious: 3/6 (50%)
Deaths: 1/6
Lead-in Phase: Avelumab 500 mg Q2W
Serious: 2/6 (33%)
Deaths: 4/6
Lead-in Phase: Avelumab 10 mg/kg Q2W
Serious: 0/6 (0%)
Deaths: 3/6
Expansion Phase: Avelumab 70 mg, 500 mg Q2W
Serious: 2/3 (67%)
Deaths: 1/3

Serious adverse events (17 terms)

ReactionSystemLead-in Phase: Avelumab 70…Lead-in Phase: Avelumab 35…Lead-in Phase: Avelumab 50…Lead-in Phase: Avelumab 50…Lead-in Phase: Avelumab 10…Expansion Phase: Avelumab …
Lung infectionInfections and infestations
Infusion related reactionInjury, poisoning and procedural complications
EncephalitisInfections and infestations
Respiratory syncytial virus infectionInfections and infestations
Post procedural haemorrhageInjury, poisoning and procedural complications
Graft versus host disease in liverImmune system disorders
Immune thrombocytopenic purpuraBlood and lymphatic system disorders
PyrexiaGeneral disorders
Body temperature increasedInvestigations
C-reactive protein increasedInvestigations
DysarthriaNervous system disorders
HemiparesisNervous system disorders
PneumonitisRespiratory, thoracic and mediastinal disorders
Orthostatic hypotensionVascular disorders
Condition aggravatedGeneral disorders
Disease progressionGeneral disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Other adverse events (143 terms — click to expand)

ReactionSystemLead-in Phase: Avelumab 70…Lead-in Phase: Avelumab 35…Lead-in Phase: Avelumab 50…Lead-in Phase: Avelumab 50…Lead-in Phase: Avelumab 10…Expansion Phase: Avelumab …
NauseaGastrointestinal disorders
Back painMusculoskeletal and connective tissue disorders
Abdominal distensionGastrointestinal disorders
ConstipationGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
FatigueGeneral disorders
PyrexiaGeneral disorders
RhinitisInfections and infestations
Infusion related reactionInjury, poisoning and procedural complications
Alanine aminotransferase increasedInvestigations
Aspartate aminotransferase increasedInvestigations
Blood alkaline phosphatase increasedInvestigations
Decreased appetiteMetabolism and nutrition disorders
Muscle spasmsMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
CoughRespiratory, thoracic and mediastinal disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
Night sweatsSkin and subcutaneous tissue disorders
PruritusSkin and subcutaneous tissue disorders
RashSkin and subcutaneous tissue disorders
AnaemiaBlood and lymphatic system disorders
Lymph node painBlood and lymphatic system disorders
LymphadenopathyBlood and lymphatic system disorders
NeutropeniaBlood and lymphatic system disorders
ThrombocytopeniaBlood and lymphatic system disorders
TachycardiaCardiac disorders
Ear painEar and labyrinth disorders
VertigoEar and labyrinth disorders
Adrenal insufficiencyEndocrine disorders
HypopituitarismEndocrine disorders
IritisEye disorders
Vision blurredEye disorders
Abdominal painGastrointestinal disorders
Dry mouthGastrointestinal disorders
DysphagiaGastrointestinal disorders
FlatulenceGastrointestinal disorders
Gingival bleedingGastrointestinal disorders
Gingival painGastrointestinal disorders
Lip exfoliationGastrointestinal disorders
Lip swellingGastrointestinal disorders

Most-reported serious reactions: Lung infection, Infusion related reaction, Encephalitis, Respiratory syncytial virus infection, Post procedural haemorrhage, Graft versus host disease in liver, Immune thrombocytopenic purpura, Pyrexia.

Data from ClinicalTrials.gov NCT02603419 adverse events section.

Sponsor's own description

This is a Phase 1b, open-label, multi-center study comprising a lead-in phase and an expansion phase. The lead-in phase is a multiple-dose, randomized, parallel-arm, pharmacokinetic and pharmacodynamic study of avelumab as a single agent in adult patients with cHL. Patients enrolled in the lead-in phase of this study are required to have relapsed following a prior autologous or allogeneic HSCT, or to be ineligible for HSCT. Based on the preliminary TO, safety, and efficacy results from the lead-in phase, the expansion phase will evaluate the anti-tumor activity and safety of single-agent avelumab utilizing an intra-patient dose escalation paradigm based on two of the dosing regimens studied in the lead-in phase in 40 cHL patients in whom an allogeneic HSCT has failed.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Immune checkpoint blockade and CAR-T cell therapy in hematologic malignancies.
    Wang H, Kaur G, Sankin AI, Chen F, et al · · 2019 · cited 138× · PMID 31186046 · DOI 10.1186/s13045-019-0746-1
  2. Checkpoint inhibitors in hematological malignancies.
    Ok CY, Young KH. · · 2017 · cited 93× · PMID 28482851 · DOI 10.1186/s13045-017-0474-3
  3. Immune checkpoint blockade for hematologic malignancies: a review.
    Pianko MJ, Liu Y, Bagchi S, Lesokhin AM. · · 2017 · cited 48× · PMID 28529947 · DOI 10.21037/sci.2017.03.04
  4. Monoclonal Antibody Therapies for Hematological Malignancies: Not Just Lineage-Specific Targets.
    Cuesta-Mateos C, Alcaraz-Serna A, Somovilla-Crespo B, Muñoz-Calleja C. · · 2017 · cited 39× · PMID 29387053 · DOI 10.3389/fimmu.2017.01936
  5. Transplant strategies in relapsed/refractory Hodgkin lymphoma.
    Shah GL, Moskowitz CH. · · 2018 · cited 35× · PMID 29500170 · DOI 10.1182/blood-2017-09-772673
  6. Targeting the programmed death-1 pathway in lymphoid neoplasms.
    Ok CY, Young KH. · · 2017 · cited 32× · PMID 28242522 · DOI 10.1016/j.ctrv.2017.01.009
  7. The Role of Immune Checkpoint Inhibitors in Classical Hodgkin Lymphoma.
    Meti N, Esfahani K, Johnson NA. · · 2018 · cited 29× · PMID 29914088 · DOI 10.3390/cancers10060204
  8. PD-L1 inhibitors in the pipeline: Promise and progress.
    Vanella V, Festino L, Strudel M, Simeone E, et al · · 2017 · cited 28× · PMID 29296516 · DOI 10.1080/2162402x.2017.1365209

Verify or expand the search:

Other trials of Avelumab

Trials testing the same drug.

Other recruiting trials for Hodgkins Lymphoma

Currently open trials in the same condition.

Other Pfizer trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02603419.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing