Phase Ib Study to Assess Safety and Preliminary Efficacy of Tafasitamab or Tafasitamab Plus Lenalidomide in Addition to R-CHOP in Patients With Newly Diagnosed DLBCL

NCT ID: NCT04134936

Last Updated: 2024-10-16

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

66 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-12-11

Study Completion Date

2022-08-10

Brief Summary

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This is an open-label, randomized, multicentre study to evaluate safety and preliminary efficacy of the human anti-CD19 antibody Tafasitamab in addition to R-CHOP (Rituximab, Cyclophosphamide, Doxorubicin, Vincristine, Prednisone) or Tafasitamab and Lenalidomide in addition to R-CHOP in adult patients with newly diagnosed, previously untreated Diffuse Large B-cell Lymphoma (DLBCL).

Detailed Description

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Conditions

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Diffuse Large B-cell 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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Arm A

Tafasitamab in addition to R-CHOP

Group Type EXPERIMENTAL

Tafasitamab

Intervention Type DRUG

Six 21-day cycles of tafasitamab (12 mg/kg intravenously, on Day 1, 8 and 15) in addition to R-CHOP

Arm B

Tafasitamab plus lenalidomide in addition to R-CHOP

Group Type EXPERIMENTAL

Tafasitamab plus lenalidomide

Intervention Type DRUG

Six 21-day cycles of tafasitamab (12 mg/kg intravenously, on Day 1, 8 and 15) plus lenalidomide (starting dose 25 mg orally, on Day 1-10) in addition to R-CHOP

Interventions

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Tafasitamab

Six 21-day cycles of tafasitamab (12 mg/kg intravenously, on Day 1, 8 and 15) in addition to R-CHOP

Intervention Type DRUG

Tafasitamab plus lenalidomide

Six 21-day cycles of tafasitamab (12 mg/kg intravenously, on Day 1, 8 and 15) plus lenalidomide (starting dose 25 mg orally, on Day 1-10) in addition to R-CHOP

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Age \>18 years
2. Histologically confirmed diagnosis of DLBCL, not otherwise specified (NOS)
3. Tumor tissue for retrospective central pathology review and correlative studies must be provided.
4. At least one bidimensionally measurable, PET positive disease site (greatest transverse diameter of ≥1.5 cm, greatest perpendicular diameter of ≥1.0 cm)
5. Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2
6. International Prognostic Index (IPI) status of 2 to 5
7. Appropriate candidate for R-CHOP
8. Left ventricular ejection fraction (LVEF) of ≥50% assessed by echocardiography or cardiac multi-gated acquisition (MUGA) scan
9. Adequate hematologic, liver and renal function
10. Females of childbearing potential (FCBP) must:

* not be pregnant
* refrain from breast feeding and donating oocyte
* agree to ongoing pregnancy testing
* commit to continued abstinence from heterosexual intercourse, or agree to use and be able to comply with the use of double-barrier contraception
11. Males must:

* use an effective barrier method of contraception if sexually active with FCBP
* refrain from donating sperm
12. In the opinion of investigator, the patient must be able and willing to receive adequate prophylaxis and/or therapy for thromboembolic events

Exclusion Criteria

1. Any other histological type of lymphoma according to World Health Organization (WHO) 2016 classification of lymphoid neoplasms, known double- or triple-hit lymphoma
2. Transformed non-Hodgkin lymphoma (NHL) and/or evidence of composite lymphoma
3. History of radiation therapy to ≥25% of the bone marrow or history of anthracycline therapy
4. History of prior non-hematologic malignancy except for the following:

* Malignancy treated with curative intent and with no evidence of active disease present for more than 2 years before screening
* Adequately treated lentigo maligna melanoma without current evidence of disease or adequately controlled non-melanomatous skin cancer
* Adequately treated carcinoma in situ without current evidence of disease
5. History of myocardial infarction ≤6 months, or congestive heart failure requiring use of ongoing maintenance therapy for life-threatening arrhythmias
6. Patients with:

* positive test results for active hepatitis B and C
* known seropositive for or history of active viral infection with human immunodeficiency virus (HIV)
* known active bacterial, viral, fungal, mycobacterial, or other infection at screening
* known central nervous system (CNS) lymphoma involvement
* history or evidence of clinically significant cardiovascular, CNS and/or other systemic disease that would in the investigator opinion preclude participation in the study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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MorphoSys AG

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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MorphoSys Research Site

Tucson, Arizona, United States

Site Status

MorphoSys Research Site

Anaheim, California, United States

Site Status

MorphoSys Research Site

Duarte, California, United States

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MorphoSys Research Site

Encinitas, California, United States

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MorphoSys Research Site

Aurora, Colorado, United States

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MorphoSys Research Site

New Haven, Connecticut, United States

Site Status

MorphoSys Research Site

Washington D.C., District of Columbia, United States

Site Status

MorphoSys Research Site

Urbana, Illinois, United States

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MorphoSys Research Site

Louisville, Kentucky, United States

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MorphoSys Research Site

Covington, Louisiana, United States

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MorphoSys Research Site

Rockville, Maryland, United States

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MorphoSys Research Site

Ann Arbor, Michigan, United States

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MorphoSys Research Site

Rochester, Minnesota, United States

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MorphoSys Research Site

Cincinnati, Ohio, United States

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MorphoSys Research Site

Cleveland, Ohio, United States

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MorphoSys Research Site

Eugene, Oregon, United States

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MorphoSys Research Site

Charleston, South Carolina, United States

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MorphoSys Research Site

Austin, Texas, United States

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MorphoSys Research Site

Dallas, Texas, United States

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Houston, Texas, United States

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San Antonio, Texas, United States

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MorphoSys Research Site

Tyler, Texas, United States

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MorphoSys Research Site

Vancouver, Washington, United States

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MorphoSys Research Site

Graz, , Austria

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MorphoSys Research Site

Innsbruck, , Austria

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MorphoSys Research Site

Linz, , Austria

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MorphoSys Research Site

Salzburg, , Austria

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MorphoSys Research Site

Sankt Pölten, , Austria

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Vienna, , Austria

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Wels, , Austria

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MorphoSys Research Site

Antwerp, , Belgium

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MorphoSys Research Site

Antwerp, , Belgium

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Brussels, , Belgium

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Ghent, , Belgium

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Roeselare, , Belgium

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Yvoir, , Belgium

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Hradec Králové, , Czechia

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MorphoSys Research Site

Ostrava, , Czechia

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MorphoSys Research Site

Prague, , Czechia

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MorphoSys Research Site

Prague, , Czechia

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MorphoSys Research Site

Prague, , Czechia

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MorphoSys Research Site

Bordeaux, , France

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MorphoSys Research Site

Brest, , France

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MorphoSys Research Site

Nantes, , France

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MorphoSys Research Site

Pierre-Bénite, , France

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MorphoSys Research Site

Aachen, , Germany

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MorphoSys Research Site

Augsburg, , Germany

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MorphoSys Research Site

Bonn, , Germany

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Dortmund, , Germany

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Giessen, , Germany

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Göttingen, , Germany

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Halle, , Germany

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MorphoSys Research Site

Mutlangen, , Germany

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MorphoSys Research Site

München, , Germany

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MorphoSys Research Site

München, , Germany

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MorphoSys Research Site

Nuremberg, , Germany

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MorphoSys Research Site

Würzburg, , Germany

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MorphoSys Research Site

Bologna, , Italy

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MorphoSys Research Site

Ravenna, , Italy

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MorphoSys Research Site

Lisbon, , Portugal

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MorphoSys Research Site

Lisbon, , Portugal

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MorphoSys Research Site

Porto, , Portugal

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MorphoSys Research Site

Porto, , Portugal

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MorphoSys Research Site

Barcelona, , Spain

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MorphoSys Research Site

Cáceres, , Spain

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MorphoSys Research Site

Girona, , Spain

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MorphoSys Research Site

Madrid, , Spain

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MorphoSys Research Site

Sabadell, , Spain

Site Status

MorphoSys Research Site

Seville, , Spain

Site Status

MorphoSys Research Site

Vitoria-Gasteiz, , Spain

Site Status

Countries

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United States Austria Belgium Czechia France Germany Italy Portugal Spain

References

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Belada D, Kopeckova K, Bergua Burgues JM, Stevens D, Andre M, Persona EP, Pichler P, Staber PB, Trneny M, Duell J, Waldron-Lynch M, Wagner S, Mukhopadhyay A, Dirnberger-Hertweck M, Burke JM, Nowakowski GS. Safety and efficacy of tafasitamab with or without lenalidomide added to first-line R-CHOP for DLBCL: the phase 1b First-MIND study. Blood. 2023 Oct 19;142(16):1348-1358. doi: 10.1182/blood.2023020637.

Reference Type DERIVED
PMID: 37369099 (View on PubMed)

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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MOR208C107

Identifier Type: -

Identifier Source: org_study_id

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