Clinical Trials /

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

NCT04980222

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.

Related Conditions:
  • Diffuse Large B-Cell Lymphoma
  • Diffuse Large B-Cell Lymphoma, Not Otherwise Specified
  • Follicular Lymphoma
  • High Grade B-Cell Lymphoma with MYC and BCL2 and/or BCL6 Rearrangements
Recruiting Status:

Not yet recruiting

Phase:

Phase 2

Trial Eligibility

Document

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

  • Lymphoma

Interventions

DrugSynonymsArms
GlofitamabGlofitamab + R-CHOP Immunochemotherapy
TocilizumabGlofitamab + R-CHOP Immunochemotherapy
DoxorubicinGlofitamab + R-CHOP Immunochemotherapy
VincristineGlofitamab + R-CHOP Immunochemotherapy
PrednisoneGlofitamab + R-CHOP Immunochemotherapy
RituximabGlofitamab + R-CHOP Immunochemotherapy
CyclophosphamideGlofitamab + 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

NameTypeDescriptionInterventions
Glofitamab + R-CHOP ImmunochemotherapyExperimentalParticipants 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