Lymphoma Trial Enrollment Paused After 7 Deaths
ADC Therapeutics has paused new patient enrollment in the Phase 2 LOTIS-9 clinical trial evaluating Zynlonta (loncastuximab tesirine-lpyl) and rituximab in unfit or frail patients with previously untreated diffuse large B-cell lymphoma after reporting seven patient deaths. The action followed a recent review of aggregate data of the 40 patients enrolled in the trial and after consulting with the Data Monitoring Committee, which signaled potentially excessive respiratory-related events, according to the company.
“These respiratory-related treatment-emergent adverse events (TEAEs) included seven Grade 5 fatal events and five Grade 3 or Grade 4 respiratory-related TEAEs,” ADC says. “As per investigator assessment, eleven of the twelve events (including six of the seven Grade 5 fatal events) were individually assessed as unlikely or unrelated to study drug. Four out of the five Grade 3 or Grade 4 events have since resolved and the patients have completed treatment per protocol. The cause of these events remains under further investigation.”
ADC says that all fatal events involved patients having one or more significant active underlying respiratory and/or cardiac co-morbidities including severe chronic obstructive pulmonary disease, pulmonary edema, chronic bronchiectasis, idiopathic pulmonary fibrosis and recent Covid-19 infection. The mean age of patients who died was 82.7 years and the mean number of days from the last dose to death was 51 days, it adds.