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A New Target for Hodgkin Lymphoma - Camidanlumab Tesirine
Narendranath Epperla1, Mehdi Hamadani2,3
1Division of Hematology, Department of Medicine, The James Cancer Hospital and Solove Research Institute, The Ohio State University, Columbus, OH, USA.
Purpose Of Review:
There are limited treatment options for relapsed/refractory classical Hodgkin lymphoma (cHL) patients who progress on brentuximab vedotin and programmed death-1 inhibitors. Camidanlumab Tesirine (Cami) is a new agent that has shown activity in multiply relapsed/refractory cHL patients. In this review, we provide a comprehensive overview of Cami.
Recent Findings:
In phase 1 study of Cami in relapsed/refractory cHL and non-Hodgkin lymphomas (NHL), Cami was noted to be safe with encouraging clinic activity in multiply relapsed/refractory cHL. Treatment-emergent adverse events (TEAEs) were reported in 95% (n = 73 of 77) of patients, while grade 3 TEAEs were reported in 66% (n = 51) of cHL patients. Cami was associated with immune-related adverse events (irAEs) including peripheral sensory neuropathy, Guillain-Barré syndrome (GBS)/radiculopathy, colitis, hypothyroidism, hyperthyroidism, thyroiditis, and pneumonitis. The overall response rate (ORR) and complete (CR) rate were 71%/40% in the cHL cohort (n = 75). In the interim analysis of an ongoing phase 2 study in 2020, Cami demonstrated good clinical efficacy with an ORR/CR rate of 83%/38% among the 47 evaluable cHL patients. The toxicity profile was similar to that seen in the phase 1 study, with no new safety signals.. As the phase 2 study with Cami is continuing to accrue patients and we await the final results, the preliminary results with Cami are encouraging and provide an additional therapeutic option especially for patients with multiply relapsed/refractory cHL and perhaps other hematological malignancies expression CD25.
Insights
Camidanlumab tesirine shows promise for relapsed/refractory classical Hodgkin lymphoma patients. This new agent offers encouraging activity and a manageable safety profile, providing a vital new option.
Area of Science:
- Oncology
- Hematology
- Pharmacology
Background:
- Limited treatment options exist for patients with relapsed/refractory classical Hodgkin lymphoma (cHL) who have progressed on brentuximab vedotin and PD-1 inhibitors.
- Camidanlumab tesirine (Cami) is an emerging therapeutic agent demonstrating potential activity in heavily pretreated cHL patients.
Purpose of the Study:
- To provide a comprehensive review of Camidanlumab tesirine (Cami) as a treatment option for relapsed/refractory classical Hodgkin lymphoma (cHL).
- To summarize the safety and efficacy findings from early-phase clinical studies of Cami in cHL.
Main Methods:
- Review of data from Phase 1 and interim Phase 2 studies of Camidanlumab tesirine (Cami) in patients with relapsed/refractory classical Hodgkin lymphoma (cHL) and other lymphomas.
- Analysis of treatment-emergent adverse events (TEAEs), immune-related adverse events (irAEs), overall response rates (ORR), and complete response (CR) rates.
Main Results:
- In Phase 1, Cami demonstrated encouraging clinical activity in multiply relapsed/refractory cHL, with an ORR of 71% and CR of 40% (n=75).
- TEAEs occurred in 95% of patients, with grade 3 TEAEs in 66% of cHL patients. Immune-related adverse events (irAEs) were also noted.
- Interim Phase 2 results showed a higher ORR of 83% and CR of 38% in 47 evaluable cHL patients, with a similar safety profile to Phase 1.
Conclusions:
- Camidanlumab tesirine (Cami) exhibits promising efficacy and a manageable safety profile in patients with multiply relapsed/refractory classical Hodgkin lymphoma (cHL).
- Preliminary data suggest Cami represents a valuable additional therapeutic option for patients with advanced cHL and potentially other CD25-expressing hematological malignancies.
- Further accrual and final results from the ongoing Phase 2 study are anticipated to confirm these encouraging findings.
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