A Phase III, Multicenter, Randomized, Double-Blind, Placebo-Controlled Trial Comparing the Efficacy and Safety of a Sintilimab Plus ICE Regimen Versus a Placebo Plus ICE Regimen in Classic Hodgkin's Lymphoma Patients With First-line Standard Chemotherapy Failure
Trial Snapshot
- Phase
- Phase 3
- Status
- Recruiting
- Enrollment
- 240
- Locations
- 1
- Primary Endpoint
- PFS
Study Overview
Brief Summary
This phase III trial studies the side effects of sintilimab to see how well it works when given together with ifosfamide, carboplatin, and etoposide in treating patients with classic Hodgkin lymphoma that does not respond to first-line standard chemotherapy.
Detailed Description
randomized, double-blind, two arms , multicenter
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Crossover
- Primary Purpose
- Treatment
- Masking
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Signed informed consent
- •Histopathologically confirmed cHL
- •Failed first-line standard combination chemotherapy
- •One measurable lesion (Lugano 2014)
- •Eastern Cooperative Oncology Group (ECOG) of 0-1
- •Male or female aged ≥18 years
- •Patients must have adequate organ and bone marrow function
Exclusion Criteria
- •Patients must not have known central nervous system (CNS) involvement
- •Patients must not have had prior exposure to any immune checkpoint inhibitors including anti-PD-L1 agents, anti-PD-L2 agents, or anti-CTLA-4 monoclonal antibodies
- •Patients may not simultaneously participate in another interventional clinical study
- •Patients may not receive any other investigational agents within 4 weeks of study registration
- •Patients may not receive any other form of immunosuppressive therapy within 4 weeks prior to the first dose of study drug
- •Patients may not receive live attenuated vaccines within 4 weeks prior to the first dose of study drug (or plan to receive live attenuated vaccines during the study period)
- •Patients with known immunodeficiency are ineligible
- •Patients with known active TB (Bacillus tuberculosis) are ineligible
- •Patients must not have had prior allogeneic stem cell transplantation or allogeneic organ transplantation
- •Patients must not be pregnant or breastfeeding
Arms & Interventions
Treatment (Sintilimab, etoposide, ifosfamide, carboplatin)
Patients receive sintilimab IV on day 1, etoposide IV on days 1-3 of courses 1-6, carboplatin IV on day 2 of courses 1-6, and ifosfamide IV on day 1-3 of courses 1-6. Sintilimab in combination with ICE chemotherapy repeats every 21 days for 6 courses.
Intervention: Sintilimab (Biological)
Treatment (Sintilimab, etoposide, ifosfamide, carboplatin)
Patients receive sintilimab IV on day 1, etoposide IV on days 1-3 of courses 1-6, carboplatin IV on day 2 of courses 1-6, and ifosfamide IV on day 1-3 of courses 1-6. Sintilimab in combination with ICE chemotherapy repeats every 21 days for 6 courses.
Intervention: Carboplatin (Drug)
Treatment (Sintilimab, etoposide, ifosfamide, carboplatin)
Patients receive sintilimab IV on day 1, etoposide IV on days 1-3 of courses 1-6, carboplatin IV on day 2 of courses 1-6, and ifosfamide IV on day 1-3 of courses 1-6. Sintilimab in combination with ICE chemotherapy repeats every 21 days for 6 courses.
Intervention: Etoposide (Drug)
Treatment (Sintilimab, etoposide, ifosfamide, carboplatin)
Patients receive sintilimab IV on day 1, etoposide IV on days 1-3 of courses 1-6, carboplatin IV on day 2 of courses 1-6, and ifosfamide IV on day 1-3 of courses 1-6. Sintilimab in combination with ICE chemotherapy repeats every 21 days for 6 courses.
Intervention: Ifosfamide (Drug)
Treatment (placebo, etoposide, ifosfamide, carboplatin)
Patients receive placebo IV on day 1, etoposide IV on days 1-3 of courses 1-6, carboplatin IV on day 2 of courses 1-6, and ifosfamide IV on day 1-3 of courses 1-6. Placebo in combination with ICE chemotherapy repeats every 21 days for 6 courses.
Intervention: Placebo (Drug)
Treatment (placebo, etoposide, ifosfamide, carboplatin)
Patients receive placebo IV on day 1, etoposide IV on days 1-3 of courses 1-6, carboplatin IV on day 2 of courses 1-6, and ifosfamide IV on day 1-3 of courses 1-6. Placebo in combination with ICE chemotherapy repeats every 21 days for 6 courses.
Intervention: Carboplatin (Drug)
Treatment (placebo, etoposide, ifosfamide, carboplatin)
Patients receive placebo IV on day 1, etoposide IV on days 1-3 of courses 1-6, carboplatin IV on day 2 of courses 1-6, and ifosfamide IV on day 1-3 of courses 1-6. Placebo in combination with ICE chemotherapy repeats every 21 days for 6 courses.
Intervention: Etoposide (Drug)
Treatment (placebo, etoposide, ifosfamide, carboplatin)
Patients receive placebo IV on day 1, etoposide IV on days 1-3 of courses 1-6, carboplatin IV on day 2 of courses 1-6, and ifosfamide IV on day 1-3 of courses 1-6. Placebo in combination with ICE chemotherapy repeats every 21 days for 6 courses.
Intervention: Ifosfamide (Drug)
Outcomes
Primary Outcomes
PFS
Time Frame: 44months
Secondary Outcomes
No secondary outcomes reported