Study of Rituximab and Bendamustine With or Without Brentuximab Vedotin for CD30 Positive Diffuse Large B-cell Lymphoma

NCT ID: NCT02594163

Last Updated: 2018-10-16

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

25 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-10-31

Study Completion Date

2017-09-30

Brief Summary

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This is a randomized, open-label, multicenter, Phase 2 clinical trial designed to evaluate the efficacy and safety of brentuximab vedotin in combination with rituximab and bendamustine for the treatment of patients with relapsed or refractory CD30-positive diffuse large B-cell lymphoma (DLBCL) after failure of second-line salvage therapy or as second-line treatment in patients ineligible for autologous stem cell transplant (ASCT).

Detailed Description

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Patients will be randomized in a 1:1 manner to receive rituximab plus bendamustine with or without brentuximab vedotin. Patients who respond to combination treatment containing brentuximab vedotin and do not experience excessive toxicity may receive additional single-agent brentuximab vedotin following combination treatment, for up to an additional 10 cycles (up to 16 total cycles of treatment).

Conditions

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Diffuse Large B-cell Lymphoma Refractory Follicular B-cell Non-Hodgkin's Lymphoma

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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Brentuximab Vedotin

Subjects randomized to the brentuximab vedotin arm will receive IV infusions of brentuximab vedotin followed by bendamustine on day 1, and rituximab followed by bendamustine on day 2 of each 21 day cycle.

Group Type EXPERIMENTAL

Brentuximab Vedotin

Intervention Type DRUG

Rituximab

Intervention Type DRUG

Bendamustine

Intervention Type DRUG

Rituximab,Bendamustine control

Subjects randomized to the control arm will receive IV infusions of rituximab on day 1 or day 2 and bendamustine on both days 1 and 2 of each 21 day cycle.

Group Type ACTIVE_COMPARATOR

Rituximab

Intervention Type DRUG

Bendamustine

Intervention Type DRUG

Interventions

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Brentuximab Vedotin

Intervention Type DRUG

Rituximab

Intervention Type DRUG

Bendamustine

Intervention Type DRUG

Other Intervention Names

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Adcetris Rituxan Treanda

Eligibility Criteria

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Inclusion Criteria

1. Patients with confirmed CD30-positive DLBCL or grade 3b follicular non-Hodgkin lymphoma (NHL).
2. Patients must have relapsed or refractory disease following:

1. second-line or greater salvage systemic therapy, or
2. frontline cytotoxic systemic therapy, for patients who are ineligible for stem cell transplant (SCT).
3. Age 18 years and older.
4. Fluorodeoxyglucose (FDG)-avid disease by positron emission tomography (PET).
5. An Eastern Cooperative Oncology Group (ECOG) performance status score of 0-2.
6. Acceptable blood test results.
7. Females of childbearing potential must have a negative pregnancy test result within 7 days prior to the first dose of study drug.
8. Females of childbearing potential and males who have partners of childbearing potential must agree to use an effective contraceptive method during the study and for 6 months following the last dose of brentuximab vedotin or 12 months following the last dose of rituximab, whichever is later.
9. Patients must provide written informed consent.

Exclusion Criteria

1. History of another invasive malignancy that has not been in remission for at least 1 year. (Exceptions are nonmelanoma skin cancer, curatively treated localized prostate cancer, ductal carcinoma, and cervical carcinoma or a squamous intraepithelial lesion on PAP smear).
2. History of progressive multifocal leukoencephalopathy (PML).
3. Cerebral/meningeal disease related to the underlying malignancy, unless definitively treated.
4. Viral, bacterial, or fungal infection within 2 weeks prior to the first dose of treatment.
5. Chemotherapy, radiotherapy, biologics, and/or other antitumor treatment with immunotherapy that is not completed 4 weeks prior to first dose of study drug.
6. Females who are pregnant or breastfeeding.
7. Known allergy to any study drug or ingredient contained in the drug formulation of any of the study drugs.
8. Known to be positive for hepatitis B. Known to have active hepatitis C infection or on antiviral therapy for hepatitis C within the last 6 months.
9. Known to be positive for human immunodeficiency virus (HIV).
10. Patients with previous allogeneic stem cell transplant.
11. Previous treatment with brentuximab vedotin or bendamustine.
12. Intolerable toxicity to prior rituximab therapy.
13. Current therapy with other investigational agents.
14. Lung disease unrelated to underlying malignancy.
15. History of a stroke or transient ischemic attack, unstable angina, myocardial infarction, or cardiac symptoms within 6 months prior to the first dose of treatment.
16. Congestive heart failure.
17. Significant peripheral sensory or motor neuropathy at the start of the study.
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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Thomas Manley, MD

Role: STUDY_DIRECTOR

Seagen Inc.

Locations

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City of Hope

Duarte, California, United States

Site Status

Sansum Clinic - West Pueblo

Santa Barbara, California, United States

Site Status

Good Samaritan Hospital

Torrance, California, United States

Site Status

The Oncology Institute of Hope and Innovation

Whittier, California, United States

Site Status

Rocky Mountain Cancer Center

Aurora, Colorado, United States

Site Status

Kaiser Permanente Oncology

Lonetree, Colorado, United States

Site Status

Illinois Cancer Specialists

Niles, Illinois, United States

Site Status

Norton Cancer Institute

Louisville, Kentucky, United States

Site Status

Dana-Farber Cancer Institute

Boston, Massachusetts, United States

Site Status

Karmanos Cancer Institute

Detroit, Michigan, United States

Site Status

Saint Louis University Cancer Center

St Louis, Missouri, United States

Site Status

Saint Francis Cancer Treatment Center

Grand Island, Nebraska, United States

Site Status

Hematology and Oncology Associates of Northern New Jersey, P.A.

Morristown, New Jersey, United States

Site Status

Willamette Valley Cancer Institute and Research Center

Springfield, Oregon, United States

Site Status

Bon Secours Saint Francis Hospital

Greenville, South Carolina, United States

Site Status

Greenville Health System Institutional Review Board

Greenville, South Carolina, United States

Site Status

UT Southwestern Medical Center

Dallas, Texas, United States

Site Status

Texas Oncology - Flower Mound

Denton, Texas, United States

Site Status

Virginia Oncology Associates

Norfolk, Virginia, United States

Site Status

Oncology and Hematology Associates of Southwest Virginia, Inc.

Roanoke, Virginia, United States

Site Status

Virginia Mason Clinical Research

Seattle, Washington, United States

Site Status

UW Cancer Center at ProHealth Care

Waukesha, Wisconsin, United States

Site Status

FN Brno

Brno, , Czechia

Site Status

Fakultni Nemocnice Hradec Kralove

Hradec Králové, , Czechia

Site Status

Fakultní nemocnice Královské Vinohrady

Prague, , Czechia

Site Status

Centre Hospitalier Regional Universitaire (CHRU) Brest - Hopital Morvan

Brest, , France

Site Status

CHU Côte de Nacre - Caen

Caen, , France

Site Status

Centre Hospitalier des Oudairies

La Roche-sur-Yon, , France

Site Status

Centre Hospitalier du Mans

Le Rocher, , France

Site Status

CHR Metz

Metz, , France

Site Status

Centre Hospitalier Universitaire de Nantes (CHU Nantes) - Hotel Dieu

Nantes, , France

Site Status

Centre Hospitalier de Perpignan

Perpignan, , France

Site Status

Centre Hospitalier Universitaire (CHU) de Poitier- Hopital de la Miletrie - Hopital Jean Bernard

Poitiers, , France

Site Status

Centre Hospitalier Universitaire de Rennes, Hôpital Pontchaillou

Rennes, , France

Site Status

Azienda Ospedaliero-Universitaria di Bologna - Policlinico S.Orsola-Malpighi

Bologna, , Italy

Site Status

Azienda Ospedaliera Spedali Civili di Brescia

Brescia, , Italy

Site Status

IRCSS Policlinico San Matteo

Pavia, , Italy

Site Status

Azienda Policlinico Umberto I di Roma

Roma, , Italy

Site Status

IRCCS Ospedale Casa Sollievo della Sofferenza

San Giovanni Rotondo, , Italy

Site Status

A.O Ospadale Di Circolo E Fondazione Macchi

Varese, , Italy

Site Status

Uniwersyteckie Centrum Kliniczne

Gdansk, , Poland

Site Status

Wojewódzki Szpital Specjalistyczny

Lodz, , Poland

Site Status

Hospital de la Santa Creu i Sant Pau

Barcelona, , Spain

Site Status

Hospital Universitario Puerta de Hierro

Majadahonda, , Spain

Site Status

Hospital Universitario La Fe

Valencia, , Spain

Site Status

Hospital Clinico Universitario Lozano Blesa de Zaragoza

Zaragoza, , Spain

Site Status

University Hospital's Birmingham NHS Foundation trust-Queen Elizabeth Hospital

Birmingham, , United Kingdom

Site Status

Liverpool and Broadgreen Hospital

Liverpool, , United Kingdom

Site Status

Maidstone and Tunbridge Wells NHS Trust

Maidstone, , United Kingdom

Site Status

Christie Hospital NHS Foundation Trust

Manchester, , United Kingdom

Site Status

Countries

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United States Czechia France Italy Poland Spain United Kingdom

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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SGN35-023

Identifier Type: -

Identifier Source: org_study_id

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