B-cell Non-Hodgkin's Lymphoma, Diffuse Large B-Cell Lymphoma
Conditions
Brief summary
The primary purpose of the study was to determine the safety and tolerability, anti-tumor activity of the proposed Debio 1562 dose regimens in combination with rituximab.
Interventions
Administered as IV Infusion.
Administered as IV Infusion.
Sponsors
Study design
Intervention model description
The interventional study model is sequential for Part 1 and Part 2/3 of the study, and parallel for Cohorts 1 and 2 of Part 1, and for Cohorts A and B of Part 2/3.
Eligibility
Inclusion criteria
* For Part 1 of the study, participants must have histopathologically confirmed diagnosis of R/R, DLBCL, FL, MZL/MALT, MCL, or other Sponsor approved NHL subtypes according to the World Health Organization (WHO) classification 2008 for which standard measures do not exist or are no longer effective. * For Part 2 and Part 3 of the study, participants must have histopathologically and clinically confirmed diagnosis of relapsed DLBCL. Participants will be considered to have a relapsed disease if they showed a duration of response of at least 24 weeks after their first line of therapy. The following participants with relapsed DLBCL will be enrolled: 1. Participants who received only one line of previous therapy and achieved either complete response (CR) or partial response (PR) for at least 24 weeks (from the last day of the last cycle) after their first line of therapy, but are not eligible for high dose chemotherapy with autologous stem cell transplantation (HD-ASCT) 2. Participants who received more than one line of previous therapy (including HD-ASCT), and have achieved a duration of response (CR or PR) of at least 8 weeks (from the last day of the last cycle) after their last line of therapy * Participants must have evaluable or measurable disease in accordance with the International Working Group Guidelines for Lymphoma. * Participants must have received at least one but no more than six prior treatment regimens. Prior treatment with an anti-cluster of differentiation 20 (anti-CD20) agent, either alone or in combination, is allowed. * Participants must have Eastern Cooperative Oncology Group (ECOG) Performance Status 0 - 2. * Participants who are Hepatitis B surface antigen positive (HBsAg+) (must be polymerase chain reaction (PCR) negative) who are taking antivirals, are allowed to enroll.
Exclusion criteria
* Participants with a diagnosis of chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL). * For Part 2 and Part 3 of the study, participants with primary refractory DLBCL (defined as progression of disease within 24 weeks after first line of treatment). * For Part 2 and Part 3 of the study, participants that are eligible to undergo first time HD-ASCT. * For Part 2 and Part 3 of the study, participants with R/R FL, MZL/MALT, MCL, or any other NHL subtypes according to the WHO classification. * Participants with active hepatitis A, B or C infection. * Women who are pregnant or breast feeding. * Participants who have received prior therapy with other anti-CD37-targeting therapy. * Participants who have known central nervous system, meningeal, or epidural disease including brain metastases. * Participants with impaired cardiac function or clinically significant cardiac disease. * Participants currently presenting interstitial lung disease, diffuse parenchymal lung disease, or with a past history of severe/Grade 3 parenchymal lung disorders.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants With Treatment-emergent Adverse Events (TEAEs) | Up to 30 days after end of treatment (EOT) (Up to 38 months) | An AE was defined as any noxious, pathologic, or unintended change in anatomical, physiologic, or metabolic function as indicated by physical signs, symptoms, or laboratory changes occurring in any phase of a clinical study, whether or not considered study drug related. This included exacerbation of a pre-existing condition. AEs included worsening (change in nature, severity, or frequency) of conditions present at the onset of the study, intercurrent illnesses, drug interactions, events related to or possibly related to concomitant medications, abnormal laboratory values (this included significant shifts from baseline within the range of normal that the Investigator considered to be clinically important), clinically significant abnormalities in physical examination, vital signs, and weight. |
| Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Up to 30 days after EOT (Up to 38 months) | The clinical laboratory tests included Hematology: Hematocrit (Hct), hemoglobin (Hgb), platelet count, red blood cell (RBC) count, white blood cell (WBC) count with differential; Serum Chemistry: Albumin (ALB), alkaline phosphatase (ALK-P), alanine aminotransferase (ALT), aspartate aminotransferase (AST), blood urea nitrogen (BUN), calcium (Ca), chloride (Cl), creatinine, glucose, lactate dehydrogenase (LDH), magnesium, phosphorus, potassium (K), sodium (Na), total bilirubin, total protein, uric acid, immunoglobulin levels (IgG, IgA, IgM); Urinalysis: Appearance, specific gravity and pH, evaluation of glucose, protein, bilirubin, ketones, leukocytes and blood; Coagulation: Prothrombin time (PT) or international normalized ratio (INR), activated partial thromboplastin time (aPTT). |
| Number of Participants With Clinically Significant Changes in Electrocardiogram (ECG) Reported as TEAEs | Up to 30 days after EOT (Up to 38 months) | A standard 12-lead ECG was performed. |
| Number of Participants With Clinically Significant Changes in Vital Sign Measurements Reported as TEAEs | Up to 30 days after EOT (Up to 38 months) | Vital signs included systolic and diastolic blood pressure, heart rate, temperature, and respiratory rate. |
| Objective Response Rate (ORR) | Up to Progressive Disease (PD) or death (up to approximately 55 months) or initiation of new anti-cancer therapy whichever occurs first | ORR was defined as the percentage of participants with a Best overall response (BOR) of partial response (PR) or complete response (CR). BOR was the best response recorded from the start of the treatment until disease progression, initiation of new anti-cancer therapy, or end of the study period, whichever occurred first. CR was defined as disappearance of all target lesions, no new lesions formation. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to ≤1.5 cm. PR was defined as ≥50% decrease in the sum of diameters of up to 6 target measurable nodes or extranodal sites, no new lesions formation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Volume of Distribution at Steady State (Vss) of Debio 1562 and Rituximab | Parts 1, 2/3: Pre-dose, post infusion-5 min on Day 1 of C 1-6, 5 min on Day 1 of C 7, 8 and 2 h on Day 1 of C 1, 2 (only for Part 2/3), 24 h on Day 2, 48 h on Day 3, Days 8 and 15 of C 1, 2 (Cycle=21 days); EOT (up to 37 months), 30-day follow up | — |
| Time to Maximum Plasma Concentration (Tmax) of Debio 1562 and Rituximab | Parts 1, 2/3: Pre-dose, post infusion-5 min on Day 1 of C 1-6, 5 min on Day 1 of C 7, 8 and 2 h on Day 1 of C 1, 2 (only for Part 2/3), 24 h on Day 2, 48 h on Day 3, Days 8 and 15 of C 1, 2 (Cycle=21 days); EOT (up to 37 months), 30-day follow up | — |
| Progression-free Survival (PFS) | Up to PD or death or end of study (approximately 57 months) or initiation of new anti-cancer therapy whichever occurs first | PFS was defined as the duration between the first dose date of Debio 1562 and the date of progressive disease (PD) or death due to any cause, whichever occurs first. PD is defined as the new or clear progression of preexisting non-measured lesions or regrowth of previously resolved lesions or a new node \>1.5 cm in any axis or an abnormal lesion with \>1.5 cm longest transverse diameter or increase by \>50% of lesion. |
| Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Parts 1, 2/3: Pre and Post infusion: 5 min-Day (D) 1 of Cycles (C) 1-8 and 2 hours (h)-D1 of C1-2 (for Part 2/3), 24h-D2, 48h-D3 and D8, 15 of C1, 2; D1 of Month 37 (EOT) (rituximab only) and Month 38 (follow-up) (Cycle=21 days) | — |
| Duration of Response (DOR) | Up to PD or death or end of study (approximately 57 months) or initiation of new anti-cancer therapy whichever occurs first | DOR was defined as duration between date of the first objective response (PR or CR) and date of PD or death due to any cause, whichever occurs first. CR: Disappearance of all target lesions, no new lesions formation, any pathological lymph nodes (whether target or non-target) must have reduction in short axis to ≤1.5 cm. PR: ≥50% decrease in sum of diameters of up to 6 target measurable nodes or extranodal sites, no new lesions formation. PD: New or clear progression of preexisting non-measured lesions or regrowth of previously resolved lesions or a new node \>1.5 cm in any axis or an abnormal lesion with \>1.5 cm longest transverse diameter or increase by \>50% of lesion. |
| Overall Survival (OS) | Up to death or end of study (approximately 57 months) or one year from the last participant's first dose | OS was defined as the duration between the first dose date of Debio 1562 and the date of death due to any cause. |
| Number of Participants With Anti-drug Antibodies (ADA) for Debio 1562 | Part 1: Pre-dose on Day 1 of Cycle(C)1 to 8; Part 2/3: Pre-dose on Day 1 of C1 to 6 and on Day 1 of C7 for participants who received treatment beyond C6 (each C=21 days); Parts 1, 2/3: Month 37 (EOT) and Month 38 (30-Day FU visit) (Cycle=21 days) | The potential immunogenicity against Debio 1562 was assessed in an ADA population. |
| Time to Response (TTR) | Up to PD or death or end of study (approximately 57 months) or initiation of new anti-cancer therapy whichever occurs first | TTR was defined as the duration between the first dose date of Debio 1562 and the date of first objective response (PR or CR). CR was defined as disappearance of all target lesions, no new lesions formation. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to ≤ 1.5 cm. PR was defined as ≥50% decrease in the sum of diameters of up to 6 target measurable nodes or extranodal sites, no new lesions formation. |
| Area Under the Time-concentration Curve From Time 0 to t (AUC0-t) of Debio 1562 and Rituximab | Parts 1, 2/3: Pre-dose, post infusion-5 min on Day 1 of C 1-6, 5 min on Day 1 of C 7, 8 and 2 h on Day 1 of C 1, 2 (only for Part 2/3), 24 h on Day 2, 48 h on Day 3, Days 8 and 15 of C 1, 2 (Cycle=21 days); EOT (up to 37 months), 30-day follow up | — |
| Area Under the Time-concentration Curve From Time 0 to Infinity (AUC0-inf) of Debio 1562 and Rituximab | Parts 1, 2/3: Pre-dose, post infusion-5 min on Day 1 of C 1-6, 5 min on Day 1 of C 7, 8 and 2 h on Day 1 of C 1, 2 (only for Part 2/3), 24 h on Day 2, 48 h on Day 3, Days 8 and 15 of C 1, 2 (Cycle=21 days); EOT (up to 37 months), 30-day follow up | — |
| Terminal Half-life (t1/2) of Debio 1562 and Rituximab | Parts 1, 2/3: Pre-dose, post infusion-5 min on Day 1 of C 1-6, 5 min on Day 1 of C 7, 8 and 2 h on Day 1 of C 1, 2 (only for Part 2/3), 24 h on Day 2, 48 h on Day 3, Days 8 and 15 of C 1, 2 (Cycle=21 days); EOT (up to 37 months), 30-day follow up | — |
| Clearance (CL) of Debio 1562 and Rituximab | Parts 1, 2/3: Pre-dose, post infusion-5 min on Day 1 of C 1-6, 5 min on Day 1 of C 7, 8 and 2 h on Day 1 of C 1, 2 (only for Part 2/3), 24 h on Day 2, 48 h on Day 3, Days 8 and 15 of C 1, 2 (Cycle=21 days); EOT (up to 37 months), 30-day follow up | — |
Countries
Belgium, Bulgaria, Czechia, Hungary, Italy, Poland, Switzerland, Ukraine, United States
Participant flow
Recruitment details
The study was conducted at 38 investigative sites in the United States, Belgium, Ukraine, the Czech Republic, Hungary, Bulgaria, Italy, Poland, and Switzerland from 05 June 2016 to 25 June 2021.
Pre-assignment details
A total of 127 participants were screened and 100 participants with relapsed or refractory (R/R) diffuse large B-cell lymphoma (DLBCL) and other forms of non-Hodgkin's lymphoma (NHL) were enrolled, 37 participants into Part 1 and 63 participants into Part 2/3.
Participants by arm
| Arm | Count |
|---|---|
| Part 1: Safety Run-in Participants with a diagnosis of R/R DLBCL, and with NHL including FL, MZL/MALT, MCL or other NHL with the Sponsor's approval received Debio 1562 0.7 mg/kg, IV infusion followed by rituximab 375 mg/m\^2 IV infusion, once on Day 1 of 21-day cycles until the study discontinuation criteria were met (until they develop disease progression, death, unacceptable toxicity, withdraw consent, start new anti-lymphoma treatment or the Sponsor terminates the study). | 17 |
| Part 1: Cohort 1 Participants with R/R DLBCL received Debio 1562 0.7 mg/kg, IV infusion followed by rituximab 375 mg/m\^2 IV infusion, once on Day 1 of 21-day cycles until the study discontinuation criteria were met (until they develop disease progression, death, unacceptable toxicity, withdraw consent, start new anti-lymphoma treatment or the Sponsor terminates the study). | 8 |
| Part 1: Cohort 2 Participants with R/R, FL, MZL/MALT, MCL or other NHL with the Sponsor's approval received Debio 1562 0.7 mg/kg, IV infusion followed by rituximab 375 mg/m\^2 IV infusion, once on Day 1 of 21-day cycles until the study discontinuation criteria were met (until they develop disease progression, death, unacceptable toxicity, withdraw consent, start new anti-lymphoma treatment or the Sponsor terminates the study). | 12 |
| Part 2/3: Cohort A Participants with relapsed DLBCL received Debio 1562 0.7 mg/kg, IV infusion followed by rituximab 375 mg/m\^2 IV infusion, once on Day 1 of a 21-day cycle for at least 6 cycles and/or until the study discontinuation criteria were met (until they develop disease progression, death, unacceptable toxicity, withdraw consent, start new anti-lymphoma treatment or the Sponsor terminates the study). | 33 |
| Part 2/3: Cohort B Participants with relapsed DLBCL received Debio 1562 0.4 mg/kg IV infusion followed by rituximab 375 mg/m\^2 IV infusion on Day 1, then Debio 1562 0.2 mg/kg IV infusion on Days 8 and 15 of a 21-day cycle for at least 6 cycles and/or until the study discontinuation criteria were met (until they develop disease progression, death, unacceptable toxicity, withdraw consent, start new anti-lymphoma treatment or the Sponsor terminates the study). | 30 |
| Total | 100 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 | FG004 |
|---|---|---|---|---|---|---|
| Overall Study | Death | 10 | 5 | 4 | 16 | 16 |
| Overall Study | End of study Page Missing | 0 | 0 | 3 | 3 | 0 |
| Overall Study | Investigator decision | 0 | 0 | 0 | 0 | 1 |
| Overall Study | Lost to Follow-up | 0 | 1 | 0 | 0 | 1 |
| Overall Study | Reason not specified | 1 | 0 | 0 | 0 | 0 |
| Overall Study | Subject Withdrew Consent | 1 | 1 | 1 | 0 | 2 |
Baseline characteristics
| Characteristic | Part 1: Safety Run-in | Part 1: Cohort 1 | Part 1: Cohort 2 | Part 2/3: Cohort A | Part 2/3: Cohort B | Total |
|---|---|---|---|---|---|---|
| Age, Continuous | 68.5 years STANDARD_DEVIATION 13.05 | 70.1 years STANDARD_DEVIATION 9.79 | 68.5 years STANDARD_DEVIATION 5.92 | 65.7 years STANDARD_DEVIATION 13.26 | 68.7 years STANDARD_DEVIATION 11.78 | 67.8 years STANDARD_DEVIATION 11.75 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 1 Participants | 1 Participants | 0 Participants | 1 Participants | 2 Participants | 5 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 15 Participants | 5 Participants | 12 Participants | 32 Participants | 28 Participants | 92 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 1 Participants | 2 Participants | 0 Participants | 0 Participants | 0 Participants | 3 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 1 Participants | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 2 Participants |
| Race (NIH/OMB) Black or African American | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 1 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 1 Participants | 0 Participants | 1 Participants | 0 Participants | 2 Participants |
| Race (NIH/OMB) White | 16 Participants | 7 Participants | 11 Participants | 31 Participants | 30 Participants | 95 Participants |
| Sex: Female, Male Female | 5 Participants | 5 Participants | 5 Participants | 14 Participants | 15 Participants | 44 Participants |
| Sex: Female, Male Male | 12 Participants | 3 Participants | 7 Participants | 19 Participants | 15 Participants | 56 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk | EG004 affected / at risk |
|---|---|---|---|---|---|
| deaths Total, all-cause mortality | 11 / 17 | 6 / 8 | 5 / 12 | 16 / 33 | 17 / 30 |
| other Total, other adverse events | 15 / 17 | 8 / 8 | 12 / 12 | 32 / 33 | 29 / 30 |
| serious Total, serious adverse events | 5 / 17 | 3 / 8 | 5 / 12 | 15 / 33 | 9 / 30 |
Outcome results
Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs
The clinical laboratory tests included Hematology: Hematocrit (Hct), hemoglobin (Hgb), platelet count, red blood cell (RBC) count, white blood cell (WBC) count with differential; Serum Chemistry: Albumin (ALB), alkaline phosphatase (ALK-P), alanine aminotransferase (ALT), aspartate aminotransferase (AST), blood urea nitrogen (BUN), calcium (Ca), chloride (Cl), creatinine, glucose, lactate dehydrogenase (LDH), magnesium, phosphorus, potassium (K), sodium (Na), total bilirubin, total protein, uric acid, immunoglobulin levels (IgG, IgA, IgM); Urinalysis: Appearance, specific gravity and pH, evaluation of glucose, protein, bilirubin, ketones, leukocytes and blood; Coagulation: Prothrombin time (PT) or international normalized ratio (INR), activated partial thromboplastin time (aPTT).
Time frame: Up to 30 days after EOT (Up to 38 months)
Population: Safety population includes all participants from the screened population who received at least one dose of Debio 1562.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Part 1: Safety Run-in | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Neutropenia | 1 Participants |
| Part 1: Safety Run-in | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Leukopenia | 0 Participants |
| Part 1: Safety Run-in | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Lymphocyte Count Decreased | 5 Participants |
| Part 1: Safety Run-in | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hypernatraemia | 0 Participants |
| Part 1: Safety Run-in | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Anaemia | 0 Participants |
| Part 1: Safety Run-in | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Platelet Count Decreased | 4 Participants |
| Part 1: Safety Run-in | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | WBC Count Decreased | 5 Participants |
| Part 1: Safety Run-in | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hyperglycaemia | 0 Participants |
| Part 1: Safety Run-in | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hypomagnesaemia | 0 Participants |
| Part 1: Safety Run-in | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hyperphosphataemia | 0 Participants |
| Part 1: Safety Run-in | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hypercalcaemia | 1 Participants |
| Part 1: Safety Run-in | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hypoalbuminaemia | 0 Participants |
| Part 1: Safety Run-in | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hyperkalaemia | 1 Participants |
| Part 1: Safety Run-in | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Blood Bilirubin Increased | 1 Participants |
| Part 1: Safety Run-in | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hypoglycaemia | 1 Participants |
| Part 1: Safety Run-in | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Blood Magnesium Decreased | 0 Participants |
| Part 1: Safety Run-in | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Blood Immunoglobulin G Decreased | 0 Participants |
| Part 1: Safety Run-in | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hemoglobin Decreased | 2 Participants |
| Part 1: Safety Run-in | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hypokalaemia | 2 Participants |
| Part 1: Safety Run-in | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Blood Creatinine Increased | 0 Participants |
| Part 1: Safety Run-in | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | ALT Increased | 2 Participants |
| Part 1: Safety Run-in | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | ALK-P Increased | 3 Participants |
| Part 1: Safety Run-in | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | AST Increased | 2 Participants |
| Part 1: Safety Run-in | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Gamma-glutamyl transferase Increased | 0 Participants |
| Part 1: Safety Run-in | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hyperuricaemia | 0 Participants |
| Part 1: Safety Run-in | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Febrile Neutropenia | 2 Participants |
| Part 1: Safety Run-in | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Thrombocytopenia | 0 Participants |
| Part 1: Safety Run-in | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hypophosphataemia | 1 Participants |
| Part 1: Safety Run-in | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Neutrophil Count Decreased | 6 Participants |
| Part 1: Safety Run-in | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hyponatraemia | 2 Participants |
| Part 1: Safety Run-in | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Lymphopenia | 0 Participants |
| Part 1: Cohort 1 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hypokalaemia | 0 Participants |
| Part 1: Cohort 1 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hypoglycaemia | 0 Participants |
| Part 1: Cohort 1 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hypomagnesaemia | 0 Participants |
| Part 1: Cohort 1 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Blood Bilirubin Increased | 0 Participants |
| Part 1: Cohort 1 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Gamma-glutamyl transferase Increased | 0 Participants |
| Part 1: Cohort 1 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Neutrophil Count Decreased | 1 Participants |
| Part 1: Cohort 1 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Lymphocyte Count Decreased | 1 Participants |
| Part 1: Cohort 1 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | WBC Count Decreased | 0 Participants |
| Part 1: Cohort 1 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Platelet Count Decreased | 1 Participants |
| Part 1: Cohort 1 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Anaemia | 2 Participants |
| Part 1: Cohort 1 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Leukopenia | 1 Participants |
| Part 1: Cohort 1 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Neutropenia | 1 Participants |
| Part 1: Cohort 1 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Lymphopenia | 0 Participants |
| Part 1: Cohort 1 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hypophosphataemia | 0 Participants |
| Part 1: Cohort 1 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Thrombocytopenia | 1 Participants |
| Part 1: Cohort 1 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Febrile Neutropenia | 0 Participants |
| Part 1: Cohort 1 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | AST Increased | 2 Participants |
| Part 1: Cohort 1 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | ALK-P Increased | 0 Participants |
| Part 1: Cohort 1 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | ALT Increased | 1 Participants |
| Part 1: Cohort 1 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Blood Creatinine Increased | 1 Participants |
| Part 1: Cohort 1 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hemoglobin Decreased | 0 Participants |
| Part 1: Cohort 1 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Blood Immunoglobulin G Decreased | 0 Participants |
| Part 1: Cohort 1 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Blood Magnesium Decreased | 0 Participants |
| Part 1: Cohort 1 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hyperkalaemia | 1 Participants |
| Part 1: Cohort 1 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hypoalbuminaemia | 0 Participants |
| Part 1: Cohort 1 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hypercalcaemia | 0 Participants |
| Part 1: Cohort 1 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hyperglycaemia | 0 Participants |
| Part 1: Cohort 1 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hypernatraemia | 0 Participants |
| Part 1: Cohort 1 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hyponatraemia | 0 Participants |
| Part 1: Cohort 1 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hyperphosphataemia | 0 Participants |
| Part 1: Cohort 1 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hyperuricaemia | 0 Participants |
| Part 1: Cohort 2 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Neutrophil Count Decreased | 2 Participants |
| Part 1: Cohort 2 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Lymphopenia | 0 Participants |
| Part 1: Cohort 2 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | AST Increased | 1 Participants |
| Part 1: Cohort 2 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hypophosphataemia | 1 Participants |
| Part 1: Cohort 2 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hypernatraemia | 1 Participants |
| Part 1: Cohort 2 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Thrombocytopenia | 1 Participants |
| Part 1: Cohort 2 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Gamma-glutamyl transferase Increased | 0 Participants |
| Part 1: Cohort 2 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Febrile Neutropenia | 1 Participants |
| Part 1: Cohort 2 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hypoglycaemia | 1 Participants |
| Part 1: Cohort 2 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | ALK-P Increased | 1 Participants |
| Part 1: Cohort 2 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hypokalaemia | 2 Participants |
| Part 1: Cohort 2 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | ALT Increased | 0 Participants |
| Part 1: Cohort 2 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hyponatraemia | 0 Participants |
| Part 1: Cohort 2 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Blood Creatinine Increased | 1 Participants |
| Part 1: Cohort 2 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hemoglobin Decreased | 0 Participants |
| Part 1: Cohort 2 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Blood Immunoglobulin G Decreased | 0 Participants |
| Part 1: Cohort 2 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Blood Bilirubin Increased | 0 Participants |
| Part 1: Cohort 2 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Blood Magnesium Decreased | 0 Participants |
| Part 1: Cohort 2 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hyperuricaemia | 1 Participants |
| Part 1: Cohort 2 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hyperkalaemia | 2 Participants |
| Part 1: Cohort 2 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hyperphosphataemia | 0 Participants |
| Part 1: Cohort 2 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hypoalbuminaemia | 0 Participants |
| Part 1: Cohort 2 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hypomagnesaemia | 1 Participants |
| Part 1: Cohort 2 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hypercalcaemia | 0 Participants |
| Part 1: Cohort 2 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | WBC Count Decreased | 0 Participants |
| Part 1: Cohort 2 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Platelet Count Decreased | 3 Participants |
| Part 1: Cohort 2 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Lymphocyte Count Decreased | 0 Participants |
| Part 1: Cohort 2 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hyperglycaemia | 0 Participants |
| Part 1: Cohort 2 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Anaemia | 2 Participants |
| Part 1: Cohort 2 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Leukopenia | 1 Participants |
| Part 1: Cohort 2 | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Neutropenia | 4 Participants |
| Part 2/3: Cohort A | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hypernatraemia | 0 Participants |
| Part 2/3: Cohort A | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | ALT Increased | 1 Participants |
| Part 2/3: Cohort A | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Blood Creatinine Increased | 1 Participants |
| Part 2/3: Cohort A | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hyponatraemia | 0 Participants |
| Part 2/3: Cohort A | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Platelet Count Decreased | 0 Participants |
| Part 2/3: Cohort A | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hemoglobin Decreased | 0 Participants |
| Part 2/3: Cohort A | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Blood Bilirubin Increased | 1 Participants |
| Part 2/3: Cohort A | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Blood Immunoglobulin G Decreased | 1 Participants |
| Part 2/3: Cohort A | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Neutrophil Count Decreased | 2 Participants |
| Part 2/3: Cohort A | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Blood Magnesium Decreased | 0 Participants |
| Part 2/3: Cohort A | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Anaemia | 7 Participants |
| Part 2/3: Cohort A | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hyperkalaemia | 0 Participants |
| Part 2/3: Cohort A | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hypomagnesaemia | 1 Participants |
| Part 2/3: Cohort A | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hypoalbuminaemia | 2 Participants |
| Part 2/3: Cohort A | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hypoglycaemia | 0 Participants |
| Part 2/3: Cohort A | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Lymphopenia | 8 Participants |
| Part 2/3: Cohort A | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hyperglycaemia | 2 Participants |
| Part 2/3: Cohort A | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hyperphosphataemia | 0 Participants |
| Part 2/3: Cohort A | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hypophosphataemia | 1 Participants |
| Part 2/3: Cohort A | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Gamma-glutamyl transferase Increased | 2 Participants |
| Part 2/3: Cohort A | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Neutropenia | 21 Participants |
| Part 2/3: Cohort A | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hypercalcaemia | 2 Participants |
| Part 2/3: Cohort A | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Thrombocytopenia | 4 Participants |
| Part 2/3: Cohort A | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Lymphocyte Count Decreased | 0 Participants |
| Part 2/3: Cohort A | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Febrile Neutropenia | 1 Participants |
| Part 2/3: Cohort A | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | AST Increased | 0 Participants |
| Part 2/3: Cohort A | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hypokalaemia | 0 Participants |
| Part 2/3: Cohort A | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Leukopenia | 5 Participants |
| Part 2/3: Cohort A | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | ALK-P Increased | 1 Participants |
| Part 2/3: Cohort A | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | WBC Count Decreased | 1 Participants |
| Part 2/3: Cohort A | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hyperuricaemia | 1 Participants |
| Part 2/3: Cohort B | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hypoglycaemia | 0 Participants |
| Part 2/3: Cohort B | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Thrombocytopenia | 6 Participants |
| Part 2/3: Cohort B | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | ALT Increased | 1 Participants |
| Part 2/3: Cohort B | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | WBC Count Decreased | 3 Participants |
| Part 2/3: Cohort B | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hyperphosphataemia | 0 Participants |
| Part 2/3: Cohort B | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Leukopenia | 7 Participants |
| Part 2/3: Cohort B | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hypoalbuminaemia | 0 Participants |
| Part 2/3: Cohort B | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Blood Creatinine Increased | 0 Participants |
| Part 2/3: Cohort B | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Blood Bilirubin Increased | 0 Participants |
| Part 2/3: Cohort B | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hypercalcaemia | 1 Participants |
| Part 2/3: Cohort B | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Lymphopenia | 6 Participants |
| Part 2/3: Cohort B | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Gamma-glutamyl transferase Increased | 1 Participants |
| Part 2/3: Cohort B | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hemoglobin Decreased | 0 Participants |
| Part 2/3: Cohort B | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | AST Increased | 1 Participants |
| Part 2/3: Cohort B | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hyponatraemia | 1 Participants |
| Part 2/3: Cohort B | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Platelet Count Decreased | 2 Participants |
| Part 2/3: Cohort B | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Lymphocyte Count Decreased | 0 Participants |
| Part 2/3: Cohort B | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Blood Immunoglobulin G Decreased | 1 Participants |
| Part 2/3: Cohort B | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | ALK-P Increased | 1 Participants |
| Part 2/3: Cohort B | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hyperuricaemia | 0 Participants |
| Part 2/3: Cohort B | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hyperglycaemia | 0 Participants |
| Part 2/3: Cohort B | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hypophosphataemia | 0 Participants |
| Part 2/3: Cohort B | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Blood Magnesium Decreased | 0 Participants |
| Part 2/3: Cohort B | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hypomagnesaemia | 0 Participants |
| Part 2/3: Cohort B | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Neutropenia | 17 Participants |
| Part 2/3: Cohort B | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Febrile Neutropenia | 1 Participants |
| Part 2/3: Cohort B | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hypokalaemia | 2 Participants |
| Part 2/3: Cohort B | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hyperkalaemia | 2 Participants |
| Part 2/3: Cohort B | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Hypernatraemia | 1 Participants |
| Part 2/3: Cohort B | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Anaemia | 6 Participants |
| Part 2/3: Cohort B | Number of Participants With Clinically Significant Changes in Clinical Laboratory Test Results Reported as TEAEs | Neutrophil Count Decreased | 2 Participants |
Number of Participants With Clinically Significant Changes in Electrocardiogram (ECG) Reported as TEAEs
A standard 12-lead ECG was performed.
Time frame: Up to 30 days after EOT (Up to 38 months)
Population: Safety population included all participants from the screened population who received at least one dose of Debio 1562.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Part 1: Safety Run-in | Number of Participants With Clinically Significant Changes in Electrocardiogram (ECG) Reported as TEAEs | Atrial Fibrillation | 0 Participants |
| Part 1: Safety Run-in | Number of Participants With Clinically Significant Changes in Electrocardiogram (ECG) Reported as TEAEs | Acute myocardial infarction | 1 Participants |
| Part 1: Safety Run-in | Number of Participants With Clinically Significant Changes in Electrocardiogram (ECG) Reported as TEAEs | Electrocardiogram QT prolonged | 0 Participants |
| Part 1: Cohort 1 | Number of Participants With Clinically Significant Changes in Electrocardiogram (ECG) Reported as TEAEs | Electrocardiogram QT prolonged | 0 Participants |
| Part 1: Cohort 1 | Number of Participants With Clinically Significant Changes in Electrocardiogram (ECG) Reported as TEAEs | Atrial Fibrillation | 0 Participants |
| Part 1: Cohort 1 | Number of Participants With Clinically Significant Changes in Electrocardiogram (ECG) Reported as TEAEs | Acute myocardial infarction | 0 Participants |
| Part 1: Cohort 2 | Number of Participants With Clinically Significant Changes in Electrocardiogram (ECG) Reported as TEAEs | Electrocardiogram QT prolonged | 0 Participants |
| Part 1: Cohort 2 | Number of Participants With Clinically Significant Changes in Electrocardiogram (ECG) Reported as TEAEs | Atrial Fibrillation | 1 Participants |
| Part 1: Cohort 2 | Number of Participants With Clinically Significant Changes in Electrocardiogram (ECG) Reported as TEAEs | Acute myocardial infarction | 1 Participants |
| Part 2/3: Cohort A | Number of Participants With Clinically Significant Changes in Electrocardiogram (ECG) Reported as TEAEs | Atrial Fibrillation | 0 Participants |
| Part 2/3: Cohort A | Number of Participants With Clinically Significant Changes in Electrocardiogram (ECG) Reported as TEAEs | Acute myocardial infarction | 0 Participants |
| Part 2/3: Cohort A | Number of Participants With Clinically Significant Changes in Electrocardiogram (ECG) Reported as TEAEs | Electrocardiogram QT prolonged | 1 Participants |
| Part 2/3: Cohort B | Number of Participants With Clinically Significant Changes in Electrocardiogram (ECG) Reported as TEAEs | Electrocardiogram QT prolonged | 1 Participants |
| Part 2/3: Cohort B | Number of Participants With Clinically Significant Changes in Electrocardiogram (ECG) Reported as TEAEs | Atrial Fibrillation | 1 Participants |
| Part 2/3: Cohort B | Number of Participants With Clinically Significant Changes in Electrocardiogram (ECG) Reported as TEAEs | Acute myocardial infarction | 0 Participants |
Number of Participants With Clinically Significant Changes in Vital Sign Measurements Reported as TEAEs
Vital signs included systolic and diastolic blood pressure, heart rate, temperature, and respiratory rate.
Time frame: Up to 30 days after EOT (Up to 38 months)
Population: Safety population included all participants from the screened population who received at least one dose of Debio 1562.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Part 1: Safety Run-in | Number of Participants With Clinically Significant Changes in Vital Sign Measurements Reported as TEAEs | Hypertension | 0 Participants |
| Part 1: Safety Run-in | Number of Participants With Clinically Significant Changes in Vital Sign Measurements Reported as TEAEs | Tachycardia | 1 Participants |
| Part 1: Safety Run-in | Number of Participants With Clinically Significant Changes in Vital Sign Measurements Reported as TEAEs | Hypotension | 0 Participants |
| Part 1: Safety Run-in | Number of Participants With Clinically Significant Changes in Vital Sign Measurements Reported as TEAEs | Hyperthermia | 0 Participants |
| Part 1: Safety Run-in | Number of Participants With Clinically Significant Changes in Vital Sign Measurements Reported as TEAEs | Pyrexia | 4 Participants |
| Part 1: Safety Run-in | Number of Participants With Clinically Significant Changes in Vital Sign Measurements Reported as TEAEs | Body Temperature Increased | 1 Participants |
| Part 1: Cohort 1 | Number of Participants With Clinically Significant Changes in Vital Sign Measurements Reported as TEAEs | Hypotension | 0 Participants |
| Part 1: Cohort 1 | Number of Participants With Clinically Significant Changes in Vital Sign Measurements Reported as TEAEs | Tachycardia | 0 Participants |
| Part 1: Cohort 1 | Number of Participants With Clinically Significant Changes in Vital Sign Measurements Reported as TEAEs | Hypertension | 0 Participants |
| Part 1: Cohort 1 | Number of Participants With Clinically Significant Changes in Vital Sign Measurements Reported as TEAEs | Body Temperature Increased | 0 Participants |
| Part 1: Cohort 1 | Number of Participants With Clinically Significant Changes in Vital Sign Measurements Reported as TEAEs | Pyrexia | 2 Participants |
| Part 1: Cohort 1 | Number of Participants With Clinically Significant Changes in Vital Sign Measurements Reported as TEAEs | Hyperthermia | 0 Participants |
| Part 1: Cohort 2 | Number of Participants With Clinically Significant Changes in Vital Sign Measurements Reported as TEAEs | Pyrexia | 1 Participants |
| Part 1: Cohort 2 | Number of Participants With Clinically Significant Changes in Vital Sign Measurements Reported as TEAEs | Hypotension | 1 Participants |
| Part 1: Cohort 2 | Number of Participants With Clinically Significant Changes in Vital Sign Measurements Reported as TEAEs | Body Temperature Increased | 0 Participants |
| Part 1: Cohort 2 | Number of Participants With Clinically Significant Changes in Vital Sign Measurements Reported as TEAEs | Hyperthermia | 0 Participants |
| Part 1: Cohort 2 | Number of Participants With Clinically Significant Changes in Vital Sign Measurements Reported as TEAEs | Tachycardia | 0 Participants |
| Part 1: Cohort 2 | Number of Participants With Clinically Significant Changes in Vital Sign Measurements Reported as TEAEs | Hypertension | 0 Participants |
| Part 2/3: Cohort A | Number of Participants With Clinically Significant Changes in Vital Sign Measurements Reported as TEAEs | Pyrexia | 6 Participants |
| Part 2/3: Cohort A | Number of Participants With Clinically Significant Changes in Vital Sign Measurements Reported as TEAEs | Body Temperature Increased | 1 Participants |
| Part 2/3: Cohort A | Number of Participants With Clinically Significant Changes in Vital Sign Measurements Reported as TEAEs | Hypotension | 1 Participants |
| Part 2/3: Cohort A | Number of Participants With Clinically Significant Changes in Vital Sign Measurements Reported as TEAEs | Hyperthermia | 0 Participants |
| Part 2/3: Cohort A | Number of Participants With Clinically Significant Changes in Vital Sign Measurements Reported as TEAEs | Tachycardia | 0 Participants |
| Part 2/3: Cohort A | Number of Participants With Clinically Significant Changes in Vital Sign Measurements Reported as TEAEs | Hypertension | 3 Participants |
| Part 2/3: Cohort B | Number of Participants With Clinically Significant Changes in Vital Sign Measurements Reported as TEAEs | Tachycardia | 1 Participants |
| Part 2/3: Cohort B | Number of Participants With Clinically Significant Changes in Vital Sign Measurements Reported as TEAEs | Body Temperature Increased | 0 Participants |
| Part 2/3: Cohort B | Number of Participants With Clinically Significant Changes in Vital Sign Measurements Reported as TEAEs | Hypertension | 2 Participants |
| Part 2/3: Cohort B | Number of Participants With Clinically Significant Changes in Vital Sign Measurements Reported as TEAEs | Hypotension | 0 Participants |
| Part 2/3: Cohort B | Number of Participants With Clinically Significant Changes in Vital Sign Measurements Reported as TEAEs | Pyrexia | 4 Participants |
| Part 2/3: Cohort B | Number of Participants With Clinically Significant Changes in Vital Sign Measurements Reported as TEAEs | Hyperthermia | 2 Participants |
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
An AE was defined as any noxious, pathologic, or unintended change in anatomical, physiologic, or metabolic function as indicated by physical signs, symptoms, or laboratory changes occurring in any phase of a clinical study, whether or not considered study drug related. This included exacerbation of a pre-existing condition. AEs included worsening (change in nature, severity, or frequency) of conditions present at the onset of the study, intercurrent illnesses, drug interactions, events related to or possibly related to concomitant medications, abnormal laboratory values (this included significant shifts from baseline within the range of normal that the Investigator considered to be clinically important), clinically significant abnormalities in physical examination, vital signs, and weight.
Time frame: Up to 30 days after end of treatment (EOT) (Up to 38 months)
Population: Safety population included all participants from the screened population who received at least one dose of Debio 1562.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Part 1: Safety Run-in | Number of Participants With Treatment-emergent Adverse Events (TEAEs) | 16 Participants |
| Part 1: Cohort 1 | Number of Participants With Treatment-emergent Adverse Events (TEAEs) | 8 Participants |
| Part 1: Cohort 2 | Number of Participants With Treatment-emergent Adverse Events (TEAEs) | 12 Participants |
| Part 2/3: Cohort A | Number of Participants With Treatment-emergent Adverse Events (TEAEs) | 32 Participants |
| Part 2/3: Cohort B | Number of Participants With Treatment-emergent Adverse Events (TEAEs) | 29 Participants |
Objective Response Rate (ORR)
ORR was defined as the percentage of participants with a Best overall response (BOR) of partial response (PR) or complete response (CR). BOR was the best response recorded from the start of the treatment until disease progression, initiation of new anti-cancer therapy, or end of the study period, whichever occurred first. CR was defined as disappearance of all target lesions, no new lesions formation. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to ≤1.5 cm. PR was defined as ≥50% decrease in the sum of diameters of up to 6 target measurable nodes or extranodal sites, no new lesions formation.
Time frame: Up to Progressive Disease (PD) or death (up to approximately 55 months) or initiation of new anti-cancer therapy whichever occurs first
Population: EE population included all participants who received at least one dose of Debio 1562 and rituximab and had both baseline and post-baseline evaluable disease assessments (including clinical PD).
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Part 1: Safety Run-in | Objective Response Rate (ORR) | 26.7 percent responders |
| Part 1: Cohort 1 | Objective Response Rate (ORR) | 12.5 percent responders |
| Part 1: Cohort 2 | Objective Response Rate (ORR) | 81.8 percent responders |
| Part 2/3: Cohort A | Objective Response Rate (ORR) | 50.0 percent responders |
| Part 2/3: Cohort B | Objective Response Rate (ORR) | 50.0 percent responders |
Area Under the Time-concentration Curve From Time 0 to Infinity (AUC0-inf) of Debio 1562 and Rituximab
Time frame: Parts 1, 2/3: Pre-dose, post infusion-5 min on Day 1 of C 1-6, 5 min on Day 1 of C 7, 8 and 2 h on Day 1 of C 1, 2 (only for Part 2/3), 24 h on Day 2, 48 h on Day 3, Days 8 and 15 of C 1, 2 (Cycle=21 days); EOT (up to 37 months), 30-day follow up
Population: Debio 1562 PK analysis was performed by population PK approach, this data was not collected. This data was also not collected for Rituximab.
Area Under the Time-concentration Curve From Time 0 to t (AUC0-t) of Debio 1562 and Rituximab
Time frame: Parts 1, 2/3: Pre-dose, post infusion-5 min on Day 1 of C 1-6, 5 min on Day 1 of C 7, 8 and 2 h on Day 1 of C 1, 2 (only for Part 2/3), 24 h on Day 2, 48 h on Day 3, Days 8 and 15 of C 1, 2 (Cycle=21 days); EOT (up to 37 months), 30-day follow up
Population: Debio 1562 PK analysis was performed by population PK approach, this data was not collected. This data was also not collected for Rituximab.
Clearance (CL) of Debio 1562 and Rituximab
Time frame: Parts 1, 2/3: Pre-dose, post infusion-5 min on Day 1 of C 1-6, 5 min on Day 1 of C 7, 8 and 2 h on Day 1 of C 1, 2 (only for Part 2/3), 24 h on Day 2, 48 h on Day 3, Days 8 and 15 of C 1, 2 (Cycle=21 days); EOT (up to 37 months), 30-day follow up
Population: Debio 1562 PK analysis was performed by population PK approach, this data was not collected. This data was also not collected for Rituximab.
Duration of Response (DOR)
DOR was defined as duration between date of the first objective response (PR or CR) and date of PD or death due to any cause, whichever occurs first. CR: Disappearance of all target lesions, no new lesions formation, any pathological lymph nodes (whether target or non-target) must have reduction in short axis to ≤1.5 cm. PR: ≥50% decrease in sum of diameters of up to 6 target measurable nodes or extranodal sites, no new lesions formation. PD: New or clear progression of preexisting non-measured lesions or regrowth of previously resolved lesions or a new node \>1.5 cm in any axis or an abnormal lesion with \>1.5 cm longest transverse diameter or increase by \>50% of lesion.
Time frame: Up to PD or death or end of study (approximately 57 months) or initiation of new anti-cancer therapy whichever occurs first
Population: EE population included all participants who received at least one dose of Debio 1562 and rituximab and had both baseline and post-baseline evaluable disease assessments (including clinical PD). Overall number of participants analyzed signifies the number of participants who responded.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Part 1: Safety Run-in | Duration of Response (DOR) | NA months |
| Part 1: Cohort 1 | Duration of Response (DOR) | 2.6 months |
| Part 1: Cohort 2 | Duration of Response (DOR) | NA months |
| Part 2/3: Cohort A | Duration of Response (DOR) | NA months |
| Part 2/3: Cohort B | Duration of Response (DOR) | 16.5 months |
Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab
Time frame: Parts 1, 2/3: Pre and Post infusion: 5 min-Day (D) 1 of Cycles (C) 1-8 and 2 hours (h)-D1 of C1-2 (for Part 2/3), 24h-D2, 48h-D3 and D8, 15 of C1, 2; D1 of Month 37 (EOT) (rituximab only) and Month 38 (follow-up) (Cycle=21 days)
Population: PK population included all participants who received at least one dose of Debio 1562 or rituximab and had atleast one PK concentration result available. Number analyzed signifies the number of participants with available data at the specific timepoint.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Part 1: Safety Run-in | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Debio 1562: Cycle 5 | 9744.3 nanogram per milliliter (ng/ml) | Standard Deviation 1816.91 |
| Part 1: Safety Run-in | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Debio 1562: Cycle 2 | 8697.9 nanogram per milliliter (ng/ml) | Standard Deviation 3540.53 |
| Part 1: Safety Run-in | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Debio 1562: Cycle 3 | 10600.0 nanogram per milliliter (ng/ml) | Standard Deviation 3879.4 |
| Part 1: Safety Run-in | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Debio 1562: Cycle 4 | 7787.8 nanogram per milliliter (ng/ml) | Standard Deviation 3334.11 |
| Part 1: Safety Run-in | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Debio 1562: Cycle 1 | 10005.9 nanogram per milliliter (ng/ml) | Standard Deviation 4147.35 |
| Part 1: Safety Run-in | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Debio 1562: Cycle 6 | 8050.0 nanogram per milliliter (ng/ml) | Standard Deviation 2418.64 |
| Part 1: Safety Run-in | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Debio 1562: Cycle 7 | 7908.0 nanogram per milliliter (ng/ml) | Standard Deviation 3111.6 |
| Part 1: Safety Run-in | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Debio 1562: Cycle 8 | 2253.0 nanogram per milliliter (ng/ml) | Standard Deviation 2214.31 |
| Part 1: Safety Run-in | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Cycle 1 | 213287.4 nanogram per milliliter (ng/ml) | Standard Deviation 55735.54 |
| Part 1: Safety Run-in | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Cycle 2 | 251697.6 nanogram per milliliter (ng/ml) | Standard Deviation 41113.07 |
| Part 1: Safety Run-in | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Cycle 3 | 272302.8 nanogram per milliliter (ng/ml) | Standard Deviation 58497.66 |
| Part 1: Safety Run-in | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Cycle 4 | 283067.9 nanogram per milliliter (ng/ml) | Standard Deviation 57414.89 |
| Part 1: Safety Run-in | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Cycle 5 | 366032.9 nanogram per milliliter (ng/ml) | Standard Deviation 94593.53 |
| Part 1: Safety Run-in | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Cycle 6 | 354142.7 nanogram per milliliter (ng/ml) | Standard Deviation 90095.73 |
| Part 1: Safety Run-in | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Cycle 7 | 341761.4 nanogram per milliliter (ng/ml) | Standard Deviation 37261.58 |
| Part 1: Safety Run-in | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Cycle 8 | 379038.7 nanogram per milliliter (ng/ml) | Standard Deviation 83552.42 |
| Part 1: Safety Run-in | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Month 37 | 77330.7 nanogram per milliliter (ng/ml) | Standard Deviation 34343.07 |
| Part 1: Safety Run-in | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Month 38 | 107690.6 nanogram per milliliter (ng/ml) | Standard Deviation 56044.52 |
| Part 1: Cohort 1 | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Month 38 | 82585.0 nanogram per milliliter (ng/ml) | Standard Deviation 31312.62 |
| Part 1: Cohort 1 | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Cycle 6 | 200913.0 nanogram per milliliter (ng/ml) | Standard Deviation 130086.43 |
| Part 1: Cohort 1 | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Cycle 5 | 156582.0 nanogram per milliliter (ng/ml) | Standard Deviation 82703.21 |
| Part 1: Cohort 1 | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Cycle 1 | 207415.8 nanogram per milliliter (ng/ml) | Standard Deviation 67408.74 |
| Part 1: Cohort 1 | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Debio 1562: Cycle 6 | 10195.0 nanogram per milliliter (ng/ml) | Standard Deviation 3825.45 |
| Part 1: Cohort 1 | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Cycle 4 | 198313.3 nanogram per milliliter (ng/ml) | Standard Deviation 79455.19 |
| Part 1: Cohort 1 | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Cycle 3 | 213378.8 nanogram per milliliter (ng/ml) | Standard Deviation 36470.96 |
| Part 1: Cohort 1 | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Month 37 | 59503.5 nanogram per milliliter (ng/ml) | Standard Deviation 9683.76 |
| Part 1: Cohort 1 | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Cycle 2 | 214761.9 nanogram per milliliter (ng/ml) | Standard Deviation 40919.84 |
| Part 1: Cohort 1 | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Debio 1562: Cycle 5 | 9675.0 nanogram per milliliter (ng/ml) | Standard Deviation 1308.15 |
| Part 1: Cohort 1 | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Debio 1562: Cycle 2 | 7775.0 nanogram per milliliter (ng/ml) | Standard Deviation 2646.11 |
| Part 1: Cohort 1 | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Debio 1562: Cycle 1 | 9411.5 nanogram per milliliter (ng/ml) | Standard Deviation 7762.98 |
| Part 1: Cohort 1 | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Debio 1562: Cycle 4 | 9230.0 nanogram per milliliter (ng/ml) | Standard Deviation 1980.08 |
| Part 1: Cohort 1 | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Debio 1562: Cycle 7 | 9940.0 nanogram per milliliter (ng/ml) | — |
| Part 1: Cohort 1 | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Cycle 7 | 179381.0 nanogram per milliliter (ng/ml) | — |
| Part 1: Cohort 1 | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Debio 1562: Cycle 3 | 11472.5 nanogram per milliliter (ng/ml) | Standard Deviation 3684.63 |
| Part 1: Cohort 2 | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Debio 1562: Cycle 4 | 11703.3 nanogram per milliliter (ng/ml) | Standard Deviation 2284.15 |
| Part 1: Cohort 2 | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Cycle 7 | 281045.9 nanogram per milliliter (ng/ml) | Standard Deviation 62528.32 |
| Part 1: Cohort 2 | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Debio 1562: Cycle 5 | 13220.0 nanogram per milliliter (ng/ml) | Standard Deviation 2049.06 |
| Part 1: Cohort 2 | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Debio 1562: Cycle 6 | 12983.8 nanogram per milliliter (ng/ml) | Standard Deviation 3182.1 |
| Part 1: Cohort 2 | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Month 38 | 78777.3 nanogram per milliliter (ng/ml) | Standard Deviation 72013.43 |
| Part 1: Cohort 2 | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Debio 1562: Cycle 7 | 12600.0 nanogram per milliliter (ng/ml) | Standard Deviation 1803.7 |
| Part 1: Cohort 2 | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Cycle 8 | 251326.4 nanogram per milliliter (ng/ml) | Standard Deviation 85797.08 |
| Part 1: Cohort 2 | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Debio 1562: Cycle 8 | 12501.3 nanogram per milliliter (ng/ml) | Standard Deviation 2658.79 |
| Part 1: Cohort 2 | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Cycle 1 | 179430.7 nanogram per milliliter (ng/ml) | Standard Deviation 41213.48 |
| Part 1: Cohort 2 | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Cycle 2 | 191988.5 nanogram per milliliter (ng/ml) | Standard Deviation 65788.33 |
| Part 1: Cohort 2 | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Month 37 | 53960.9 nanogram per milliliter (ng/ml) | Standard Deviation 61954.05 |
| Part 1: Cohort 2 | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Cycle 3 | 239380.8 nanogram per milliliter (ng/ml) | Standard Deviation 60127.34 |
| Part 1: Cohort 2 | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Cycle 4 | 262263.9 nanogram per milliliter (ng/ml) | Standard Deviation 67895.19 |
| Part 1: Cohort 2 | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Cycle 5 | 266406.1 nanogram per milliliter (ng/ml) | Standard Deviation 52480.7 |
| Part 1: Cohort 2 | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Cycle 6 | 240735.0 nanogram per milliliter (ng/ml) | Standard Deviation 114120.93 |
| Part 1: Cohort 2 | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Debio 1562: Cycle 1 | 11821.2 nanogram per milliliter (ng/ml) | Standard Deviation 5456.11 |
| Part 1: Cohort 2 | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Debio 1562: Cycle 2 | 10521.4 nanogram per milliliter (ng/ml) | Standard Deviation 3448.39 |
| Part 1: Cohort 2 | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Debio 1562: Cycle 3 | 13682.2 nanogram per milliliter (ng/ml) | Standard Deviation 3093.84 |
| Part 2/3: Cohort A | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Month 37 | 86046.4 nanogram per milliliter (ng/ml) | Standard Deviation 53904.82 |
| Part 2/3: Cohort A | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Debio 1562: Cycle 4 | 12560.0 nanogram per milliliter (ng/ml) | Standard Deviation 4625.17 |
| Part 2/3: Cohort A | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Cycle 4 | 236146.8 nanogram per milliliter (ng/ml) | Standard Deviation 63699.49 |
| Part 2/3: Cohort A | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Month 38 | 69646.9 nanogram per milliliter (ng/ml) | Standard Deviation 49779.31 |
| Part 2/3: Cohort A | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Debio 1562: Cycle 3 | 14324.4 nanogram per milliliter (ng/ml) | Standard Deviation 5532.63 |
| Part 2/3: Cohort A | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Cycle 5 | 282017.6 nanogram per milliliter (ng/ml) | Standard Deviation 66512.79 |
| Part 2/3: Cohort A | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Cycle 6 | 294989.5 nanogram per milliliter (ng/ml) | Standard Deviation 82301.31 |
| Part 2/3: Cohort A | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Debio 1562: Cycle 5 | 13487.1 nanogram per milliliter (ng/ml) | Standard Deviation 4458.46 |
| Part 2/3: Cohort A | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Debio 1562: Cycle 1 | 15339.4 nanogram per milliliter (ng/ml) | Standard Deviation 3514.51 |
| Part 2/3: Cohort A | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Debio 1562: Cycle 6 | 13025.7 nanogram per milliliter (ng/ml) | Standard Deviation 5043.89 |
| Part 2/3: Cohort A | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Debio 1562: Cycle 2 | 13868.6 nanogram per milliliter (ng/ml) | Standard Deviation 4143.59 |
| Part 2/3: Cohort A | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Cycle 2 | 205481.9 nanogram per milliliter (ng/ml) | Standard Deviation 43738.73 |
| Part 2/3: Cohort A | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Cycle 7 | 114902.0 nanogram per milliliter (ng/ml) | — |
| Part 2/3: Cohort A | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Cycle 3 | 218358.1 nanogram per milliliter (ng/ml) | Standard Deviation 49891.16 |
| Part 2/3: Cohort A | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Cycle 1 | 170942.3 nanogram per milliliter (ng/ml) | Standard Deviation 28871.5 |
| Part 2/3: Cohort B | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Cycle 2 | 210563.7 nanogram per milliliter (ng/ml) | Standard Deviation 43723.39 |
| Part 2/3: Cohort B | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Debio 1562: Cycle 1 | 6612.4 nanogram per milliliter (ng/ml) | Standard Deviation 2315.16 |
| Part 2/3: Cohort B | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Cycle 6 | 296240.1 nanogram per milliliter (ng/ml) | Standard Deviation 68962.34 |
| Part 2/3: Cohort B | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Cycle 4 | 267141.2 nanogram per milliliter (ng/ml) | Standard Deviation 65390.99 |
| Part 2/3: Cohort B | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Month 37 | 73469.1 nanogram per milliliter (ng/ml) | Standard Deviation 47009.66 |
| Part 2/3: Cohort B | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Cycle 3 | 254760.9 nanogram per milliliter (ng/ml) | Standard Deviation 107449.36 |
| Part 2/3: Cohort B | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Debio 1562: Cycle 4 | 7122.9 nanogram per milliliter (ng/ml) | Standard Deviation 3084.39 |
| Part 2/3: Cohort B | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Cycle 1 | 171006.4 nanogram per milliliter (ng/ml) | Standard Deviation 37226.83 |
| Part 2/3: Cohort B | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Cycle 5 | 267163.1 nanogram per milliliter (ng/ml) | Standard Deviation 51180.64 |
| Part 2/3: Cohort B | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Rituximab: Month 38 | 79561.6 nanogram per milliliter (ng/ml) | Standard Deviation 55656.86 |
| Part 2/3: Cohort B | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Debio 1562: Month 38 | 15000.0 nanogram per milliliter (ng/ml) | — |
| Part 2/3: Cohort B | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Debio 1562: Cycle 3 | 6824.0 nanogram per milliliter (ng/ml) | Standard Deviation 2911.62 |
| Part 2/3: Cohort B | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Debio 1562: Cycle 2 | 8465.5 nanogram per milliliter (ng/ml) | Standard Deviation 6553.5 |
| Part 2/3: Cohort B | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Debio 1562: Cycle 6 | 6904.3 nanogram per milliliter (ng/ml) | Standard Deviation 2516.11 |
| Part 2/3: Cohort B | Maximum Plasma Drug Concentration (Cmax) of Debio 1562 and Rituximab | Debio 1562: Cycle 5 | 7305.0 nanogram per milliliter (ng/ml) | Standard Deviation 3089.01 |
Number of Participants With Anti-drug Antibodies (ADA) for Debio 1562
The potential immunogenicity against Debio 1562 was assessed in an ADA population.
Time frame: Part 1: Pre-dose on Day 1 of Cycle(C)1 to 8; Part 2/3: Pre-dose on Day 1 of C1 to 6 and on Day 1 of C7 for participants who received treatment beyond C6 (each C=21 days); Parts 1, 2/3: Month 37 (EOT) and Month 38 (30-Day FU visit) (Cycle=21 days)
Population: ADA population included all participants who received at least one dose of Debio 1562 or rituximab and had at least one ADA post exposure result available. Overall number of participants analyzed signifies number of participants with non-missing ADA value at baseline and at least one non-missing post-treatment value.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Part 1: Safety Run-in | Number of Participants With Anti-drug Antibodies (ADA) for Debio 1562 | Increase in ADA Titer From Baseline | 0 Participants |
| Part 1: Safety Run-in | Number of Participants With Anti-drug Antibodies (ADA) for Debio 1562 | Decrease in ADA Titer From Baseline | 1 Participants |
| Part 1: Safety Run-in | Number of Participants With Anti-drug Antibodies (ADA) for Debio 1562 | No Change From Baseline | 13 Participants |
| Part 1: Cohort 1 | Number of Participants With Anti-drug Antibodies (ADA) for Debio 1562 | Increase in ADA Titer From Baseline | 0 Participants |
| Part 1: Cohort 1 | Number of Participants With Anti-drug Antibodies (ADA) for Debio 1562 | No Change From Baseline | 6 Participants |
| Part 1: Cohort 1 | Number of Participants With Anti-drug Antibodies (ADA) for Debio 1562 | Decrease in ADA Titer From Baseline | 0 Participants |
| Part 1: Cohort 2 | Number of Participants With Anti-drug Antibodies (ADA) for Debio 1562 | Increase in ADA Titer From Baseline | 0 Participants |
| Part 1: Cohort 2 | Number of Participants With Anti-drug Antibodies (ADA) for Debio 1562 | Decrease in ADA Titer From Baseline | 0 Participants |
| Part 1: Cohort 2 | Number of Participants With Anti-drug Antibodies (ADA) for Debio 1562 | No Change From Baseline | 10 Participants |
| Part 2/3: Cohort A | Number of Participants With Anti-drug Antibodies (ADA) for Debio 1562 | Increase in ADA Titer From Baseline | 2 Participants |
| Part 2/3: Cohort A | Number of Participants With Anti-drug Antibodies (ADA) for Debio 1562 | No Change From Baseline | 25 Participants |
| Part 2/3: Cohort A | Number of Participants With Anti-drug Antibodies (ADA) for Debio 1562 | Decrease in ADA Titer From Baseline | 3 Participants |
| Part 2/3: Cohort B | Number of Participants With Anti-drug Antibodies (ADA) for Debio 1562 | No Change From Baseline | 20 Participants |
| Part 2/3: Cohort B | Number of Participants With Anti-drug Antibodies (ADA) for Debio 1562 | Increase in ADA Titer From Baseline | 2 Participants |
| Part 2/3: Cohort B | Number of Participants With Anti-drug Antibodies (ADA) for Debio 1562 | Decrease in ADA Titer From Baseline | 3 Participants |
Overall Survival (OS)
OS was defined as the duration between the first dose date of Debio 1562 and the date of death due to any cause.
Time frame: Up to death or end of study (approximately 57 months) or one year from the last participant's first dose
Population: EE population included all participants who received at least one dose of Debio 1562 and rituximab and had both baseline and post-baseline evaluable disease assessments (including clinical PD).
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Part 1: Safety Run-in | Overall Survival (OS) | 30.0 months |
| Part 1: Cohort 1 | Overall Survival (OS) | 8.4 months |
| Part 1: Cohort 2 | Overall Survival (OS) | 34.3 months |
| Part 2/3: Cohort A | Overall Survival (OS) | NA months |
| Part 2/3: Cohort B | Overall Survival (OS) | 17.3 months |
Progression-free Survival (PFS)
PFS was defined as the duration between the first dose date of Debio 1562 and the date of progressive disease (PD) or death due to any cause, whichever occurs first. PD is defined as the new or clear progression of preexisting non-measured lesions or regrowth of previously resolved lesions or a new node \>1.5 cm in any axis or an abnormal lesion with \>1.5 cm longest transverse diameter or increase by \>50% of lesion.
Time frame: Up to PD or death or end of study (approximately 57 months) or initiation of new anti-cancer therapy whichever occurs first
Population: EE population included all participants who received at least one dose of Debio 1562 and rituximab and had both baseline and post-baseline evaluable disease assessments (including clinical PD).
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Part 1: Safety Run-in | Progression-free Survival (PFS) | 1.4 months |
| Part 1: Cohort 1 | Progression-free Survival (PFS) | 1.8 months |
| Part 1: Cohort 2 | Progression-free Survival (PFS) | 20.7 months |
| Part 2/3: Cohort A | Progression-free Survival (PFS) | 5.1 months |
| Part 2/3: Cohort B | Progression-free Survival (PFS) | 4.6 months |
Terminal Half-life (t1/2) of Debio 1562 and Rituximab
Time frame: Parts 1, 2/3: Pre-dose, post infusion-5 min on Day 1 of C 1-6, 5 min on Day 1 of C 7, 8 and 2 h on Day 1 of C 1, 2 (only for Part 2/3), 24 h on Day 2, 48 h on Day 3, Days 8 and 15 of C 1, 2 (Cycle=21 days); EOT (up to 37 months), 30-day follow up
Population: Debio 1562 PK analysis was performed by population PK approach, this data was not collected. This data was also not collected for Rituximab.
Time to Maximum Plasma Concentration (Tmax) of Debio 1562 and Rituximab
Time frame: Parts 1, 2/3: Pre-dose, post infusion-5 min on Day 1 of C 1-6, 5 min on Day 1 of C 7, 8 and 2 h on Day 1 of C 1, 2 (only for Part 2/3), 24 h on Day 2, 48 h on Day 3, Days 8 and 15 of C 1, 2 (Cycle=21 days); EOT (up to 37 months), 30-day follow up
Population: Debio 1562 PK analysis was performed by population PK approach, this data was not collected. This data was also not collected for Rituximab.
Time to Response (TTR)
TTR was defined as the duration between the first dose date of Debio 1562 and the date of first objective response (PR or CR). CR was defined as disappearance of all target lesions, no new lesions formation. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to ≤ 1.5 cm. PR was defined as ≥50% decrease in the sum of diameters of up to 6 target measurable nodes or extranodal sites, no new lesions formation.
Time frame: Up to PD or death or end of study (approximately 57 months) or initiation of new anti-cancer therapy whichever occurs first
Population: EE population included all participants who received at least one dose of Debio 1562 and rituximab and had both baseline and post-baseline evaluable disease assessments (including clinical PD). Overall number of participants analyzed signifies the number of participants who responded.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Part 1: Safety Run-in | Time to Response (TTR) | 1.4 months |
| Part 1: Cohort 1 | Time to Response (TTR) | 1.4 months |
| Part 1: Cohort 2 | Time to Response (TTR) | 1.4 months |
| Part 2/3: Cohort A | Time to Response (TTR) | 1.5 months |
| Part 2/3: Cohort B | Time to Response (TTR) | 1.5 months |
Volume of Distribution at Steady State (Vss) of Debio 1562 and Rituximab
Time frame: Parts 1, 2/3: Pre-dose, post infusion-5 min on Day 1 of C 1-6, 5 min on Day 1 of C 7, 8 and 2 h on Day 1 of C 1, 2 (only for Part 2/3), 24 h on Day 2, 48 h on Day 3, Days 8 and 15 of C 1, 2 (Cycle=21 days); EOT (up to 37 months), 30-day follow up
Population: Debio 1562 PK analysis was performed by population PK approach, this data was not collected. This data was also not collected for Rituximab.