New antibody combo aims to outsmart lymphoma that outlasted rituximab
NCT ID NCT03571568
First seen Oct 02, 2026 · Last updated Oct 02, 2026
Summary
Researchers are testing an experimental antibody called BI-1206 in adults whose indolent B-cell non-Hodgkin lymphoma has returned or stopped responding to rituximab. Participants receive BI-1206 with rituximab, and some also receive acalabrutinib. The trial's first goal is to find a safe dose and check side effects, then see whether the combination helps control the cancer.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- BI-1206, an experimental antibody given with rituximab and sometimes acalabrutinib
- What this could lead to
- If it works, this could offer a new combination option for people whose indolent B-cell lymphoma has come back after rituximab.
- What could go wrong
- This is an early-phase trial with about 140 participants, so researchers mainly check safety and dosing. The combination may not control the cancer, and side effects from the drugs or infusions are possible.
Why investors are watching
BioInvent International AB runs this Phase 1/2a trial of BI-1206, an antibody that targets CD32b, given with rituximab and optionally acalabrutinib to 140 people whose indolent B-cell non-Hodgkin lymphoma came back or stopped responding to rituximab. The trial tests whether blocking CD32b helps rituximab work in patients who have already failed it, a question that matters because a small company depends on a few programs for its future.
If it works: A positive result could support further development of BI-1206 and draw partner or investor interest in BioInvent's pipeline.
If it fails: A failure or delay could set back the program and strain a small company's resources, and most early-stage oncology trials do not produce the hoped-for result.
AI-written from the trial record. Speculative, and not investment advice.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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About 140 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2018
- Expected to finish
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Sep 2027
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Are ≥ 18 years of age by initiation of study treatment. 2. Have B-cell NHL proven by histology, with histological subtypes limited to follicular lymphoma (FL) (except FL grade 3B), MCL and marginal zone lymphoma (MZL) 3. Have measurable nodal disease 4. Are willing to undergo lymph node biopsies or biopsies of other involved tissue 5. Have relapsed disease or disease refractory to conventional treatment or for which no standard therapy exists 6. Have received at least one line of conventional previous therapy which must include at least one rituximab-based regimen 7. Have a life expectancy of at least 12 weeks 8. Have an Eastern Cooperative Oncology Group (ECOG) performance status of 0-2 9. Have CD20+ malignancy 10. Have hematological and biochemical indices within prespecified ranges Exclusion Criteria: 1. Have had an allogenic bone marrow or stem cell transplant within 12 months 2. Have presence of active chronic graft versus host disease 3. Have current leptomeningeal lymphoma or compromise of the central nervous system 4. Have transformed lymphoma from a pre-existing indolent lymphoma 5. Have Waldenstrom's Macroglobulinemia or FL grade 3B, 6. Need systemic doses of prednisolone \>10 mg daily (or equipotent doses of other corticosteroids) while on the study trial other than as pre-medication. 7. Have known or suspected hypersensitivity to rituximab or BI-1206 8. Have cardiac or renal amyloid light-chain amyloidosis 9. Have received any of the following: 1. Chemotherapy or small molecule products with 2 weeks of first dose of BI-1206 2. Radiotherapy (except for focal symptomatic control of lymphadenopathy) within 4 weeks 3. Immunotherapy within 8 weeks 4. Previous lines of treatment containing BTK inhibitors for Subjects receiving BI-1206 in combination with rituximab and acalabrutinib 10. Have ongoing toxic manifestations of previous treatments. 11. Have the ability to become pregnant (or already pregnant or lactating/breastfeeding). 12. Have had major surgery from which the subject has not yet recovered. 13. Are at high medical risk because of non-malignant systemic disease including active infection on treatment with antibiotics, antifungals or antivirals. 14. Are serologically positive for hepatitis B, hepatitis C or human immunodeficiency virus (HIV). 15. Have an active, known or suspected autoimmune disease. 16. Have concurrent congestive heart failure, prior history of class III/ IV cardiac disease (New York Heart Association \[NYHA\]) 17. Have current malignancies of other types
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
21 sites in 4 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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A.C. Camargo Cancer Center
RECRUITINGSão Paulo, Brazil
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Department of Oncology, Academical Hospital
TERMINATEDUppsala, Sweden, 751 85, Sweden
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Department of Oncology, Skåne University Hospital
TERMINATEDLund, SE-22185, Sweden
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Emory University Hospital
ACTIVE_NOT_RECRUITINGAtlanta, Georgia, 30322, United States
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Hospital Amaral Carvalho
NOT_YET_RECRUITINGSão Paulo, Brazil
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Hospital Erasto Gaertner - Liga Paranaense de Combate ao Câncer
NOT_YET_RECRUITINGCuritiba, Brazil
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Hospital General Universitario Gregorio Marañon-Oncología Médica
RECRUITINGMadrid, Madrid, Spain
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Hospital ICO, Trias i Pujol
RECRUITINGBadalona, Barcelona, Spain
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Hospital Israelita Albert Einstein
RECRUITINGSão Paulo, Brazil
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Hospital Samaritano
NOT_YET_RECRUITINGSão Paulo, Brazil
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Hospital São Rafael
RECRUITINGSalvador, Estado de Bahia, Brazil
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Hospital Sírio-Libanês
NOT_YET_RECRUITINGSão Paulo, Brazil
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Hospital Universitari Vall d'Hebron
RECRUITINGBarcelona, Barcelona, Spain
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Hospital Universitario HM Sanchinarro
RECRUITINGMadrid, Madrid, Spain
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Hospital Universitario Virgen de la Arrixaca
NOT_YET_RECRUITINGMurcia, Murcia, Spain
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Hospital University Virgen Macarene
RECRUITINGSeville, Seville, Spain
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Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
NOT_YET_RECRUITINGSão Paulo, Brazil
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Hospital de Clínicas de Porto Alegre
RECRUITINGPorto Alegre, Rio Grande do Sul, Brazil
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Hospital de la Santa Creu i Sant Pau, Dep Hematologia
RECRUITINGBarcelona, Barcelona, Spain
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Institut Català d'Oncologia, L'Hospitalet de Llobregat
RECRUITINGBarcelona, Spain
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Krankenhaus Nordwest Klinik für Onkologie und Hämatologie
NOT_YET_RECRUITINGFrankfurt am Main, Hesse, Germany
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Małopolskie Centrum Medyczne
TERMINATEDKrakow, Poland
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Norton Cancer Institute - St. Matthews 3991 Dutchmans Lane Medical Plaza II, Suite 405
RECRUITINGLouisville, Kentucky, 40207, United States
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Robert Bosch Hospital, Dep of Hematology, Oncology and Palliative care
WITHDRAWNStuttgart, Germany
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Ruschel Medicina e Pesquisa Clínica
NOT_YET_RECRUITINGRio de Janeiro, Brazil
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Szpital Specjlistyczny
TERMINATEDGrudziądz, 86-300, Poland
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University Hospital Fundacion Jimenez Diaz
RECRUITINGMadrid, Spain
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