Description:
The purpose of this study is to evaluate the efficacy and safety of Sintilimab and R-CHOP
regimen as the first-line treatment for DLBCL patients with TP53 mutation and PD-L1 positive.
Title
- Brief Title: Sintilimab Plus R-CHOP as the First-line Treatment in Patients With Diffuse Large B-Cell Lymphoma.
- Official Title: Phase II Study of Sintilimab Plus R-CHOP as the First-line Treatment for DLBCL Patients With TP53 Mutation and PD-L1 Positive.
Clinical Trial IDs
- ORG STUDY ID:
NCC2066
- NCT ID:
NCT04023916
Conditions
- Diffuse Large B-Cell Lymphoma
- Sintilimab
- TP53 Mutation
Interventions
Drug | Synonyms | Arms |
---|
Sintilimab-R-CHOP | | Sintilimab-R-CHOP |
Purpose
The purpose of this study is to evaluate the efficacy and safety of Sintilimab and R-CHOP
regimen as the first-line treatment for DLBCL patients with TP53 mutation and PD-L1 positive.
Detailed Description
This Phase II, open-label, single-center, non-randomized study will evaluate the safety and
efficacy of induction treatment consisting of Sintilimab in combination with Rituximab plus
chemotherapy (R-CHOP) as the first-line treatment in participants with DLBCL, followed by
consolidation treatment with Sintilimab alone in patients who achieve CR at the end of
induction.For safety reasons, the initial enrollment of the first 6 patients in the study
will be slow and conduct intensive monitoring for safety. If the dose-limited toxicity event
was observed in more than 2 of the first 6 patients and was assessed caused by cumulative
exposure to the study drug combination therapy, the trial will be stopped.This study also aim
to evaluate the correlation of clinical efficacy to the expression of
PD-L1,PD-1,CD3,CD4,CD8,CD56,CD58,β2-MG,HLA-DR/DP/DQ and so on by immunohistochemical
techniques.
Trial Arms
Name | Type | Description | Interventions |
---|
Sintilimab-R-CHOP | Experimental | Participants with previously untreated DLBCL will receive rituximab and CHOP during Cycle 1 (21-day cycle) and Sintilimab, rituximab, and CHOP during Cycles 2-6 (21-day cycle) ,Sintilimab and rituximab during Cycles 6-8 (21-day cycle) , followed by Sintilimab from Cycles 9-14 (8-week cycle) during consolidation treatment. | |
Eligibility Criteria
Inclusion Criteria:
1. Diagnosed as diffuse large B-cell Lymphoma with positive CD20 results;
2. Age between 18 to 70 years old;
3. World health organization-Eastern Cooperative Oncology Group Performance Status (ECOG)
0-2;
4. No history of malignant tumors, having no tumor other than DLBCL at the time of
enrollment;
5. Life expectancy no less than 6 months;
6. The patient or his/her attorney would be able to provide written consent for necessary
examinations or procedures;
7. Ann Arbor stage I~ IV
8. previously untreated advanced DLBCL.
9. At least one bi-dimensionally measurable lesion (greater than [>] 1.5 centimeters in
its largest dimension by CT scan or magnetic resonance imaging)
10. Availability of a representative tumor specimen and the corresponding pathology report
for retrospective central confirmation of the diagnosis of DLBCL.
11. Agree to remain abstinent or use contraceptive measures.
Exclusion Criteria:
1. History of autologous stem cell transplantation,radiotherapy or chemotherapy.
2. History of other malignant tumors, except skin basal cell carcinoma and in situ
cervical cancer;
3. With uncontrolled cardiovascular/ cerebrovascular disease, coagulation disorders,
connective tissue disease, severe infectious diseases;
4. Lymphoma originated in the central nervous system;
5. Left ventricular ejection fraction ≦50%;
6. Abnormal lab results in enrollment:Neutrophil count: <1.5*10^9/L;Platelet count
<75*10^9/L;AST or ALT >2 times the upper limit of normal level,AKP and total bilirubin
>1.5 times the upper limit of normal level;serum creatinine >1.5 times the upper limit
of normal level;
7. Other uncontrolled medical conditions which the investigators think might influence
the results of the trial;
8. Patients with mental illnesses or other diseases that might not comply with the trial
plan;
9. Women during pregnancy or lactation;
10. HIV positive patients;
11. HbsAg (+) patients with HBV DNA(+), can be enrolled only when his/her HBV DNA turns
negative; patients with HBsAg(-) HBcAb(+) can be enrolled only when his/her HBV DNA
turns negative;
Maximum Eligible Age: | 70 Years |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | complete remission rate |
Time Frame: | every 3 months until 30 months after the last patient's enrollment. |
Safety Issue: | |
Description: | complete remission rate after treated by Sintilimab+ R-CHOP regimen. |
Secondary Outcome Measures
Measure: | overall survival |
Time Frame: | 30 months after the last patient's enrollment |
Safety Issue: | |
Description: | from the date of inclusion to date of death, irrespective of cause |
Measure: | adverse events |
Time Frame: | from the date of first cycle of treatment to 30 months after last patient's enrollment |
Safety Issue: | |
Description: | any unfavorable and unintended sign , symptom, or disease temporally associated with the use of a medical treatment or procedure that may or may not be considered related to the medical treatment or procedure.For safety reasons, the initial enrollment of the first 6 patients in the study will be slow and conduct intensive monitoring for safety. the monitoring time window for each patient is 21 days after the first treatment. If the dose-limited toxicity event was observed in more than 2 of the first 6 patients and was assessed by the research team as caused by cumulative exposure to the study drug combination therapy, the trial will be stopped. |
Details
Phase: | Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Not yet recruiting |
Lead Sponsor: | Chinese Academy of Medical Sciences |
Trial Keywords
- DLBCL
- Sintilimab
- R-CHOP
- TP53
- PD-L1
Last Updated
December 11, 2019