Denintuzumab Mafodotin (SGN-CD19A) Combined With RCHOP or RCHP Versus RCHOP Alone in Diffuse Large B-Cell Lymphoma or Follicular Lymphoma

NCT ID: NCT02855359

Last Updated: 2019-03-11

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

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-08-31

Study Completion Date

2018-05-15

Brief Summary

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This is a Phase 2 study to evaluate the combination of denintuzumab mafodotin in combination with RCHOP or RCHP compared with RCHOP alone as front-line therapy in patients with diffuse large B-cell lymphoma or follicular lymphoma Grade 3b.

Detailed Description

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In Part A of the study, patients will be randomized 1:1 to receive denintuzumab mafodotin plus RCHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone) or denintuzumab mafodotin plus RCHP (rituximab, cyclophosphamide, doxorubicin, and prednisone) to assess the safety of these 2 combination regimens. Part B of the study is designed to evaluate the antitumor activity and safety of denintuzumab mafodotin in combination with either RCHOP or RCHP (Experimental Arm) compared with RCHOP alone (Comparator Arm).

Conditions

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Diffuse, Large B-Cell, Lymphoma Follicular Lymphoma, Grade 3b Transformed Lymphoma / DLBCL

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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denintuzumab mafodotin + RCHOP

Part A: denintuzumab mafodotin (SGN-CD19A) + RCHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone)

Group Type EXPERIMENTAL

denintuzumab mafodotin

Intervention Type DRUG

SGN-CD19A at 3 mg/kg will be administered every 6 weeks via intravenous (IV) infusion, up to a maximum of three (3) doses, on Day 1 of Cycles 1, 3, and 5 of 21-day cycles

rituximab

Intervention Type DRUG

375 mg/m2 every 3 weeks by IV infusion for up to 6 cycles

cyclophosphamide

Intervention Type DRUG

750 mg/m2 every 3 weeks by IV infusion for up to 6 cycles

doxorubicin

Intervention Type DRUG

50 mg/m2 every 3 weeks by IV infusion for up to 6 cycles

vincristine

Intervention Type DRUG

1.4 mg/m2 every 3 weeks by IV infusion for up to 6 cycles (dose capped at 2 mg total)

prednisone

Intervention Type DRUG

100 mg on Days 1 to 5 of each 3-week cycle, orally for up to 6 cycles

denintuzumab mafodotin + RCHP

Part A: denintuzumab mafodotin (SGN-CD19A) + RCHP (rituximab, cyclophosphamide, doxorubicin, and prednisone)

Group Type EXPERIMENTAL

denintuzumab mafodotin

Intervention Type DRUG

SGN-CD19A at 3 mg/kg will be administered every 6 weeks via intravenous (IV) infusion, up to a maximum of three (3) doses, on Day 1 of Cycles 1, 3, and 5 of 21-day cycles

rituximab

Intervention Type DRUG

375 mg/m2 every 3 weeks by IV infusion for up to 6 cycles

cyclophosphamide

Intervention Type DRUG

750 mg/m2 every 3 weeks by IV infusion for up to 6 cycles

doxorubicin

Intervention Type DRUG

50 mg/m2 every 3 weeks by IV infusion for up to 6 cycles

prednisone

Intervention Type DRUG

100 mg on Days 1 to 5 of each 3-week cycle, orally for up to 6 cycles

denintuzumab mafodotin + RCHOP or RCHP

Part B: denintuzumab mafodotin (SGN-CD19A) + RCHOP or RCHP

Group Type EXPERIMENTAL

denintuzumab mafodotin

Intervention Type DRUG

SGN-CD19A at 3 mg/kg will be administered every 6 weeks via intravenous (IV) infusion, up to a maximum of three (3) doses, on Day 1 of Cycles 1, 3, and 5 of 21-day cycles

rituximab

Intervention Type DRUG

375 mg/m2 every 3 weeks by IV infusion for up to 6 cycles

cyclophosphamide

Intervention Type DRUG

750 mg/m2 every 3 weeks by IV infusion for up to 6 cycles

doxorubicin

Intervention Type DRUG

50 mg/m2 every 3 weeks by IV infusion for up to 6 cycles

vincristine

Intervention Type DRUG

1.4 mg/m2 every 3 weeks by IV infusion for up to 6 cycles (dose capped at 2 mg total)

prednisone

Intervention Type DRUG

100 mg on Days 1 to 5 of each 3-week cycle, orally for up to 6 cycles

RCHOP

Part B: RCHOP alone: (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone)

Group Type ACTIVE_COMPARATOR

rituximab

Intervention Type DRUG

375 mg/m2 every 3 weeks by IV infusion for up to 6 cycles

cyclophosphamide

Intervention Type DRUG

750 mg/m2 every 3 weeks by IV infusion for up to 6 cycles

doxorubicin

Intervention Type DRUG

50 mg/m2 every 3 weeks by IV infusion for up to 6 cycles

vincristine

Intervention Type DRUG

1.4 mg/m2 every 3 weeks by IV infusion for up to 6 cycles (dose capped at 2 mg total)

prednisone

Intervention Type DRUG

100 mg on Days 1 to 5 of each 3-week cycle, orally for up to 6 cycles

Interventions

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denintuzumab mafodotin

SGN-CD19A at 3 mg/kg will be administered every 6 weeks via intravenous (IV) infusion, up to a maximum of three (3) doses, on Day 1 of Cycles 1, 3, and 5 of 21-day cycles

Intervention Type DRUG

rituximab

375 mg/m2 every 3 weeks by IV infusion for up to 6 cycles

Intervention Type DRUG

cyclophosphamide

750 mg/m2 every 3 weeks by IV infusion for up to 6 cycles

Intervention Type DRUG

doxorubicin

50 mg/m2 every 3 weeks by IV infusion for up to 6 cycles

Intervention Type DRUG

vincristine

1.4 mg/m2 every 3 weeks by IV infusion for up to 6 cycles (dose capped at 2 mg total)

Intervention Type DRUG

prednisone

100 mg on Days 1 to 5 of each 3-week cycle, orally for up to 6 cycles

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Treatment-naive patients with histologically confirmed systemic de novo or transformed diffuse large B-cell lymphoma (DLBCL) (from follicular or marginal zone lymphoma), or follicular lymphoma (FL) Grade 3b;

* patients must have high intermediate or high risk disease
* Tumor tissue available from most recent biopsy to determine cell of origin
* Fluorodeoxyglucose-avid disease by positron emission tomography and measurable disease greater than 1.5cm diameter
* Eastern Cooperative Oncology Group performance status ≤2
* Age 18 years or older
* Adequate study baseline laboratory parameters

Exclusion Criteria

* Previous history of treated indolent lymphoma
* History of another primary invasive cancer, hematologic malignancy, or myelodysplastic syndrome that has not been in remission for at least 3 years
* History of progressive multifocal leukoencephalopathy
* Cerebral/meningeal disease related to the underlying malignancy
* Patients with the following ocular conditions: corneal disorders, monocular vision (ie. 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 Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

Saint Bernards Cancer Center

Jonesboro, Arkansas, United States

Site Status

City of Hope

Duarte, California, United States

Site Status

Compassionate Cancer Care Medical Group, Inc.

Fountain Valley, California, United States

Site Status

Pacific Hematology Oncology Associates

San Francisco, California, United States

Site Status

University of Colorado Health Memorial Hospital

Colorado Springs, Colorado, United States

Site Status

Poudre Valley Hospital Harmony Campus

Fort Collins, Colorado, United States

Site Status

Central Georgia Cancer Care

Macon, Georgia, United States

Site Status

Loyola University Medical Center

Maywood, Illinois, United States

Site Status

University of Iowa Hospitals and Clinics

Iowa City, Iowa, United States

Site Status

Norton Cancer Institute

Louisville, Kentucky, United States

Site Status

Montgomery Cancer Center

Mount Sterling, Kentucky, United States

Site Status

Tulane University Hospital and Clinic

New Orleans, Louisiana, United States

Site Status

University of Michigan Comprehensive Cancer Center

Ann Arbor, Michigan, United States

Site Status

Virginia Piper Cancer Institute

Minneapolis, Minnesota, United States

Site Status

Hattiesburg Clinic (Forrest General Hospital)

Hattiesburg, Mississippi, United States

Site Status

Research Medical Center

Kansas City, Missouri, United States

Site Status

San Juan Oncology Associates

Farmington, New Mexico, United States

Site Status

Mount Sinai Hospital

New York, New York, United States

Site Status

Montefiore Medical Center - Bronx

The Bronx, New York, United States

Site Status

Duke University Medical Center

Durham, North Carolina, United States

Site Status

Regional Medical Oncology Center

Wilson, North Carolina, United States

Site Status

Gabrail Cancer Center Research

Canton, Ohio, United States

Site Status

University Hospitals Seidman Cancer Center

Cleveland, Ohio, United States

Site Status

Thomas Jefferson University Hospital

Philadelphia, Pennsylvania, United States

Site Status

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, United States

Site Status

Hollings Cancer Center

Charleston, South Carolina, United States

Site Status

Tennessee Oncology / Sarah Cannon Research Institute

Nashville, Tennessee, United States

Site Status

Baylor Health - Baylor University Medical Center

Dallas, Texas, United States

Site Status

Joe Arrington Cancer Research and Treatment Center

Lubbock, Texas, United States

Site Status

Scott and White Memorial Hospital - Temple

Temple, Texas, United States

Site Status

Kadlec Clinic Hematology and Oncology

Kennewick, Washington, United States

Site Status

Vista Oncology INC PS

Olympia, Washington, United States

Site Status

Northwest Medical Specialties, PLLC

Tacoma, Washington, United States

Site Status

Ponce Medical School Foundation

Ponce, , Puerto Rico

Site Status

Countries

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United States Puerto Rico

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-004

Identifier Type: -

Identifier Source: org_study_id

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