Phase 3, Randomized, Double-Blind, Placebo-Controlled Study of Acalabrutinib in Combination With Rituximab, Cyclophosphamide, Doxorubicin, Vincristine, and Prednisone (R-CHOP) in Subjects ≤75 Years With Previously Untreated Non-GCB DLBCL
试验速览
- 阶段
- 3 期
- 状态
- 进行中（未招募）
- 入组人数
- 611
- 试验地点
- 243
- 主要终点
- Progression-free survival (PFS) per the Lugano Classification for NHL in Arm A compared to Arm B
研究概览
简要总结
Phase 3 randomized, double-blind, placebo-controlled, study assessing the efficacy and safety of acalabrutinib plus rituximab,cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP) vs placebo plus R-CHOP in subjects ≤75 years of age with previously untreated non-germinal center diffuse large B-cell lymphoma.
详细描述
Phase 3 randomized, double-blind, placebo-controlled, study to evaluate the efficacy and safety of acalabrutinib plus rituximab,cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP) as compared with placebo plus R-CHOP in subjects ≤75 years of age with previously untreated non-germinal center diffuse large B-cell lymphoma (activated B-cell (ABC) and unclassified).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
盲法说明
Participant Care provider Investigator Outcomes assessor
入排标准
- 年龄范围
- 18 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Men and women, age ≥18 and ≤75 years
- •Pathologically confirmed DLBCL, sufficient diagnostic material should be available to forward to a central laboratory for gene expression profiling and pathology review.
- •No prior treatment for DLBCL
- •Eastern Cooperative Oncology Group (ECOG) performance status of ≤
- •International Prognostic Index (IPI) score of 1 to 5
- •Disease Stage II to IV by the Ann Arbor Classification
- •Adequate organ and marrow function
- •Agreement to use highly effective forms of contraception during the study and 12 months after the last dose of rituximab
排除标准
- •Evidence of severe or uncontrolled systemic diseases
- •Known history of a bleeding diathesis (i.e., haemophilia, von Willebrand disease)
- •History of stroke or intracranial haemorrhage in preceding 6 months.
- •Known CNS lymphoma or leptomeningeal disease
- •Known primary mediastinal lymphoma
- •Known High-grade B-cell lymphoma with MYC and BCL2 and/or BCL6 rearrangements
- •Prior history of indolent lymphoma or CLL
- •History of or ongoing confirmed PML
- •Significant cardiovascular disease such as uncontrolled or symptomatic arrhythmias, congestive heart failure, or myocardial infarction within 6 months of first dose of study drug, or any Class 3 or 4 cardiac disease as defined by the New York Heart Association Functional Classification
- •Malabsorption syndrome, disease significantly affecting gastrointestinal function, resection of the stomach, extensive small bowel resection that is likely to affect absorption, symptomatic inflammatory bowel disease, partial or complete bowel obstruction, or gastric restrictions and bariatric surgery, such as gastric bypass.
- •Uncontrolled active systemic fungal, bacterial, viral, or other infection
- •Prior anthracycline use ≥150 mg/m2
研究组 & 干预措施
placebo + R-CHOP
Placebo plus Rituximab, Cyclophosphamide, Doxorubicin, Vincristine and Prednisone (R-CHOP)
干预措施: placebo (Drug)
acalabrutinib + R-CHOP
Acalabrutinib plus Rituximab, Cyclosphosphamide, Doxorubicin, Vincristine and Prednisone (R-CHOP)
干预措施: Cyclophosphamide (Drug)
placebo + R-CHOP
Placebo plus Rituximab, Cyclophosphamide, Doxorubicin, Vincristine and Prednisone (R-CHOP)
干预措施: Prednisone (Drug)
acalabrutinib + R-CHOP
Acalabrutinib plus Rituximab, Cyclosphosphamide, Doxorubicin, Vincristine and Prednisone (R-CHOP)
干预措施: acalabrutinib (Drug)
acalabrutinib + R-CHOP
Acalabrutinib plus Rituximab, Cyclosphosphamide, Doxorubicin, Vincristine and Prednisone (R-CHOP)
干预措施: Prednisone (Drug)
acalabrutinib + R-CHOP
Acalabrutinib plus Rituximab, Cyclosphosphamide, Doxorubicin, Vincristine and Prednisone (R-CHOP)
干预措施: Rituximab (Drug)
acalabrutinib + R-CHOP
Acalabrutinib plus Rituximab, Cyclosphosphamide, Doxorubicin, Vincristine and Prednisone (R-CHOP)
干预措施: Vincristine (Drug)
placebo + R-CHOP
Placebo plus Rituximab, Cyclophosphamide, Doxorubicin, Vincristine and Prednisone (R-CHOP)
干预措施: Rituximab (Drug)
acalabrutinib + R-CHOP
Acalabrutinib plus Rituximab, Cyclosphosphamide, Doxorubicin, Vincristine and Prednisone (R-CHOP)
干预措施: Doxorubicin (Drug)
placebo + R-CHOP
Placebo plus Rituximab, Cyclophosphamide, Doxorubicin, Vincristine and Prednisone (R-CHOP)
干预措施: Cyclophosphamide (Drug)
placebo + R-CHOP
Placebo plus Rituximab, Cyclophosphamide, Doxorubicin, Vincristine and Prednisone (R-CHOP)
干预措施: Doxorubicin (Drug)
placebo + R-CHOP
Placebo plus Rituximab, Cyclophosphamide, Doxorubicin, Vincristine and Prednisone (R-CHOP)
干预措施: Vincristine (Drug)
结局指标
主要结局
Progression-free survival (PFS) per the Lugano Classification for NHL in Arm A compared to Arm B
时间窗: at every single visit up to 60 months
次要结局
- Overall survival in Arm A compared to Arm B(at every single visit up to 60 months)
- Percentage of Participants Who Achieved a Complete Response (CR) per 2014 Lugano Classification for NHL(at every single visit up to 60 months)
- Investigator-assessed event-free survival (EFS) for NHL in Arm A compared to Arm B(at every single visit up to 60 months)