Safety and Antitumor Activity Study of Loncastuximab Tesirine and Durvalumab in Diffuse Large B-Cell, Mantle Cell, or Follicular Lymphoma

Sponsor
ADC Therapeutics S.A. (Industry)
Overall Status
Terminated
CT.gov ID
NCT03685344
Collaborator
(none)
13
14
1
20.7
0.9
0

Study Details

Study Description

Brief Summary

The purpose of this phase 1 study is to evaluate the safety and anti-tumor activity of Loncastuximab Tesirine (ADCT-402) and Durvalumab in participants with Advanced Diffuse Large B-Cell Lymphoma, Mantle Cell Lymphoma, or Follicular Lymphoma

Condition or Disease Intervention/Treatment Phase
  • Drug: Loncastuximab Tesirine and Durvalumab
Phase 1

Detailed Description

This is a Phase 1b, open-label, single-arm combination study with a dose escalation phase (Part 1) followed by a dose expansion phase (Part 2). The study will enroll approximately 75 participants.

A standard 3+3 dose escalation design will be used for Part 1. The DLT period will be the 21 days after the first durvalumab dose.

Part 2 will consist of up to 3 expansion cohorts, one for DLBCL, one for MCL, and one for FL. Each cohort will be approximately 20 participants treated at the dose determined in Part 1.

The study will include a Screening Period (of up to 28 days), a Treatment Period (cycles of 3, 6, and 4 weeks), and a Follow-up Period (approximately every 12 week visits for up to 2 years after treatment discontinuation).

Study Design

Study Type:
Interventional
Actual Enrollment :
13 participants
Allocation:
N/A
Intervention Model:
Sequential Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Phase 1 Open-Label Study to Evaluate the Safety and Antitumor Activity of Loncastuximab Tesirine and Durvalumab in Patients With Advanced Diffuse Large B-Cell Lymphoma, Mantle Cell Lymphoma, or Follicular Lymphoma
Actual Study Start Date :
Feb 4, 2019
Actual Primary Completion Date :
Oct 27, 2020
Actual Study Completion Date :
Oct 27, 2020

Arms and Interventions

Arm Intervention/Treatment
Experimental: ADCT-402

Dose escalation phase: Ascending doses of Loncastuximab tesirine will be administered using a traditional 3+3 design. Dose level 1: 90 µg/kg, every 3 weeks (Q3W). Dose level 2: 120 µg/kg, Q3W. Dose level 3: 150 µg/kg, Q3W. Loncastuximab tesirine will be given for 2 doses, 3 weeks apart. Dose expansion phase: Loncastuximab tesirine will be administered at the recommended dose determined in the dose escalation phase. Durvalumab will also be administered at a dose of 1500 mg once every 4 weeks (Q4W) throughout the dose escalation phase and dose expansion phase.

Drug: Loncastuximab Tesirine and Durvalumab
intravenous infusion
Other Names:
  • ADCT-402 in combination with Durvalumab
  • Zynlonta
  • Outcome Measures

    Primary Outcome Measures

    1. Number of Participants With a Treatment-emergent Adverse Event (TEAE) [Day 1 to 30 days after the last dose of study drugs (maximum treatment duration at study termination was 336 days)]

      A TEAE was defined as an adverse event (AE) that occurred or worsened in the period extending from the first dose of study drugs to 30 days after the last dose of study drugs or initiation of new anti-cancer therapy (whichever occurred earlier). Evaluation of TEAEs included the number of participants with at least one: TEAE, serious TEAE and grade ≥3 TEAE as assessed by Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 CTCAE grading scale: Grade 3 = Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self-care activities of daily living. Grade 4 = Life-threatening consequences; urgent intervention indicated. Grade 5 = Death related to AE. Clinically significant changes from baseline for safety laboratory values, vital sign measurements and electrocardiograms (ECGs) were recorded as TEAEs.

    2. Number of Participants With a Dose-limiting Toxicity [21 days after first dose of durvalumab (Day 8 to Day 29)]

      DLTs were defined as specific events which occurred in the 21-day DLT evaluation period of the dose escalation part, except any events that were clearly due to underlying disease or extraneous causes. The grading and severity of events were based on the guidelines provided in the Common Terminology Criteria for Adverse Events (CTCAE) version 4.03.

    3. Number of Participants With a Treatment-emergent Adverse Event Leading to Dose Interruption or Reduction [Day 1 to end of treatment (maximum treatment duration at study termination was 336 days)]

    4. Number of Participants With Changes From Baseline on the Eastern Cooperative Oncology Group (ECOG) Performance Status [Day 1 to end of treatment (maximum treatment duration at study termination was 336 days)]

      Eastern Cooperative Oncology Group (ECOG) performance status was scored on a 6-point scale where higher scores indicate a worse outcome. ECOG scores included the following: 0 = fully active, able to carry on all pre-disease performance without restriction 1 = restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e.g., light house work, office work 2 = ambulatory and capable of all self-care but unable to carry out any work activities; up and about more than 50% of waking hours 3 = capable of only limited self-care; confined to bed or chair more than 50% of waking hours 4 = completely disabled; cannot carry on any self-care; totally confined to bed or chair 5 = dead

    Secondary Outcome Measures

    1. Overall Response Rate (ORR) [Up to 1.5 years]

      ORR according to the 2014 Lugano classification as determined by the investigator. Overall response rate was the percentage of participants with a best overall response (BOR) of complete response (CR) or partial response (PR). CR was defined as achieving each of the following: Complete metabolic response. Complete radiologic response (target node regress to <1.5 cm, no non-measured lesions, no organ enlargement, no new lesions and normal bone marrow morphology). PR was defined as achieving each of the following: Partial metabolic response (findings indicate residual disease). Partial remission (>50% decrease in target measurable nodes, regression/ absence/ no increase of non-measured lesions, spleen regressed by >50% in length and no new lesions).

    2. Duration of Response (DOR) [Up to 1.5 years]

      DOR was defined as the time from the documentation of first tumor response (CR or PR) to disease progression or death. CR was defined as achieving each of the following: Complete metabolic response. Complete radiologic response (target node regress to <1.5 cm, no non-measured lesions, no organ enlargement, no new lesions and normal bone marrow morphology). PR was defined as achieving each of the following: Partial metabolic response (findings indicate residual disease). Partial remission (>50% decrease in target measurable nodes, regression/ absence/ no increase of non-measured lesions, spleen regressed by >50% in length and no new lesions).

    3. Complete Response Rate (CRR) [Up to 1.5 years]

      CRR was defined as the percentage of participants with a BOR of CR, according to the 2014 Lugano classification, as determined by the investigator. CR was defined as achieving each of the following: Complete metabolic response. Complete radiologic response (target node regress to <1.5 cm, no non-measured lesions, no organ enlargement, no new lesions and normal bone marrow morphology).

    4. Relapse-free Survival (RFS) [Up to 1.5 years]

      RFS was defined as the time from the documentation of CR to disease progression or death. CR was defined as achieving each of the following: Complete metabolic response. Complete radiologic response (target node regress to <1.5 cm, no non-measured lesions, no organ enlargement, no new lesions and normal bone marrow morphology). Disease progression was defined as progressive metabolic disease and one of the following: Target node progression. An individual extranodal lesion must be abnormal with length > 1.5cm and/or increase of length > 50%. New or clear progression of non-measured lesions. Regrowth of previously resolved lesions or new nodes >1.5 cm in length. New or recurrent bone marrow involvement.

    5. Progression-free Survival (PFS) [Up to 1.5 years]

      PFS was defined as the time between start of treatment and the first documentation of progression, or death. Disease progression was defined as progressive metabolic disease and one of the following: Target node progression. An individual extranodal lesion must be abnormal with length > 1.5cm and/or increase of length > 50%. New or clear progression of non-measured lesions. Regrowth of previously resolved lesions or new nodes >1.5 cm in length. New or recurrent bone marrow involvement.

    6. Overall Survival (OS) [Up to 1.5 years]

      OS was defined as the time between the start of treatment and death from any cause.

    7. Maximum Concentration (Cmax) of Loncastuximab Tesirine Conjugated Antibody, Total Antibody and Warhead SG3199 [Cycles 1 and 2 (where Cycle 1 was 4 weeks long and Cycle 2 was 6 weeks long): Day 1 pre-dose and at 0.5 and 4 hours post-dose, Day 8 and Day 15]

      Cmax of loncastuximab tesirine conjugated antibody and total antibody was calculated for Cycles 1 and 2. Cmax of warhead SG3199 was only calculated for Cycle 1 as data was not collected for Cycle 2.

    8. Area Under the Concentration-time Curve From Time Zero to the Last Quantifiable Concentration (AUC0-last) of Loncastuximab Tesirine Conjugated Antibody, Total Antibody and Warhead SG3199 [Cycles 1 and 2 (where Cycle 1 was 4 weeks long and Cycle 2 was 6 weeks long): Day 1 pre-dose and at 0.5 and 4 hours post-dose, Day 8 and Day 15]

      AUC0-last of loncastuximab tesirine conjugated antibody and total antibody was calculated for Cycles 1 and 2. AUC0-last of warhead SG3199 was only calculated for Cycle 1 as data was not collected for Cycle 2.

    9. Area Under the Concentration-time Curve From Time Zero to Infinity (AUCinf) of Loncastuximab Tesirine Conjugated Antibody, Total Antibody and Warhead SG3199 [Cycles 1 and 2 (where Cycle 1 was 4 weeks long and Cycle 2 was 6 weeks long): Day 1 pre-dose and at 0.5 and 4 hours post-dose, Day 8 and Day 15]

      AUCinf of loncastuximab tesirine conjugated antibody and total antibody was calculated for Cycles 1 and 2. AUCinf of warhead SG3199 was only calculated for Cycle 1 as data was not collected for Cycle 2.

    10. Apparent Terminal Half-life (Thalf) of Loncastuximab Tesirine Conjugated Antibody, Total Antibody and Warhead SG3199 [Cycles 1 and 2 (where Cycle 1 was 4 weeks long and Cycle 2 was 6 weeks long): Day 1 pre-dose and at 0.5 and 4 hours post-dose, Day 8 and Day 15]

      Thalf of loncastuximab tesirine conjugated antibody and total antibody was calculated for Cycles 1 and 2. Thalf of warhead SG3199 was only calculated for Cycle 1 as data was not collected for Cycle 2.

    11. Apparent Clearance (CL) of Loncastuximab Tesirine Conjugated Antibody, Total Antibody and Warhead SG3199 [Cycles 1 and 2 (where Cycle 1 was 4 weeks long and Cycle 2 was 6 weeks long): Day 1 pre-dose and at 0.5 and 4 hours post-dose, Day 8 and Day 15]

      CL for Cycle 2 reflects steady-state clearance. CL of loncastuximab tesirine conjugated antibody and total antibody was calculated for Cycles 1 and 2.

    12. Apparent Volume of Distribution at Steady State (Vss) of Loncastuximab Tesirine Conjugated Antibody, Total Antibody and Warhead SG3199 [Cycles 1 and 2 (where Cycle 1 was 4 weeks long and Cycle 2 was 6 weeks long): Day 1 pre-dose and at 0.5 and 4 hours post-dose, Day 8 and Day 15]

      Vss of loncastuximab tesirine conjugated antibody and total antibody was calculated for Cycles 1 and 2.

    13. Accumulation Index (AI) of Loncastuximab Tesirine Conjugated Antibody and Total Antibody [Cycles 1 and 2 (where Cycle 1 was 4 weeks long and Cycle 2 was 6 weeks long): Day 1 pre-dose and at 0.5 and 4 hours post-dose, Day 8 and Day 15]

      AI is the ratio of drug accumulation after repeated administration compared to a single dose. AI of loncastuximab tesirine conjugated antibody and total antibody was calculated from Cycles 1 and 2.

    14. Number of Participants With an Anti-drug Antibody (ADA) Response to Loncastuximab Tesirine [Cycle 1 (= 3 weeks): Day 1 pre-dose & Day 15; Cycles 2, 3, 5, 6, & 7 (Cycle 2 = 6 weeks, other cycles = 4 weeks): Day 1 pre-dose; 30 days after last dose of study drugs]

      Detection of ADAs were performed by using a screening assay for identification of antibody positive samples/patients, a confirmation assay, and titer assessment, and were performed using the Meso-Scale Discovery Electrochemiluminescence platform.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    1. Male or female participants aged 18 years or older

    2. Pathologic diagnosis of DLBCL, MCL, or FL

    3. Participants must have relapsed or refractory disease and have failed or been intolerant to standard therapy

    4. Participants who have received previous CD19-directed therapy must have a biopsy that shows CD19 expression after completion of the CD19-directed therapy

    5. Measurable disease as defined by the 2014 Lugano Classification

    6. Participants must be willing to undergo tumor biopsy

    7. ECOG performance status 0-1

    8. Screening laboratory values within the following parameters:

    9. Absolute neutrophil count (ANC) ≥1.0 × 103/µL (off growth factors at least 72 hours)

    10. Platelet count ≥75 × 103/µL without transfusion in the past 7 days

    11. Hemoglobin ≥9.0 g/dL (5.59 mmol/L), transfusion allowed

    12. Alanine aminotransferase (ALT), aspartate aminotransferase (AST), and GGT ≤2.5 × the upper limit of normal (ULN)

    13. Total bilirubin ≤1.5 × ULN (participants with known Gilbert's syndrome may have a total bilirubin up to ≤3 × ULN)

    14. Blood creatinine ≤1.5 × ULN or calculated creatinine clearance ≥60 mL/min by the Cockcroft-Gault equation

    15. Negative beta-human chorionic gonadotropin (β-HCG) pregnancy test within 3 days prior to start of study drug on C1D1 for women of childbearing potential

    16. Women of childbearing potential must agree to use a highly effective method of contraception from the time of giving informed consent until at least 16 weeks after the last dose of study therapy. Men with female partners who are of childbearing potential must agree that they will use a highly effective method of contraception from the time of giving informed consent until at least 16 weeks after the patient receives his last dose of study therapy

    Exclusion Criteria:
    1. Known history of hypersensitivity to or positive serum human ADA to a CD19 antibody.

    2. Previous therapy with any checkpoint inhibitor

    3. Autologous stem cell transplant within 100 days prior to start of study drug (C1D1)

    4. History of allogenic stem cell transplant

    5. History of solid organ transplant

    6. Active or prior documented autoimmune or inflammatory disorders (including inflammatory bowel disease [e.g., colitis or Crohn's disease], diverticulitis [with the exception of diverticulosis], systemic lupus erythematosus, Sarcoidosis syndrome, or Wegener syndrome [granulomatosis with polyangiitis, Graves' disease, rheumatoid arthritis, hypophysitis, uveitis, etc.]). The following are exceptions to this criterion:

    7. Participants with vitiligo or alopecia

    8. Participants with hypothyroidism (e.g., following Hashimoto syndrome) stable on hormone replacement

    9. Any chronic skin condition that does not require systemic therapy

    10. Participants without active disease in the last 5 years may be included but only after consultation with the Study Physician

    11. Participants with celiac disease controlled by diet alone

    12. Active infection including tuberculosis (clinical evaluation that includes clinical history, physical examination and radiographic findings, and tuberculosis testing in line with local practice)

    13. Known seropositive and requiring anti-viral therapy for human immunodeficiency (HIV) virus, hepatitis B virus (HBV), or hepatitis C virus (HCV)

    14. History of Stevens-Johnson syndrome or toxic epidermal necrolysis

    15. Lymphoma with active central nervous system (CNS) involvement at the time of screening, including leptomeningeal disease

    16. Clinically significant third space fluid accumulation (i.e., ascites requiring drainage or pleural effusion that is either requiring drainage or associated with shortness of breath)

    17. Breastfeeding or pregnant

    18. Significant medical comorbidities, including but not limited to, uncontrolled hypertension (blood pressure [BP] ≥160/100 mmHg repeatedly), unstable angina, congestive heart failure (greater than New York Heart Association class II), electrocardiographic evidence of acute ischemia, coronary angioplasty or myocardial infarction within 6 months prior to screening, uncontrolled atrial or ventricular cardiac arrhythmia, poorly controlled diabetes, or severe chronic pulmonary disease

    19. Radiotherapy, chemotherapy, or other anti-neoplastic therapy within 14 days prior to start of study drug (C1D1), except shorter if approved by the Sponsor.

    20. Major surgery within 28 days prior to start of study drug (C1D1), except shorter if approved by the Sponsor. Note: Local surgery of isolated lesions for palliative intent is acceptable.

    21. Use of any other experimental medication within 14 days prior to start of study drug (C1D1)

    22. Planned live vaccine administration after starting study drug (C1D1)

    23. Failure to recover to Grade ≤1 (Common Terminology Criteria for Adverse Events [CTCAE] version 4.0) from acute non-hematologic toxicity (Grade ≤2 neuropathy or alopecia) due to previous therapy prior to screening.

    24. Congenital long QT syndrome or a corrected QTcF interval of >470 ms at screening (unless secondary to pacemaker or bundle branch block)

    25. History of another primary malignancy except for:

    26. Malignancy treated with curative intent and with no known active disease ≥5 years before the first dose of investigational product and of low potential risk for recurrence

    27. Adequately treated non-melanoma skin cancer or lentigo maligna without evidence of disease

    28. Adequately treated carcinoma in situ without evidence of disease 21. History of active primary immunodeficiency

    29. History of active primary immunodeficiency or any other significant medical illness, abnormality, or condition that would, in the Investigator's judgement, make the patient inappropriate for study participation or put the participant at risk.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 University of Alabama at Birmingham Birmingham Alabama United States 35294
    2 UCH-MHS Memorial Hospital Centeral Colorado Springs Colorado United States 80909
    3 University of Florida Health Shands Cancer Hospital Gainesville Florida United States 32603
    4 University of Miami - Sylvester Comprehensive Cancer Center Miami Florida United States 33136
    5 Rutgers Cancer Institute of New Jersey New Brunswick New Jersey United States 08901
    6 Icahm School of Medicine at Mount Sinai New York New York United States 10029
    7 Baylor University Medical Center Dallas Texas United States 75246
    8 Joe Arrington Cancer Research and Treatment Center Lubbock Texas United States 79410
    9 Baylor Scott & White Medical Center - Temple Temple Texas United States 76508
    10 Hospital Clinic de Barcelona Barcelona Spain 08036
    11 Hospital General Universitario Gregorio Marañon Pabellón de Oncología Madrid Spain 28009
    12 Hospital Universitario Fundación Jiménez Díaz Unidad de Limfomas Servicio de Hematologia Madrid Spain 28040
    13 Hospital Universitario Virgen Macarena Servicio Oncologia Medica Sevilla Spain 41009
    14 Hospital Universitario Virgen Del Rocio Sevilla Spain 41015

    Sponsors and Collaborators

    • ADC Therapeutics S.A.

    Investigators

    None specified.

    Study Documents (Full-Text)

    More Information

    Publications

    None provided.
    Responsible Party:
    ADC Therapeutics S.A.
    ClinicalTrials.gov Identifier:
    NCT03685344
    Other Study ID Numbers:
    • ADCT-402-104
    • 2018-002670-43
    First Posted:
    Sep 26, 2018
    Last Update Posted:
    Oct 26, 2021
    Last Verified:
    Sep 1, 2021
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by ADC Therapeutics S.A.
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details 13 participants were enrolled at 5 sites in the United States and 3 sites in Spain between February 2019 and October 2020.
    Pre-assignment Detail 16 participants had signed informed consent, however 3 were considered screen failures. The remaining 13 participants were enrolled and received study treatment.
    Arm/Group Title Dose Escalation: Loncastuximab Tesirine 90 μg/kg Dose Escalation: Loncastuximab Tesirine 120 μg/kg Dose Escalation: Loncastuximab Tesirine 150 μg/kg Dose Expansion: Loncastuximab Tesirine
    Arm/Group Description Participants received loncastuximab tesirine as an intravenous (IV) infusion at a dose of 90 micrograms per kilogram (μg/kg) every 3 weeks (Q3W) on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a partial response (PR) or stable disease (SD) at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 milligrams (mg) on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 120 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 150 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The dose expansion phase was planned to consist of participants with diffuse large B-cell lymphoma, participants with mantle cell lymphoma and participants with follicular lymphoma. Participants were planned to receive loncastuximab tesirine as an IV infusion at the maximum tolerated dose (MTD) determined in the dose escalation part and durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The study was terminated during the dose escalation part of the study and the dose expansion part was not initiated.
    Period Title: Overall Study
    STARTED 3 3 7 0
    Received Treatment 3 3 7 0
    COMPLETED 0 0 0 0
    NOT COMPLETED 3 3 7 0

    Baseline Characteristics

    Arm/Group Title Dose Escalation: Loncastuximab Tesirine 90 μg/kg Dose Escalation: Loncastuximab Tesirine 120 μg/kg Dose Escalation: Loncastuximab Tesirine 150 μg/kg Dose Expansion: Loncastuximab Tesirine Total
    Arm/Group Description Participants received loncastuximab tesirine as an intravenous (IV) infusion at a dose of 90 micrograms per kilogram (μg/kg) every 3 weeks (Q3W) on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a partial response (PR) or stable disease (SD) at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 milligrams (mg) on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 120 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 150 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The dose expansion phase was planned to consist of participants with diffuse large B-cell lymphoma, participants with mantle cell lymphoma and participants with follicular lymphoma. Participants were planned to receive loncastuximab tesirine as an IV infusion at the maximum tolerated dose (MTD) determined in the dose escalation part and durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The study was terminated during the dose escalation part of the study and the dose expansion part was not initiated. Total of all reporting groups
    Overall Participants 3 3 7 0 13
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    66.0
    (15.00)
    74.0
    (2.00)
    63.0
    (16.94)
    66.2
    (14.24)
    Sex: Female, Male (Count of Participants)
    Female
    1
    33.3%
    3
    100%
    2
    28.6%
    6
    Infinity
    Male
    2
    66.7%
    0
    0%
    5
    71.4%
    7
    Infinity
    Ethnicity (NIH/OMB) (Count of Participants)
    Hispanic or Latino
    2
    66.7%
    0
    0%
    2
    28.6%
    4
    Infinity
    Not Hispanic or Latino
    1
    33.3%
    3
    100%
    5
    71.4%
    9
    Infinity
    Unknown or Not Reported
    0
    0%
    0
    0%
    0
    0%
    0
    NaN
    Race (NIH/OMB) (Count of Participants)
    American Indian or Alaska Native
    0
    0%
    0
    0%
    0
    0%
    0
    NaN
    Asian
    0
    0%
    0
    0%
    0
    0%
    0
    NaN
    Native Hawaiian or Other Pacific Islander
    0
    0%
    0
    0%
    0
    0%
    0
    NaN
    Black or African American
    0
    0%
    0
    0%
    0
    0%
    0
    NaN
    White
    3
    100%
    3
    100%
    5
    71.4%
    11
    Infinity
    More than one race
    0
    0%
    0
    0%
    0
    0%
    0
    NaN
    Unknown or Not Reported
    0
    0%
    0
    0%
    2
    28.6%
    2
    Infinity

    Outcome Measures

    1. Primary Outcome
    Title Number of Participants With a Treatment-emergent Adverse Event (TEAE)
    Description A TEAE was defined as an adverse event (AE) that occurred or worsened in the period extending from the first dose of study drugs to 30 days after the last dose of study drugs or initiation of new anti-cancer therapy (whichever occurred earlier). Evaluation of TEAEs included the number of participants with at least one: TEAE, serious TEAE and grade ≥3 TEAE as assessed by Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 CTCAE grading scale: Grade 3 = Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self-care activities of daily living. Grade 4 = Life-threatening consequences; urgent intervention indicated. Grade 5 = Death related to AE. Clinically significant changes from baseline for safety laboratory values, vital sign measurements and electrocardiograms (ECGs) were recorded as TEAEs.
    Time Frame Day 1 to 30 days after the last dose of study drugs (maximum treatment duration at study termination was 336 days)

    Outcome Measure Data

    Analysis Population Description
    Safety analysis set - All participants who received the study drug. The study was terminated prior to initiation of the dose expansion, so results are only presented for the dose escalation.
    Arm/Group Title Dose Escalation: Loncastuximab Tesirine 90 μg/kg Dose Escalation: Loncastuximab Tesirine 120 μg/kg Dose Escalation: Loncastuximab Tesirine 150 μg/kg Dose Expansion: Loncastuximab Tesirine
    Arm/Group Description Participants received loncastuximab tesirine as an intravenous (IV) infusion at a dose of 90 micrograms per kilogram (μg/kg) every 3 weeks (Q3W) on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a partial response (PR) or stable disease (SD) at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 milligrams (mg) on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 120 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 150 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The dose expansion phase was planned to consist of participants with diffuse large B-cell lymphoma, participants with mantle cell lymphoma and participants with follicular lymphoma. Participants were planned to receive loncastuximab tesirine as an IV infusion at the maximum tolerated dose (MTD) determined in the dose escalation part and durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The study was terminated during the dose escalation part of the study and the dose expansion part was not initiated.
    Measure Participants 3 3 7 0
    TEAE
    3
    100%
    3
    100%
    7
    100%
    Serious TEAE
    1
    33.3%
    2
    66.7%
    1
    14.3%
    CTCAE Grade ≥3 TEAE
    2
    66.7%
    2
    66.7%
    5
    71.4%
    2. Primary Outcome
    Title Number of Participants With a Dose-limiting Toxicity
    Description DLTs were defined as specific events which occurred in the 21-day DLT evaluation period of the dose escalation part, except any events that were clearly due to underlying disease or extraneous causes. The grading and severity of events were based on the guidelines provided in the Common Terminology Criteria for Adverse Events (CTCAE) version 4.03.
    Time Frame 21 days after first dose of durvalumab (Day 8 to Day 29)

    Outcome Measure Data

    Analysis Population Description
    Safety analysis set - All participants who received the study drug. The study was terminated prior to initiation of the dose expansion, so results are only presented for the dose escalation.
    Arm/Group Title Dose Escalation: Loncastuximab Tesirine 90 μg/kg Dose Escalation: Loncastuximab Tesirine 120 μg/kg Dose Escalation: Loncastuximab Tesirine 150 μg/kg Dose Expansion: Loncastuximab Tesirine
    Arm/Group Description Participants received loncastuximab tesirine as an intravenous (IV) infusion at a dose of 90 micrograms per kilogram (μg/kg) every 3 weeks (Q3W) on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a partial response (PR) or stable disease (SD) at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 milligrams (mg) on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 120 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 150 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The dose expansion phase was planned to consist of participants with diffuse large B-cell lymphoma, participants with mantle cell lymphoma and participants with follicular lymphoma. Participants were planned to receive loncastuximab tesirine as an IV infusion at the maximum tolerated dose (MTD) determined in the dose escalation part and durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The study was terminated during the dose escalation part of the study and the dose expansion part was not initiated.
    Measure Participants 3 3 7 0
    Count of Participants [Participants]
    0
    0%
    0
    0%
    0
    0%
    3. Primary Outcome
    Title Number of Participants With a Treatment-emergent Adverse Event Leading to Dose Interruption or Reduction
    Description
    Time Frame Day 1 to end of treatment (maximum treatment duration at study termination was 336 days)

    Outcome Measure Data

    Analysis Population Description
    Safety analysis set - All participants who received the study drug. The study was terminated prior to initiation of the dose expansion, so results are only presented for the dose escalation.
    Arm/Group Title Dose Escalation: Loncastuximab Tesirine 90 μg/kg Dose Escalation: Loncastuximab Tesirine 120 μg/kg Dose Escalation: Loncastuximab Tesirine 150 μg/kg Dose Expansion: Loncastuximab Tesirine
    Arm/Group Description Participants received loncastuximab tesirine as an intravenous (IV) infusion at a dose of 90 micrograms per kilogram (μg/kg) every 3 weeks (Q3W) on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a partial response (PR) or stable disease (SD) at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 milligrams (mg) on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 120 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 150 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The dose expansion phase was planned to consist of participants with diffuse large B-cell lymphoma, participants with mantle cell lymphoma and participants with follicular lymphoma. Participants were planned to receive loncastuximab tesirine as an IV infusion at the maximum tolerated dose (MTD) determined in the dose escalation part and durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The study was terminated during the dose escalation part of the study and the dose expansion part was not initiated.
    Measure Participants 3 3 7 0
    Loncastuximab Tesirine: Dose Interruption
    0
    0%
    0
    0%
    0
    0%
    Loncastuximab Tesirine: Dose Reduction
    0
    0%
    0
    0%
    0
    0%
    Durvalumab: Dose Interruption
    0
    0%
    0
    0%
    0
    0%
    Durvalumab: Dose Reduction
    0
    0%
    0
    0%
    0
    0%
    4. Primary Outcome
    Title Number of Participants With Changes From Baseline on the Eastern Cooperative Oncology Group (ECOG) Performance Status
    Description Eastern Cooperative Oncology Group (ECOG) performance status was scored on a 6-point scale where higher scores indicate a worse outcome. ECOG scores included the following: 0 = fully active, able to carry on all pre-disease performance without restriction 1 = restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e.g., light house work, office work 2 = ambulatory and capable of all self-care but unable to carry out any work activities; up and about more than 50% of waking hours 3 = capable of only limited self-care; confined to bed or chair more than 50% of waking hours 4 = completely disabled; cannot carry on any self-care; totally confined to bed or chair 5 = dead
    Time Frame Day 1 to end of treatment (maximum treatment duration at study termination was 336 days)

    Outcome Measure Data

    Analysis Population Description
    Safety analysis set - All participants who received the study drug. The study was terminated prior to initiation of the dose expansion, so results are only presented for the dose escalation.
    Arm/Group Title Dose Escalation: Loncastuximab Tesirine 90 μg/kg Dose Escalation: Loncastuximab Tesirine 120 μg/kg Dose Escalation: Loncastuximab Tesirine 150 μg/kg Dose Expansion: Loncastuximab Tesirine
    Arm/Group Description Participants received loncastuximab tesirine as an intravenous (IV) infusion at a dose of 90 micrograms per kilogram (μg/kg) every 3 weeks (Q3W) on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a partial response (PR) or stable disease (SD) at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 milligrams (mg) on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 120 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 150 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The dose expansion phase was planned to consist of participants with diffuse large B-cell lymphoma, participants with mantle cell lymphoma and participants with follicular lymphoma. Participants were planned to receive loncastuximab tesirine as an IV infusion at the maximum tolerated dose (MTD) determined in the dose escalation part and durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The study was terminated during the dose escalation part of the study and the dose expansion part was not initiated.
    Measure Participants 3 3 7 0
    Count of Participants [Participants]
    2
    66.7%
    0
    0%
    1
    14.3%
    5. Secondary Outcome
    Title Overall Response Rate (ORR)
    Description ORR according to the 2014 Lugano classification as determined by the investigator. Overall response rate was the percentage of participants with a best overall response (BOR) of complete response (CR) or partial response (PR). CR was defined as achieving each of the following: Complete metabolic response. Complete radiologic response (target node regress to <1.5 cm, no non-measured lesions, no organ enlargement, no new lesions and normal bone marrow morphology). PR was defined as achieving each of the following: Partial metabolic response (findings indicate residual disease). Partial remission (>50% decrease in target measurable nodes, regression/ absence/ no increase of non-measured lesions, spleen regressed by >50% in length and no new lesions).
    Time Frame Up to 1.5 years

    Outcome Measure Data

    Analysis Population Description
    Efficacy analysis set - All participants who received at least one dose of study drug, had valid baseline disease assessment(s) and at least one valid post-baseline disease assessment. Participants who did not have a post-baseline assessment due to early clinical progression or death (after receiving study drug) were also included. The study was terminated prior to initiation of the dose expansion, so results are only presented for the dose escalation.
    Arm/Group Title Dose Escalation: Loncastuximab Tesirine 90 μg/kg Dose Escalation: Loncastuximab Tesirine 120 μg/kg Dose Escalation: Loncastuximab Tesirine 150 μg/kg Dose Expansion: Loncastuximab Tesirine
    Arm/Group Description Participants received loncastuximab tesirine as an intravenous (IV) infusion at a dose of 90 micrograms per kilogram (μg/kg) every 3 weeks (Q3W) on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a partial response (PR) or stable disease (SD) at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 milligrams (mg) on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 120 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 150 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The dose expansion phase was planned to consist of participants with diffuse large B-cell lymphoma, participants with mantle cell lymphoma and participants with follicular lymphoma. Participants were planned to receive loncastuximab tesirine as an IV infusion at the maximum tolerated dose (MTD) determined in the dose escalation part and durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The study was terminated during the dose escalation part of the study and the dose expansion part was not initiated.
    Measure Participants 3 2 7 0
    Number (95% Confidence Interval) [percentage of participants]
    33.3
    1110%
    100
    3333.3%
    71.4
    1020%
    6. Secondary Outcome
    Title Duration of Response (DOR)
    Description DOR was defined as the time from the documentation of first tumor response (CR or PR) to disease progression or death. CR was defined as achieving each of the following: Complete metabolic response. Complete radiologic response (target node regress to <1.5 cm, no non-measured lesions, no organ enlargement, no new lesions and normal bone marrow morphology). PR was defined as achieving each of the following: Partial metabolic response (findings indicate residual disease). Partial remission (>50% decrease in target measurable nodes, regression/ absence/ no increase of non-measured lesions, spleen regressed by >50% in length and no new lesions).
    Time Frame Up to 1.5 years

    Outcome Measure Data

    Analysis Population Description
    Efficacy analysis set - All participants who received at least one dose of study drug, had valid baseline disease assessment(s) and at least one valid post-baseline disease assessment. Participants who did not have a post-baseline assessment due to early clinical progression or death (after receiving study drug) were also included. The study was terminated prior to initiation of the dose expansion, so results are only presented for the dose escalation.
    Arm/Group Title Dose Escalation: Loncastuximab Tesirine 90 μg/kg Dose Escalation: Loncastuximab Tesirine 120 μg/kg Dose Escalation: Loncastuximab Tesirine 150 μg/kg Dose Expansion: Loncastuximab Tesirine
    Arm/Group Description Participants received loncastuximab tesirine as an intravenous (IV) infusion at a dose of 90 micrograms per kilogram (μg/kg) every 3 weeks (Q3W) on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a partial response (PR) or stable disease (SD) at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 milligrams (mg) on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 120 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 150 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The dose expansion phase was planned to consist of participants with diffuse large B-cell lymphoma, participants with mantle cell lymphoma and participants with follicular lymphoma. Participants were planned to receive loncastuximab tesirine as an IV infusion at the maximum tolerated dose (MTD) determined in the dose escalation part and durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The study was terminated during the dose escalation part of the study and the dose expansion part was not initiated.
    Measure Participants 3 3 7 0
    Mean (Standard Deviation) [months]
    NA
    (NA)
    NA
    (NA)
    NA
    (NA)
    7. Secondary Outcome
    Title Complete Response Rate (CRR)
    Description CRR was defined as the percentage of participants with a BOR of CR, according to the 2014 Lugano classification, as determined by the investigator. CR was defined as achieving each of the following: Complete metabolic response. Complete radiologic response (target node regress to <1.5 cm, no non-measured lesions, no organ enlargement, no new lesions and normal bone marrow morphology).
    Time Frame Up to 1.5 years

    Outcome Measure Data

    Analysis Population Description
    Efficacy analysis set - All participants who received at least one dose of study drug, had valid baseline disease assessment(s) and at least one valid post-baseline disease assessment. Participants who did not have a post-baseline assessment due to early clinical progression or death (after receiving study drug) were also included. The study was terminated prior to initiation of the dose expansion, so results are only presented for the dose escalation.
    Arm/Group Title Dose Escalation: Loncastuximab Tesirine 90 μg/kg Dose Escalation: Loncastuximab Tesirine 120 μg/kg Dose Escalation: Loncastuximab Tesirine 150 μg/kg Dose Expansion: Loncastuximab Tesirine
    Arm/Group Description Participants received loncastuximab tesirine as an intravenous (IV) infusion at a dose of 90 micrograms per kilogram (μg/kg) every 3 weeks (Q3W) on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a partial response (PR) or stable disease (SD) at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 milligrams (mg) on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 120 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 150 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The dose expansion phase was planned to consist of participants with diffuse large B-cell lymphoma, participants with mantle cell lymphoma and participants with follicular lymphoma. Participants were planned to receive loncastuximab tesirine as an IV infusion at the maximum tolerated dose (MTD) determined in the dose escalation part and durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The study was terminated during the dose escalation part of the study and the dose expansion part was not initiated.
    Measure Participants 3 2 7 0
    Number (95% Confidence Interval) [percentage of participants]
    0
    0%
    50
    1666.7%
    0
    0%
    8. Secondary Outcome
    Title Relapse-free Survival (RFS)
    Description RFS was defined as the time from the documentation of CR to disease progression or death. CR was defined as achieving each of the following: Complete metabolic response. Complete radiologic response (target node regress to <1.5 cm, no non-measured lesions, no organ enlargement, no new lesions and normal bone marrow morphology). Disease progression was defined as progressive metabolic disease and one of the following: Target node progression. An individual extranodal lesion must be abnormal with length > 1.5cm and/or increase of length > 50%. New or clear progression of non-measured lesions. Regrowth of previously resolved lesions or new nodes >1.5 cm in length. New or recurrent bone marrow involvement.
    Time Frame Up to 1.5 years

    Outcome Measure Data

    Analysis Population Description
    Efficacy analysis set - All participants who received at least one dose of study drug, had valid baseline disease assessment(s) and at least one valid post-baseline disease assessment. Participants who did not have a post-baseline assessment due to early clinical progression or death (after receiving study drug) were also included. The study was terminated prior to initiation of the dose expansion, so results are only presented for the dose escalation.
    Arm/Group Title Dose Escalation: Loncastuximab Tesirine 90 μg/kg Dose Escalation: Loncastuximab Tesirine 120 μg/kg Dose Escalation: Loncastuximab Tesirine 150 μg/kg Dose Expansion: Loncastuximab Tesirine
    Arm/Group Description Participants received loncastuximab tesirine as an intravenous (IV) infusion at a dose of 90 micrograms per kilogram (μg/kg) every 3 weeks (Q3W) on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a partial response (PR) or stable disease (SD) at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 milligrams (mg) on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 120 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 150 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The dose expansion phase was planned to consist of participants with diffuse large B-cell lymphoma, participants with mantle cell lymphoma and participants with follicular lymphoma. Participants were planned to receive loncastuximab tesirine as an IV infusion at the maximum tolerated dose (MTD) determined in the dose escalation part and durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The study was terminated during the dose escalation part of the study and the dose expansion part was not initiated.
    Measure Participants 3 2 7 0
    Mean (Standard Deviation) [months]
    NA
    (NA)
    NA
    (NA)
    NA
    (NA)
    9. Secondary Outcome
    Title Progression-free Survival (PFS)
    Description PFS was defined as the time between start of treatment and the first documentation of progression, or death. Disease progression was defined as progressive metabolic disease and one of the following: Target node progression. An individual extranodal lesion must be abnormal with length > 1.5cm and/or increase of length > 50%. New or clear progression of non-measured lesions. Regrowth of previously resolved lesions or new nodes >1.5 cm in length. New or recurrent bone marrow involvement.
    Time Frame Up to 1.5 years

    Outcome Measure Data

    Analysis Population Description
    Efficacy analysis set - All participants who received at least one dose of study drug, had valid baseline disease assessment(s) and at least one valid post-baseline disease assessment. Participants who did not have a post-baseline assessment due to early clinical progression or death (after receiving study drug) were also included. The study was terminated prior to initiation of the dose expansion, so results are only presented for the dose escalation.
    Arm/Group Title Dose Escalation: Loncastuximab Tesirine 90 μg/kg Dose Escalation: Loncastuximab Tesirine 120 μg/kg Dose Escalation: Loncastuximab Tesirine 150 μg/kg Dose Expansion: Loncastuximab Tesirine
    Arm/Group Description Participants received loncastuximab tesirine as an intravenous (IV) infusion at a dose of 90 micrograms per kilogram (μg/kg) every 3 weeks (Q3W) on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a partial response (PR) or stable disease (SD) at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 milligrams (mg) on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 120 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 150 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The dose expansion phase was planned to consist of participants with diffuse large B-cell lymphoma, participants with mantle cell lymphoma and participants with follicular lymphoma. Participants were planned to receive loncastuximab tesirine as an IV infusion at the maximum tolerated dose (MTD) determined in the dose escalation part and durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The study was terminated during the dose escalation part of the study and the dose expansion part was not initiated.
    Measure Participants 3 2 7 0
    Mean (Standard Deviation) [months]
    NA
    (NA)
    NA
    (NA)
    NA
    (NA)
    10. Secondary Outcome
    Title Overall Survival (OS)
    Description OS was defined as the time between the start of treatment and death from any cause.
    Time Frame Up to 1.5 years

    Outcome Measure Data

    Analysis Population Description
    Efficacy analysis set - All participants who received at least one dose of study drug, had valid baseline disease assessment(s) and at least one valid post-baseline disease assessment. Participants who did not have a post-baseline assessment due to early clinical progression or death (after receiving study drug) were also included. The study was terminated prior to initiation of the dose expansion, so results are only presented for the dose escalation.
    Arm/Group Title Dose Escalation: Loncastuximab Tesirine 90 μg/kg Dose Escalation: Loncastuximab Tesirine 120 μg/kg Dose Escalation: Loncastuximab Tesirine 150 μg/kg Dose Expansion: Loncastuximab Tesirine
    Arm/Group Description Participants received loncastuximab tesirine as an intravenous (IV) infusion at a dose of 90 micrograms per kilogram (μg/kg) every 3 weeks (Q3W) on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a partial response (PR) or stable disease (SD) at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 milligrams (mg) on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 120 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 150 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The dose expansion phase was planned to consist of participants with diffuse large B-cell lymphoma, participants with mantle cell lymphoma and participants with follicular lymphoma. Participants were planned to receive loncastuximab tesirine as an IV infusion at the maximum tolerated dose (MTD) determined in the dose escalation part and durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The study was terminated during the dose escalation part of the study and the dose expansion part was not initiated.
    Measure Participants 3 2 7 0
    Mean (Standard Deviation) [months]
    NA
    (NA)
    NA
    (NA)
    NA
    (NA)
    11. Secondary Outcome
    Title Maximum Concentration (Cmax) of Loncastuximab Tesirine Conjugated Antibody, Total Antibody and Warhead SG3199
    Description Cmax of loncastuximab tesirine conjugated antibody and total antibody was calculated for Cycles 1 and 2. Cmax of warhead SG3199 was only calculated for Cycle 1 as data was not collected for Cycle 2.
    Time Frame Cycles 1 and 2 (where Cycle 1 was 4 weeks long and Cycle 2 was 6 weeks long): Day 1 pre-dose and at 0.5 and 4 hours post-dose, Day 8 and Day 15

    Outcome Measure Data

    Analysis Population Description
    Pharmacokinetics (PK) population - All participants with at least one pre- Cycle 1 Day 1 (C1D1) and one post-dose valid assessment. The study was terminated prior to initiation of the dose expansion, so results are only presented for the dose escalation.
    Arm/Group Title Dose Escalation: Loncastuximab Tesirine 90 μg/kg Dose Escalation: Loncastuximab Tesirine 120 μg/kg Dose Escalation: Loncastuximab Tesirine 150 μg/kg Dose Expansion: Loncastuximab Tesirine
    Arm/Group Description Participants received loncastuximab tesirine as an intravenous (IV) infusion at a dose of 90 micrograms per kilogram (μg/kg) every 3 weeks (Q3W) on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a partial response (PR) or stable disease (SD) at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 milligrams (mg) on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 120 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 150 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The dose expansion phase was planned to consist of participants with diffuse large B-cell lymphoma, participants with mantle cell lymphoma and participants with follicular lymphoma. Participants were planned to receive loncastuximab tesirine as an IV infusion at the maximum tolerated dose (MTD) determined in the dose escalation part and durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The study was terminated during the dose escalation part of the study and the dose expansion part was not initiated.
    Measure Participants 3 3 7 0
    Cycle 1 - Conjugated Antibody
    540
    (52.4)
    1683
    (22.6)
    1980
    (30.6)
    Cycle 1 - Total Antibody
    1001
    (51.6)
    3122
    (16.7)
    2966
    (25.4)
    Cycle 1 - SG3199
    0.0350
    (58.5)
    Cycle 2 - Conjugated Antibody
    621
    (48.7)
    1946
    (33.5)
    1582
    (31.7)
    Cycle 2 - Total Antibody
    1228
    (44.6)
    3510
    (23.9)
    2899
    (29.3)
    12. Secondary Outcome
    Title Area Under the Concentration-time Curve From Time Zero to the Last Quantifiable Concentration (AUC0-last) of Loncastuximab Tesirine Conjugated Antibody, Total Antibody and Warhead SG3199
    Description AUC0-last of loncastuximab tesirine conjugated antibody and total antibody was calculated for Cycles 1 and 2. AUC0-last of warhead SG3199 was only calculated for Cycle 1 as data was not collected for Cycle 2.
    Time Frame Cycles 1 and 2 (where Cycle 1 was 4 weeks long and Cycle 2 was 6 weeks long): Day 1 pre-dose and at 0.5 and 4 hours post-dose, Day 8 and Day 15

    Outcome Measure Data

    Analysis Population Description
    PK population - All participants with at least one pre- C1D1 and one post-dose valid assessment. The study was terminated prior to initiation of the dose expansion, so results are only presented for the dose escalation.
    Arm/Group Title Dose Escalation: Loncastuximab Tesirine 90 μg/kg Dose Escalation: Loncastuximab Tesirine 120 μg/kg Dose Escalation: Loncastuximab Tesirine 150 μg/kg Dose Expansion: Loncastuximab Tesirine
    Arm/Group Description Participants received loncastuximab tesirine as an intravenous (IV) infusion at a dose of 90 micrograms per kilogram (μg/kg) every 3 weeks (Q3W) on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a partial response (PR) or stable disease (SD) at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 milligrams (mg) on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 120 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 150 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The dose expansion phase was planned to consist of participants with diffuse large B-cell lymphoma, participants with mantle cell lymphoma and participants with follicular lymphoma. Participants were planned to receive loncastuximab tesirine as an IV infusion at the maximum tolerated dose (MTD) determined in the dose escalation part and durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The study was terminated during the dose escalation part of the study and the dose expansion part was not initiated.
    Measure Participants 3 3 7 0
    Cycle 1 - Conjugated Antibody
    4265
    (52.5)
    17217
    (32.7)
    5763
    (253)
    Cycle 1 - Total Antibody
    7603
    (35.0)
    29456
    (34.3)
    3682
    (917)
    Cycle 1 - SG3199
    0.00300
    (61.9)
    Cycle 2 - Conjugated Antibody
    5305
    (24.9)
    5390
    (1410)
    7588
    (61.7)
    Cycle 2 - Total Antibody
    10388
    (21.1)
    9122
    (1485)
    13264
    (67.9)
    13. Secondary Outcome
    Title Area Under the Concentration-time Curve From Time Zero to Infinity (AUCinf) of Loncastuximab Tesirine Conjugated Antibody, Total Antibody and Warhead SG3199
    Description AUCinf of loncastuximab tesirine conjugated antibody and total antibody was calculated for Cycles 1 and 2. AUCinf of warhead SG3199 was only calculated for Cycle 1 as data was not collected for Cycle 2.
    Time Frame Cycles 1 and 2 (where Cycle 1 was 4 weeks long and Cycle 2 was 6 weeks long): Day 1 pre-dose and at 0.5 and 4 hours post-dose, Day 8 and Day 15

    Outcome Measure Data

    Analysis Population Description
    PK population - All participants with at least one pre- C1D1 and one post-dose valid assessment. The study was terminated prior to initiation of the dose expansion, so results are only presented for the dose escalation.
    Arm/Group Title Dose Escalation: Loncastuximab Tesirine 90 μg/kg Dose Escalation: Loncastuximab Tesirine 120 μg/kg Dose Escalation: Loncastuximab Tesirine 150 μg/kg Dose Expansion: Loncastuximab Tesirine
    Arm/Group Description Participants received loncastuximab tesirine as an intravenous (IV) infusion at a dose of 90 micrograms per kilogram (μg/kg) every 3 weeks (Q3W) on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a partial response (PR) or stable disease (SD) at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 milligrams (mg) on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 120 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 150 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The dose expansion phase was planned to consist of participants with diffuse large B-cell lymphoma, participants with mantle cell lymphoma and participants with follicular lymphoma. Participants were planned to receive loncastuximab tesirine as an IV infusion at the maximum tolerated dose (MTD) determined in the dose escalation part and durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The study was terminated during the dose escalation part of the study and the dose expansion part was not initiated.
    Measure Participants 2 2 2 0
    Cycle 1 - Total Antibody
    15954
    (NA)
    Cycle 2 - Conjugated Antibody
    5461
    (64.5)
    18182
    (15.3)
    8504
    (41.4)
    Cycle 2 - Total Antibody
    7710
    (NA)
    27875
    (NA)
    15382
    (54.0)
    14. Secondary Outcome
    Title Apparent Terminal Half-life (Thalf) of Loncastuximab Tesirine Conjugated Antibody, Total Antibody and Warhead SG3199
    Description Thalf of loncastuximab tesirine conjugated antibody and total antibody was calculated for Cycles 1 and 2. Thalf of warhead SG3199 was only calculated for Cycle 1 as data was not collected for Cycle 2.
    Time Frame Cycles 1 and 2 (where Cycle 1 was 4 weeks long and Cycle 2 was 6 weeks long): Day 1 pre-dose and at 0.5 and 4 hours post-dose, Day 8 and Day 15

    Outcome Measure Data

    Analysis Population Description
    PK population - All participants with at least one pre- C1D1 and one post-dose valid assessment. The study was terminated prior to initiation of the dose expansion, so results are only presented for the dose escalation
    Arm/Group Title Dose Escalation: Loncastuximab Tesirine 90 μg/kg Dose Escalation: Loncastuximab Tesirine 120 μg/kg Dose Escalation: Loncastuximab Tesirine 150 μg/kg Dose Expansion: Loncastuximab Tesirine
    Arm/Group Description Participants received loncastuximab tesirine as an intravenous (IV) infusion at a dose of 90 micrograms per kilogram (μg/kg) every 3 weeks (Q3W) on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a partial response (PR) or stable disease (SD) at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 milligrams (mg) on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 120 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 150 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The dose expansion phase was planned to consist of participants with diffuse large B-cell lymphoma, participants with mantle cell lymphoma and participants with follicular lymphoma. Participants were planned to receive loncastuximab tesirine as an IV infusion at the maximum tolerated dose (MTD) determined in the dose escalation part and durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The study was terminated during the dose escalation part of the study and the dose expansion part was not initiated.
    Measure Participants 2 2 2 0
    Cycle 1 - Total Antibody
    8.13
    (NA)
    Cycle 2 - Conjugated Antibody
    8.84
    (33.6)
    16.9
    (54.9)
    5.93
    (213)
    Cycle 2 - Total Antibody
    15.1
    (NA)
    33.9
    (NA)
    6.28
    (180)
    15. Secondary Outcome
    Title Apparent Clearance (CL) of Loncastuximab Tesirine Conjugated Antibody, Total Antibody and Warhead SG3199
    Description CL for Cycle 2 reflects steady-state clearance. CL of loncastuximab tesirine conjugated antibody and total antibody was calculated for Cycles 1 and 2.
    Time Frame Cycles 1 and 2 (where Cycle 1 was 4 weeks long and Cycle 2 was 6 weeks long): Day 1 pre-dose and at 0.5 and 4 hours post-dose, Day 8 and Day 15

    Outcome Measure Data

    Analysis Population Description
    PK population - All participants with at least one pre- C1D1 and one post-dose valid assessment. The study was terminated prior to initiation of the dose expansion, so results are only presented for the dose escalation.
    Arm/Group Title Dose Escalation: Loncastuximab Tesirine 90 μg/kg Dose Escalation: Loncastuximab Tesirine 120 μg/kg Dose Escalation: Loncastuximab Tesirine 150 μg/kg Dose Expansion: Loncastuximab Tesirine
    Arm/Group Description Participants received loncastuximab tesirine as an intravenous (IV) infusion at a dose of 90 micrograms per kilogram (μg/kg) every 3 weeks (Q3W) on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a partial response (PR) or stable disease (SD) at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 milligrams (mg) on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 120 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 150 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The dose expansion phase was planned to consist of participants with diffuse large B-cell lymphoma, participants with mantle cell lymphoma and participants with follicular lymphoma. Participants were planned to receive loncastuximab tesirine as an IV infusion at the maximum tolerated dose (MTD) determined in the dose escalation part and durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The study was terminated during the dose escalation part of the study and the dose expansion part was not initiated.
    Measure Participants 2 2 2 0
    Cycle 1 - Total Antibody
    0.846
    (NA)
    Cycle 2 - Conjugated Antibody
    0.927
    (50.7)
    0.319
    (6.31)
    1.33
    (36.4)
    Cycle 2 - Total Antibody
    0.720
    (NA)
    0.212
    (NA)
    0.872
    (NA)
    16. Secondary Outcome
    Title Apparent Volume of Distribution at Steady State (Vss) of Loncastuximab Tesirine Conjugated Antibody, Total Antibody and Warhead SG3199
    Description Vss of loncastuximab tesirine conjugated antibody and total antibody was calculated for Cycles 1 and 2.
    Time Frame Cycles 1 and 2 (where Cycle 1 was 4 weeks long and Cycle 2 was 6 weeks long): Day 1 pre-dose and at 0.5 and 4 hours post-dose, Day 8 and Day 15

    Outcome Measure Data

    Analysis Population Description
    PK population - All participants with at least one pre- C1D1 and one post-dose valid assessment. The study was terminated prior to initiation of the dose expansion, so results are only presented for the dose escalation.
    Arm/Group Title Dose Escalation: Loncastuximab Tesirine 90 μg/kg Dose Escalation: Loncastuximab Tesirine 120 μg/kg Dose Escalation: Loncastuximab Tesirine 150 μg/kg Dose Expansion: Loncastuximab Tesirine
    Arm/Group Description Participants received loncastuximab tesirine as an intravenous (IV) infusion at a dose of 90 micrograms per kilogram (μg/kg) every 3 weeks (Q3W) on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a partial response (PR) or stable disease (SD) at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 milligrams (mg) on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 120 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 150 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The dose expansion phase was planned to consist of participants with diffuse large B-cell lymphoma, participants with mantle cell lymphoma and participants with follicular lymphoma. Participants were planned to receive loncastuximab tesirine as an IV infusion at the maximum tolerated dose (MTD) determined in the dose escalation part and durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The study was terminated during the dose escalation part of the study and the dose expansion part was not initiated.
    Measure Participants 2 2 2 0
    Cycle 1 - Total Antibody
    9.39
    (NA)
    Cycle 2 - Conjugated Antibody
    11.3
    (94.4)
    7.36
    (38.7)
    6.95
    (270)
    Cycle 2 - Total Antibody
    13.7
    (NA)
    8.61
    (NA)
    5.14
    (171)
    17. Secondary Outcome
    Title Accumulation Index (AI) of Loncastuximab Tesirine Conjugated Antibody and Total Antibody
    Description AI is the ratio of drug accumulation after repeated administration compared to a single dose. AI of loncastuximab tesirine conjugated antibody and total antibody was calculated from Cycles 1 and 2.
    Time Frame Cycles 1 and 2 (where Cycle 1 was 4 weeks long and Cycle 2 was 6 weeks long): Day 1 pre-dose and at 0.5 and 4 hours post-dose, Day 8 and Day 15

    Outcome Measure Data

    Analysis Population Description
    PK population - All participants with at least one pre- C1D1 and one post-dose valid assessment. The study was terminated prior to initiation of the dose expansion, so results are only presented for the dose escalation.
    Arm/Group Title Dose Escalation: Loncastuximab Tesirine 90 μg/kg Dose Escalation: Loncastuximab Tesirine 120 μg/kg Dose Escalation: Loncastuximab Tesirine 150 μg/kg Dose Expansion: Loncastuximab Tesirine
    Arm/Group Description Participants received loncastuximab tesirine as an intravenous (IV) infusion at a dose of 90 micrograms per kilogram (μg/kg) every 3 weeks (Q3W) on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a partial response (PR) or stable disease (SD) at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 milligrams (mg) on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 120 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 150 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The dose expansion phase was planned to consist of participants with diffuse large B-cell lymphoma, participants with mantle cell lymphoma and participants with follicular lymphoma. Participants were planned to receive loncastuximab tesirine as an IV infusion at the maximum tolerated dose (MTD) determined in the dose escalation part and durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The study was terminated during the dose escalation part of the study and the dose expansion part was not initiated.
    Measure Participants 2 2 2 0
    Cycle 2 - Conjugated Antibody
    1.25
    (12.9)
    1.77
    (33.0)
    1.27
    (34.4)
    Cycle 2 - Total Antibody
    1.62
    (NA)
    2.87
    (NA)
    1.26
    (33.3)
    18. Secondary Outcome
    Title Number of Participants With an Anti-drug Antibody (ADA) Response to Loncastuximab Tesirine
    Description Detection of ADAs were performed by using a screening assay for identification of antibody positive samples/patients, a confirmation assay, and titer assessment, and were performed using the Meso-Scale Discovery Electrochemiluminescence platform.
    Time Frame Cycle 1 (= 3 weeks): Day 1 pre-dose & Day 15; Cycles 2, 3, 5, 6, & 7 (Cycle 2 = 6 weeks, other cycles = 4 weeks): Day 1 pre-dose; 30 days after last dose of study drugs

    Outcome Measure Data

    Analysis Population Description
    Safety analysis set - All participants who received the study drug. The study was terminated prior to initiation of the dose expansion, so results are only presented for the dose escalation.
    Arm/Group Title Dose Escalation: Loncastuximab Tesirine 90 μg/kg Dose Escalation: Loncastuximab Tesirine 120 μg/kg Dose Escalation: Loncastuximab Tesirine 150 μg/kg Dose Expansion: Loncastuximab Tesirine
    Arm/Group Description Participants received loncastuximab tesirine as an intravenous (IV) infusion at a dose of 90 micrograms per kilogram (μg/kg) every 3 weeks (Q3W) on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a partial response (PR) or stable disease (SD) at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 milligrams (mg) on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 120 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 150 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The dose expansion phase was planned to consist of participants with diffuse large B-cell lymphoma, participants with mantle cell lymphoma and participants with follicular lymphoma. Participants were planned to receive loncastuximab tesirine as an IV infusion at the maximum tolerated dose (MTD) determined in the dose escalation part and durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The study was terminated during the dose escalation part of the study and the dose expansion part was not initiated.
    Measure Participants 3 3 7 0
    Count of Participants [Participants]
    0
    0%
    0
    0%
    0
    0%

    Adverse Events

    Time Frame Day 1 up to end of follow-up (maximum duration was 1.5 years)
    Adverse Event Reporting Description TEAEs collected up to 30 days after last dose of study drug or initiation of new anti-cancer therapy. The only AEs collected beyond that were treatment related SAEs and ACM for up to 1.5 years
    Arm/Group Title Dose Escalation: Loncastuximab Tesirine 90 μg/kg Dose Escalation: Loncastuximab Tesirine 120 μg/kg Dose Escalation: Loncastuximab Tesirine 150 μg/kg Dose Expansion: Loncastuximab Tesirine
    Arm/Group Description Participants received loncastuximab tesirine as an intravenous (IV) infusion at a dose of 90 micrograms per kilogram (μg/kg) every 3 weeks (Q3W) on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a partial response (PR) or stable disease (SD) at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 milligrams (mg) on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 120 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. Participants received loncastuximab tesirine as an IV infusion at a dose of 150 μg/kg Q3W on Day 1 of Cycles 1 and 2. Cycle 1 was 3 weeks long and Cycle 2 was 6 weeks long. Participants with a PR or SD at Week 15 received an additional 2 doses of loncastuximab tesirine on Day 8 of Cycles 5 and 6. All cycles other than Cycles 1 and 2 were 4 weeks long. Participants also received durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The dose expansion phase was planned to consist of participants with diffuse large B-cell lymphoma, participants with mantle cell lymphoma and participants with follicular lymphoma. Participants were planned to receive loncastuximab tesirine as an IV infusion at the maximum tolerated dose (MTD) determined in the dose escalation part and durvalumab as an IV infusion at a dose of 1500 mg on Day 8 of Cycle 1 and Day 15 of Cycle 2, then on Day 1 of subsequent cycles. The study was terminated during the dose escalation part of the study and the dose expansion part was not initiated.
    All Cause Mortality
    Dose Escalation: Loncastuximab Tesirine 90 μg/kg Dose Escalation: Loncastuximab Tesirine 120 μg/kg Dose Escalation: Loncastuximab Tesirine 150 μg/kg Dose Expansion: Loncastuximab Tesirine
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 1/3 (33.3%) 1/3 (33.3%) 0/7 (0%) 0/0 (NaN)
    Serious Adverse Events
    Dose Escalation: Loncastuximab Tesirine 90 μg/kg Dose Escalation: Loncastuximab Tesirine 120 μg/kg Dose Escalation: Loncastuximab Tesirine 150 μg/kg Dose Expansion: Loncastuximab Tesirine
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 1/3 (33.3%) 2/3 (66.7%) 1/7 (14.3%) 0/0 (NaN)
    Gastrointestinal disorders
    Abdominal Pain 0/3 (0%) 0 1/3 (33.3%) 1 0/7 (0%) 0 0/0 (NaN) 0
    General disorders
    Systemic inflammatory response syndrome 0/3 (0%) 0 1/3 (33.3%) 1 0/7 (0%) 0 0/0 (NaN) 0
    Investigations
    Blood lactic acid increased 0/3 (0%) 0 1/3 (33.3%) 1 0/7 (0%) 0 0/0 (NaN) 0
    Metabolism and nutrition disorders
    Dehydration 0/3 (0%) 0 1/3 (33.3%) 1 0/7 (0%) 0 0/0 (NaN) 0
    Musculoskeletal and connective tissue disorders
    Myositis 0/3 (0%) 0 0/3 (0%) 0 1/7 (14.3%) 1 0/0 (NaN) 0
    Renal and urinary disorders
    Acute kidney injury 1/3 (33.3%) 1 0/3 (0%) 0 0/7 (0%) 0 0/0 (NaN) 0
    Urinary tract obstruction 1/3 (33.3%) 1 0/3 (0%) 0 0/7 (0%) 0 0/0 (NaN) 0
    Other (Not Including Serious) Adverse Events
    Dose Escalation: Loncastuximab Tesirine 90 μg/kg Dose Escalation: Loncastuximab Tesirine 120 μg/kg Dose Escalation: Loncastuximab Tesirine 150 μg/kg Dose Expansion: Loncastuximab Tesirine
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 3/3 (100%) 3/3 (100%) 7/7 (100%) 0/0 (NaN)
    Blood and lymphatic system disorders
    Neutropenia 0/3 (0%) 0 1/3 (33.3%) 2 2/7 (28.6%) 2 0/0 (NaN) 0
    Thrombocytopenia 0/3 (0%) 0 1/3 (33.3%) 1 2/7 (28.6%) 2 0/0 (NaN) 0
    Anaemia 0/3 (0%) 0 1/3 (33.3%) 1 1/7 (14.3%) 1 0/0 (NaN) 0
    Lymphopenia 0/3 (0%) 0 0/3 (0%) 0 2/7 (28.6%) 2 0/0 (NaN) 0
    Leukopenia 0/3 (0%) 0 0/3 (0%) 0 1/7 (14.3%) 1 0/0 (NaN) 0
    Cardiac disorders
    Atrial fibrillation 0/3 (0%) 0 1/3 (33.3%) 1 0/7 (0%) 0 0/0 (NaN) 0
    Ear and labyrinth disorders
    Hypoacusis 0/3 (0%) 0 0/3 (0%) 0 1/7 (14.3%) 1 0/0 (NaN) 0
    Gastrointestinal disorders
    Abdominal pain 1/3 (33.3%) 2 1/3 (33.3%) 1 2/7 (28.6%) 2 0/0 (NaN) 0
    Diarrhoea 1/3 (33.3%) 10 1/3 (33.3%) 2 0/7 (0%) 0 0/0 (NaN) 0
    Abdominal distension 1/3 (33.3%) 1 0/3 (0%) 0 0/7 (0%) 0 0/0 (NaN) 0
    Abdominal pain upper 0/3 (0%) 0 0/3 (0%) 0 1/7 (14.3%) 1 0/0 (NaN) 0
    Constipation 0/3 (0%) 0 0/3 (0%) 0 1/7 (14.3%) 1 0/0 (NaN) 0
    Flatulence 1/3 (33.3%) 1 0/3 (0%) 0 0/7 (0%) 0 0/0 (NaN) 0
    Lip oedema 0/3 (0%) 0 1/3 (33.3%) 1 0/7 (0%) 0 0/0 (NaN) 0
    Nausea 1/3 (33.3%) 4 0/3 (0%) 0 0/7 (0%) 0 0/0 (NaN) 0
    Oedema mouth 0/3 (0%) 0 1/3 (33.3%) 1 0/7 (0%) 0 0/0 (NaN) 0
    Oral discomfort 0/3 (0%) 0 1/3 (33.3%) 1 0/7 (0%) 0 0/0 (NaN) 0
    Oral disorder 0/3 (0%) 0 1/3 (33.3%) 1 0/7 (0%) 0 0/0 (NaN) 0
    Stomatitis 0/3 (0%) 0 1/3 (33.3%) 1 0/7 (0%) 0 0/0 (NaN) 0
    Vomiting 1/3 (33.3%) 1 0/3 (0%) 0 0/7 (0%) 0 0/0 (NaN) 0
    General disorders
    Asthenia 0/3 (0%) 0 2/3 (66.7%) 2 1/7 (14.3%) 2 0/0 (NaN) 0
    Fatigue 1/3 (33.3%) 1 1/3 (33.3%) 1 1/7 (14.3%) 1 0/0 (NaN) 0
    Non-cardiac chest pain 1/3 (33.3%) 1 0/3 (0%) 0 1/7 (14.3%) 1 0/0 (NaN) 0
    Oedema peripheral 0/3 (0%) 0 1/3 (33.3%) 2 0/7 (0%) 0 0/0 (NaN) 0
    Peripheral swelling 0/3 (0%) 0 1/3 (33.3%) 1 0/7 (0%) 0 0/0 (NaN) 0
    Infections and infestations
    Influenza 1/3 (33.3%) 1 0/3 (0%) 0 0/7 (0%) 0 0/0 (NaN) 0
    Upper respiratory tract infection 1/3 (33.3%) 1 0/3 (0%) 0 0/7 (0%) 0 0/0 (NaN) 0
    Investigations
    Aspartate aminotransferase increased 1/3 (33.3%) 1 0/3 (0%) 0 3/7 (42.9%) 3 0/0 (NaN) 0
    Alanine aminotransferase increased 0/3 (0%) 0 0/3 (0%) 0 3/7 (42.9%) 3 0/0 (NaN) 0
    Blood alkaline phosphatase increased 0/3 (0%) 0 0/3 (0%) 0 3/7 (42.9%) 3 0/0 (NaN) 0
    Gamma-glutamyltransferase increased 0/3 (0%) 0 0/3 (0%) 0 3/7 (42.9%) 3 0/0 (NaN) 0
    Lymphocyte count decreased 2/3 (66.7%) 2 0/3 (0%) 0 0/7 (0%) 0 0/0 (NaN) 0
    Blood creatine phosphokinase increased 0/3 (0%) 0 0/3 (0%) 0 1/7 (14.3%) 1 0/0 (NaN) 0
    Metabolism and nutrition disorders
    Decreased appetite 1/3 (33.3%) 1 1/3 (33.3%) 1 1/7 (14.3%) 1 0/0 (NaN) 0
    Hypokalaemia 1/3 (33.3%) 1 0/3 (0%) 0 0/7 (0%) 0 0/0 (NaN) 0
    Hypomagnesaemia 0/3 (0%) 0 0/3 (0%) 0 1/7 (14.3%) 1 0/0 (NaN) 0
    Hypophosphataemia 1/3 (33.3%) 1 0/3 (0%) 0 0/7 (0%) 0 0/0 (NaN) 0
    Musculoskeletal and connective tissue disorders
    Arthralgia 1/3 (33.3%) 1 1/3 (33.3%) 1 1/7 (14.3%) 1 0/0 (NaN) 0
    Arthritis 0/3 (0%) 0 1/3 (33.3%) 1 0/7 (0%) 0 0/0 (NaN) 0
    Musculoskeletal chest pain 1/3 (33.3%) 1 0/3 (0%) 0 0/7 (0%) 0 0/0 (NaN) 0
    Myalgia 0/3 (0%) 0 0/3 (0%) 0 1/7 (14.3%) 1 0/0 (NaN) 0
    Myositis 0/3 (0%) 0 0/3 (0%) 0 1/7 (14.3%) 1 0/0 (NaN) 0
    Neck pain 0/3 (0%) 0 0/3 (0%) 0 1/7 (14.3%) 1 0/0 (NaN) 0
    Pain in extremity 0/3 (0%) 0 1/3 (33.3%) 1 0/7 (0%) 0 0/0 (NaN) 0
    Nervous system disorders
    Headache 1/3 (33.3%) 3 0/3 (0%) 0 2/7 (28.6%) 2 0/0 (NaN) 0
    Taste disorder 0/3 (0%) 0 0/3 (0%) 0 1/7 (14.3%) 1 0/0 (NaN) 0
    Renal and urinary disorders
    Acute kidney injury 0/3 (0%) 0 0/3 (0%) 0 1/7 (14.3%) 1 0/0 (NaN) 0
    Respiratory, thoracic and mediastinal disorders
    Cough 1/3 (33.3%) 1 0/3 (0%) 0 0/7 (0%) 0 0/0 (NaN) 0
    Dyspnoea 0/3 (0%) 0 1/3 (33.3%) 1 0/7 (0%) 0 0/0 (NaN) 0
    Skin and subcutaneous tissue disorders
    Pruritus 1/3 (33.3%) 2 0/3 (0%) 0 2/7 (28.6%) 2 0/0 (NaN) 0
    Rash 1/3 (33.3%) 1 1/3 (33.3%) 1 0/7 (0%) 0 0/0 (NaN) 0
    Rash maculo-papular 0/3 (0%) 0 1/3 (33.3%) 1 1/7 (14.3%) 1 0/0 (NaN) 0
    Blister 0/3 (0%) 0 0/3 (0%) 0 1/7 (14.3%) 1 0/0 (NaN) 0
    Decubitus ulcer 0/3 (0%) 0 1/3 (33.3%) 1 0/7 (0%) 0 0/0 (NaN) 0
    Dermatitis acneiform 1/3 (33.3%) 2 0/3 (0%) 0 0/7 (0%) 0 0/0 (NaN) 0
    Dry skin 1/3 (33.3%) 1 0/3 (0%) 0 0/7 (0%) 0 0/0 (NaN) 0
    Erythema 0/3 (0%) 0 1/3 (33.3%) 1 0/7 (0%) 0 0/0 (NaN) 0
    Hyperhidrosis 0/3 (0%) 0 0/3 (0%) 0 1/7 (14.3%) 2 0/0 (NaN) 0
    Night sweats 1/3 (33.3%) 1 0/3 (0%) 0 0/7 (0%) 0 0/0 (NaN) 0
    Photosensitivity reaction 0/3 (0%) 0 0/3 (0%) 0 1/7 (14.3%) 1 0/0 (NaN) 0
    Vascular disorders
    Deep vein thrombosis 1/3 (33.3%) 1 1/3 (33.3%) 1 0/7 (0%) 0 0/0 (NaN) 0
    Flushing 0/3 (0%) 0 0/3 (0%) 0 1/7 (14.3%) 1 0/0 (NaN) 0
    Hot flush 1/3 (33.3%) 1 0/3 (0%) 0 0/7 (0%) 0 0/0 (NaN) 0
    Hypertension 0/3 (0%) 0 1/3 (33.3%) 1 0/7 (0%) 0 0/0 (NaN) 0

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.

    Results Point of Contact

    Name/Title Clinical Trials Information
    Organization ADC Therapeutics SA
    Phone 954-903-7994
    Email clinical.trials@adctherapeutics.com
    Responsible Party:
    ADC Therapeutics S.A.
    ClinicalTrials.gov Identifier:
    NCT03685344
    Other Study ID Numbers:
    • ADCT-402-104
    • 2018-002670-43
    First Posted:
    Sep 26, 2018
    Last Update Posted:
    Oct 26, 2021
    Last Verified:
    Sep 1, 2021