Adct-402

Clinical trials investigating Adct-402 are studying it in people with previously untreated diffuse large B-cell lymphoma and related B-cell lymphomas. The main goal is to assess how well the treatment works and how well it is tolerated in unfit or frail patients, including those with heart problems.

Table of contents

Clinical trial overview

The available trial of Adct-402 was a Phase 2 study called LOTIS-9.[1] It studied a treatment plan using Loncastuximab Tesirine with rituximab in people with previously untreated lymphoma.[1]

The study was open-label, which means the patients and the study team knew what treatment was being given.[1] It was completed and enrolled 93 people.[1]

Who was studied

The trial focused on people with previously untreated diffuse large B-cell lymphoma (DLBCL).[1] It also included patients with high-grade B-cell lymphoma and grade 3b follicular lymphoma.[1]

Two study groups were described in the record.[1] Cohort A included unfit patients, while Cohort B included frail patients or patients with cardiac comorbidities, meaning other heart-related health problems.[1]

Cohort B also included people who were not eligible for standard R-mini-CHOP, a lower-intensity treatment plan used for some patients who cannot receive stronger therapy.[1]

What the trial measured

The main outcome was complete response rate, which means the share of patients whose cancer could not be found by the study’s response rules.[1] This was measured in both Cohort A and Cohort B.[1]

For Cohort B, the trial also measured tolerability, which is how well patients can stay on treatment.[1] In this study, tolerability was defined by the percentage of patients who finished 4 treatment cycles out of all patients in that group.[1]

Trial design and phase

This was a Phase 2 interventional study.[1] Interventional means the researchers gave a treatment and then measured the results, rather than only observing what happened naturally.[1]

The brief summary says the study looked at a response-adapted treatment of Lonca-R in unfit patients and in frail patients or patients with heart comorbidities.[1] A response-adapted plan means treatment decisions were based on how the disease responded during the study.[1]

What the trial record shows

The trial record shows that NCT05144009 is completed and includes 93 participants.[1] The study was designed to learn whether this approach could produce complete responses and whether frail or heart-affected patients could tolerate the treatment plan.[1]

Based on the record, the main focus was not on healthy volunteers or on advanced disease after many prior treatments.[1] Instead, it focused on people who had not yet been treated and who might need a less intensive approach because of weakness, frailty, or other health problems.[1]

Trial ID Phase Condition studied Status Enrollment
NCT05144009 Phase 2 Diffuse large B-cell lymphoma; high-grade B-cell lymphoma; grade 3b follicular lymphoma Completed 93

Ongoing Clinical Trials on Adct-402

  • Study of Loncastuximab Tesirine and Rituximab for Untreated Unfit or Frail Patients with Diffuse Large B-cell Lymphoma

    Not recruiting

    1 1 1
    Investigated drugs:
    Italy Spain

Glossary

  • Diffuse large B-cell lymphoma (DLBCL): A fast-growing type of blood cancer that starts in B cells, which are a kind of white blood cell.
  • High-grade B-cell lymphoma (HGBCL): A more aggressive type of lymphoma, meaning it can grow and spread quickly.
  • Follicular lymphoma grade 3b: A type of follicular lymphoma that behaves more aggressively than lower-grade forms.
  • Unfit: Not strong enough for a standard treatment plan because of health problems, age, or overall condition.
  • Frail: Very weak or vulnerable, often meaning the body may not handle intensive treatment well.
  • Cardiac comorbidities: Other heart-related health problems that happen along with the main illness.
  • R-mini-CHOP: A lower-intensity standard treatment plan used for some people who cannot receive stronger therapy.
  • Phase 2: A trial stage that checks whether a treatment may work and gathers more information about tolerability and early effectiveness.
  • Open-label: A study design where both the researchers and the patients know which treatment is being given.
  • Complete response (CR): A result where the cancer cannot be found using the study’s response criteria.
  • Tolerability: How well patients can take a treatment without stopping it early.
  • Cohort: A group of patients in a study who share certain features or receive the same study plan.

References