It has been recently reported that EATL type 1, but not refractory coeliac disease, strongly expressed CD30 and might benefit from brentuximab vedotin. Since the safety profile of the combination brentuximab vedotin and CHP is known and since the role of etoposide as part of induction regimen is not demonstrated, the investigator will assess the efficacy and toxicity of the combination brentuximab vedotin and CHP followed by HDT/ASCT, as frontline treatment of EATL.
Recruiting
Phase 2
| Drug | Synonyms | Arms |
|---|---|---|
| Brentuximab Vedotin | Brentuximab Vedotin |
Brentuximab vedotin is an anti-CD30 monoclonal antibody conjugated to the cytotoxic drug
monomethyl auristatin E. It is currently evaluated in combination with multi-agent
chemotherapy as frontline treatment of systemic ALCL (sALCL) and other CD30-positive mature T
cell and NK cell lymphomas. Preliminary results of this phase 1 study have been presented at
the 2012 ASH Annual Meeting: 26 patients have been treated with combination brentuximab
vedotin and CHP. Nineteen of 26 patients had a diagnosis of sALCL and 7 patients had a
diagnosis of another mature Tor NK-cell lymphoma (EATL, n=1). The maximum tolerated dose of
brentuximab vedotin in combination with CHP was not exceeded at 1.8 mg/kg IV. Adverse events
were manageable. All patients achieved an objective response, with 23 patients (88%)
achieving a complete response (CR). All 7 non-sALCL patients achieved a CR.
Finally, it has been recently reported that EATL type 1, but not refractory coeliac disease,
strongly expressed CD30 and might benefit from brentuximab vedotin. Since the safety profile
of the combination brentuximab vedotin and CHP is known and since the role of etoposide as
part of induction regimen is not demonstrated, the investigator will assess the efficacy and
toxicity of the combination brentuximab vedotin and CHP followed by HDT/ASCT, as frontline
treatment of EATL.
| Name | Type | Description | Interventions |
|---|---|---|---|
| Brentuximab Vedotin | Experimental | The first part of the treatment (induction) will evaluate BV-CHP. The second part of the treatment (consolidation) will use standard drugs for the treatment of lymphoma. HDT will consist of BEAM conditioning regimen (or BAM if carmustine is not available). Management of HDT/ASCT will be done according to standard practice. |
|
Main Inclusion Criteria:
1. Histologically confirmed diagnosis of EATL based on criteria established by the World
Health Organization (WHO) 2016 Classification of Tumors of Haematopoietic and Lymphoid
Tissues.
2. EATL should be CD30-positive with a threshold of 10%.
3. Patients aged ≥ 18 years and < 70 years at the time of study entry.
4. ECOG performance status 0 to 3 at time of study entry.
5. Left Ventricular Ejection Fraction (LVEF) ≥ 45% measured by bidimensional echography
or radionuclide ventriculography (MUGA scan).
Main Exclusion Criteria:
1. Participants must not have been treated with any prior chemotherapy for EATL. Patients
with previous treatment for refractory celiac disease (i.e., immunosuppressive or
immunoregulatory drugs) may be included.
2. Known central nervous system involvement by EATL.
3. Active chronic hepatitis B or C.
4. HIV positive serology.
5. HTLV-1 positive serology.
| Maximum Eligible Age: | 65 Years |
| Minimum Eligible Age: | 18 Years |
| Eligible Gender: | All |
| Healthy Volunteers: | No |
| Measure: | Evaluate the 2-year progression-free survival |
| Time Frame: | 4 years |
| Safety Issue: | |
| Description: | 2-year progression-free survival (PFS) |
| Phase: | Phase 2 |
| Primary Purpose: | Interventional |
| Overall Status: | Recruiting |
| Lead Sponsor: | Imagine Institute |
February 12, 2021
