Description:
Participants in this study will have diffuse large B-cell lymphoma (DLBCL) that has come back
or not gotten better with treatment. The trial will study whether brentuximab vedotin plus
two drugs works better to treat this type of cancer than the two drugs alone.
Patients will be randomly assigned to get either brentuximab vedotin or placebo. The placebo
will look like brentuximab vedotin, but has no medicine in it. Since the study is "blinded,"
patients and their doctors will not know whether a patient gets brentuximab vedotin or
placebo. All patients in the study will get rituximab and lenalidomide. These are drugs that
can be used to treat DLBCL.
Title
- Brief Title: Brentuximab Vedotin Plus Lenalidomide and Rituximab for the Treatment of Relapsed/Refractory DLBCL
- Official Title: A Randomized, Double-blind, Placebo-Controlled, Active-Comparator, Multicenter, Phase 3 Study of Brentuximab Vedotin or Placebo in Combination With Lenalidomide and Rituximab in Subjects With Relapsed or Refractory Diffuse Large B-cell Lymphoma (DLBCL)
Clinical Trial IDs
- ORG STUDY ID:
SGN35-031
- NCT ID:
NCT04404283
Conditions
- Diffuse Large B-cell Lymphoma
Interventions
Drug | Synonyms | Arms |
---|
Brentuximab vedotin | | Experimental Arm |
Rituximab | | Control Arm |
Lenalidomide | | Control Arm |
Purpose
Participants in this study will have diffuse large B-cell lymphoma (DLBCL) that has come back
or not gotten better with treatment. The trial will study whether brentuximab vedotin plus
two drugs works better to treat this type of cancer than the two drugs alone.
Patients will be randomly assigned to get either brentuximab vedotin or placebo. The placebo
will look like brentuximab vedotin, but has no medicine in it. Since the study is "blinded,"
patients and their doctors will not know whether a patient gets brentuximab vedotin or
placebo. All patients in the study will get rituximab and lenalidomide. These are drugs that
can be used to treat DLBCL.
Trial Arms
Name | Type | Description | Interventions |
---|
Experimental Arm | Experimental | Brentuximab vedotin + lenalidomide + rituximab | - Brentuximab vedotin
- Rituximab
- Lenalidomide
|
Control Arm | Active Comparator | Placebo + lenalidomide + rituximab | |
Eligibility Criteria
Inclusion Criteria:
- Participants with relapsed or refractory diffuse and transformed large B-cell lymphoma
(R/R DLBCL). DLBCL and cell of origin (GCB versus non-GCB) will be histologically
determined by local pathology assessment for the purposes of study eligibility and
stratification.
- Participants must have R/R disease following 2 or more lines of prior systemic
therapy.
- Participants must be HSCT or CAR-T ineligible according to the investigator and must
meet at least one of the following criteria:
1. One or more co-morbidities, including cardiac, pulmonary, renal or hepatic
dysfunction that in the opinion of the Investigator make the subject medically
unfit to received HSCT or CAR-T therapy
2. Active disease following induction and salvage chemotherapy
3. Inadequate stem cell mobilization (for HSCT)
4. Relapse following prior HSCT or CAR-T
5. Unable to receive CAR-T therapy due to financial, geographic, insurance, or
manufacturing issues
- Participants will need to have a formalin-fixed paraffin-embedded tumor tissue
(obtained ≤4 weeks before Day 1) submitted to the central pathology lab.
- An Eastern Cooperative Oncology Group (ECOG) performance status score of 0 to 2
- Participants must have fluorodeoxyglucose (FDG)-avid disease by positron emission
tomography (PET) and bidimensional measurable disease of at least 1.5 cm by computed
tomography (CT), as assessed by the site radiologist within 28 days of Day 1.
Exclusion Criteria:
- History of another malignancy within 2 years before the first dose of study drug or
any evidence of residual disease from a previously diagnosed malignancy
- History of progressive multifocal leukoencephalopathy (PML)
- Active cerebral/meningeal disease related to the underlying malignancy. Subjects with
a history of cerebral/meningeal disease related to the underlying malignancy are
allowed if prior CNS disease has been effectively treated and without progression for
at least 3 months.
- Any uncontrolled Grade 3 or higher (per NCI CTCAE version 5.0) viral, bacterial, or
fungal infection within 2 weeks prior to the first dose of study drug. Routine
antimicrobial prophylaxis is permitted
- Chemotherapy, radiotherapy, biologics, and/or other antitumor treatment with
immunotherapy that is not completed 3 weeks prior to first dose of study drug, unless
underlying disease has progressed on treatment
- Current therapy with immunosuppressive medications (including steroids), other
systemic anti-neoplastic, or investigational agents
a) Prednisone (or equivalent) ≤10 mg/day may be used for non-lymphomatous purposes
- Documented history of a cerebral vascular event (stroke or transient ischemic attack),
unstable angina, myocardial infarction, or cardiac symptoms consistent with New York
Heart Association (NYHA) Class III-IV within 6 months prior to the first dose of study
drugs
- Congestive heart failure, Class III or IV, by the NYHA criteria
- Grade 2 or higher peripheral sensory or motor neuropathy at baseline
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | PFS per blinded independent central review (BICR) in the ITT population |
Time Frame: | Approximately 1 year |
Safety Issue: | |
Description: | Time from the date of randomization to the date of first documentation of PD per BICR or to death due to any cause, whichever occurs first. |
Secondary Outcome Measures
Measure: | Objective response rate (ORR) per BICR |
Time Frame: | Approximately 1 year |
Safety Issue: | |
Description: | Proportion of subjects with complete response (CR) or partial response (PR) according to the Lugano Criteria for Response Assessment (Cheson 2014). |
Measure: | Overall survival (OS) in the ITT population |
Time Frame: | Approximately 18 months |
Safety Issue: | |
Description: | Time from the date of randomization to date of death due to any cause. |
Measure: | OS in the CD30+ population |
Time Frame: | Approximately 18 months |
Safety Issue: | |
Description: | Time from the date of randomization to date of death due to any cause. |
Measure: | Complete response (CR) rate |
Time Frame: | Approximately 1 year |
Safety Issue: | |
Description: | Proportion of participants with CR according to the Lugano Criteria for Response Assessment (Cheson 2014) |
Measure: | Duration of objective response |
Time Frame: | Approximately 1 year |
Safety Issue: | |
Description: | Time from start of the first documentation of objective tumor response (CR or PR) to the first documentation of tumor progression (Cheson 2014) or death due to any cause, whichever comes first. |
Measure: | Incidence of adverse events |
Time Frame: | Approximately 1 year |
Safety Issue: | |
Description: | Any untoward medical occurrence in a subject or clinical investigational subject administered a medicinal product and which does not necessarily have a causal relationship with this treatment. |
Details
Phase: | Phase 3 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Seagen Inc. |
Trial Keywords
Last Updated
August 24, 2021