A Study of SAR444245 With or Without Other Anticancer Therapies for the Treatment of Adults and Adolescents With Relapsed or Refractory B Cell Lymphoma (Master Protocol) [Pegathor Lymphoma 205]
NCT ID: NCT05179603
Last Updated: 2025-12-24
Study Results
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View full resultsBasic Information
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TERMINATED
PHASE2
14 participants
INTERVENTIONAL
2021-12-07
2024-09-06
Brief Summary
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Substudy 1-Cohort A aimed to establish safety and preliminary anti-tumor activity for non-alpha interleukin (IL-2) SAR444245 combined with the anti-PD1 antibody, pembrolizumab in trial participants with classic Hodgkin lymphoma (cHL) who are anti-PD-(L)1-naive and have received at least 2 or 3 lines of systemic therapy.
Substudy 3-Cohort C1 aims to establish safety and preliminary anti-tumor activity for SAR444245 as monotherapy in trial participants with diffuse large B-cell lymphoma (DLBCL). Trial participants in this study must have received at least 2 lines of systemic therapy and have either stable or progressive disease 1-3 months post Health Authority approved Chimeric Antigen Receptor T-cell (CAR-T) treatment when given as last systemic treatment prior to study enrollment.
Detailed Description
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a screening period of up to 28 days;
a treatment period \[max\] 35 cycles (21 days per cycle) for Cohort A and 52 cycles (14 days per cycle) for Cohort C1 or until occurrence of unacceptable toxicities or until PD;
an end-of-treatment visit at least approximately 30 days following the last administration of study drug (or until the participant receives another anticancer therapy, whichever is earlier);
and a follow-up visits 3 months after treatment discontinuation and every 3 months thereafter following, until disease progression, or initiation of another antitumor treatment, or death, whichever is earlier.
Conditions
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Study Design
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NON_RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Cohort A: Pegenzileukin 24 μg/kg + Pembrolizumab
Participants with classic Hodgkin lymphoma (cHL) who were anti-programmed cell death-ligand 1 (PD-L1)-naïve and had received at least 2 or 3 lines of systemic therapy received pegenzileukin 24 microgram per kilogram (μg/kg) via intravenous (IV) infusion over 30 minutes on Day 1 of each cycle (each cycle is 21 days), along with pembrolizumab 200 milligram (mg) via 30 minutes IV infusion on Day 1 of each 3-week treatment cycle (each cycle is 21 days) as third-line or fourth-line (3/4L) therapy, until disease progression (PD), unacceptable adverse event (AE) or other full permanent discontinuation criteria was met or completion of Cycle 35.
THOR-707
Pharmaceutical Form: Solution for infusion Route of Administration: Intravenous infusion
Pembrolizumab
Pharmaceutical Form: Solution for infusion Route of Administration: Intravenous infusion
Cohort C1: (sub study 03) diffuse large B Cell lymphoma (DLBCL)
Pegenzileukin administered every 2 weeks on Day 1 of each cycle (14 days per cycle) for up to 52 cycles.
THOR-707
Pharmaceutical Form: Solution for infusion Route of Administration: Intravenous infusion
Interventions
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THOR-707
Pharmaceutical Form: Solution for infusion Route of Administration: Intravenous infusion
Pembrolizumab
Pharmaceutical Form: Solution for infusion Route of Administration: Intravenous infusion
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Disease location was amenable to tumor biopsy at baseline
* All participants must have had a measurable disease
* Both male and female participants agreed to use approved contraception methods; not pregnant or breastfeeding for female participants; no donation or cryopreservation of eggs (ova, oocytes) for female participants and sperms for male participants.
* Had to be capable of giving signed informed consent
For cohort A: Histologically or cytologically confirmed diagnosis of classic Hodgkin lymphoma (cHL), must have received at least two prior lines of systemic therapy for cHL, including at least one containing an anthracycline or brentuximab.
For cohort C1: Histologically confirmed diagnosis of diffuse large B Cell lymphoma (DLBCL), must have received at least two prior lines of systemic therapy for DLBCL, including one containing a combination of anthracycline and rituximab (or another anti-CD20 agent), with the last line of therapy a Health Authority approved CD19-directed CAR-T therapy. Patients must have BOR (Best Overall Response) of stable disease (SD) or progressive disease (PD) after CD-19 directed CAR-T therapy.
Exclusion Criteria
* Eastern Cooperative Oncology Group (ECOG) performance status of ≥ 2 (≥ 16 years old). Lansky Scale (\< 16 years old) ≤ 60%
* Poor bone marrow reserve
* Poor organ function
* Participants with baseline oxygen saturation (SpO2) ≤ 92% (without oxygen therapy)
* Lymphomatous involvement of the central nervous system
* History of allogenic or solid organ transplant
* Prior IV or subcutaneous anticancer therapy, investigational agent, major surgery within 21 days prior to initiation of IMP; oral anticancer therapy within 5 half-lives or completed palliative radiotherapy within 21 days prior to initiation of IMP
* Has received prior IL-2-based anticancer treatment
* Comorbidity requiring corticosteroid therapy
* Antibiotic use (excluding topical antibiotics) ≤ 14 days prior to first dose of IMP
* Severe or unstable cardiac condition within 6 months prior to starting study treatment
* Had active, known, or suspected autoimmune disease that has required systemic treatment in the past 2 years-Known second malignancy either progressing or requiring active treatment within the last 3 years
* Receipt of a live or live attenuated virus vaccination within 28 days of planned treatment start. Seasonal flu vaccines or SARS-CoV-2 vaccine that do not contain live virus were permitted
The above information is not intended to contain all considerations relevant to the potential participation in a clinical trial.
12 Years
ALL
No
Sponsors
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Merck Sharp & Dohme LLC
INDUSTRY
Sanofi
INDUSTRY
Responsible Party
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Principal Investigators
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Clinical Sciences & Operations
Role: STUDY_DIRECTOR
Sanofi
Locations
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Investigational Site Number : 0320005
CABA, Buenos Aires, Argentina
Investigational Site Number : 1520003
Santiago, Reg Metropolitana de Santiago, Chile
Investigational Site Number : 1520002
Santiago, Reg Metropolitana de Santiago, Chile
Investigational Site Number : 1520004
Viña del Mar, Región de Valparaíso, Chile
Investigational Site Number : 1520001
Temuco, , Chile
Investigational Site Number : 7240002
Barcelona, Barcelona [Barcelona], Spain
Investigational Site Number : 7240001
L'Hospitalet de Llobregat, Barcelona [Barcelona], Spain
Investigational Site Number : 7240004
Madrid / Madrid, Madrid, Comunidad de, Spain
Countries
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Provided Documents
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Document Type: Study Protocol
Document Type: Statistical Analysis Plan
Related Links
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ACT16941 Plain Language Results Summary
Other Identifiers
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U1111-1251-5834
Identifier Type: REGISTRY
Identifier Source: secondary_id
MK-3475-C39
Identifier Type: OTHER
Identifier Source: secondary_id
KEYNOTE-C39
Identifier Type: OTHER
Identifier Source: secondary_id
2021-002150-91
Identifier Type: EUDRACT_NUMBER
Identifier Source: secondary_id
ACT16941
Identifier Type: -
Identifier Source: org_study_id