Last reviewed · How we verify

NCT04101331: REDIRECT

Phase II Study to Assess AFM13 in Patients With R/R CD30-positive T-cell Lymphoma or Transformed Mycosis Fungoides

Completed Phase 2 Results posted Last updated 5 November 2024
What this trial tests

Phase 2 trial testing AFM13 in Peripheral T Cell Lymphoma in 108 participants. Completed in 11 January 2024.

Timeline
13 November 2019
Primary endpoint
11 May 2022
11 January 2024

Quick facts

Lead sponsorAffimed GmbH
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment108
Start date13 November 2019
Primary completion11 May 2022
Estimated completion11 January 2024
Sites69 locations across France, Italy, Russia, Germany, Poland, South Korea, Australia, United States

Drugs / interventions tested

Conditions studied

Sponsor

Affimed GmbH — full company profile →

Who can join

18 and older, any sex, with Peripheral T Cell Lymphoma or Transformed Mycosis Fungoides. 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.

Overall Response Rate Assessed by Independent Review Committee Based on PET-CT Primary · Tumor assessment performed every 8 weeks for first 3 assessments, then every 12 weeks until documented disease progression (up to 28 months).

Overall response by Positron Emission Tomography-Computed Tomography (PET-CT) as defined by achieving complete response and/or partial response assessed by an Independent Review Committee (IRC) utilizing the modified Lugano Classification Revised Staging System for malignant lymphoma (Cheson, 2014).

GroupValue95% CI
Cohort A32.423.7 – 42.1
Overall Response Rate Assessed by Investigator Based on PET-CT Secondary · Tumor assessment performed every 8 weeks for first 3 assessments, then every 12 weeks until documented disease progression (up to 46 months).

Overall response by Positron Emission Tomography-Computed Tomography (PET-CT) as defined by achieving complete response and/or partial response assessed by the investigator utilizing the modified Lugano Classification Revised Staging System for malignant lymphoma (Cheson, 2014).

GroupValue95% CI
Cohort A32.423.7 – 42.1
Overall Response Rate Assessed by Investigator Based on CT Secondary · Tumor assessment performed every 8 weeks for first 3 assessments, then every 12 weeks until documented disease progression (up to 46 months).

Overall response by Computed Tomography (CT) as defined by achieving complete response and/or partial response assessed by the investigator utilizing the modified Lugano Classification Revised Staging System for malignant lymphoma (Cheson, 2014).

GroupValue95% CI
Cohort A30.622.1 – 40.2
Complete Response Rate and Partial Response Rate Assessed by Independent Review Committee Based on PET-CT Secondary · Tumor assessment performed every 8 weeks for first 3 assessments, then every 12 weeks until documented disease progression (up to 46 months).

Complete response and/or partial response by Positron Emission Tomography-Computed Tomography (PET-CT) assessed by an Independent Review Committee (IRC) utilizing the modified Lugano Classification Revised Staging System for malignant lymphoma (Cheson, 2014).

Complete response rate (CR rate)
GroupValue95% CI
Cohort A12.06.6 – 19.7
Partial response rate (PR rate)
GroupValue95% CI
Cohort A20.413.2 – 29.2
Complete Response Rate, Partial Response Rate and Overall Response Rate Assessed by Independent Review Committee Based on CT Secondary · Tumor assessment performed every 8 weeks for first 3 assessments, then every 12 weeks until documented disease progression (up to 46 months).

Overall response by Computed Tomography (CT) as defined by achieving complete response and/or partial response assessed by an Independent Review Committee (IRC) utilizing the modified Lugano Classification Revised Staging System for malignant lymphoma (Cheson, 2014).

Overall response rate (ORR)
GroupValue95% CI
Cohort A25.017.2 – 34.3
Complete response rate (CR rate)
GroupValue95% CI
Cohort A7.43.3 – 14.1
Partial response rate (PR rate)
GroupValue95% CI
Cohort A17.610.9 – 26.1
Duration of Overall Response Assessed by Independent Review Committee Based on PET-CT Secondary · Tumor assessment performed every 8 weeks for first 3 assessments, then every 12 weeks until documented disease progression (up to 46 months).

Duration of response (DOR) defined as the period from first Partial Response (PR) and Complete Response (CR) assessment till first assessment of progressive disease or death. Response assessed by Positron Emission Tomography-Computed Tomography (PET-CT) by Independent Review Committee (IRC).

GroupValue95% CI
Cohort A2.31.9 – 8.7
Duration of Overall Response Assessed by Independent Review Committee Based on CT Secondary · Tumor assessment performed every 8 weeks for first 3 assessments, then every 12 weeks until documented disease progression (up to 46 months).

Duration of response (DOR) defined as the period from first Partial Response (PR) and Complete Response (CR) assessment till first assessment of progressive disease or death. Response assessed by Computed Tomography (CT) by Independent Review Committee (IRC).

GroupValue95% CI
Cohort A5.31.9 – 6.9
Duration of Overall Response Assessed by Investigator Based on PET-CT Secondary · Tumor assessment performed every 8 weeks for first 3 assessments, then every 12 weeks until documented disease progression (up to 46 months).

Duration of response (DOR) defined as the period from first Partial Response (PR) and Complete Response (CR) assessment till first assessment of progressive disease or death. Response assessed by Positron Emission Tomography-Computed Tomography (PET-CT) by the investigator.

GroupValue95% CI
Cohort A3.31.9 – 8.7
Duration of Overall Response Assessed by Investigator Based on CT Secondary · Tumor assessment performed every 8 weeks for first 3 assessments, then every 12 weeks until documented disease progression (up to 46 months).

Duration of response (DOR) defined as the period from first Partial Response (PR) and Complete Response (CR) assessment till first assessment of progressive disease or death. Response assessed by Computed Tomography (CT) by the investigator.

GroupValue95% CI
Cohort A6.32.0 – 8.7
Number of Subjects With Treatment Related Adverse Event Secondary · From the date of first treatment until the date of the last treatment + 37 days, up to 199 weeks.

Number of subjects who had treatment (AFM13) related Adverse Events.

GroupValue95% CI
Cohort A105
Maximum Measured Concentration (Cmax) of AFM13 Secondary · Predose and 1 hour after start of infusion, end of injection (EOI) and 1 hour, 2 hours, 3 hours, 24 hours and 48 hours after EOI on Cycle 1 Day 1 and Day 29.

Maximum measured concentration (Cmax) of the AFM13 in serum. Geometric coefficient of variation is given in percentages.

Cycle 1 - day 1
GroupValue95% CI
Cohort A26232± 270
Cycle 1 - day 29
GroupValue95% CI
Cohort A24435± 364
Area Under the Concentration-Time Curve of AFM13 From 0 to Infinity (AUC 0-∞) Secondary · Predose and 1 hour after start of infusion, end of injection (EOI) and 1 hour, 2 hours, 3 hours, 24 hours and 48 hours after EOI on Cycle 1 Day 1 and Day 29.

Area under concentration (AUC) versus time curve of the AFM13 in serum over time interval from 0 extrapolated to infinity. Geometric coefficient of variation is given in percentages.

Cycle 1 - day 1
GroupValue95% CI
Cohort A612361± 60.3
Cycle 1 - day 29
GroupValue95% CI
Cohort A749717± 35

Adverse events — posted to ClinicalTrials.gov

Time frame: From the date of first treatment till the date of the last treatment + 37 days, up to 199 weeks.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Cohort A
Serious: 44/108 (41%)
Deaths: 52/108

Serious adverse events (44 terms)

ReactionSystemCohort A
COVID-19Infections and infestations
PneumoniaInfections and infestations
Infusion related reactionInjury, poisoning and procedural complications
Acute kidney injuryRenal and urinary disorders
Herpes zosterInfections and infestations
Septic shockInfections and infestations
Acute respiratory distress syndromeRespiratory, thoracic and mediastinal disorders
PyrexiaGeneral disorders
Diffuse large B-cell lymphomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
COVID-19 pneumoniaInfections and infestations
Clostridium difficile colitisInfections and infestations
Cytomegalovirus infection reactivationInfections and infestations
Enterococcal bacteraemiaInfections and infestations
OrchitisInfections and infestations
PeriodontitisInfections and infestations
Pneumonia aspirationInfections and infestations
Respiratory tract infectionInfections and infestations
Rhinovirus infectionInfections and infestations
Soft tissue infectionInfections and infestations
Staphylococcal sepsisInfections and infestations
Streptococcal bacteraemiaInfections and infestations
Vascular access site infectionInfections and infestations
DyspnoeaRespiratory, thoracic and mediastinal disorders
HaemoptysisRespiratory, thoracic and mediastinal disorders
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
Other adverse events (30 terms — click to expand)

ReactionSystemCohort A
Infusion related reactionInjury, poisoning and procedural complications
PyrexiaGeneral disorders
RashSkin and subcutaneous tissue disorders
AnaemiaBlood and lymphatic system disorders
NeutropeniaBlood and lymphatic system disorders
ConstipationGastrointestinal disorders
ThrombocytopeniaBlood and lymphatic system disorders
DiarrhoeaGastrointestinal disorders
NauseaGastrointestinal disorders
Abdominal painGastrointestinal disorders
ErythemaSkin and subcutaneous tissue disorders
HeadacheNervous system disorders
AstheniaGeneral disorders
HypokalaemiaMetabolism and nutrition disorders
CoughRespiratory, thoracic and mediastinal disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
ArthralgiaMusculoskeletal and connective tissue disorders
VomitingGastrointestinal disorders
Decreased appetiteMetabolism and nutrition disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
InsomniaPsychiatric disorders
PruritusSkin and subcutaneous tissue disorders
LymphopeniaBlood and lymphatic system disorders
ChillsGeneral disorders
HypomagnesaemiaMetabolism and nutrition disorders
DyspepsiaGastrointestinal disorders
Upper respiratory tract infectionInfections and infestations
Blood lactate dehydrogenase increasedInvestigations
Respiratory Tract InfectionInfections and infestations
Back painMusculoskeletal and connective tissue disorders

Most-reported serious reactions: COVID-19, Pneumonia, Infusion related reaction, Acute kidney injury, Herpes zoster, Septic shock, Acute respiratory distress syndrome, Pyrexia.

Data from ClinicalTrials.gov NCT04101331 adverse events section.

Sponsor's own description

This is a phase II study to evaluate the antitumor activity and safety of AFM13 given as monotherapy in patients with CD30-positive T-cell lymphoma. The investigational medicinal product AFM13 is a tetravalent bispecific chimeric (anti-human CD30 x anti-human CD16A) recombinant antibody construct which is being developed to treat CD30-positive malignancies. Patients who suffer from peripheral T-cell lymphoma or transformed mycosis fungoides, whose tumor expresses the surface marker CD30, and who have relapsed after an earlier treatment or have refractory disease will be enrolled into this study if all of the study entry criteria are fulfilled. Dependent on their disease type and the magnitude of CD30 expression, study participants will be assigned to one of 3 study cohorts, each cohort receiving the same treatment of weekly AFM13 infusions (a 200mg dose per infusion). The main goal of the study is to assess the efficacy of AFM13 treatment as judged by the rate of overall responses. Further goals are to assess the safety of AFM13 treatment, the immunogenicity of AFM13 (as measured by the potential formation of anti-AFM13 antibodies) and the concentration of AFM13 in the blood. Approx. 1 month after the last dose of AFM13 there will be a final study visit to assess the patients' health status after therapy, followed by quarterly phone contacts to check on their overall health status and long-term survival.

Publications & conference data

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

  1. Exploring the NK cell platform for cancer immunotherapy.
    Myers JA, Miller JS. · · 2021 · cited 977× · PMID 32934330 · DOI 10.1038/s41571-020-0426-7
  2. Antibodies to watch in 2020.
    Kaplon H, Muralidharan M, Schneider Z, Reichert JM. · · 2020 · cited 332× · PMID 31847708 · DOI 10.1080/19420862.2019.1703531
  3. Emerging new therapeutic antibody derivatives for cancer treatment.
    Jin S, Sun Y, Liang X, Gu X, et al · · 2022 · cited 304× · PMID 35132063 · DOI 10.1038/s41392-021-00868-x
  4. Antibodies to watch in 2021.
    Kaplon H, Reichert JM. · · 2021 · cited 215× · PMID 33459118 · DOI 10.1080/19420862.2020.1860476
  5. Bispecific Antibodies: From Research to Clinical Application.
    Ma J, Mo Y, Tang M, Shen J, et al · · 2021 · cited 199× · PMID 34025638 · DOI 10.3389/fimmu.2021.626616
  6. Harnessing natural killer cells for cancer immunotherapy: dispatching the first responders.
    Maskalenko NA, Zhigarev D, Campbell KS. · · 2022 · cited 174× · PMID 35314852 · DOI 10.1038/s41573-022-00413-7
  7. NK cells are never alone: crosstalk and communication in tumour microenvironments.
    Zhou Y, Cheng L, Liu L, Li X. · · 2023 · cited 122× · PMID 36797782 · DOI 10.1186/s12943-023-01737-7
  8. A phase 1b study of AFM13 in combination with pembrolizumab in patients with relapsed or refractory Hodgkin lymphoma.
    Bartlett NL, Herrera AF, Domingo-Domenech E, Mehta A, et al · · 2020 · cited 110× · PMID 32730586 · DOI 10.1182/blood.2019004701

Verify or expand the search:

Other trials of AFM13

Trials testing the same drug.

Other recruiting trials for Peripheral T Cell Lymphoma

Currently open trials in the same condition.

Other Affimed GmbH 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/NCT04101331.

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