Treatment Study of Denintuzumab Mafodotin (SGN-CD19A) Plus RICE Versus RICE Alone for Diffuse Large B-Cell Lymphoma

NCT ID: NCT02592876

Last Updated: 2019-05-17

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

81 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-10-31

Study Completion Date

2018-04-20

Brief Summary

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The purpose of this randomized, open-label study is to evaluate the safety and efficacy of denintuzumab mafodotin plus RICE (rituximab, ifosfamide, carboplatin, and etoposide) when compared to RICE alone in the treatment of patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) or Grade 3b follicular lymphoma. Eligible patients must also be candidates for autologous stem cell transplant. Patients will be randomly assigned in a 1:1 ratio to receive 3 cycles of study treatment with either denintuzumab mafodotin + RICE or RICE alone. The study will assess whether there is a difference between the 2 groups in the side effects that are reported and the number of patients who achieve complete remission at the end of their study treatment.

Detailed Description

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Conditions

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Lymphoma, B-cell Lymphoma, Large B-Cell, Diffuse Lymphoma, Follicular, Grade 3b Follicular Lymphoma, Grade 3b

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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19A+RICE

Denintuzumab mafodotin plus rituximab, ifosfamide, carboplatin, and etoposide

Group Type EXPERIMENTAL

denintuzumab mafodotin

Intervention Type DRUG

Denintuzumab mafodotin 3 mg/kg by intravenous (IV) infusion, every 3 weeks for up to 3 cycles.

rituximab

Intervention Type DRUG

375 mg/m\^2 by IV infusion, every 3 weeks for up to 3 cycles

ifosfamide

Intervention Type DRUG

5000 mg/m\^2 by IV infusion over a 24-hour period, every 3 weeks for up to 3 cycles

carboplatin

Intervention Type DRUG

AUC 5mg/mL x min by IV infusion, every 3 weeks for up to 3 cycles

etoposide

Intervention Type DRUG

100 mg/m\^2 per day by IV infusion for 3 days, every 3 weeks for up to 3 cycles

RICE

Rituximab, ifosfamide, carboplatin, and etoposide

Group Type ACTIVE_COMPARATOR

rituximab

Intervention Type DRUG

375 mg/m\^2 by IV infusion, every 3 weeks for up to 3 cycles

ifosfamide

Intervention Type DRUG

5000 mg/m\^2 by IV infusion over a 24-hour period, every 3 weeks for up to 3 cycles

carboplatin

Intervention Type DRUG

AUC 5mg/mL x min by IV infusion, every 3 weeks for up to 3 cycles

etoposide

Intervention Type DRUG

100 mg/m\^2 per day by IV infusion for 3 days, every 3 weeks for up to 3 cycles

Interventions

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denintuzumab mafodotin

Denintuzumab mafodotin 3 mg/kg by intravenous (IV) infusion, every 3 weeks for up to 3 cycles.

Intervention Type DRUG

rituximab

375 mg/m\^2 by IV infusion, every 3 weeks for up to 3 cycles

Intervention Type DRUG

ifosfamide

5000 mg/m\^2 by IV infusion over a 24-hour period, every 3 weeks for up to 3 cycles

Intervention Type DRUG

carboplatin

AUC 5mg/mL x min by IV infusion, every 3 weeks for up to 3 cycles

Intervention Type DRUG

etoposide

100 mg/m\^2 per day by IV infusion for 3 days, every 3 weeks for up to 3 cycles

Intervention Type DRUG

Other Intervention Names

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SGN-CD19A

Eligibility Criteria

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Inclusion Criteria

* Pathologically confirmed diagnosis of relapsed or refractory diffuse large B-cell lymphoma (DLBCL; including de novo and transformed DLBCL) or Grade 3b follicular lymphoma
* Available representative tissue from the most recent biopsy after the last therapy; if such tissue is not available, a fresh biopsy must be obtained
* Received only frontline CD20-directed immunotherapy with anthracycline- or anthracenedione-based multi-agent chemotherapy. Monotherapy rituximab or other CD20-directed immunotherapy as maintenance therapy prior to frontline chemotherapy, and radiotherapy in a limited field or as part of the frontline treatment plan are permitted.
* Achieved a response of stable disease, partial response, or complete response following the last cycle of frontline treatment. In addition, patients must have relapsed less than or equal to 6 months from the completion of frontline therapy at the time of initial dosing in this clinical trial.
* Considered eligible for high-dose chemotherapy followed by autologous stem cell transplant (ASCT)
* Fluorodeoxyglucose (FDG)-avid disease by positive emission tomography (PET), and measurable disease greater than 1.5 cm in diameter
* Eastern Cooperative Oncology Group (ECOG) performance less than or equal to 2
* Adequate kidney and hematologic function assessed from baseline laboratory data

Exclusion Criteria

* Previous history of indolent lymphoma treated with more than 1 multi-agent chemotherapy regimen or previous cancer therapy for recurrent DLBCL or Grade 3b follicular lymphoma
* History of autologous or allogeneic stem cell transplant
* History of another primary invasive cancer, hematologic malignancy, or myelodysplastic syndrome that has not been in remission for at least 1 year
* History of progressive multifocal leukoencephalopathy (PML)
* Cerebral/meningeal disease related to the underlying malignancy that has not been definitively treated
* Known urinary tract obstruction
* Patients with the following ocular conditions: corneal disorders, monocular vision (i.e., best corrected visual acuity greater than or equal to 20/200 in one eye), or active ocular disorders requiring treatment
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Seagen Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Juan Pinelli, PA-C, MMSc

Role: STUDY_DIRECTOR

Seagen Inc.

Locations

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University of Arkansas for Medical Sciences

Little Rock, Arkansas, United States

Site Status

City of Hope National Medical Center

Duarte, California, United States

Site Status

Scripps Mercy Cancer Center

San Diego, California, United States

Site Status

Colorado Blood Cancer Institute

Denver, Colorado, United States

Site Status

Yale Cancer Center

New Haven, Connecticut, United States

Site Status

Shands Cancer Center / University of Florida

Gainesville, Florida, United States

Site Status

University of Miami

Miami, Florida, United States

Site Status

H. Lee Moffitt Cancer Center & Research Institute

Tampa, Florida, United States

Site Status

Winship Cancer Institute / Emory University School of Medicine

Atlanta, Georgia, United States

Site Status

Rush University Medical Center

Chicago, Illinois, United States

Site Status

University of Chicago

Chicago, Illinois, United States

Site Status

Cardinal Bernardin Cancer Center / Loyola University Medical Center

Maywood, Illinois, United States

Site Status

University of Kansas Cancer Center

Westwood, Kansas, United States

Site Status

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States

Site Status

Dana Farber Cancer Institute

Boston, Massachusetts, United States

Site Status

University of Minnesota

Minneapolis, Minnesota, United States

Site Status

Washington University School of Medicine

St Louis, Missouri, United States

Site Status

Hackensack University Medical Center

Hackensack, New Jersey, United States

Site Status

University of New Mexico Cancer Center

Albuquerque, New Mexico, United States

Site Status

Memorial Sloan Kettering Cancer Center

New York, New York, United States

Site Status

UNC Lineberger Comprehensive Cancer Center / University of North Carolina

Chapel Hill, North Carolina, United States

Site Status

Levine Cancer Institute

Charlotte, North Carolina, United States

Site Status

Duke University Medical Center

Durham, North Carolina, United States

Site Status

MD Anderson Cancer Center / University of Texas

Houston, Texas, United States

Site Status

San Antonio Military Medical Center

San Antonio, Texas, United States

Site Status

University of Virginia

Charlottesville, Virginia, United States

Site Status

Seattle Cancer Care Alliance / University of Washington

Seattle, Washington, United States

Site Status

Carbone Cancer Center / University of Wisconsin

Madison, Wisconsin, United States

Site Status

Medical College of Wisconsin (Milwaukee)

Milwaukee, Wisconsin, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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SGN19A-003

Identifier Type: -

Identifier Source: org_study_id

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