Study of SIRPant-M in Participants With Relapsed or Refractory Non-Hodgkin's Lymphoma

Inclusion Criteria

• •1. Adult, defined as age ≥ 18 (at screening), who are willing and able to provide informed consent
• •2. Must have relapsed/refractory lymphoma, received at least 2 lines of systemic therapy, be ineligible or inappropriate for other treatment regimens known to have curative potential, and must have recovered from the acute toxic effects of all prior oncologic therapy of curative intent (except alopecia)
• •3. Histologically or cytologically confirmed diagnosis of NHL, any one of the below:
• •1. Eligible for SIRPant-M monotherapy or SIRPant-M plus focal XRT combination therapy: Diffuse large B-cell lymphoma and cutaneous T-cell lymphoma (CTCL), including mycosis fungoides (MF), Sezary Syndrome, anaplastic large cell lymphoma (ALCL), lymphomatoid papulosis; adult T-cell leukemia/lymphoma (ATLL); peripheral T cell lymphoma; and angioimmunoblastic T cell lymphoma
• •2. Eligible for SIRPant-M monotherapy only: Cutaneous B-cell lymphoma, including primary cutaneous follicle center lymphoma and primary cutaneous marginal zone B-cell, leg type; follicular center lymphoma; chronic lymphocytic leukemia (CLL) /small lymphocytic lymphoma (SLL); mantle cell lymphoma (MCL); nodal marginal zone B-cell lymphoma
• •4. Must have at least one accessible lymph node or cutaneous or subcutaneous lesion of 1.5 to 5 cm in one dimension as measured by computed tomography (CT) or positron emission tomography/computed tomography (PET/CT) or ultrasound for ITI by an interventional radiologist or other appropriately qualified and trained personnel, which presents a low risk for complications as determined by the Interventional Radiologist and the Principal Investigator. The target lesion must not have been previously irradiated. Note that lesions in the vicinity of large vessels, and tumor-encased large vessels are not considered low-risk. Additional caution should be taken in patients with neck lesions and lesions connected to ulcerated skin or mucosal surface. The target lesion must not be \>5 cm in any dimension.
• •5. Must have a life expectancy \> 3 months; must also be confirmed within 7 days prior to Day 1 of SIRPant-M ITI treatment
• •6. Must have an Eastern Cooperative Oncology Group (ECOG) Performance Status ≤ 2; must also be confirmed within 7 days prior to Day 1 of SIRPant-M ITI treatment
• •7. Must have hematologic values as follows: hemoglobin (Hgb) \> 8 g/dL, ANC \> 500 /mm3, monocyte counts ≥ 200/μL, and platelets \> 50,000/µL; must also be confirmed within 7 days prior to Day 1 of SIRPant-M ITI treatment
• •8. Must have adequate renal and hepatic function as follows:
• •1. Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) \<3× the upper limit of normal (ULN) (unless attributed to leukemic involvement or required concomitant medication)
• •2. Calculated creatinine clearance ≥60 milliliter per minute (mL/min) calculated with Cockcroft-Gault formula
• •3. Bilirubin ≤1.5×ULN, unless secondary to Gilbert's Syndrome.
• •Must also be confirmed within 7 days prior to Day 1 of SIRPant-M ITI treatment.
• •9. Cardiac function: Must be American Heart Association (AHA) class 1 without significant limitation of physical activity; must also be confirmed within 7 days prior to Day 1 of SIRPant-M ITI treatment.
• •10. Must not be pregnant or planning to become pregnant. A negative urine or serum pregnancy test result is required for persons of reproductive potential within 72 hours prior to start of study treatment administration.
• •11. All persons of reproductive potential must agree to use an effective contraceptive method during study participation and for a minimum of 90 days after study treatment.
• •1. Biologically female: is premenarcheal, surgically sterile (post hysterectomy, bilateral salpingectomy, or bilateral oophorectomy), postmenopausal (\>12 months of amenorrhea without alternative medical causes), or, if of reproductive potential, is using a highly effective method of contraception (combined estrogen/progestogen or progestogen-only hormonal contraceptives associated with inhibition of ovulation, intrauterine device \[IUD\], intrauterine hormone-releasing system \[IUS\], bilateral tubal occlusion/ligation, vasectomized partner\[s\], double barrier method \[male condom with either cap, diaphragm, or sponge with spermicide\], or true abstinence of heterosexual intercourse when this is in line with the preferred and usual lifestyle of the person \[periodic abstinence, eg, calendar, ovulation, symptom-thermal, post-ovulation methods, and withdrawal are not acceptable methods of contraception\]), and agrees to continued use of this method until 90 days after end of study treatment
• •2. Biologically male: is vasectomized and has received medical assessment of surgical success, has undergone bilateral orchidectomy, or agrees to use an approved method of contraception (true abstinence of heterosexual intercourse when this is in line with the preferred and usual lifestyle of the person, double barrier method \[male condom with either cap, diaphragm, or sponge with spermicide\], partner's use of a highly effective method of contraception sterile, partner is postmenopausal, or partner is surgically sterile) and agrees to use this method until 90 days after study treatment
• •12. In the opinion of the Investigator, must be willing and able to comply with the protocol for the duration of the study including undergoing treatment, the required tumor tissue biopsy procedures, scheduled visits and examinations, and including follow up