First in Human Study of NVG-111 in Relapsed/Refractory ROR1+ Malignancies

Study Purpose

NVG-111 is a bispecific antibody drug, having two "arms", one arm attaches to a substance on cancer cells called ROR1, the other arm attaches to the body's immune cells directing them to kill the cancer cells. This is the first clinical trial of the drug NVG-111, and will include patients with certain types of cancer including chronic lymphocytic leukaemia (CLL), small lymphocytic lymphoma (SLL) mantle cell lymphoma (MCL), follicular lymphoma (FL) and diffuse large B cell lymphoma (DLBCL) in Group A. Subjects with solid tumours, focusing initially on stage IV non-small cell lung cancer (NSCLC) or malignant melanoma.

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Interventional
Eligible Ages 18 Years and Over
Gender All
More Inclusion & Exclusion Criteria

Inclusion criteria:

  • - Personally signed informed consent document.
  • - Male or female, age ≥18 years.
  • - Relapsed or refractory ROR1+ malignancies.
  • - ECOG performance status ≤2.
  • - Adequate organ function.
  • - Bilirubin ≤1.5 x ULN (unless Gilbert's syndrome).
  • - AST and ALT ≤2.5 x ULN (if no hepatic CLL or MCL), or AST and ALT ≤5 x ULN (if hepatic CLL or MCL).
  • - APTT and PT ≤1.5 x ULN.
  • - ANC ≥0.5 x 10^9 /L (without growth factors) and platelets ≥ 30 x 10^9 /L (without transfusion).
  • - Serum creatinine ≤2 x ULN.
  • - Estimated creatinine clearance ≥30 mL/min.
  • - In females of childbearing potential, a negative serum pregnancy test.
  • - For both males and females, willingness to use adequate contraception.
  • - Willingness and ability to comply with study procedures.

Exclusion Criteria:

  • - Richter's transformation.
  • - CNS or leptomeningeal active disease.
  • - High tumour bulk as defined in the protocol.
  • - Allogeneic or autologous organ transplant within prior 6 months.
  • - Uncontrolled autoimmune haemolytic anaemia or idiopathic thrombocytopenic purpura within 8 weeks of screening.
  • - Clinically significant neurological disease.
  • - Clinically significant cardiovascular disease or ECG abnormalities.
  • - Severe chronic lung disease.
  • - Positive test at Screening for HIV, hepatitis B or hepatitis C infection.
  • - Any other concurrent cancer or cancer treatments.
  • - Uncontrolled ongoing infection.
  • - Recent major surgery.
  • - Concurrent participation in another clinical trial, or experimental therapy within 5 half-lives of Screening.
  • - Pregnant or currently breastfeeding.
  • - Any other medical condition that in the opinion of the investigator contraindicates participation in the study.

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT04763083
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Phase 1
Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

NovalGen Ltd.
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

Parag Jasani, MBBS, FRCP, FRCPath
Principal Investigator Affiliation Royal Free London NHS Foundation Trust and University College London Hospitals
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Industry
Overall Status Recruiting
Countries United Kingdom
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Chronic Lymphocytic Leukaemia, Small Lymphocytic Lymphoma, Mantle Cell Lymphoma, Follicular Lymphoma, Diffuse Large B Cell Lymphoma, Non-small Cell Lung Cancer (NSCLC), Malignant Melanoma
Additional Details

Receptor tyrosine kinase-like Orphan Receptor 1 (ROR1) is a protein which is expressed at high levels on many types of cancers but is absent or expressed at low levels in normal adult organs. NVG-111 is a bispecific antibody T cell engager, comprising tandem single chain variable fragments (scFv), one arm binding to ROR1 on cancer cells, the other to cell surface CD3 on lymphocytes. Dual binding of NVG-111 causes MHC-independent immunological synapse formation, releasing perforins, granzyme B and cytokines, resulting in targeted killing of the cancer cells. This is a Phase 1 first in human study to assess the safety, pharmacokinetics and efficacy of NVG-111 in patients with subjects with relapsed/refractory ROR1+ malignancies. A range of doses will be studied in sequential cohorts to understand safety, pharmacokinetics and pharmacodynamics of the drug and establish the recommended phase 2 dose (RP2D). At each dose level, patients will receive 3 cycles of NVG-111 by continuous intravenous infusion, each cycle consists of 21 days treatment. Additional cycles may be given depending on the response seen. All patients will have a safety follow up visit 4 weeks after completion of treatment with NVG-111, and will then enter long term follow up for up to two years to evaluate the duration of efficacy.

Arms & Interventions

Arms

Experimental: Group A: Haematological malignancies

Experimental: Group B: Solid tumours

Interventions

Drug: - NVG-111

Open label, continuous iv infusion, escalating doses of NVG-111 for minimum 3 cycles

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

International Sites

University College London Hospital, London, United Kingdom

Status

Recruiting

Address

University College London Hospital

London, , W1T 7HA

Site Contact

William Townsend

[email protected]

0044 207 139 8639

Royal Marsden Hospital, London, United Kingdom

Status

Recruiting

Address

Royal Marsden Hospital

London, ,

Site Contact

Juanita Lopez

[email protected]

0044 207 139 8639

The Christie NHS Foundation Trust, Manchester, United Kingdom

Status

Recruiting

Address

The Christie NHS Foundation Trust

Manchester, ,

Site Contact

Fiona Thistlethwaite

[email protected]

0044 207 139 8639

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