Safety summary for patients treated in the expansion cohorts (parts B and D)
. | Relatlimab monotherapy (240 mg; part B) . | Nivolumab plus relatlimab (240 mg/160 mg; part D) . | ||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
CLL (n = 2) . | DLBCL (n = 2) . | IL (n = 4) . | HL∗ (n = 3) . | Total (n = 11) . | HL∗ anti–PD-(L)1– naive (n = 21) . | HL∗ anti–PD-(L)1–progressed (n = 20) . | DLBCL (n = 15) . | Total (n = 56) . | ||||||||||
Grade, n (%) | Any | 3/4 | Any | 3/4 | Any | 3/4 | Any | 3/4 | Any | 3/4 | Any | 3/4 | Any | 3/4 | Any | 3/4 | Any | 3/4 |
All-causality AEs | 2 (100.0) | 2 (100.0) | 2† (100.0) | 0 | 4 (100.0) | 2 (50.0) | 3 (100.0) | 1 (33.3) | 11 (100.0) | 5 (45.4) | 21 (100.0) | 12 (57.1) | 20 (100.0) | 8 (40.0) | 14‡ (93.3) | 4 (26.7) | 55 (98.2) | 24 (42.8) |
TRAEs | 1 (50.0) | 1 (50.0) | 1 (50.0) | 0 | 3 (75.0) | 1 (25.0) | 1 (33.3) | 0 | 6 (54.5) | 2 (18.2) | 14 (66.7) | 2 (9.5) | 16 (80.0) | 4 (20.0) | 5 (33.3) | 1 (6.7) | 35 (62.5) | 7 (12.5) |
TRAEs in ≥5% of patients | ||||||||||||||||||
Amylase increased | 0 | 0 | 0 | 0 | 1 (25.0) | 0 | 0 | 0 | 1 (9.1) | 0 | 1 (4.8) | 0 | 2 (10.0) | 1 (5.0) | 0 | 0 | 3 (5.4) | 1 (1.8) |
Anemia | 1 (50.0) | 1 (50.0) | 0 | 0 | 0 | 0 | 0 | 0 | 1 (9.1) | 1 (9.1) | 1 (4.8) | 0 | 2 (10.0) | 0 | 0 | 0 | 3 (5.4) | 0 |
Blood alkaline phosphatase increased | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 (4.8) | 0 | 2 (10.0) | 0 | 0 | 0 | 3 (5.4) | 0 |
C-reactive protein increased | 0 | 0 | 0 | 0 | 0 | 0 | 1 (33.3) | 0 | 1 (9.1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Chills | 0 | 0 | 1 (50.0) | 0 | 0 | 0 | 0 | 0 | 1 (9.1) | 0 | 1 (4.8) | 0 | 0 | 0 | 0 | 0 | 1 (1.8) | 0 |
Constipation | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 (4.8) | 0 | 1 (5.0) | 0 | 1 (6.7) | 0 | 3 (5.4) | 0 |
Diarrhea | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 3 (14.3) | 0 | 1 (5.0) | 0 | 0 | 0 | 4 (7.1) | 0 |
Fatigue | 0 | 0 | 0 | 0 | 0 | 0 | 1 (33.3) | 0 | 1 (9.1) | 0 | 1 (4.8) | 0 | 4 (20.0) | 0 | 3 (20.0) | 0 | 8 (14.3) | 0 |
Headache | 1 (50.0) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 (9.1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Hyperglycemia | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 (9.5) | 0 | 1 (5.0) | 1 (5.0) | 0 | 0 | 3 (5.4) | 1 (1.8) |
Hypothyroidism | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 4 (19.0) | 0 | 1 (5.0) | 0 | 0 | 0 | 5 (8.9) | 0 |
Infusion-related reaction | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 4 (19.0) | 0 | 3 (15.0) | 0 | 0 | 0 | 7 (12.5) | 0 |
Leukocytosis | 0 | 0 | 0 | 0 | 1 (25.0) | 0 | 0 | 0 | 1 (9.1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Lipase increased | 0 | 0 | 0 | 0 | 1 (25.0) | 1 (25.0) | 0 | 0 | 1 (9.1) | 1 (9.1) | 0 | 0 | 2 (10.0) | 1 (5.0) | 0 | 0 | 2 (3.6) | 1 (1.8) |
Lymph node pain | 1 (50.0) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 (9.1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Neutropenia | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 (4.8) | 0 | 1 (5.0) | 0 | 1 (6.7) | 0 | 3 (5.4) | 0 |
Pneumonitis | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 (4.8) | 0 | 1 (5.0) | 0 | 1 (6.7) | 1 (6.7) | 3 (5.4) | 1 (1.8) |
Pyrexia | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 (4.8) | 0 | 4 (20.0) | 0 | 0 | 0 | 5 (8.9) | 0 |
Rash | 0 | 0 | 0 | 0 | 1 (25.0) | 0 | 0 | 0 | 1 (9.1) | 0 | 2 (9.5) | 0 | 0 | 0 | 0 | 0 | 2 (3.6) | 0 |
Rash maculopapular | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 (4.8) | 0 | 2 (10.0) | 0 | 0 | 0 | 3 (5.4) | 0 |
All-causality SAEs | 1 (50.0) | 1 (50.0) | 2 (100.0) | 0 | 1 (25.0) | 1 (25.0) | 1 (33.3) | 1 (33.3) | 5 (45.4) | 3 (27.3) | 5 (23.8) | 5 (23.8) | 9 (45.0) | 6 (30.0) | 10 (66.7) | 2 (13.3) | 24 (42.8) | 13 (23.2) |
Treatment-related SAEs | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 (9.5) | 2 (9.5) | 5 (25.0) | 3 (15.0) | 1 (6.7) | 1 (6.7) | 8 (14.3) | 6 (10.7) |
All-causality AEs leading to discontinuation | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 4 (19.0) | 1 (4.8) | 3 (15.0) | 2 (10.0) | 0 | 0 | 7 (12.5) | 3 (5.4) |
TRAEs leading to discontinuation | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 3 (14.3) | 1 (4.8) | 3 (15.0) | 2 (10.0) | 0 | 0 | 6 (10.7) | 3 (5.4) |
Immune-mediated TRAEs | ||||||||||||||||||
Adrenal insufficiency | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 (4.8) | 1 (4.8) | 0 | 0 | 0 | 0 | 1 (1.8) | 1 (1.8) |
Diabetes mellitus | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 (5.0) | 1 (5.0) | 0 | 0 | 1 (1.8) | 1 (1.8) |
Diarrhea/colitis | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 (4.8) | 0 | 0 | 0 | 0 | 0 | 1 (1.8) | 0 |
Hepatitis | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 (5.0) | 1 (5.0) | 0 | 0 | 1 (1.8) | 1 (1.8) |
Hypersensitivity | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Hyperthyroidism | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Hypophysitis | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Hypothyroidism | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 4 (19.0) | 0 | 1 (5.0) | 0 | 0 | 0 | 5 (8.9) | 0 |
Hypothyroidism/thyroiditis | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 4 (19.0) | 0 | 1 (5.0) | 0 | 0 | 0 | 5 (8.9) | 0 |
Nephritis and renal dysfunction | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Pneumonitis | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 (4.8) | 0 | 1 (5.0) | 0 | 1 (6.7) | 1 (6.7) | 3 (5.4) | 1 (1.8) |
Rash | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 4 (20.0) | 0 | 0 | 0 | 4 (7.1) | 0 |
Thyroiditis | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
. | Relatlimab monotherapy (240 mg; part B) . | Nivolumab plus relatlimab (240 mg/160 mg; part D) . | ||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
CLL (n = 2) . | DLBCL (n = 2) . | IL (n = 4) . | HL∗ (n = 3) . | Total (n = 11) . | HL∗ anti–PD-(L)1– naive (n = 21) . | HL∗ anti–PD-(L)1–progressed (n = 20) . | DLBCL (n = 15) . | Total (n = 56) . | ||||||||||
Grade, n (%) | Any | 3/4 | Any | 3/4 | Any | 3/4 | Any | 3/4 | Any | 3/4 | Any | 3/4 | Any | 3/4 | Any | 3/4 | Any | 3/4 |
All-causality AEs | 2 (100.0) | 2 (100.0) | 2† (100.0) | 0 | 4 (100.0) | 2 (50.0) | 3 (100.0) | 1 (33.3) | 11 (100.0) | 5 (45.4) | 21 (100.0) | 12 (57.1) | 20 (100.0) | 8 (40.0) | 14‡ (93.3) | 4 (26.7) | 55 (98.2) | 24 (42.8) |
TRAEs | 1 (50.0) | 1 (50.0) | 1 (50.0) | 0 | 3 (75.0) | 1 (25.0) | 1 (33.3) | 0 | 6 (54.5) | 2 (18.2) | 14 (66.7) | 2 (9.5) | 16 (80.0) | 4 (20.0) | 5 (33.3) | 1 (6.7) | 35 (62.5) | 7 (12.5) |
TRAEs in ≥5% of patients | ||||||||||||||||||
Amylase increased | 0 | 0 | 0 | 0 | 1 (25.0) | 0 | 0 | 0 | 1 (9.1) | 0 | 1 (4.8) | 0 | 2 (10.0) | 1 (5.0) | 0 | 0 | 3 (5.4) | 1 (1.8) |
Anemia | 1 (50.0) | 1 (50.0) | 0 | 0 | 0 | 0 | 0 | 0 | 1 (9.1) | 1 (9.1) | 1 (4.8) | 0 | 2 (10.0) | 0 | 0 | 0 | 3 (5.4) | 0 |
Blood alkaline phosphatase increased | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 (4.8) | 0 | 2 (10.0) | 0 | 0 | 0 | 3 (5.4) | 0 |
C-reactive protein increased | 0 | 0 | 0 | 0 | 0 | 0 | 1 (33.3) | 0 | 1 (9.1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Chills | 0 | 0 | 1 (50.0) | 0 | 0 | 0 | 0 | 0 | 1 (9.1) | 0 | 1 (4.8) | 0 | 0 | 0 | 0 | 0 | 1 (1.8) | 0 |
Constipation | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 (4.8) | 0 | 1 (5.0) | 0 | 1 (6.7) | 0 | 3 (5.4) | 0 |
Diarrhea | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 3 (14.3) | 0 | 1 (5.0) | 0 | 0 | 0 | 4 (7.1) | 0 |
Fatigue | 0 | 0 | 0 | 0 | 0 | 0 | 1 (33.3) | 0 | 1 (9.1) | 0 | 1 (4.8) | 0 | 4 (20.0) | 0 | 3 (20.0) | 0 | 8 (14.3) | 0 |
Headache | 1 (50.0) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 (9.1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Hyperglycemia | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 (9.5) | 0 | 1 (5.0) | 1 (5.0) | 0 | 0 | 3 (5.4) | 1 (1.8) |
Hypothyroidism | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 4 (19.0) | 0 | 1 (5.0) | 0 | 0 | 0 | 5 (8.9) | 0 |
Infusion-related reaction | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 4 (19.0) | 0 | 3 (15.0) | 0 | 0 | 0 | 7 (12.5) | 0 |
Leukocytosis | 0 | 0 | 0 | 0 | 1 (25.0) | 0 | 0 | 0 | 1 (9.1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Lipase increased | 0 | 0 | 0 | 0 | 1 (25.0) | 1 (25.0) | 0 | 0 | 1 (9.1) | 1 (9.1) | 0 | 0 | 2 (10.0) | 1 (5.0) | 0 | 0 | 2 (3.6) | 1 (1.8) |
Lymph node pain | 1 (50.0) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 (9.1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Neutropenia | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 (4.8) | 0 | 1 (5.0) | 0 | 1 (6.7) | 0 | 3 (5.4) | 0 |
Pneumonitis | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 (4.8) | 0 | 1 (5.0) | 0 | 1 (6.7) | 1 (6.7) | 3 (5.4) | 1 (1.8) |
Pyrexia | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 (4.8) | 0 | 4 (20.0) | 0 | 0 | 0 | 5 (8.9) | 0 |
Rash | 0 | 0 | 0 | 0 | 1 (25.0) | 0 | 0 | 0 | 1 (9.1) | 0 | 2 (9.5) | 0 | 0 | 0 | 0 | 0 | 2 (3.6) | 0 |
Rash maculopapular | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 (4.8) | 0 | 2 (10.0) | 0 | 0 | 0 | 3 (5.4) | 0 |
All-causality SAEs | 1 (50.0) | 1 (50.0) | 2 (100.0) | 0 | 1 (25.0) | 1 (25.0) | 1 (33.3) | 1 (33.3) | 5 (45.4) | 3 (27.3) | 5 (23.8) | 5 (23.8) | 9 (45.0) | 6 (30.0) | 10 (66.7) | 2 (13.3) | 24 (42.8) | 13 (23.2) |
Treatment-related SAEs | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 (9.5) | 2 (9.5) | 5 (25.0) | 3 (15.0) | 1 (6.7) | 1 (6.7) | 8 (14.3) | 6 (10.7) |
All-causality AEs leading to discontinuation | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 4 (19.0) | 1 (4.8) | 3 (15.0) | 2 (10.0) | 0 | 0 | 7 (12.5) | 3 (5.4) |
TRAEs leading to discontinuation | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 3 (14.3) | 1 (4.8) | 3 (15.0) | 2 (10.0) | 0 | 0 | 6 (10.7) | 3 (5.4) |
Immune-mediated TRAEs | ||||||||||||||||||
Adrenal insufficiency | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 (4.8) | 1 (4.8) | 0 | 0 | 0 | 0 | 1 (1.8) | 1 (1.8) |
Diabetes mellitus | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 (5.0) | 1 (5.0) | 0 | 0 | 1 (1.8) | 1 (1.8) |
Diarrhea/colitis | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 (4.8) | 0 | 0 | 0 | 0 | 0 | 1 (1.8) | 0 |
Hepatitis | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 (5.0) | 1 (5.0) | 0 | 0 | 1 (1.8) | 1 (1.8) |
Hypersensitivity | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Hyperthyroidism | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Hypophysitis | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Hypothyroidism | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 4 (19.0) | 0 | 1 (5.0) | 0 | 0 | 0 | 5 (8.9) | 0 |
Hypothyroidism/thyroiditis | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 4 (19.0) | 0 | 1 (5.0) | 0 | 0 | 0 | 5 (8.9) | 0 |
Nephritis and renal dysfunction | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Pneumonitis | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 (4.8) | 0 | 1 (5.0) | 0 | 1 (6.7) | 1 (6.7) | 3 (5.4) | 1 (1.8) |
Rash | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 4 (20.0) | 0 | 0 | 0 | 4 (7.1) | 0 |
Thyroiditis | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Includes AEs reported after first dose and within 100 days after last dose of study therapy. Relatlimab 240 mg was the RP2D.
RP2D, recommended phase 2 dose; SAE, serious AE.
Most patients had classic HL; 2 patients with nodular lymphocyte–predominant HL were included in part D (1 in PD-(L)1–progressed and 1 in PD-(L)1–naive).
Grade 5 events.
Includes 8 grade 5 events.