Description:
This Phase II, open-label, multicenter study will evaluate the safety, efficacy, and
pharmacokinetics of glofitamab in combination with Rituximab, Cyclophosphamide, Doxorubicin,
Vincristine, and Prednisone (R-CHOP) in individuals with circulating tumor DNA (ctDNA)
high-risk diffuse large B-cell lymphoma (DLBCL), as the first line of treatment.
Title
- Brief Title: A Study to Evaluate the Safety and Efficacy of Glofitamab in Combination With Rituximab (R) Plus Cyclophosphamide, Doxorubicin, Vincristine, and Prednisone (CHOP) in Circulating Tumor (ct)DNA High-Risk Patients With Untreated Diffuse Large B-Cell Lymphoma
- Official Title: A Phase II Study Evaluating the Safety and Efficacy of Glofitamab in Combination With Rituximab (R) Plus Cyclophosphamide, Doxorubicin, Vincristine, and Prednisone (CHOP) in Circulating Tumor (ct)DNA High-Risk Patients With Untreated Diffuse Large B-Cell Lymphoma
Clinical Trial IDs
- ORG STUDY ID:
GO43075
- NCT ID:
NCT04980222
Conditions
Interventions
Drug | Synonyms | Arms |
---|
Glofitamab | | Glofitamab + R-CHOP Immunochemotherapy |
Tocilizumab | | Glofitamab + R-CHOP Immunochemotherapy |
Doxorubicin | | Glofitamab + R-CHOP Immunochemotherapy |
Vincristine | | Glofitamab + R-CHOP Immunochemotherapy |
Prednisone | | Glofitamab + R-CHOP Immunochemotherapy |
Rituximab | | Glofitamab + R-CHOP Immunochemotherapy |
Cyclophosphamide | | Glofitamab + R-CHOP Immunochemotherapy |
Purpose
This Phase II, open-label, multicenter study will evaluate the safety, efficacy, and
pharmacokinetics of glofitamab in combination with Rituximab, Cyclophosphamide, Doxorubicin,
Vincristine, and Prednisone (R-CHOP) in individuals with circulating tumor DNA (ctDNA)
high-risk diffuse large B-cell lymphoma (DLBCL), as the first line of treatment.
Trial Arms
Name | Type | Description | Interventions |
---|
Glofitamab + R-CHOP Immunochemotherapy | Experimental | Participants will receive step-up doses of glofitamab, starting on Day 8 of Cycle 3 (2.5 mg), Day 15 of Cycle 3 (10 mg), then 30 mg glofitamab will be given every three weeks (Q3W) onwards, on Day 8 of Cycles 4-6 and on Day 1 of Cycles 7-10. (cycle length = 21 days)
Participants will receive rituximab, cyclophosphamide, doxorubicin, and vincristine Q3W on Day 1 of Cycles 1-6. Prednisone or prednisolone will be administered daily (QD) on Days 1-5 of Cycles 1-6. (cycle length = 21 days) | - Glofitamab
- Tocilizumab
- Doxorubicin
- Vincristine
- Prednisone
- Rituximab
- Cyclophosphamide
|
Eligibility Criteria
Inclusion Criteria:
- Previously untreated patients with CD20-positive DLBCL, including one of the following
diagnoses made according to the 2016 World Health Organization (WHO) classification of
lymphoid neoplasms
- DLBCL, not otherwise specified, including GCB and ABC/non-GCB types as well as
double-expressor lymphoma (coexpression of MYC and BCL2)
- High-grade B-cell lymphoma (HGBCL) with MYC and BCL2 and/or BCL6 translocations
- Patients with de novo transformed follicular lymphoma (patients with discordant
bone marrow involvement, i.e., evidence of low-grade histology in bone marrow)
may be considered after discussion with the Medical Monitor
- Eastern Cooperative Oncology Group (ECOG) Performance Status of 0-2
- International Prognostic Index (IPI): 1-5
- Life expectancy of at least 6 months
- Adequate biomarker blood samples prior to initiation of R-CHOP on Day 1 of Cycle 1 and
on Day 1 of Cycle 2 submitted for screening for determination of ctDNA status
- At least one bi-dimensionally fluorodeoxyglucose (FDG)-avid measurable lymphoma lesion
on positron emission tomography/computed tomography (PET/CT) scan
- Left ventricular ejection fraction (LVEF) >=50%, as determined on cardiac
multiple-gated acquisition (MUGA) scan or cardiac echocardiogram (ECHO)
- Adequate hematopoietic function
- Contraception use
Additional Inclusion Criterion for ctDNA High-Risk Participants:
- Plasma sample evaluated to be ctDNA high risk
Exclusion Criteria:
- Current diagnosis of B-cell lymphoma, unclassifiable, with features intermediate
between DLBCL and classic Hodgkin lymphoma (gray-zone lymphoma), primary mediastinal
(thymic) large B-cell lymphoma, Burkitt lymphoma, central nervous system (CNS)
lymphoma (primary or secondary involvement), primary effusion DLBCL, and primary
cutaneous DLBCL
- Contraindication to any of the individual components of R-CHOP, including prior
receipt of anthracyclines, history of severe allergic or anaphylactic reactions to
murine monoclonal antibodies, or known sensitivity or allergy to murine products
- Prior treatment for indolent lymphoma
- Prior solid organ or allogeneic stem cell transplant
- Prior therapy for DLBCL and high-grade B-cell lymphoma (HGBCL) with the exception of
palliative, short-term treatment with corticosteroids
- Pregnant or breastfeeding, or intending to become pregnant during the study or within
12 months after the final dose of R-CHOP, 3 months after the final dose of tocilizumab
(if applicable), or 2 months after the final dose of glofitamab
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | End of Treatment Complete Response (EOT CR) Rate |
Time Frame: | Up to approximately 24 months |
Safety Issue: | |
Description: | |
Secondary Outcome Measures
Measure: | Overall Response Rate (ORR) at the EOT |
Time Frame: | Up to approximately 24 months |
Safety Issue: | |
Description: | |
Measure: | Progression-free Survival (PFS) |
Time Frame: | Up to approximately 24 months |
Safety Issue: | |
Description: | |
Measure: | Overall Survival (OS) |
Time Frame: | Up to approximately 24 months |
Safety Issue: | |
Description: | |
Measure: | Percentage of Participants with Adverse Events (AEs) |
Time Frame: | Up to 90 days after the final dose of study treatment |
Safety Issue: | |
Description: | |
Measure: | Serum Concentration of Glofitamab |
Time Frame: | At pre-defined intervals up to approximately 10 months |
Safety Issue: | |
Description: | |
Measure: | Maximum Concentration (Cmax) of Glofitamab |
Time Frame: | At pre-defined intervals up to approximately 10 months |
Safety Issue: | |
Description: | |
Measure: | Total Exposure (AUC) of Glofitamab |
Time Frame: | At pre-defined intervals up to approximately 10 months |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Not yet recruiting |
Lead Sponsor: | Hoffmann-La Roche |
Last Updated
July 28, 2021