An Open Label Phase 2 Study of Denintuzumab Mafodotin (SGN-CD19A) in Combination With RCHOP (Rituximab, Cyclophosphamide, Doxorubicin, Vincristine, and Prednisone) or RCHP (Rituximab, Cyclophosphamide, Doxorubicin, and Prednisone) Compared With RCHOP Alone as Frontline Therapy in Patients With Diffuse Large B-cell Lymphoma (DLBCL) or Follicular Lymphoma (FL) Grade 3b
试验速览
- 阶段
- 2 期
- 状态
- 终止
- 发起方
- Seagen Inc.
- 入组人数
- 24
- 试验地点
- 35
- 主要终点
- Part B Outcome Measure: Complete Response Rate (CR)
研究概览
简要总结
This is a Phase 2 study to evaluate the combination of denintuzumab mafodotin in combination with RCHOP or RCHP compared with RCHOP alone as front-line therapy in patients with diffuse large B-cell lymphoma or follicular lymphoma Grade 3b.
详细描述
In Part A of the study, patients will be randomized 1:1 to receive denintuzumab mafodotin plus RCHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone) or denintuzumab mafodotin plus RCHP (rituximab, cyclophosphamide, doxorubicin, and prednisone) to assess the safety of these 2 combination regimens. Part B of the study is designed to evaluate the antitumor activity and safety of denintuzumab mafodotin in combination with either RCHOP or RCHP (Experimental Arm) compared with RCHOP alone (Comparator Arm).
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
- None
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Treatment-naive patients with histologically confirmed systemic de novo or transformed diffuse large B-cell lymphoma (DLBCL) (from follicular or marginal zone lymphoma), or follicular lymphoma (FL) Grade 3b;
- •patients must have high intermediate or high risk disease
- •Tumor tissue available from most recent biopsy to determine cell of origin
- •Fluorodeoxyglucose-avid disease by positron emission tomography and measurable disease greater than 1.5cm diameter
- •Eastern Cooperative Oncology Group performance status ≤2
- •Age 18 years or older
- •Adequate study baseline laboratory parameters
排除标准
- •Previous history of treated indolent lymphoma
- •History of another primary invasive cancer, hematologic malignancy, or myelodysplastic syndrome that has not been in remission for at least 3 years
- •History of progressive multifocal leukoencephalopathy
- •Cerebral/meningeal disease related to the underlying malignancy
- •Patients with the following ocular conditions: corneal disorders, monocular vision (ie. best corrected visual acuity greater than or equal to 20/200 in one eye), or active ocular disorders requiring treatment
研究组 & 干预措施
denintuzumab mafodotin + RCHOP or RCHP
Part B: denintuzumab mafodotin (SGN-CD19A) + RCHOP or RCHP
干预措施: rituximab (Drug)
denintuzumab mafodotin + RCHOP
Part A: denintuzumab mafodotin (SGN-CD19A) + RCHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone)
干预措施: denintuzumab mafodotin (Drug)
denintuzumab mafodotin + RCHOP
Part A: denintuzumab mafodotin (SGN-CD19A) + RCHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone)
干预措施: rituximab (Drug)
denintuzumab mafodotin + RCHOP
Part A: denintuzumab mafodotin (SGN-CD19A) + RCHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone)
干预措施: cyclophosphamide (Drug)
denintuzumab mafodotin + RCHOP
Part A: denintuzumab mafodotin (SGN-CD19A) + RCHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone)
干预措施: doxorubicin (Drug)
denintuzumab mafodotin + RCHOP
Part A: denintuzumab mafodotin (SGN-CD19A) + RCHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone)
干预措施: vincristine (Drug)
denintuzumab mafodotin + RCHOP
Part A: denintuzumab mafodotin (SGN-CD19A) + RCHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone)
干预措施: prednisone (Drug)
denintuzumab mafodotin + RCHP
Part A: denintuzumab mafodotin (SGN-CD19A) + RCHP (rituximab, cyclophosphamide, doxorubicin, and prednisone)
干预措施: denintuzumab mafodotin (Drug)
denintuzumab mafodotin + RCHP
Part A: denintuzumab mafodotin (SGN-CD19A) + RCHP (rituximab, cyclophosphamide, doxorubicin, and prednisone)
干预措施: rituximab (Drug)
denintuzumab mafodotin + RCHP
Part A: denintuzumab mafodotin (SGN-CD19A) + RCHP (rituximab, cyclophosphamide, doxorubicin, and prednisone)
干预措施: cyclophosphamide (Drug)
denintuzumab mafodotin + RCHP
Part A: denintuzumab mafodotin (SGN-CD19A) + RCHP (rituximab, cyclophosphamide, doxorubicin, and prednisone)
干预措施: doxorubicin (Drug)
denintuzumab mafodotin + RCHP
Part A: denintuzumab mafodotin (SGN-CD19A) + RCHP (rituximab, cyclophosphamide, doxorubicin, and prednisone)
干预措施: prednisone (Drug)
denintuzumab mafodotin + RCHOP or RCHP
Part B: denintuzumab mafodotin (SGN-CD19A) + RCHOP or RCHP
干预措施: denintuzumab mafodotin (Drug)
denintuzumab mafodotin + RCHOP or RCHP
Part B: denintuzumab mafodotin (SGN-CD19A) + RCHOP or RCHP
干预措施: cyclophosphamide (Drug)
denintuzumab mafodotin + RCHOP or RCHP
Part B: denintuzumab mafodotin (SGN-CD19A) + RCHOP or RCHP
干预措施: doxorubicin (Drug)
denintuzumab mafodotin + RCHOP or RCHP
Part B: denintuzumab mafodotin (SGN-CD19A) + RCHOP or RCHP
干预措施: vincristine (Drug)
denintuzumab mafodotin + RCHOP or RCHP
Part B: denintuzumab mafodotin (SGN-CD19A) + RCHOP or RCHP
干预措施: prednisone (Drug)
RCHOP
Part B: RCHOP alone: (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone)
干预措施: rituximab (Drug)
RCHOP
Part B: RCHOP alone: (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone)
干预措施: cyclophosphamide (Drug)
RCHOP
Part B: RCHOP alone: (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone)
干预措施: doxorubicin (Drug)
RCHOP
Part B: RCHOP alone: (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone)
干预措施: vincristine (Drug)
RCHOP
Part B: RCHOP alone: (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone)
干预措施: prednisone (Drug)
结局指标
主要结局
Part B Outcome Measure: Complete Response Rate (CR)
时间窗: N/A - Endpoint not assessed
Study did not progress to Part B.
Part A and Part B Outcome Measure: Incidence of Adverse Events
时间窗: 54.7 weeks
Part A data only; study did not progress to Part B.
Part A and Part B Outcome Measure: Incidence of Laboratory Abnormalities
时间窗: Up to 183 days
Part A data reported; study did not progress to Part B. Laboratory abnormalities Grade 1+ are reported.
次要结局
- Event-free Survival (EFS) Between Study Arms in Part B(N/A - Endpoint not assessed)
- Progression-free Survival (PFS) Between Study Arms in Part B(N/A - Endpoint not assessed)
- Overall Survival (OS) Between Study Arms in Part B(N/A - Endpoint not assessed)
- Objective Response Rate (ORR) at End Of Treatment (EOT) Between Study Arms in Part B(N/A - Endpoint not assessed)
- Duration of Objective Response and of Complete Response (CR) Between Study Arms in Part B(N/A - Endpoint not assessed)
