Non Hodgkin Lymphoma
Conditions
Brief summary
The primary objectives of this study are: * To investigate the safety and tolerability, and to define the recommended Phase 2 dose and schedule (RP2DS) for magrolimab in combination with rituximab and for magrolimab in combination with rituximab, gemcitabine, and oxaliplatin (R-GemOx). * To evaluate the efficacy of magrolimab in combination with rituximab in participants with indolent lymphoma and diffuse large B-cell lymphoma (DLBCL) and to evaluate the efficacy of magrolimab in combination with R-GemOx in autologous stem cell transplant (ASCT) ineligible DLBCL participants.
Interventions
Administered intravenously
Administered intravenously on Days 8, 15, and 22 during Cycle 1, followed by 1 dose on Day 1 for Cycles 2 through 6, and Day 1 for every other cycle until Cycle 13
Administered intravenously on Days 11, 23 for Cycle 1 and Days 2 and 15 for Cycles 2 to 4
Administered intravenously on Days 11, 23 for Cycle 1 and Days 2 and 15 for Cycles 2 to 4
Administered orally during Cycle 1
Sponsors
Study design
Eligibility
Inclusion criteria
Key Inclusion Criteria: * Phase 1b only: B-cell non-Hodgkin's lymphoma (NHL), relapsed or refractory to standard approved therapies * DLBCL Phase 2 cohort: De novo or transformed diffuse large B-cell lymphoma (DLBCL) expressing cluster of differentiation (CD) 20, relapsed or refractory to at least 2 prior lines treatment containing anti-CD20 therapy * Indolent lymphoma Phase 2 cohort: Marginal zone or follicular lymphoma, relapsed or refractory to standard approved therapies * DLBCL chemotherapy combination cohort: De novo or transformed diffuse large B-cell lymphoma (DLBCL), relapsed or refractory to 1-3 prior lines of treatment * Adequate performance status and hematological, liver and kidney functions * Willing to consent to 1 mandatory pre-treatment and 1 on-treatment tumor biopsy Key
Exclusion criteria
* Active brain metastases * Prior allogeneic hematopoietic cell transplantation * Prior treatment with CD47 or signal regulatory protein alpha (SIRPα) targeting agents * Second malignancy within the last 3 years * Known active or chronic hepatitis B or C infection or HIV * Pregnancy or active breastfeeding * Prior chimeric antigen receptor (CAR-T) therapy Note: Other protocol defined Inclusion/
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Phase 1b: Percentage of Participants Experiencing Dose-limiting Toxicities (DLTs) in Antibody Treatment Combination | Up to 28 days | DLTs refer to toxicities experienced during the first 28 days of study treatment that have been judged to be clinically significant and related to study treatment in participant in Phase 1b. A DLT was defined as any Grade 3 or greater AE that was assessed as related to either magrolimab and/or rituximab that occurred during the 4-week DLT observation period. Any treatment-emergent adverse event (TEAE) that was, in the opinion of the Clinical Trial Steering Committee, of potential clinical significance such that further dosing exposed participants to unacceptable risk, was considered a DLT. |
| Phase 1b: Percentage of Participants Experiencing Dose-limiting Toxicities (DLTs) in Chemotherapy Treatment Combination | Up to 28 days | DLTs refer to toxicities experienced during the first 28 days of study treatment that have been judged to be clinically significant and related to study treatment in participant in Phase 1b. DLT was defined as any Grade 3 or greater AE including Grade 4 hematologic toxicity that does not resolve to Grade 2 and delays initiation of cycle 2 by more than 14 days, Grade 4 febrile neutropenia or associated infections, Grade 4 non-hematologic toxicity that does not resolve or decrease to Grade 2 within 1 week, Grade 4 infusion-related reaction (IRR), and recurrent Grade 3 or greater IRR despite optimal pretreatment regimen that was assessed as related to either magrolimab, rituximab, gemcitabine, or oxaliplatin and occurred during the 4-week DLT observation period. Any TEAE that was, in the opinion of the Clinical Trial Steering Committee, of potential clinical significance such that further dosing exposed participants to unacceptable risk, was considered a DLT. |
| Percentage of Participants Experiencing Treatment Emergent Adverse Events (TEAEs) | Up to 7.2 years | TEAE's were defined as any AEs with an onset date on or after the study drug start date, no later than 30 days after last dose of any study drug or day before initiation of subsequent line of anti-cancer therapy, whichever is earlier, or the AEs leading to the discontinuation of the study drug. An AE is any unfavorable and unintended sign, symptom, or disease temporally associated with use of an investigational product or other protocol imposed intervention, regardless of attribution. |
| Objective Response Rate (ORR) (Complete Response [CR] + Partial Response [PR]) as Defined by the Investigator According to the Lugano Classification for Lymphomas | Up to 7.3 years | ORR:CR(complete metabolic response(CMR);complete radiological response(CRR)) or PR(partial metabolic response(PMR);partial radiologic response(PRR)).CMR:PET 5 point-scale(5PS) with 1(no uptake above background,2(uptake≤mediastinum),3(uptake\>mediastinum but≤liver)with/without residual mass;no new lesions;no fluorodeoxyglucose (FDG)-avid disease in bone marrow(BM).CRR:target nodes/nodal masses regressed ≤1.5cm in longest transverse diameter of lesion(LDi);no extra lymphatic disease sites;absent non-measured lesions(NMLs);organ enlargement to normal;no new sites;BM morphology normal.PMR:scores 4(uptake moderately\>liver),5(uptake markedly\>liver,new lesions)with reduced uptake from baseline & residual mass;no new lesion;responding disease at interim/residual disease at end of treatment.PRR:≥50% decrease in sum of perpendicular diameters up to 6 target measurable nodes,extra-nodal sites;absent/normal,regressed,but no increase of NMLs;spleen regressed \>50% length beyond normal; no new sites. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Duration of Response (DOR) | Up to 7.3 years | DOR is measured from when first OR is met(CR or PR)until the first date of documented progressive disease\[progressive metabolic disease(PMD);progressive radiologic disease(PRD)\]while on study prior to start of next line anti-cancer therapy.Participants with no progressive disease were censored at last response assessment date.Response assessment post start of anti-cancer therapy was excluded from derivation.OR defined in outcome measure 4.PMD:scores 4(uptake moderately\>liver),5(uptake markedly\>liver,new lesions)with increased uptake from baseline;new FDG-avid foci consistent with lymphoma rather than another etiology;new or recurrent FDG-avid foci in BM.PRD:LDi \>1.5 cm;≥ 50% increase from cross product of LDi & perpendicular diameter(PPD);increase in LDi or shortest axis perpendicular to LDi(SDi) of 0.5 cm for lesions ≤ 2 & 1 cm for lesions \>2 cm;spleen increased by \>50% in length beyond normal;new or recurrent splenomegaly,BM involved;new lesions;progression of pre-existing lesions. |
| Progression Free Survival (PFS) | Up to 7.3 years | PFS is measured from dose initiation until the first date of objectively documented disease progression (PMD; PRD) or death while on study prior to start of the subsequent line of anti-cancer therapy. Participants who do not have progressive disease & not died were censored at last response assessment date.Response assessments after initiation of the subsequent line of anti-cancer therapy will be excluded from derivation. PMD: scores 4 (uptake moderately \> liver), 5 (uptake markedly \> liver, new lesions) with increased uptake from baseline; new FDG-avid foci consistent with lymphoma rather than another etiology; new or recurrent FDG-avid foci in BM. PRD: LDi \>1.5 cm; ≥ 50% increase from cross product of LDi & PPD; increase in LDi or SDi of 0.5 cm for lesions ≤ 2 & 1 cm for lesions \>2 cm; spleen increased by \>50% in length beyond normal; new or recurrent splenomegaly, BM involvement; new lesions; progression of pre-existing lesions. KM estimates of median was reported. |
| PK Parameter of Magrolimab: AUClast | Phase 1: Pre-dose (12 hours) and 1 and 24 hours post-dose on Day 1 (Cycle 1 Day 1 [C1D1]); pre-dose and 1, 24, and 72 hours post-dose on Day 8 (C1D8) and Day 29 (C2D1); Phase 2 :Pre-dose (12 hours) on Days 1 (C1D1), 8 (C1D8), and 29 (C2D1) | AUClast is defined as the concentration of drug from time zero to the last observable concentration. N = 0 participants for Phase 1b Cohorts 4 and 6, Phase 2 Cohort 3 (DLBCL and iNHL), since PK samples were not collected for Day 1. |
| Time to Progression (TTP) | Up to 7.3 years | TTP is measured from dose initiation until the first date of objectively documented progressive disease criteria while on study prior to start of next line anti-cancer therapy. Participants with no progressive disease were censored at last response assessment date. Response assessment post start of anti-cancer therapy was excluded from derivation. PMD: scores 4 (uptake moderately \> liver), 5 (uptake markedly \> liver, new lesions) with increased uptake compared with baseline; new FDG-avid foci consistent with lymphoma rather than another etiology; new or recurrent FDG-avid foci in bone marrow. PRD: LDi \>1.5 cm; = 50% increase from cross product of LDi and PPD; increase in LDi or SDi of 0.5 cm for lesions =1.5 cm and 1 cm for lesions \>2 cm; spleen increased by \>50% in length beyond normal; new or recurrent splenomegaly, bone marrow involvement; new lesions; progression of pre-existing lesions. Kaplan-meier (KM) estimates of median was reported. |
| ORR (CR + PR) Defined by the Investigator According to the Lymphoma Response to Immunomodulatory Therapy Criteria for Lymphomas | Up to 7.3 years | Objective response is defined as complete response or partial response determined by LYRIC criteria. ORR:CR\[CMR;CRR\] or PR\[PMR;PRR\].CMR:PET 5 PS with 1(no uptake above background,2(uptake≤mediastinum),3(uptake\>mediastinum but≤liver)with/without residual mass;no new lesions;no FDG-avid disease in BM.CRR:target nodes/nodal masses regressed to ≤1.5cm in LDi;no extralymphatic disease sites;absent NMLs;organ enlargement to normal;no new sites;BM morphology normal.PMR:scores 4(uptake moderately\>liver),5(uptake markedly\>liver,new lesions)with reduced uptake from baseline and residual mass;no new lesion;responding disease at interim/residual disease at end of treatment.PRR: ≥50% decrease in sum of product of perpendicular diameters up to 6 target measurable nodes,extra-nodal sites;absent/normal,regressed,but no increase of NMLs;spleen regressed \>50% in length beyond normal;no new sites. |
| Overall Survival (OS) | Up to 7.3 years | OS is measured from dose initiation until death. |
| PK Parameter of Magrolimab: AUCtau | Phase 1: Pre-dose (12 hours) and 1 and 24 hours post-dose on Day 1 (Cycle 1 Day 1 [C1D1]); pre-dose and 1, 24, and 72 hours post-dose on Day 8 (C1D8) and Day 29 (C2D1); Phase 2 :Pre-dose (12 hours) on Days 1 (C1D1), 8 (C1D8), and 29 (C2D1) | AUCtau is defined as concentration of drug over time (the area under the concentration verses time curve over the dosing interval). N = 0 participants for Phase 1b Cohorts 4 and 6, Phase 2 Cohort 3 (DLBCL and iNHL), since PK samples were not collected for Day 1. |
| PK Parameter of Magrolimab: Cmax | Phase 1: Pre-dose (12 hours) and 1 and 24 hours post-dose on Day 1 (Cycle 1 Day 1 [C1D1]); pre-dose and 1, 24, and 72 hours post-dose on Day 8 (C1D8) and Day 29 (C2D1); Phase 2 :Pre-dose (12 hours) on Days 1 (C1D1), 8 (C1D8), and 29 (C2D1) | Cmax is defined as the maximum observed concentration of drug. N = 0 participants for Phase 1b Cohorts 4 and 6, Phase 2 Cohort 3 (DLBCL and iNHL), since PK samples were not collected for Day 1. |
| Percentage of Participants Who Developed Anti-Magrolimab Antibodies (ADA) | Up to 4 years | — |
Countries
Australia, United Kingdom, United States
Participant flow
Recruitment details
Participants were enrolled at study sites in Australia, the United Kingdom, and the United States.
Pre-assignment details
209 participants were screened.
Participants by arm
| Arm | Count |
|---|---|
| Phase 1b Cohort 1: Magrolimab 10 mg/kg + Rituximab Participants with B-cell NHL received 1 mg/kg magrolimab intravenous (IV) infusion priming dose (over 3 hours) on Day 1 of Cycle 1, followed by weekly maintenance dose of 10 mg/kg magrolimab IV infusion (over 2 hours) on Days 8, 15, and 22 of Cycle 1 and Days 1, 8, 15, and 22 of Cycle 2 and beyond in combination with rituximab 375 mg/m\^2 IV infusion on Days 8, 15, and 22 of Cycle 1, followed by 1 dose on Day 1 of Cycles 2 to 6. Thereafter from Cycle 8 and beyond, rituximab was administered on Day 1 of every other cycle (on even cycles). Each cycle length was 28 days.
The maximum duration of treatment was up to approximately 86.6 months. | 3 |
| Phase 1b Cohort 2: Magrolimab 20 mg/kg + Rituximab Participants with B-cell NHL received 1 mg/kg magrolimab IV infusion priming dose (over 3 hours) on Day 1 of Cycle 1, followed by weekly maintenance dose of 20 mg/kg magrolimab IV infusion (over 2 hours) on Days 8, 15, and 22 of Cycle 1 and Days 1, 8, 15, and 22 of Cycle 2 and beyond in combination with rituximab 375 mg/m\^2 IV infusion on Days 8, 15, and 22 of Cycle 1, followed by 1 dose on Day 1 of Cycles 2 to 6. Thereafter from Cycle 8 and beyond, rituximab was administered on Day 1 of every other cycle (on even cycles). Each cycle length was 28 days.
The maximum duration of treatment was up to approximately 83.3 months. | 6 |
| Phase 1b Cohort 3: Magrolimab 30 mg/kg + Rituximab Participants with B-cell NHL received 1 mg/kg magrolimab IV infusion priming dose (over 3 hours) on Day 1 of Cycle 1, followed by weekly maintenance dose of 30 mg/kg magrolimab IV infusion (over 2 hours) on Days 8, 11,15, and 22 of Cycle 1 and Days 1, 8, 15, and 22 of Cycle 2 and beyond in combination with rituximab 375 mg/m\^2 IV infusion on Days 8, 15, and 22 of Cycle 1, followed by 1 dose on Day 1 of Cycles 2 to 6. Thereafter from Cycle 8 and beyond, rituximab was administered on Day 1 of every other cycle (on even cycles). Each cycle length was 28 days.
The maximum duration of treatment was up to approximately 67.9 months. | 13 |
| Phase 1b Cohort 4: Magrolimab 45 mg/kg + Rituximab Participants with B-cell NHL received 1 mg/kg magrolimab IV infusion priming dose (over 3 hours) on Day 1 of Cycle 1, followed by weekly maintenance dose of 45 mg/kg magrolimab IV infusion (over 2 hours) on Days 8, 11, 15, and 22 of Cycle 1 and Days 1, 8, 15, and 22 of Cycle 2 and beyond in combination with rituximab 375 mg/m\^2 IV infusion on Days 8, 15, and 22 of Cycle 1, followed by 1 dose on Day 1 of Cycles 2 to 6. Thereafter from Cycle 8 and beyond, rituximab was administered on Day 1 of every other cycle (on even cycles). Each cycle length was 28 days.
The maximum duration of treatment was up to approximately 29.2 months. | 7 |
| Phase 1b Cohort 5: Magrolimab 30 mg/kg + Rituximab + Gemcitabine + Oxaliplatin Autologous stem cell transplant (or transplantation) ineligible DLBCL participants received 1 mg/kg magrolimab IV infusion priming dose (over 3 hours) on Day 1 of Cycle 1, followed by maintenance dose of 30 mg/kg on Days 8, 11, 15, 22, and 29 of Cycle 1; Days 1, 8, 15, and 22 of Cycle 2 followed by Days 1 and 15 of subsequent cycles. The cycle length was 28 days. Rituximab 375 mg/m\^2 IV infusion was administered on Days 8, 15, 22, and 29 of Cycle 1, followed by 1 dose on Day 1 of Cycles 2 to 6. Thereafter from Cycle 8 and beyond, rituximab was administered on Day 1 of every other cycle (on even cycles). Gemcitabine 1000 mg/m\^2 and oxaliplatin 100 mg/m\^2 IV infusion were administered as on Days 11 and 23 of Cycle 1 and Days 2 and 15 of Cycles 2 to 4. G-CSF prophylaxis was administered with gemcitabine and oxaliplatin treatment (Cycles 1-4). Allopurinol 300 mg orally daily was administered for the first cycle only.
The maximum duration of treatment was up to approximately 23.2 months. | 26 |
| Phase 1b Cohort 6: Magrolimab 45 mg/kg + Rituximab + Gemcitabine + Oxaliplatin Autologous stem cell transplant (or transplantation) ineligible DLBCL participants received 1 mg/kg magrolimab IV infusion priming dose (over 3 hours) on Day 1 of Cycle 1, followed by maintenance dose of 45 mg/kg on Days 8, 11, 15, 22, and 29 of Cycle 1; Days 1, 8, 15, and 22 of Cycle 2 followed by Days 1 and 15 of subsequent cycles. The cycle length was 28 days. Rituximab 375 mg/m\^2 IV infusion was administered on Days 8, 15, 22, and 29 of Cycle 1, followed by 1 dose on Day 1 for Cycles 2 to 6. Thereafter from Cycle 8 and beyond, rituximab was administered on Day 1 of every other cycle (on even cycles). Gemcitabine 1000 mg/m\^2 and oxaliplatin 100 mg/m\^2 IV infusion were administered as on Days 11 and 23 of Cycle 1 and Days 2 and 15 of Cycles 2 to 4. G-CSF prophylaxis was administered with gemcitabine and oxaliplatin treatment (Cycles 1-4). Allopurinol 300 mg orally daily was administered for the first cycle only.
The maximum duration of treatment was up to approximately 10.8 months. | 7 |
| Phase 2 Cohort 1: Magrolimab 30 mg/kg + Rituximab Participants with B-cell iNHL (including FL and MZL) and DLBCL received 1 mg/kg magrolimab IV infusion priming dose (over 3 hours) on Day 1 of Cycle 1, followed by weekly maintenance dose of 30 mg/kg magrolimab IV infusion (over 2 hours) on Days 8, 15, and 22 of Cycle 1, and Days 1 and 15 of subsequent cycles in combination with rituximab 375 mg/m\^2 IV infusion on Days 8, 15, and 22 of Cycle 1, followed by 1 dose on Day 1 of Cycles 2 to 6. Thereafter from Cycle 8 and beyond, rituximab was administered on Day 1 of every other cycle (on even cycles). Each cycle length was 28 days.
The maximum duration of treatment was up to approximately 59.9 months. | 43 |
| Phase 2 Cohort 2: Magrolimab 30 mg/kg + Rituximab Participants with B-cell iNHL (including FL and MZL) and DLBCL received 1 mg/kg magrolimab IV infusion priming dose (over 3 hours) on Day 1 of Cycle 1, followed by weekly maintenance dose of 30 mg/kg magrolimab IV infusion (over 2 hours) on Days 8, 11, 15, and 22 of Cycle 1; Days 1, 8, 15, and 22 of Cycle 2 and Days 1 and 15 of subsequent cycles in combination with rituximab 375 mg/m\^2 IV infusion on Days 8, 15, and 22 of Cycle 1, followed by 1 dose on Day 1 for Cycles 2 to 6. Thereafter from Cycle 8 and beyond, rituximab was administered on Day 1 of every other cycle (on even cycles). Each cycle length was 28 days.
The maximum duration of treatment was up to approximately 15.7 months. | 14 |
| Phase 2 Cohort 3: Magrolimab 45 mg/kg + Rituximab Participants with B-cell iNHL (including FL and MZL) and DLBCL received 1 mg/kg magrolimab IV infusion priming dose (over 3 hours) on Day 1 of Cycle 1, followed by weekly maintenance dose of 45 mg/kg magrolimab IV infusion (over 2 hours) on Days 8, 11, 15, and 22 of Cycle 1; Days 1, 8, 15, and 22 of Cycle 2 and Days 1 and 15 of subsequent cycles in combination with rituximab 375 mg/m\^2 IV infusion on Days 8, 15, and 22 of Cycle 1, followed by 1 dose on Day 1 for Cycles 2 to 6. Thereafter from Cycle 8 and beyond, rituximab was administered on Day 1 of every other cycle (on even cycles). Each cycle length was 28 days.
The maximum duration of treatment was up to approximately 57.4 months. | 31 |
| Phase 2 Cohort 4: Magrolimab 30 mg/kg + Rituximab Participants with DLBCL received 1 mg/kg magrolimab IV infusion priming dose (over 3 hours) on Day 1 of Cycle 1, followed by weekly maintenance dose of 30 mg/kg magrolimab IV infusion (over 2 hours) on Days 8, 15, and 22 of Cycle 1; Days 1, 8, 15, and 22 of Cycle 2 and Days 1 and 15 of subsequent cycles in combination with rituximab 375 mg/m\^2 IV infusion on Days 8, 15, and 22 of Cycle 1, followed by 1 dose on Day 1 for Cycles 2 to 6. Thereafter from Cycle 8 and beyond, rituximab was administered on Day 1 of every other cycle (on even cycles). Each Cycle length was 28 days.
The maximum duration of treatment was up to approximately 35.3 months. | 28 |
| Total~(N=178) | 178 |
| Total | 356 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 | FG004 | FG005 | FG006 | FG007 | FG008 | FG009 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study | Consent Withdrawn | 1 | 1 | 2 | 1 | 3 | 0 | 4 | 1 | 1 | 4 |
| Overall Study | Death | 1 | 3 | 3 | 4 | 12 | 3 | 25 | 10 | 21 | 20 |
| Overall Study | Lost to Follow-up | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 1 | 1 |
| Overall Study | Reason Not Specified | 0 | 2 | 8 | 2 | 11 | 4 | 12 | 2 | 7 | 2 |
| Overall Study | Study terminated by sponsor | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 1 |
Baseline characteristics
| Characteristic | Phase 1b Cohort 2: Magrolimab 20 mg/kg + Rituximab | Phase 1b Cohort 3: Magrolimab 30 mg/kg + Rituximab | Phase 1b Cohort 4: Magrolimab 45 mg/kg + Rituximab | Phase 1b Cohort 5: Magrolimab 30 mg/kg + Rituximab + Gemcitabine + Oxaliplatin | Phase 1b Cohort 6: Magrolimab 45 mg/kg + Rituximab + Gemcitabine + Oxaliplatin | Phase 1b Cohort 1: Magrolimab 10 mg/kg + Rituximab | Phase 2 Cohort 1: Magrolimab 30 mg/kg + Rituximab | Phase 2 Cohort 2: Magrolimab 30 mg/kg + Rituximab | Phase 2 Cohort 3: Magrolimab 45 mg/kg + Rituximab | Phase 2 Cohort 4: Magrolimab 30 mg/kg + Rituximab | Total~(N=178) |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 1 Participants | 5 Participants | 3 Participants | 17 Participants | 4 Participants | 1 Participants | 22 Participants | 12 Participants | 23 Participants | 20 Participants | 108 Participants |
| Age, Categorical Between 18 and 65 years | 5 Participants | 8 Participants | 4 Participants | 9 Participants | 3 Participants | 2 Participants | 21 Participants | 2 Participants | 8 Participants | 8 Participants | 70 Participants |
| Age, Continuous | 60 years STANDARD_DEVIATION 11.3 | 61 years STANDARD_DEVIATION 11.4 | 63 years STANDARD_DEVIATION 15.2 | 65 years STANDARD_DEVIATION 14.4 | 70 years STANDARD_DEVIATION 9.5 | 58 years STANDARD_DEVIATION 12.8 | 62 years STANDARD_DEVIATION 13.2 | 71 years STANDARD_DEVIATION 6.7 | 70 years STANDARD_DEVIATION 11.5 | 70 years STANDARD_DEVIATION 12.4 | 66 years STANDARD_DEVIATION 12.7 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 1 Participants | 1 Participants | 0 Participants | 1 Participants | 1 Participants | 0 Participants | 2 Participants | 0 Participants | 3 Participants | 2 Participants | 11 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 5 Participants | 12 Participants | 7 Participants | 24 Participants | 4 Participants | 3 Participants | 41 Participants | 14 Participants | 28 Participants | 24 Participants | 162 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 2 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 2 Participants | 5 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants |
| Race (NIH/OMB) Asian | 1 Participants | 1 Participants | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 1 Participants | 0 Participants | 5 Participants |
| Race (NIH/OMB) Black or African American | 0 Participants | 1 Participants | 0 Participants | 2 Participants | 0 Participants | 0 Participants | 2 Participants | 0 Participants | 1 Participants | 1 Participants | 7 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 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 | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 1 Participants | 0 Participants | 3 Participants | 2 Participants | 0 Participants | 1 Participants | 0 Participants | 1 Participants | 3 Participants | 11 Participants |
| Race (NIH/OMB) White | 4 Participants | 10 Participants | 7 Participants | 20 Participants | 5 Participants | 3 Participants | 39 Participants | 14 Participants | 28 Participants | 24 Participants | 154 Participants |
| Region of Enrollment Australia | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 4 Participants | 4 Participants |
| Region of Enrollment United Kingdom | 0 Participants | 0 Participants | 0 Participants | 2 Participants | 0 Participants | 0 Participants | 4 Participants | 1 Participants | 3 Participants | 2 Participants | 12 Participants |
| Region of Enrollment United States | 6 Participants | 13 Participants | 7 Participants | 24 Participants | 7 Participants | 3 Participants | 39 Participants | 13 Participants | 28 Participants | 22 Participants | 162 Participants |
| Sex: Female, Male Female | 3 Participants | 5 Participants | 1 Participants | 10 Participants | 2 Participants | 2 Participants | 16 Participants | 4 Participants | 15 Participants | 9 Participants | 67 Participants |
| Sex: Female, Male Male | 3 Participants | 8 Participants | 6 Participants | 16 Participants | 5 Participants | 1 Participants | 27 Participants | 10 Participants | 16 Participants | 19 Participants | 111 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 | EG005 affected / at risk | EG006 affected / at risk | EG007 affected / at risk | EG008 affected / at risk | EG009 affected / at risk |
|---|---|---|---|---|---|---|---|---|---|---|
| deaths Total, all-cause mortality | 1 / 3 | 4 / 6 | 5 / 13 | 4 / 7 | 12 / 26 | 3 / 7 | 26 / 43 | 10 / 14 | 22 / 31 | 21 / 28 |
| other Total, other adverse events | 3 / 3 | 6 / 6 | 13 / 13 | 7 / 7 | 25 / 26 | 7 / 7 | 42 / 43 | 14 / 14 | 31 / 31 | 27 / 28 |
| serious Total, serious adverse events | 2 / 3 | 2 / 6 | 6 / 13 | 1 / 7 | 21 / 26 | 5 / 7 | 19 / 43 | 9 / 14 | 21 / 31 | 11 / 28 |
Outcome results
Objective Response Rate (ORR) (Complete Response [CR] + Partial Response [PR]) as Defined by the Investigator According to the Lugano Classification for Lymphomas
ORR:CR(complete metabolic response(CMR);complete radiological response(CRR)) or PR(partial metabolic response(PMR);partial radiologic response(PRR)).CMR:PET 5 point-scale(5PS) with 1(no uptake above background,2(uptake≤mediastinum),3(uptake\>mediastinum but≤liver)with/without residual mass;no new lesions;no fluorodeoxyglucose (FDG)-avid disease in bone marrow(BM).CRR:target nodes/nodal masses regressed ≤1.5cm in longest transverse diameter of lesion(LDi);no extra lymphatic disease sites;absent non-measured lesions(NMLs);organ enlargement to normal;no new sites;BM morphology normal.PMR:scores 4(uptake moderately\>liver),5(uptake markedly\>liver,new lesions)with reduced uptake from baseline & residual mass;no new lesion;responding disease at interim/residual disease at end of treatment.PRR:≥50% decrease in sum of perpendicular diameters up to 6 target measurable nodes,extra-nodal sites;absent/normal,regressed,but no increase of NMLs;spleen regressed \>50% length beyond normal; no new sites.
Time frame: Up to 7.3 years
Population: The Efficacy Analysis Set included all enrolled participants who received at least 1 dose of magrolimab. As prespecified in the statistical analysis plan (SAP), the efficacy results were to be reported for Phase 1b and 2 combined per dose and disease type (for both antibody and chemotherapy combinations).
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Phase 1b Cohort 1: Magrolimab 10 mg/kg + Rituximab | Objective Response Rate (ORR) (Complete Response [CR] + Partial Response [PR]) as Defined by the Investigator According to the Lugano Classification for Lymphomas | 0 percentage of participants |
| Phase 1b Cohort 2: Magrolimab 20 mg/kg + Rituximab | Objective Response Rate (ORR) (Complete Response [CR] + Partial Response [PR]) as Defined by the Investigator According to the Lugano Classification for Lymphomas | 0 percentage of participants |
| Phase 1b Cohort 3: Magrolimab 30 mg/kg (Loading Dose) + Rituximab | Objective Response Rate (ORR) (Complete Response [CR] + Partial Response [PR]) as Defined by the Investigator According to the Lugano Classification for Lymphomas | 50.0 percentage of participants |
| Phase 1b Cohort 5: Magrolimab 30 mg/kg (Loading Dose) + Rituximab + Gemcitabine + Oxaliplatin | Objective Response Rate (ORR) (Complete Response [CR] + Partial Response [PR]) as Defined by the Investigator According to the Lugano Classification for Lymphomas | 20.6 percentage of participants |
| Phase 1b Cohort 6: Magrolimab 45 mg/kg (Loading Dose) + Rituximab + Gemcitabine + Oxaliplatin | Objective Response Rate (ORR) (Complete Response [CR] + Partial Response [PR]) as Defined by the Investigator According to the Lugano Classification for Lymphomas | 60.0 percentage of participants |
| Phase 2 Cohort 1 (DLBCL): Magrolimab 30 mg/kg (No Loading Dose) + Rituximab | Objective Response Rate (ORR) (Complete Response [CR] + Partial Response [PR]) as Defined by the Investigator According to the Lugano Classification for Lymphomas | 26.1 percentage of participants |
| Phase 2 Cohort 1 (iNHL): Magrolimab 30 mg/kg (No Loading Dose) + Rituximab | Objective Response Rate (ORR) (Complete Response [CR] + Partial Response [PR]) as Defined by the Investigator According to the Lugano Classification for Lymphomas | 33.3 percentage of participants |
| Phase 2 Cohort 2 (DLBCL): Magrolimab 30 mg/ kg (Loading Dose) + Rituximab | Objective Response Rate (ORR) (Complete Response [CR] + Partial Response [PR]) as Defined by the Investigator According to the Lugano Classification for Lymphomas | 46.2 percentage of participants |
| Phase 2 Cohort 2 (iNHL): Magrolimab 30 mg/kg (Loading Dose) + Rituximab | Objective Response Rate (ORR) (Complete Response [CR] + Partial Response [PR]) as Defined by the Investigator According to the Lugano Classification for Lymphomas | 71.4 percentage of participants |
Percentage of Participants Experiencing Treatment Emergent Adverse Events (TEAEs)
TEAE's were defined as any AEs with an onset date on or after the study drug start date, no later than 30 days after last dose of any study drug or day before initiation of subsequent line of anti-cancer therapy, whichever is earlier, or the AEs leading to the discontinuation of the study drug. An AE is any unfavorable and unintended sign, symptom, or disease temporally associated with use of an investigational product or other protocol imposed intervention, regardless of attribution.
Time frame: Up to 7.2 years
Population: The Safety Analysis Set included all participants who received at least 1 dose of any study treatment.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Phase 1b Cohort 1: Magrolimab 10 mg/kg + Rituximab | Percentage of Participants Experiencing Treatment Emergent Adverse Events (TEAEs) | 100.0 percentage of participants |
| Phase 1b Cohort 2: Magrolimab 20 mg/kg + Rituximab | Percentage of Participants Experiencing Treatment Emergent Adverse Events (TEAEs) | 100.0 percentage of participants |
| Phase 1b Cohort 3: Magrolimab 30 mg/kg (Loading Dose) + Rituximab | Percentage of Participants Experiencing Treatment Emergent Adverse Events (TEAEs) | 100.0 percentage of participants |
| Phase 1b Cohort 4: Magrolimab 45 mg/kg (Loading Dose) + Rituximab | Percentage of Participants Experiencing Treatment Emergent Adverse Events (TEAEs) | 100.0 percentage of participants |
| Phase 1b Cohort 5: Magrolimab 30 mg/kg (Loading Dose) + Rituximab + Gemcitabine + Oxaliplatin | Percentage of Participants Experiencing Treatment Emergent Adverse Events (TEAEs) | 96.2 percentage of participants |
| Phase 1b Cohort 6: Magrolimab 45 mg/kg (Loading Dose) + Rituximab + Gemcitabine + Oxaliplatin | Percentage of Participants Experiencing Treatment Emergent Adverse Events (TEAEs) | 100.0 percentage of participants |
| Phase 2 Cohort 1 (DLBCL): Magrolimab 30 mg/kg (No Loading Dose) + Rituximab | Percentage of Participants Experiencing Treatment Emergent Adverse Events (TEAEs) | 97.7 percentage of participants |
| Phase 2 Cohort 1 (iNHL): Magrolimab 30 mg/kg (No Loading Dose) + Rituximab | Percentage of Participants Experiencing Treatment Emergent Adverse Events (TEAEs) | 100.0 percentage of participants |
| Phase 2 Cohort 2 (DLBCL): Magrolimab 30 mg/ kg (Loading Dose) + Rituximab | Percentage of Participants Experiencing Treatment Emergent Adverse Events (TEAEs) | 100.0 percentage of participants |
| Phase 2 Cohort 2 (iNHL): Magrolimab 30 mg/kg (Loading Dose) + Rituximab | Percentage of Participants Experiencing Treatment Emergent Adverse Events (TEAEs) | 100.0 percentage of participants |
Phase 1b: Percentage of Participants Experiencing Dose-limiting Toxicities (DLTs) in Antibody Treatment Combination
DLTs refer to toxicities experienced during the first 28 days of study treatment that have been judged to be clinically significant and related to study treatment in participant in Phase 1b. A DLT was defined as any Grade 3 or greater AE that was assessed as related to either magrolimab and/or rituximab that occurred during the 4-week DLT observation period. Any treatment-emergent adverse event (TEAE) that was, in the opinion of the Clinical Trial Steering Committee, of potential clinical significance such that further dosing exposed participants to unacceptable risk, was considered a DLT.
Time frame: Up to 28 days
Population: The DLT Analysis Set 1 (Antibody Combination) included all enrolled Phase 1b participants in the magrolimab + rituximab cohort who met either of the following criteria:~* The participant experienced a DLT~* The participants completed at least 3 infusions of magrolimab and 2 infusions of rituximab.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Phase 1b Cohort 1: Magrolimab 10 mg/kg + Rituximab | Phase 1b: Percentage of Participants Experiencing Dose-limiting Toxicities (DLTs) in Antibody Treatment Combination | 0 percentage of participants |
| Phase 1b Cohort 2: Magrolimab 20 mg/kg + Rituximab | Phase 1b: Percentage of Participants Experiencing Dose-limiting Toxicities (DLTs) in Antibody Treatment Combination | 16.7 percentage of participants |
| Phase 1b Cohort 3: Magrolimab 30 mg/kg (Loading Dose) + Rituximab | Phase 1b: Percentage of Participants Experiencing Dose-limiting Toxicities (DLTs) in Antibody Treatment Combination | 15.4 percentage of participants |
| Phase 1b Cohort 4: Magrolimab 45 mg/kg (Loading Dose) + Rituximab | Phase 1b: Percentage of Participants Experiencing Dose-limiting Toxicities (DLTs) in Antibody Treatment Combination | 16.7 percentage of participants |
Phase 1b: Percentage of Participants Experiencing Dose-limiting Toxicities (DLTs) in Chemotherapy Treatment Combination
DLTs refer to toxicities experienced during the first 28 days of study treatment that have been judged to be clinically significant and related to study treatment in participant in Phase 1b. DLT was defined as any Grade 3 or greater AE including Grade 4 hematologic toxicity that does not resolve to Grade 2 and delays initiation of cycle 2 by more than 14 days, Grade 4 febrile neutropenia or associated infections, Grade 4 non-hematologic toxicity that does not resolve or decrease to Grade 2 within 1 week, Grade 4 infusion-related reaction (IRR), and recurrent Grade 3 or greater IRR despite optimal pretreatment regimen that was assessed as related to either magrolimab, rituximab, gemcitabine, or oxaliplatin and occurred during the 4-week DLT observation period. Any TEAE that was, in the opinion of the Clinical Trial Steering Committee, of potential clinical significance such that further dosing exposed participants to unacceptable risk, was considered a DLT.
Time frame: Up to 28 days
Population: The DLT Analysis Set 2 (Chemotherapy Combination)included all enrolled Phase 1b participants in the magrolimab + rituximab, gemcitabine,and oxaliplatin (R-GemOx) cohort who met either of the following criteria in DLT assessment period:~* Participants had DLT at any time after initiation of first infusion of magrolimab, rituximab, and gemcitabine or oxaliplatin~* Participants completed at least 3 infusions of magrolimab, 2 infusions of rituximab, and 1 infusion of gemcitabine and oxaliplatin
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Phase 1b Cohort 1: Magrolimab 10 mg/kg + Rituximab | Phase 1b: Percentage of Participants Experiencing Dose-limiting Toxicities (DLTs) in Chemotherapy Treatment Combination | 0 percentage of participants |
| Phase 1b Cohort 2: Magrolimab 20 mg/kg + Rituximab | Phase 1b: Percentage of Participants Experiencing Dose-limiting Toxicities (DLTs) in Chemotherapy Treatment Combination | 16.7 percentage of participants |
Duration of Response (DOR)
DOR is measured from when first OR is met(CR or PR)until the first date of documented progressive disease\[progressive metabolic disease(PMD);progressive radiologic disease(PRD)\]while on study prior to start of next line anti-cancer therapy.Participants with no progressive disease were censored at last response assessment date.Response assessment post start of anti-cancer therapy was excluded from derivation.OR defined in outcome measure 4.PMD:scores 4(uptake moderately\>liver),5(uptake markedly\>liver,new lesions)with increased uptake from baseline;new FDG-avid foci consistent with lymphoma rather than another etiology;new or recurrent FDG-avid foci in BM.PRD:LDi \>1.5 cm;≥ 50% increase from cross product of LDi & perpendicular diameter(PPD);increase in LDi or shortest axis perpendicular to LDi(SDi) of 0.5 cm for lesions ≤ 2 & 1 cm for lesions \>2 cm;spleen increased by \>50% in length beyond normal;new or recurrent splenomegaly,BM involved;new lesions;progression of pre-existing lesions.
Time frame: Up to 7.3 years
Population: Participants in the Efficacy Analysis Set with an objective response (CR + PR) and those who had objective response without a subsequent event of disease progression/death were analyzed. As prespecified in the SAP, the efficacy results were to be reported for Phase 1b and 2 combined per dose and disease type (for both antibody and chemotherapy combinations).
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Phase 1b Cohort 2: Magrolimab 20 mg/kg + Rituximab | Duration of Response (DOR) | NA months |
| Phase 1b Cohort 3: Magrolimab 30 mg/kg (Loading Dose) + Rituximab | Duration of Response (DOR) | NA months |
| Phase 1b Cohort 5: Magrolimab 30 mg/kg (Loading Dose) + Rituximab + Gemcitabine + Oxaliplatin | Duration of Response (DOR) | 5.5 months |
| Phase 1b Cohort 6: Magrolimab 45 mg/kg (Loading Dose) + Rituximab + Gemcitabine + Oxaliplatin | Duration of Response (DOR) | 15.9 months |
| Phase 2 Cohort 1 (DLBCL): Magrolimab 30 mg/kg (No Loading Dose) + Rituximab | Duration of Response (DOR) | 21.2 months |
| Phase 2 Cohort 1 (iNHL): Magrolimab 30 mg/kg (No Loading Dose) + Rituximab | Duration of Response (DOR) | 11.3 months |
| Phase 2 Cohort 2 (DLBCL): Magrolimab 30 mg/ kg (Loading Dose) + Rituximab | Duration of Response (DOR) | NA months |
| Phase 2 Cohort 2 (iNHL): Magrolimab 30 mg/kg (Loading Dose) + Rituximab | Duration of Response (DOR) | 18.0 months |
ORR (CR + PR) Defined by the Investigator According to the Lymphoma Response to Immunomodulatory Therapy Criteria for Lymphomas
Objective response is defined as complete response or partial response determined by LYRIC criteria. ORR:CR\[CMR;CRR\] or PR\[PMR;PRR\].CMR:PET 5 PS with 1(no uptake above background,2(uptake≤mediastinum),3(uptake\>mediastinum but≤liver)with/without residual mass;no new lesions;no FDG-avid disease in BM.CRR:target nodes/nodal masses regressed to ≤1.5cm in LDi;no extralymphatic disease sites;absent NMLs;organ enlargement to normal;no new sites;BM morphology normal.PMR:scores 4(uptake moderately\>liver),5(uptake markedly\>liver,new lesions)with reduced uptake from baseline and residual mass;no new lesion;responding disease at interim/residual disease at end of treatment.PRR: ≥50% decrease in sum of product of perpendicular diameters up to 6 target measurable nodes,extra-nodal sites;absent/normal,regressed,but no increase of NMLs;spleen regressed \>50% in length beyond normal;no new sites.
Time frame: Up to 7.3 years
Population: Participants in the Efficacy Analysis Set with available data were analyzed. As prespecified in the SAP, the efficacy results were to be reported for Phase 1b and 2 combined per dose and disease type (for both antibody and chemotherapy combinations).
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Phase 1b Cohort 1: Magrolimab 10 mg/kg + Rituximab | ORR (CR + PR) Defined by the Investigator According to the Lymphoma Response to Immunomodulatory Therapy Criteria for Lymphomas | 0 percentage of participants |
| Phase 1b Cohort 2: Magrolimab 20 mg/kg + Rituximab | ORR (CR + PR) Defined by the Investigator According to the Lymphoma Response to Immunomodulatory Therapy Criteria for Lymphomas | 0 percentage of participants |
| Phase 1b Cohort 3: Magrolimab 30 mg/kg (Loading Dose) + Rituximab | ORR (CR + PR) Defined by the Investigator According to the Lymphoma Response to Immunomodulatory Therapy Criteria for Lymphomas | 50.0 percentage of participants |
| Phase 1b Cohort 5: Magrolimab 30 mg/kg (Loading Dose) + Rituximab + Gemcitabine + Oxaliplatin | ORR (CR + PR) Defined by the Investigator According to the Lymphoma Response to Immunomodulatory Therapy Criteria for Lymphomas | 22.1 percentage of participants |
| Phase 1b Cohort 6: Magrolimab 45 mg/kg (Loading Dose) + Rituximab + Gemcitabine + Oxaliplatin | ORR (CR + PR) Defined by the Investigator According to the Lymphoma Response to Immunomodulatory Therapy Criteria for Lymphomas | 60.0 percentage of participants |
| Phase 2 Cohort 1 (DLBCL): Magrolimab 30 mg/kg (No Loading Dose) + Rituximab | ORR (CR + PR) Defined by the Investigator According to the Lymphoma Response to Immunomodulatory Therapy Criteria for Lymphomas | 26.1 percentage of participants |
| Phase 2 Cohort 1 (iNHL): Magrolimab 30 mg/kg (No Loading Dose) + Rituximab | ORR (CR + PR) Defined by the Investigator According to the Lymphoma Response to Immunomodulatory Therapy Criteria for Lymphomas | 33.3 percentage of participants |
| Phase 2 Cohort 2 (DLBCL): Magrolimab 30 mg/ kg (Loading Dose) + Rituximab | ORR (CR + PR) Defined by the Investigator According to the Lymphoma Response to Immunomodulatory Therapy Criteria for Lymphomas | 46.2 percentage of participants |
| Phase 2 Cohort 2 (iNHL): Magrolimab 30 mg/kg (Loading Dose) + Rituximab | ORR (CR + PR) Defined by the Investigator According to the Lymphoma Response to Immunomodulatory Therapy Criteria for Lymphomas | 71.4 percentage of participants |
Overall Survival (OS)
OS is measured from dose initiation until death.
Time frame: Up to 7.3 years
Population: Participants in the Efficacy Analysis Set with available were analyzed. As prespecified in the SAP, the efficacy results were to be reported for Phase 1b and 2 combined per dose and disease type (for both antibody and chemotherapy combinations).
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Phase 1b Cohort 1: Magrolimab 10 mg/kg + Rituximab | Overall Survival (OS) | 13.9 months |
| Phase 1b Cohort 2: Magrolimab 20 mg/kg + Rituximab | Overall Survival (OS) | NA months |
| Phase 1b Cohort 3: Magrolimab 30 mg/kg (Loading Dose) + Rituximab | Overall Survival (OS) | 32.2 months |
| Phase 1b Cohort 5: Magrolimab 30 mg/kg (Loading Dose) + Rituximab + Gemcitabine + Oxaliplatin | Overall Survival (OS) | 8.5 months |
| Phase 1b Cohort 6: Magrolimab 45 mg/kg (Loading Dose) + Rituximab + Gemcitabine + Oxaliplatin | Overall Survival (OS) | NA months |
| Phase 2 Cohort 1 (DLBCL): Magrolimab 30 mg/kg (No Loading Dose) + Rituximab | Overall Survival (OS) | 14.0 months |
| Phase 2 Cohort 1 (iNHL): Magrolimab 30 mg/kg (No Loading Dose) + Rituximab | Overall Survival (OS) | 23.7 months |
| Phase 2 Cohort 2 (DLBCL): Magrolimab 30 mg/ kg (Loading Dose) + Rituximab | Overall Survival (OS) | 41.4 months |
| Phase 2 Cohort 2 (iNHL): Magrolimab 30 mg/kg (Loading Dose) + Rituximab | Overall Survival (OS) | NA months |
Percentage of Participants Who Developed Anti-Magrolimab Antibodies (ADA)
Time frame: Up to 4 years
Population: The ADA analysis set included participants with at least one reported ADA result where participants evaluable for ADA incidence were defined as participants with non-missing baseline sample and at least one sample taken after drug administration during the treatment or follow-up observation period that are appropriate for ADA testing (with reportable result). As prespecified in SAP,ADA results were to be reported for Phase 2 (antibody combination) as per maintenance dose level and disease type.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Phase 1b Cohort 1: Magrolimab 10 mg/kg + Rituximab | Percentage of Participants Who Developed Anti-Magrolimab Antibodies (ADA) | 0 percentage of participants |
| Phase 1b Cohort 2: Magrolimab 20 mg/kg + Rituximab | Percentage of Participants Who Developed Anti-Magrolimab Antibodies (ADA) | 0 percentage of participants |
| Phase 1b Cohort 3: Magrolimab 30 mg/kg (Loading Dose) + Rituximab | Percentage of Participants Who Developed Anti-Magrolimab Antibodies (ADA) | 0 percentage of participants |
| Phase 1b Cohort 4: Magrolimab 45 mg/kg (Loading Dose) + Rituximab | Percentage of Participants Who Developed Anti-Magrolimab Antibodies (ADA) | 0 percentage of participants |
| Phase 1b Cohort 5: Magrolimab 30 mg/kg (Loading Dose) + Rituximab + Gemcitabine + Oxaliplatin | Percentage of Participants Who Developed Anti-Magrolimab Antibodies (ADA) | 6.7 percentage of participants |
| Phase 1b Cohort 6: Magrolimab 45 mg/kg (Loading Dose) + Rituximab + Gemcitabine + Oxaliplatin | Percentage of Participants Who Developed Anti-Magrolimab Antibodies (ADA) | 0 percentage of participants |
| Phase 2 Cohort 1 (DLBCL): Magrolimab 30 mg/kg (No Loading Dose) + Rituximab | Percentage of Participants Who Developed Anti-Magrolimab Antibodies (ADA) | 0 percentage of participants |
| Phase 2 Cohort 1 (iNHL): Magrolimab 30 mg/kg (No Loading Dose) + Rituximab | Percentage of Participants Who Developed Anti-Magrolimab Antibodies (ADA) | 0 percentage of participants |
| Phase 2 Cohort 2 (DLBCL): Magrolimab 30 mg/ kg (Loading Dose) + Rituximab | Percentage of Participants Who Developed Anti-Magrolimab Antibodies (ADA) | 7.7 percentage of participants |
| Phase 2 Cohort 2 (iNHL): Magrolimab 30 mg/kg (Loading Dose) + Rituximab | Percentage of Participants Who Developed Anti-Magrolimab Antibodies (ADA) | 0 percentage of participants |
| Phase 2 Cohort 3 (DLBCL): Magrolimab 45 mg/kg (Loading Dose) + Rituximab | Percentage of Participants Who Developed Anti-Magrolimab Antibodies (ADA) | 0 percentage of participants |
| Phase 2 Cohort 3 (iNHL): Magrolimab 45 mg/kg (Loading Dose) + Rituximab | Percentage of Participants Who Developed Anti-Magrolimab Antibodies (ADA) | 0 percentage of participants |
| Phase 2 Cohort 3 (iNHL): Magrolimab 20 mg/kg (Loading Dose) + Rituximab | Percentage of Participants Who Developed Anti-Magrolimab Antibodies (ADA) | 0 percentage of participants |
| Phase 2 Cohort 4: Magrolimab 30 mg/ kg (No Loading Dose) + Rituximab | Percentage of Participants Who Developed Anti-Magrolimab Antibodies (ADA) | 0 percentage of participants |
PK Parameter of Magrolimab: AUClast
AUClast is defined as the concentration of drug from time zero to the last observable concentration. N = 0 participants for Phase 1b Cohorts 4 and 6, Phase 2 Cohort 3 (DLBCL and iNHL), since PK samples were not collected for Day 1.
Time frame: Phase 1: Pre-dose (12 hours) and 1 and 24 hours post-dose on Day 1 (Cycle 1 Day 1 [C1D1]); pre-dose and 1, 24, and 72 hours post-dose on Day 8 (C1D8) and Day 29 (C2D1); Phase 2 :Pre-dose (12 hours) on Days 1 (C1D1), 8 (C1D8), and 29 (C2D1)
Population: The Pharmacokinetics (PK) Analysis Set included all participants who received at least 1 dose of study drug and had measurable concentrations of magrolimab from PK blood samples. Participants in the PK Analysis Set with available data were analyzed. The PK data was reported for Phase 2 (antibody combination) as per maintenance dose level and disease type.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Phase 1b Cohort 1: Magrolimab 10 mg/kg + Rituximab | PK Parameter of Magrolimab: AUClast | Day 8 (Cycle 1, Day 8) | 770 day*micrograms(μg)/milliliters(mL) | Standard Deviation 346 |
| Phase 1b Cohort 1: Magrolimab 10 mg/kg + Rituximab | PK Parameter of Magrolimab: AUClast | Day 29 (Cycle 2, Day 1) | 1470 day*micrograms(μg)/milliliters(mL) | Standard Deviation 431 |
| Phase 1b Cohort 1: Magrolimab 10 mg/kg + Rituximab | PK Parameter of Magrolimab: AUClast | Day 1 (Cycle 1, Day 1) | NA day*micrograms(μg)/milliliters(mL) | — |
| Phase 1b Cohort 2: Magrolimab 20 mg/kg + Rituximab | PK Parameter of Magrolimab: AUClast | Day 29 (Cycle 2, Day 1) | 4260 day*micrograms(μg)/milliliters(mL) | Standard Deviation 1050 |
| Phase 1b Cohort 2: Magrolimab 20 mg/kg + Rituximab | PK Parameter of Magrolimab: AUClast | Day 1 (Cycle 1, Day 1) | NA day*micrograms(μg)/milliliters(mL) | — |
| Phase 1b Cohort 2: Magrolimab 20 mg/kg + Rituximab | PK Parameter of Magrolimab: AUClast | Day 8 (Cycle 1, Day 8) | 1810 day*micrograms(μg)/milliliters(mL) | Standard Deviation 426 |
| Phase 1b Cohort 3: Magrolimab 30 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUClast | Day 1 (Cycle 1, Day 1) | NA day*micrograms(μg)/milliliters(mL) | — |
| Phase 1b Cohort 3: Magrolimab 30 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUClast | Day 29 (Cycle 2, Day 1) | NA day*micrograms(μg)/milliliters(mL) | — |
| Phase 1b Cohort 3: Magrolimab 30 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUClast | Day 8 (Cycle 1, Day 8) | NA day*micrograms(μg)/milliliters(mL) | — |
| Phase 1b Cohort 4: Magrolimab 45 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUClast | Day 29 (Cycle 2, Day 1) | NA day*micrograms(μg)/milliliters(mL) | — |
| Phase 1b Cohort 4: Magrolimab 45 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUClast | Day 8 (Cycle 1, Day 8) | NA day*micrograms(μg)/milliliters(mL) | — |
| Phase 1b Cohort 5: Magrolimab 30 mg/kg (Loading Dose) + Rituximab + Gemcitabine + Oxaliplatin | PK Parameter of Magrolimab: AUClast | Day 8 (Cycle 1, Day 8) | NA day*micrograms(μg)/milliliters(mL) | — |
| Phase 1b Cohort 5: Magrolimab 30 mg/kg (Loading Dose) + Rituximab + Gemcitabine + Oxaliplatin | PK Parameter of Magrolimab: AUClast | Day 1 (Cycle 1, Day 1) | NA day*micrograms(μg)/milliliters(mL) | — |
| Phase 1b Cohort 5: Magrolimab 30 mg/kg (Loading Dose) + Rituximab + Gemcitabine + Oxaliplatin | PK Parameter of Magrolimab: AUClast | Day 29 (Cycle 2, Day 1) | NA day*micrograms(μg)/milliliters(mL) | — |
| Phase 1b Cohort 6: Magrolimab 45 mg/kg (Loading Dose) + Rituximab + Gemcitabine + Oxaliplatin | PK Parameter of Magrolimab: AUClast | Day 8 (Cycle 1, Day 8) | NA day*micrograms(μg)/milliliters(mL) | — |
| Phase 1b Cohort 6: Magrolimab 45 mg/kg (Loading Dose) + Rituximab + Gemcitabine + Oxaliplatin | PK Parameter of Magrolimab: AUClast | Day 29 (Cycle 2, Day 1) | NA day*micrograms(μg)/milliliters(mL) | — |
| Phase 2 Cohort 1 (DLBCL): Magrolimab 30 mg/kg (No Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUClast | Day 8 (Cycle 1, Day 8) | 2300 day*micrograms(μg)/milliliters(mL) | Standard Deviation 280 |
| Phase 2 Cohort 1 (DLBCL): Magrolimab 30 mg/kg (No Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUClast | Day 29 (Cycle 2, Day 1) | NA day*micrograms(μg)/milliliters(mL) | — |
| Phase 2 Cohort 1 (DLBCL): Magrolimab 30 mg/kg (No Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUClast | Day 1 (Cycle 1, Day 1) | NA day*micrograms(μg)/milliliters(mL) | — |
| Phase 2 Cohort 1 (iNHL): Magrolimab 30 mg/kg (No Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUClast | Day 1 (Cycle 1, Day 1) | NA day*micrograms(μg)/milliliters(mL) | — |
| Phase 2 Cohort 1 (iNHL): Magrolimab 30 mg/kg (No Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUClast | Day 29 (Cycle 2, Day 1) | NA day*micrograms(μg)/milliliters(mL) | — |
| Phase 2 Cohort 1 (iNHL): Magrolimab 30 mg/kg (No Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUClast | Day 8 (Cycle 1, Day 8) | 2220 day*micrograms(μg)/milliliters(mL) | Standard Deviation 877 |
| Phase 2 Cohort 2 (DLBCL): Magrolimab 30 mg/ kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUClast | Day 8 (Cycle 1, Day 8) | NA day*micrograms(μg)/milliliters(mL) | — |
| Phase 2 Cohort 2 (DLBCL): Magrolimab 30 mg/ kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUClast | Day 29 (Cycle 2, Day 1) | NA day*micrograms(μg)/milliliters(mL) | — |
| Phase 2 Cohort 2 (DLBCL): Magrolimab 30 mg/ kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUClast | Day 1 (Cycle 1, Day 1) | NA day*micrograms(μg)/milliliters(mL) | — |
| Phase 2 Cohort 2 (iNHL): Magrolimab 30 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUClast | Day 8 (Cycle 1, Day 8) | NA day*micrograms(μg)/milliliters(mL) | — |
| Phase 2 Cohort 2 (iNHL): Magrolimab 30 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUClast | Day 1 (Cycle 1, Day 1) | NA day*micrograms(μg)/milliliters(mL) | — |
| Phase 2 Cohort 2 (iNHL): Magrolimab 30 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUClast | Day 29 (Cycle 2, Day 1) | NA day*micrograms(μg)/milliliters(mL) | — |
| Phase 2 Cohort 3 (DLBCL): Magrolimab 45 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUClast | Day 8 (Cycle 1, Day 8) | NA day*micrograms(μg)/milliliters(mL) | — |
| Phase 2 Cohort 3 (DLBCL): Magrolimab 45 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUClast | Day 29 (Cycle 2, Day 1) | NA day*micrograms(μg)/milliliters(mL) | — |
| Phase 2 Cohort 3 (iNHL): Magrolimab 45 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUClast | Day 8 (Cycle 1, Day 8) | NA day*micrograms(μg)/milliliters(mL) | — |
| Phase 2 Cohort 3 (iNHL): Magrolimab 45 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUClast | Day 29 (Cycle 2, Day 1) | NA day*micrograms(μg)/milliliters(mL) | — |
| Phase 2 Cohort 3 (iNHL): Magrolimab 20 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUClast | Day 1 (Cycle 1, Day 1) | NA day*micrograms(μg)/milliliters(mL) | — |
| Phase 2 Cohort 3 (iNHL): Magrolimab 20 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUClast | Day 8 (Cycle 1, Day 8) | NA day*micrograms(μg)/milliliters(mL) | — |
| Phase 2 Cohort 3 (iNHL): Magrolimab 20 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUClast | Day 29 (Cycle 2, Day 1) | NA day*micrograms(μg)/milliliters(mL) | — |
| Phase 2 Cohort 4: Magrolimab 30 mg/ kg (No Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUClast | Day 8 (Cycle 1, Day 8) | NA day*micrograms(μg)/milliliters(mL) | — |
| Phase 2 Cohort 4: Magrolimab 30 mg/ kg (No Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUClast | Day 1 (Cycle 1, Day 1) | NA day*micrograms(μg)/milliliters(mL) | — |
| Phase 2 Cohort 4: Magrolimab 30 mg/ kg (No Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUClast | Day 29 (Cycle 2, Day 1) | NA day*micrograms(μg)/milliliters(mL) | — |
PK Parameter of Magrolimab: AUCtau
AUCtau is defined as concentration of drug over time (the area under the concentration verses time curve over the dosing interval). N = 0 participants for Phase 1b Cohorts 4 and 6, Phase 2 Cohort 3 (DLBCL and iNHL), since PK samples were not collected for Day 1.
Time frame: Phase 1: Pre-dose (12 hours) and 1 and 24 hours post-dose on Day 1 (Cycle 1 Day 1 [C1D1]); pre-dose and 1, 24, and 72 hours post-dose on Day 8 (C1D8) and Day 29 (C2D1); Phase 2 :Pre-dose (12 hours) on Days 1 (C1D1), 8 (C1D8), and 29 (C2D1)
Population: Participants in the PK Analysis Set with available data were analyzed. The PK data was reported for Phase 2 (antibody combination) as per maintenance dose level and disease type.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Phase 1b Cohort 1: Magrolimab 10 mg/kg + Rituximab | PK Parameter of Magrolimab: AUCtau | Day 8 (Cycle 1, Day 8) | 671 day*μg/mL | — |
| Phase 1b Cohort 1: Magrolimab 10 mg/kg + Rituximab | PK Parameter of Magrolimab: AUCtau | Day 1 (Cycle 1, Day 1) | NA day*μg/mL | — |
| Phase 1b Cohort 1: Magrolimab 10 mg/kg + Rituximab | PK Parameter of Magrolimab: AUCtau | Day 29 (Cycle 2, Day 1) | 1220 day*μg/mL | Standard Deviation 97 |
| Phase 1b Cohort 2: Magrolimab 20 mg/kg + Rituximab | PK Parameter of Magrolimab: AUCtau | Day 29 (Cycle 2, Day 1) | 4260 day*μg/mL | Standard Deviation 1050 |
| Phase 1b Cohort 2: Magrolimab 20 mg/kg + Rituximab | PK Parameter of Magrolimab: AUCtau | Day 1 (Cycle 1, Day 1) | NA day*μg/mL | — |
| Phase 1b Cohort 2: Magrolimab 20 mg/kg + Rituximab | PK Parameter of Magrolimab: AUCtau | Day 8 (Cycle 1, Day 8) | 1810 day*μg/mL | Standard Deviation 426 |
| Phase 1b Cohort 3: Magrolimab 30 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUCtau | Day 1 (Cycle 1, Day 1) | NA day*μg/mL | — |
| Phase 1b Cohort 3: Magrolimab 30 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUCtau | Day 29 (Cycle 2, Day 1) | NA day*μg/mL | — |
| Phase 1b Cohort 3: Magrolimab 30 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUCtau | Day 8 (Cycle 1, Day 8) | NA day*μg/mL | — |
| Phase 1b Cohort 4: Magrolimab 45 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUCtau | Day 29 (Cycle 2, Day 1) | NA day*μg/mL | — |
| Phase 1b Cohort 4: Magrolimab 45 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUCtau | Day 8 (Cycle 1, Day 8) | NA day*μg/mL | — |
| Phase 1b Cohort 5: Magrolimab 30 mg/kg (Loading Dose) + Rituximab + Gemcitabine + Oxaliplatin | PK Parameter of Magrolimab: AUCtau | Day 29 (Cycle 2, Day 1) | NA day*μg/mL | — |
| Phase 1b Cohort 5: Magrolimab 30 mg/kg (Loading Dose) + Rituximab + Gemcitabine + Oxaliplatin | PK Parameter of Magrolimab: AUCtau | Day 1 (Cycle 1, Day 1) | NA day*μg/mL | — |
| Phase 1b Cohort 5: Magrolimab 30 mg/kg (Loading Dose) + Rituximab + Gemcitabine + Oxaliplatin | PK Parameter of Magrolimab: AUCtau | Day 8 (Cycle 1, Day 8) | NA day*μg/mL | — |
| Phase 1b Cohort 6: Magrolimab 45 mg/kg (Loading Dose) + Rituximab + Gemcitabine + Oxaliplatin | PK Parameter of Magrolimab: AUCtau | Day 8 (Cycle 1, Day 8) | NA day*μg/mL | — |
| Phase 1b Cohort 6: Magrolimab 45 mg/kg (Loading Dose) + Rituximab + Gemcitabine + Oxaliplatin | PK Parameter of Magrolimab: AUCtau | Day 29 (Cycle 2, Day 1) | NA day*μg/mL | — |
| Phase 2 Cohort 1 (DLBCL): Magrolimab 30 mg/kg (No Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUCtau | Day 1 (Cycle 1, Day 1) | NA day*μg/mL | — |
| Phase 2 Cohort 1 (DLBCL): Magrolimab 30 mg/kg (No Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUCtau | Day 8 (Cycle 1, Day 8) | 2300 day*μg/mL | Standard Deviation 280 |
| Phase 2 Cohort 1 (DLBCL): Magrolimab 30 mg/kg (No Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUCtau | Day 29 (Cycle 2, Day 1) | NA day*μg/mL | — |
| Phase 2 Cohort 1 (iNHL): Magrolimab 30 mg/kg (No Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUCtau | Day 8 (Cycle 1, Day 8) | 2080 day*μg/mL | Standard Deviation 658 |
| Phase 2 Cohort 1 (iNHL): Magrolimab 30 mg/kg (No Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUCtau | Day 1 (Cycle 1, Day 1) | NA day*μg/mL | — |
| Phase 2 Cohort 1 (iNHL): Magrolimab 30 mg/kg (No Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUCtau | Day 29 (Cycle 2, Day 1) | NA day*μg/mL | — |
| Phase 2 Cohort 2 (DLBCL): Magrolimab 30 mg/ kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUCtau | Day 29 (Cycle 2, Day 1) | NA day*μg/mL | — |
| Phase 2 Cohort 2 (DLBCL): Magrolimab 30 mg/ kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUCtau | Day 1 (Cycle 1, Day 1) | NA day*μg/mL | — |
| Phase 2 Cohort 2 (DLBCL): Magrolimab 30 mg/ kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUCtau | Day 8 (Cycle 1, Day 8) | NA day*μg/mL | — |
| Phase 2 Cohort 2 (iNHL): Magrolimab 30 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUCtau | Day 8 (Cycle 1, Day 8) | NA day*μg/mL | — |
| Phase 2 Cohort 2 (iNHL): Magrolimab 30 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUCtau | Day 1 (Cycle 1, Day 1) | NA day*μg/mL | — |
| Phase 2 Cohort 2 (iNHL): Magrolimab 30 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUCtau | Day 29 (Cycle 2, Day 1) | NA day*μg/mL | — |
| Phase 2 Cohort 3 (DLBCL): Magrolimab 45 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUCtau | Day 8 (Cycle 1, Day 8) | NA day*μg/mL | — |
| Phase 2 Cohort 3 (DLBCL): Magrolimab 45 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUCtau | Day 29 (Cycle 2, Day 1) | NA day*μg/mL | — |
| Phase 2 Cohort 3 (iNHL): Magrolimab 45 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUCtau | Day 8 (Cycle 1, Day 8) | NA day*μg/mL | — |
| Phase 2 Cohort 3 (iNHL): Magrolimab 45 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUCtau | Day 29 (Cycle 2, Day 1) | NA day*μg/mL | — |
| Phase 2 Cohort 3 (iNHL): Magrolimab 20 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUCtau | Day 1 (Cycle 1, Day 1) | NA day*μg/mL | — |
| Phase 2 Cohort 3 (iNHL): Magrolimab 20 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUCtau | Day 8 (Cycle 1, Day 8) | NA day*μg/mL | — |
| Phase 2 Cohort 3 (iNHL): Magrolimab 20 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUCtau | Day 29 (Cycle 2, Day 1) | NA day*μg/mL | — |
| Phase 2 Cohort 4: Magrolimab 30 mg/ kg (No Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUCtau | Day 8 (Cycle 1, Day 8) | NA day*μg/mL | — |
| Phase 2 Cohort 4: Magrolimab 30 mg/ kg (No Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUCtau | Day 1 (Cycle 1, Day 1) | NA day*μg/mL | — |
| Phase 2 Cohort 4: Magrolimab 30 mg/ kg (No Loading Dose) + Rituximab | PK Parameter of Magrolimab: AUCtau | Day 29 (Cycle 2, Day 1) | NA day*μg/mL | — |
PK Parameter of Magrolimab: Cmax
Cmax is defined as the maximum observed concentration of drug. N = 0 participants for Phase 1b Cohorts 4 and 6, Phase 2 Cohort 3 (DLBCL and iNHL), since PK samples were not collected for Day 1.
Time frame: Phase 1: Pre-dose (12 hours) and 1 and 24 hours post-dose on Day 1 (Cycle 1 Day 1 [C1D1]); pre-dose and 1, 24, and 72 hours post-dose on Day 8 (C1D8) and Day 29 (C2D1); Phase 2 :Pre-dose (12 hours) on Days 1 (C1D1), 8 (C1D8), and 29 (C2D1)
Population: Participants in the PK Analysis Set with available data were analyzed. The PK data was reported for Phase 2 (antibody combination) as per maintenance dose level and disease type.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Phase 1b Cohort 1: Magrolimab 10 mg/kg + Rituximab | PK Parameter of Magrolimab: Cmax | Day 8 (Cycle 1, Day 8) | 212 μg/mL | Standard Deviation 54.6 |
| Phase 1b Cohort 1: Magrolimab 10 mg/kg + Rituximab | PK Parameter of Magrolimab: Cmax | Day 1 (Cycle 1, Day 1) | 0.619 μg/mL | — |
| Phase 1b Cohort 1: Magrolimab 10 mg/kg + Rituximab | PK Parameter of Magrolimab: Cmax | Day 29 (Cycle 2, Day 1) | 330 μg/mL | Standard Deviation 123 |
| Phase 1b Cohort 2: Magrolimab 20 mg/kg + Rituximab | PK Parameter of Magrolimab: Cmax | Day 29 (Cycle 2, Day 1) | 903 μg/mL | Standard Deviation 186 |
| Phase 1b Cohort 2: Magrolimab 20 mg/kg + Rituximab | PK Parameter of Magrolimab: Cmax | Day 1 (Cycle 1, Day 1) | 1.32 μg/mL | Standard Deviation 1.31 |
| Phase 1b Cohort 2: Magrolimab 20 mg/kg + Rituximab | PK Parameter of Magrolimab: Cmax | Day 8 (Cycle 1, Day 8) | 485 μg/mL | Standard Deviation 114 |
| Phase 1b Cohort 3: Magrolimab 30 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: Cmax | Day 8 (Cycle 1, Day 8) | NA μg/mL | — |
| Phase 1b Cohort 3: Magrolimab 30 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: Cmax | Day 29 (Cycle 2, Day 1) | NA μg/mL | — |
| Phase 1b Cohort 3: Magrolimab 30 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: Cmax | Day 1 (Cycle 1, Day 1) | NA μg/mL | — |
| Phase 1b Cohort 4: Magrolimab 45 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: Cmax | Day 8 (Cycle 1, Day 8) | 924 μg/mL | Standard Deviation 170 |
| Phase 1b Cohort 4: Magrolimab 45 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: Cmax | Day 29 (Cycle 2, Day 1) | 1862 μg/mL | Standard Deviation 411 |
| Phase 1b Cohort 5: Magrolimab 30 mg/kg (Loading Dose) + Rituximab + Gemcitabine + Oxaliplatin | PK Parameter of Magrolimab: Cmax | Day 8 (Cycle 1, Day 8) | NA μg/mL | — |
| Phase 1b Cohort 5: Magrolimab 30 mg/kg (Loading Dose) + Rituximab + Gemcitabine + Oxaliplatin | PK Parameter of Magrolimab: Cmax | Day 29 (Cycle 2, Day 1) | NA μg/mL | — |
| Phase 1b Cohort 5: Magrolimab 30 mg/kg (Loading Dose) + Rituximab + Gemcitabine + Oxaliplatin | PK Parameter of Magrolimab: Cmax | Day 1 (Cycle 1, Day 1) | NA μg/mL | — |
| Phase 1b Cohort 6: Magrolimab 45 mg/kg (Loading Dose) + Rituximab + Gemcitabine + Oxaliplatin | PK Parameter of Magrolimab: Cmax | Day 29 (Cycle 2, Day 1) | 2096 μg/mL | Standard Deviation 449 |
| Phase 1b Cohort 6: Magrolimab 45 mg/kg (Loading Dose) + Rituximab + Gemcitabine + Oxaliplatin | PK Parameter of Magrolimab: Cmax | Day 8 (Cycle 1, Day 8) | 906 μg/mL | Standard Deviation 160 |
| Phase 2 Cohort 1 (DLBCL): Magrolimab 30 mg/kg (No Loading Dose) + Rituximab | PK Parameter of Magrolimab: Cmax | Day 29 (Cycle 2, Day 1) | NA μg/mL | — |
| Phase 2 Cohort 1 (DLBCL): Magrolimab 30 mg/kg (No Loading Dose) + Rituximab | PK Parameter of Magrolimab: Cmax | Day 1 (Cycle 1, Day 1) | 0.477 μg/mL | Standard Deviation 0.178 |
| Phase 2 Cohort 1 (DLBCL): Magrolimab 30 mg/kg (No Loading Dose) + Rituximab | PK Parameter of Magrolimab: Cmax | Day 8 (Cycle 1, Day 8) | 567 μg/mL | Standard Deviation 75.7 |
| Phase 2 Cohort 1 (iNHL): Magrolimab 30 mg/kg (No Loading Dose) + Rituximab | PK Parameter of Magrolimab: Cmax | Day 8 (Cycle 1, Day 8) | 542 μg/mL | Standard Deviation 188 |
| Phase 2 Cohort 1 (iNHL): Magrolimab 30 mg/kg (No Loading Dose) + Rituximab | PK Parameter of Magrolimab: Cmax | Day 29 (Cycle 2, Day 1) | NA μg/mL | — |
| Phase 2 Cohort 1 (iNHL): Magrolimab 30 mg/kg (No Loading Dose) + Rituximab | PK Parameter of Magrolimab: Cmax | Day 1 (Cycle 1, Day 1) | 0.496 μg/mL | Standard Deviation 0.353 |
| Phase 2 Cohort 2 (DLBCL): Magrolimab 30 mg/ kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: Cmax | Day 8 (Cycle 1, Day 8) | NA μg/mL | — |
| Phase 2 Cohort 2 (DLBCL): Magrolimab 30 mg/ kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: Cmax | Day 1 (Cycle 1, Day 1) | NA μg/mL | — |
| Phase 2 Cohort 2 (DLBCL): Magrolimab 30 mg/ kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: Cmax | Day 29 (Cycle 2, Day 1) | NA μg/mL | — |
| Phase 2 Cohort 2 (iNHL): Magrolimab 30 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: Cmax | Day 29 (Cycle 2, Day 1) | NA μg/mL | — |
| Phase 2 Cohort 2 (iNHL): Magrolimab 30 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: Cmax | Day 1 (Cycle 1, Day 1) | NA μg/mL | — |
| Phase 2 Cohort 2 (iNHL): Magrolimab 30 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: Cmax | Day 8 (Cycle 1, Day 8) | NA μg/mL | — |
| Phase 2 Cohort 3 (DLBCL): Magrolimab 45 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: Cmax | Day 8 (Cycle 1, Day 8) | 918 μg/mL | Standard Deviation 251 |
| Phase 2 Cohort 3 (DLBCL): Magrolimab 45 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: Cmax | Day 29 (Cycle 2, Day 1) | 1858 μg/mL | Standard Deviation 321 |
| Phase 2 Cohort 3 (iNHL): Magrolimab 45 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: Cmax | Day 8 (Cycle 1, Day 8) | 904 μg/mL | Standard Deviation 414 |
| Phase 2 Cohort 3 (iNHL): Magrolimab 45 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: Cmax | Day 29 (Cycle 2, Day 1) | 2186 μg/mL | Standard Deviation 615 |
| Phase 2 Cohort 3 (iNHL): Magrolimab 20 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: Cmax | Day 29 (Cycle 2, Day 1) | NA μg/mL | — |
| Phase 2 Cohort 3 (iNHL): Magrolimab 20 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: Cmax | Day 1 (Cycle 1, Day 1) | NA μg/mL | — |
| Phase 2 Cohort 3 (iNHL): Magrolimab 20 mg/kg (Loading Dose) + Rituximab | PK Parameter of Magrolimab: Cmax | Day 8 (Cycle 1, Day 8) | NA μg/mL | — |
| Phase 2 Cohort 4: Magrolimab 30 mg/ kg (No Loading Dose) + Rituximab | PK Parameter of Magrolimab: Cmax | Day 8 (Cycle 1, Day 8) | NA μg/mL | — |
| Phase 2 Cohort 4: Magrolimab 30 mg/ kg (No Loading Dose) + Rituximab | PK Parameter of Magrolimab: Cmax | Day 1 (Cycle 1, Day 1) | NA μg/mL | — |
| Phase 2 Cohort 4: Magrolimab 30 mg/ kg (No Loading Dose) + Rituximab | PK Parameter of Magrolimab: Cmax | Day 29 (Cycle 2, Day 1) | NA μg/mL | — |
Progression Free Survival (PFS)
PFS is measured from dose initiation until the first date of objectively documented disease progression (PMD; PRD) or death while on study prior to start of the subsequent line of anti-cancer therapy. Participants who do not have progressive disease & not died were censored at last response assessment date.Response assessments after initiation of the subsequent line of anti-cancer therapy will be excluded from derivation. PMD: scores 4 (uptake moderately \> liver), 5 (uptake markedly \> liver, new lesions) with increased uptake from baseline; new FDG-avid foci consistent with lymphoma rather than another etiology; new or recurrent FDG-avid foci in BM. PRD: LDi \>1.5 cm; ≥ 50% increase from cross product of LDi & PPD; increase in LDi or SDi of 0.5 cm for lesions ≤ 2 & 1 cm for lesions \>2 cm; spleen increased by \>50% in length beyond normal; new or recurrent splenomegaly, BM involvement; new lesions; progression of pre-existing lesions. KM estimates of median was reported.
Time frame: Up to 7.3 years
Population: Participants in the efficacy analysis set with available data were analyzed. As prespecified in the SAP, the efficacy results were to be reported for Phase 1b and 2 combined per dose and disease type (for both antibody and chemotherapy combinations).
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Phase 1b Cohort 1: Magrolimab 10 mg/kg + Rituximab | Progression Free Survival (PFS) | 1.6 months |
| Phase 1b Cohort 2: Magrolimab 20 mg/kg + Rituximab | Progression Free Survival (PFS) | NA months |
| Phase 1b Cohort 3: Magrolimab 30 mg/kg (Loading Dose) + Rituximab | Progression Free Survival (PFS) | 5.6 months |
| Phase 1b Cohort 5: Magrolimab 30 mg/kg (Loading Dose) + Rituximab + Gemcitabine + Oxaliplatin | Progression Free Survival (PFS) | 1.8 months |
| Phase 1b Cohort 6: Magrolimab 45 mg/kg (Loading Dose) + Rituximab + Gemcitabine + Oxaliplatin | Progression Free Survival (PFS) | 7.5 months |
| Phase 2 Cohort 1 (DLBCL): Magrolimab 30 mg/kg (No Loading Dose) + Rituximab | Progression Free Survival (PFS) | 2.1 months |
| Phase 2 Cohort 1 (iNHL): Magrolimab 30 mg/kg (No Loading Dose) + Rituximab | Progression Free Survival (PFS) | 5.5 months |
| Phase 2 Cohort 2 (DLBCL): Magrolimab 30 mg/ kg (Loading Dose) + Rituximab | Progression Free Survival (PFS) | 3.9 months |
| Phase 2 Cohort 2 (iNHL): Magrolimab 30 mg/kg (Loading Dose) + Rituximab | Progression Free Survival (PFS) | 20.3 months |
Time to Progression (TTP)
TTP is measured from dose initiation until the first date of objectively documented progressive disease criteria while on study prior to start of next line anti-cancer therapy. Participants with no progressive disease were censored at last response assessment date. Response assessment post start of anti-cancer therapy was excluded from derivation. PMD: scores 4 (uptake moderately \> liver), 5 (uptake markedly \> liver, new lesions) with increased uptake compared with baseline; new FDG-avid foci consistent with lymphoma rather than another etiology; new or recurrent FDG-avid foci in bone marrow. PRD: LDi \>1.5 cm; = 50% increase from cross product of LDi and PPD; increase in LDi or SDi of 0.5 cm for lesions =1.5 cm and 1 cm for lesions \>2 cm; spleen increased by \>50% in length beyond normal; new or recurrent splenomegaly, bone marrow involvement; new lesions; progression of pre-existing lesions. Kaplan-meier (KM) estimates of median was reported.
Time frame: Up to 7.3 years
Population: Participants in the Efficacy Analysis Set with available data were analyzed. As prespecified in the SAP, the efficacy results were to be reported for Phase 1b and 2 combined per dose and disease type (for both antibody and chemotherapy combinations).
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Phase 1b Cohort 1: Magrolimab 10 mg/kg + Rituximab | Time to Progression (TTP) | 1.6 months |
| Phase 1b Cohort 2: Magrolimab 20 mg/kg + Rituximab | Time to Progression (TTP) | NA months |
| Phase 1b Cohort 3: Magrolimab 30 mg/kg (Loading Dose) + Rituximab | Time to Progression (TTP) | 5.6 months |
| Phase 1b Cohort 5: Magrolimab 30 mg/kg (Loading Dose) + Rituximab + Gemcitabine + Oxaliplatin | Time to Progression (TTP) | 1.8 months |
| Phase 1b Cohort 6: Magrolimab 45 mg/kg (Loading Dose) + Rituximab + Gemcitabine + Oxaliplatin | Time to Progression (TTP) | 7.9 months |
| Phase 2 Cohort 1 (DLBCL): Magrolimab 30 mg/kg (No Loading Dose) + Rituximab | Time to Progression (TTP) | 2.0 months |
| Phase 2 Cohort 1 (iNHL): Magrolimab 30 mg/kg (No Loading Dose) + Rituximab | Time to Progression (TTP) | 5.6 months |
| Phase 2 Cohort 2 (DLBCL): Magrolimab 30 mg/ kg (Loading Dose) + Rituximab | Time to Progression (TTP) | 3.9 months |
| Phase 2 Cohort 2 (iNHL): Magrolimab 30 mg/kg (Loading Dose) + Rituximab | Time to Progression (TTP) | 20.3 months |