Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Also known as SGN-35, ADCETRIS, ADC SGN-35, Anti-CD30 Antibody-Drug Conjugate SGN-35, Anti-CD30 Monoclonal Antibody-MMAE SGN-35, Anti-CD30 Monoclonal Antibody-Monomethylauristatin E SGN-35, cAC10-vcMMAE
Brentuximab vedotin · 22 trials · 35 indications
OS was defined as the time from the date of randomization to the date of death due to any cause. Participants who had not died were censored at the last known alive date or the data cutoff date, whichever was earlier. OS was estimated using the Kaplan-Meier method.
The time from the date of randomization to the date of first documentation of progressive disease (PD), death due to any cause, or receipt of subsequent anticancer chemotherapy to treat residual or progressive disease whichever occurred first.
Time from date of randomization to the first documentation of disease progression by independent review or to death due to any cause, whichever comes first
Skin improvement is defined as the mean mRSS decrease of ≥8 points modified Rodnan Skin Score (mRSS): is a standard outcome measure for skin disease in SSc and calculated by measuring skin thickness in 17 different body sites (each site scored 0-3, with a total possible additive score of 51). A higher skin score (or a higher "skin thickness") and progression of this score, is predictive of internal organ involvement and mortality. While a lower or improving (lessening) score is associated with favorable outcomes, including better survival.
Confirmed ORR per RECIST v1.1 is defined as the proportion of participants whose best overall response is a confirmed complete response (CR) or partial response (PR) per RECIST v1.1.
Will be assessed per 2014 Lugano criteria and Lymphoma Response to Immunomodulatory Therapy Criteria (LYRIC) criteria. Will be summarized with 95% confidence intervals.
Will be assessed by complete response + partial response per 2014 Lugano criteria and LYRIC criteria.
ORR was defined as the percentage of participants with complete response (CR) or partial response (PR) following the completion of study treatment (at end of treatment \[EOT\]). CR and PR per Cheson 2007: CR was defined as complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present before therapy and PR was defined as at least a 50% decrease in sum of the product of the diameters (SPD) of up to six of the largest dominant nodes or nodal masses.
Objective response rate (ORR) per investigator was defined as the percentage of subjects with complete response (CR) or partial response (PR) through the end of study or prior to the start of new anti-cancer treatment (including stem cell transplant, and excluding consolidative radiotherapy) other than the study treatment. For Parts A, B, and C the response was assessed using the Revised Response Criteria for Malignant Lymphoma (Cheson 2007).
Objective response rate (ORR) per investigator was defined as the percentage of subjects with CR or PR through the end of study or prior to the start of new anti-cancer treatment (including stem cell transplant, and excluding consolidative radiotherapy) other than the study treatment. For Part D, the response was assessed using the Lugano Classification Revised Staging System for nodal non-Hodgkin and cHL (Lugano criteria) and the Lymphoma Response to Immunomodulatory Therapy Criteria (LYRIC).
Objective response rate (ORR) per investigator was defined as the percentage of subjects with CR or PR through the end of study or prior to the start of new anti-cancer treatment (including stem cell transplant, and excluding consolidative radiotherapy) other than the study treatment. For Parts E and F, the response was assessed per blinded independent central review (BICR) using the modified Lugano criteria.
Percentage of participants who achieved a best response of complete response/remission (CR), CR without hematologic recovery (CRi; leukemia only), or partial remission (PR) per the applicable response criteria. Response criteria for solid tumors (by radiographic tumor imaging) per Response Evaluation Criteria for Solid Tumors (RECIST) 1.1 (Eisenhauer 2009); response criteria for leukemia (by peripheral blood and bone marrow aspirate or biopsy) per International Working Group (Cheson 2003).
Percentage of participants treated with brentuximab vedotin monotherapy who achieved a best response of complete remission (CR, disappearance of all evidence of disease) or partial remission (PR, regression of greater than or equal to 50% of measurable disease and no new sites) per Cheson 2007 Revised Response Criteria for Malignant Lymphoma.
Counts of participants who had treatment-emergent adverse events (TEAE, defined as newly occurring or worsening after first dose on Study SGN35-012). Serious adverse events are reported from the time of informed consent. National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE version 4.03) were used to assess severity (1=mild, 2=moderate, 3=severe, 4=life-threatening/disabling, 5=fatal). Relatedness to study drug was assessed by the investigator (Yes/No). Participants with multiple occurrences of an adverse event within a category are counted once within the category.
Response rate is percentage of participants with skin lesions that express CD30+ receiving SGN-35 in primary cutaneous ALCL, MF, and extensive lymphomatoid papulosis whose best response during the observation period is a Partial Response (PR), regression of measurable disease, or Complete Response (CR), complete disappearance of all clinical evidence of disease, (i.e. at least moderate improvement). Objective tumor response (PR, CR, PR+CR) based on Response Evaluation Criteria In Solid Tumors (RECIST) criteria.
Percentage of participants in the retreatment arm who achieved a best response of complete remission (CR, disappearance of all evidence of disease) or partial remission (PR, regression of greater than or equal to 50% of measurable disease and no new sites) per Cheson 2007 Revised Response Criteria for Malignant Lymphoma.
Counts of participants who had adverse events or treatment-emergent adverse events (TEAE, defined as newly occurring or worsening after first dose on SGN35-006). Serious adverse events are reported from the time of informed consent. National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE version 3.0) were used to assess severity (1=mild, 2=moderate, 3=severe, 4=life threatening/disabling, 5=death). Relatedness to study drug was assessed by the investigator (Yes/No). Participants with multiple occurrences of an adverse event within a category are counted once within the category.
Counts of study participants with post-baseline laboratory abnormalities of Grade 3 or greater per NCI CTCAE version 3.0. Participants with multiple occurrences of a laboratory abnormality within a category are counted once in that category.
Percentage of participants who achieved a best response of complete remission (CR, disappearance of all evidence of disease) or partial remission (PR, regression of greater than or equal to 50% of measurable disease and no new sites) per Cheson 2007 Revised Response Criteria for Malignant Lymphoma.
Treatment-emergent adverse events (TEAEs) are presented and defined as newly occurring (not present at baseline) or worsening after first dose of investigational product. The timeframe includes a 6.01 month safety reporting period and additional long-term follow up through 28.9 months.
Number of patients with complete metabolic response (CMR) at end of treatment
All AEs reported after initiation of treatment and pre-existing conditions that worsen after initiation of treatment will be considered treatment-emergent AEs (TEAEs). All AEs will be coded by system organ class, MedDRA preferred term, and severity grade using NCI CTCAE V4.03. All recorded AEs will be included in the data listings.
| Arm | Type | Description |
|---|---|---|
| Experimental Arm | EXPERIMENTAL | Brentuximab vedotin + lenalidomide + rituximab |
| Control Arm | ACTIVE_COMPARATOR | Placebo + lenalidomide + rituximab |
| CHOP | ACTIVE_COMPARATOR | cyclophosphamide, doxorubicin, vincristine, and prednisone |
| A+CHP | EXPERIMENTAL | brentuximab vedotin, cyclophosphamide, doxorubicin, and prednisone |
| Brentuximab vedotin | EXPERIMENTAL | brentuximab vedotin 1.8 mg/kg every 3 weeks by IV infusion |
| Placebo | PLACEBO_COMPARATOR | placebo every 3 weeks by IV infusion |
| Administration of Brentuximab vedotin | EXPERIMENTAL | Maximum duration of treatment: 48 weeks Maximum dose allowed: 0.6 mg/kg Route of administration: intravenous |
| GDP | ACTIVE_COMPARATOR | - |
| Brentuximab vedotin + Pembrolizumab | ACTIVE_COMPARATOR | - |
| Combination Therapy | EXPERIMENTAL | brentuximab vedotin + pembrolizumab |
| Treatment (brentuximab vedotin, bendamustine) | EXPERIMENTAL | Patients receive brentuximab vedotin IV over 30 minutes on day 1 and bendamustine IV over 60 minutes on days 1 and 2. Treatment repeats every 21 days for 6 cycles in the absence of disease progression or unacceptable toxicity. Patients who respond to combination treatment and do not experience excessive toxicity may continue to receive brentuximab vedotin IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 10 cycles in the absence of disease progression or unacceptable toxicity. |
| CD30-negative Cohort | EXPERIMENTAL | Participants with CD30 expression level \< 1% |
| CD30-positive Cohort | EXPERIMENTAL | Participants with CD30 expression level ≥1% to \< 10% |
| Part A: Brentuximab Vedotin in HL Patients | EXPERIMENTAL | - |
| Part B: Brentuximab Vedotin + Dacarbazine in HL Patients | EXPERIMENTAL | - |
| Part C: Brentuximab Vedotin + Bendamustine in HL Patients | EXPERIMENTAL | - |
| Part D: Brentuximab Vedotin + Nivolumab in HL Patients | EXPERIMENTAL | - |
| Part E: Brentuximab Vedotin in HL Patients | EXPERIMENTAL | - |
| Part F: Brentuximab Vedotin in PTCL Patients | EXPERIMENTAL | - |
| Brentuximab vedotin 1.8 mg/kg | EXPERIMENTAL | Brentuximab vedotin 1.8 mg/kg every 3 weeks by IV infusion |
| Brentuximab vedotin 2.4 mg/kg | EXPERIMENTAL | Brentuximab vedotin 2.4 mg/kg every 3 weeks by IV infusion |
| Brentuximab vedotin 1.2 mg/kg | EXPERIMENTAL | Brentuximab vedotin 1.2 mg/kg weekly, 3 out of 4 weeks, by IV infusion |
| Brentuximab vedotin+rituximab | EXPERIMENTAL | - |
| SGN-35 | EXPERIMENTAL | 1.8 mg/kg intravenously Day 1 of 21-day cycle. |
| BV Retreatment | EXPERIMENTAL | Brentuximab vedotin 1.2 or 1.8 mg/kg every 3 weeks by IV infusion (retreatment after relapse) |
| BV Extension | EXPERIMENTAL | Brentuximab vedotin 1.2 or 1.8 mg/kg every 3 weeks by IV infusion (continued treatment) |
| Brentuximab Vedotin + Nivolumab | EXPERIMENTAL | Brentuximab vedotin plus nivolumab |
| Brentuximab Vedotin + Bendamustine | EXPERIMENTAL | Brentuximab vedotin 1.8 mg/kg every 3 weeks for up to 16 cycles by IV infusion and bendamustine 90 mg/m2 on Days 1 and 2 every 3 weeks by IV infusion for up to 6 cycles |
| 1 | EXPERIMENTAL | Sequential |
| 2 | EXPERIMENTAL | Combination |
| 3 Brentuximab vedotin/CH-P | EXPERIMENTAL | Combination |
| 3 | EXPERIMENTAL | brentuximab vedotin +/- ketoconazole |
| 4 | EXPERIMENTAL | special populations |
| A | EXPERIMENTAL | - |
| Name | Type | Description |
|---|---|---|
| Brentuximab vedotin | DRUG | 1.2 mg/kg administered into the vein (IV; intravenously) infusion every 3 weeks |
| Rituximab | DRUG | 375 mg/m\^2 administered via intravenous infusion on Cycle 1 Day 1. 1400 mg injected under the skin (subcutaneous) permitted every 3 weeks from Cycle 2 Day 1 through end of treatment. |
| Lenalidomide | DRUG | 20 mg given by mouth (orally) daily |
| Placebo | OTHER | Administered via intravenous infusion every 3 weeks |
| doxorubicin | DRUG | 50 mg/m2 every 3 weeks by IV infusion for 6-8 cycles |
| prednisone | DRUG | 100 mg on Days 1 to 5 of each 3-week cycle, orally for 6-8 cycles |
| vincristine | DRUG | 1.4 mg/m2 (maximum 2 mg) every 3 weeks by IV infusion for 6-8 cycles |
| cyclophosphamide | DRUG | 750 mg/m2 every 3 weeks by IV infusion for 6-8 cycles |
| Gemcitabine | DRUG | 1000mg/m2 IV, 30 mins D1, D8 |
| Dexamethasone | DRUG | 40mg daily PO, D1-D4 |
| Cisplatin | DRUG | 75mg/m2 IV, 1 hour, D1 |
| Pembrolizumab | DRUG | 200mg IV, 30 mins, Q 21 days |
| Bendamustine Hydrochloride | DRUG | Given IV |
| bendamustine | DRUG | 70 mg/m\^2 by IV infusion on Days 1 and 2 of 3-week cycle |
| dacarbazine | DRUG | 375 mg/m\^2 every 3 weeks by IV infusion |
| nivolumab | DRUG | 3 mg/kg every 3 weeks by IV infusion |
| SGN-35 | DRUG | 1.8 mg/kg administered by outpatient IV infusion given over approximately 30 minutes on Day 1 of each 21-day cycle. |
| vinblastine | DRUG | 6 mg/m2 IV every 2 weeks |
| bleomycin | DRUG | 10 units/m2 IV every 2 weeks |
| rifampin | DRUG | 600 mg/day PO |
| midazolam | DRUG | 1 mg IV |
| ketoconazole | DRUG | 400 mg/day PO |
Inclusion Criteria: * Participants with relapsed or refractory diffuse and transformed large B-cell lymphoma (R/R DLBCL). DLBCL and cell of origin (GCB versus non-GCB) will be histologically determined by local pathology assessment for the purposes of study eligibility and stratification. * Partici...
Brentuximab vedotin is an antibody-drug conjugate being studied in several cancers and in diffuse cutaneous systemic sclerosis. Its oncology indications include anaplastic large-cell lymphoma, CD30-positive cutaneous T-cell lymphoma, diffuse large B-cell lymphoma, acute lymphoid leukemia, carcinomas, and Hodgkin lymphoma. It is also being evaluated in early diffuse cutaneous systemic sclerosis.
Brentuximab vedotin targets tubulin proteins including TUBB4B, TUBB1, TUBA3C, TUBA4A, TUBB3, and TUBA1A. It is an antibody-drug conjugate that acts as an inhibitor of these targets. By binding to tubulin, the agent interferes with microtubule function in targeted cells.
Brentuximab vedotin is developed by Pfizer, Inc., which trades under the ticker PFE. The company is responsible for the clinical development program for this antibody-drug conjugate across its oncology and systemic sclerosis indications.
Brentuximab vedotin is in Phase 2 clinical development. It is an investigational agent and has not been approved by the FDA for the indications currently under study. The Phase 2 program includes both completed and recruiting trials across lymphoma, solid tumor, and systemic sclerosis indications.
Brentuximab vedotin is being studied in several Phase 2 trials, including NCT05180097 in relapsed or refractory Hodgkin lymphoma, NCT05149768 in early diffuse cutaneous systemic sclerosis, NCT04609566 in metastatic solid tumors, and NCT04587687 in relapsed or refractory follicular lymphoma. These trials have enrolled a total of 830 participants.
Yes, Brentuximab vedotin is also known as SGN-35. SGN-35 was the original designation used during its development. Both names refer to the same antibody-drug conjugate developed by Pfizer, Inc. under the ticker PFE.