Study to Evaluate the Safety and Efficacy of Tafasitamab Plus Lenalidomide in Participants With Relapsed or Refractory Diffuse Large B-Cell Lymphoma (firmMIND)

NCT ID: NCT05429268

Last Updated: 2025-12-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

82 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-12-23

Study Completion Date

2027-04-01

Brief Summary

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The purpose of this study is to assess the efficacy and safety of of tafasitamab plus lenalidomide in adults with diffuse large B-cell lymphoma (DLBCL) who have relapsed or are refractory to at least 1 but no more than 3 previous systemic DLBCL treatment regimens and who are not eligible for high-dose chemotherapy (HDC) and autologous stem cell transplantation (ASCT).

Detailed Description

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Conditions

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Large B-Cell Lymphoma Diffuse Large B-Cell Lymphoma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Single-arm, open-label, multicenter
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Tafasitamab and Lenalidomide

Tafasitamab and lenalidomide will be coadministered for up to 12 cycles (28 days per cycle).followed by tafasitamab monotherapy (in participants with stable disease or better) until treatment withdrawal criteria are met.

Group Type EXPERIMENTAL

Tafasitamab

Intervention Type DRUG

Tafasitamab will be administered intravenously in 28-day cycles. During Cycles 1 through 3, tafasitamab will be administered weekly on Days 1, 8, 15, and 22; an additional loading dose will be administered on Cycle 1 Day 4. Starting with Cycle 4, tafasitamab will be administered on Days 1 and 15 of each cycle.

Lenalidomide

Intervention Type DRUG

Participants will self-administer lenalidomide capsules orally on Days 1-21 of each 28-day cycle, up to 12 cycles.

Interventions

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Tafasitamab

Tafasitamab will be administered intravenously in 28-day cycles. During Cycles 1 through 3, tafasitamab will be administered weekly on Days 1, 8, 15, and 22; an additional loading dose will be administered on Cycle 1 Day 4. Starting with Cycle 4, tafasitamab will be administered on Days 1 and 15 of each cycle.

Intervention Type DRUG

Lenalidomide

Participants will self-administer lenalidomide capsules orally on Days 1-21 of each 28-day cycle, up to 12 cycles.

Intervention Type DRUG

Other Intervention Names

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INCMOR00208 MOR00208

Eligibility Criteria

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Inclusion Criteria

* Histologically-confirmed diagnosis of any of the following:

1. Diffuse large B-cell lymphoma not otherwise specified
2. T cell/histiocyte-rich large B-cell lymphoma
3. Epstein-Barr virus positive DLBCL of the elderly
4. Grade 3b follicular lymphoma
5. Composite lymphoma with a DLBCL component with a subsequent DLBCL relapse
6. Evidence of histological transformation from an earlier diagnosis of low grade lymphoma (ie, an indolent pathology such as follicular lymphoma, marginal zone lymphoma, chronic lymphocytic leukemia) into DLBCL, with a subsequent DLBCL relapse
* Willingness to undergo tumor biopsy requirements for the study, (or have archival lymph node or tissue block from the most recent biopsy, not to exceed 3 years prior to C1D1).
* Willingness to undergo bone marrow biopsy/aspirate collections.
* History of relapsed/progressive/recurrent disease according to the International Working Group response criteria after the most recent systemic therapy.
* Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2.
* Adequate hematologic, hepatic, and renal function,
* Left ventricular ejection fraction (LVEF) ≥ 50%,
* Willingness to avoid pregnancy or fathering children,

Exclusion Criteria

* Any other histological type of lymphoma according to the WHO 2016 classification of lymphoid neoplasms, including:

1. primary mediastinal (thymic) large B-cell lymphoma,
2. Burkitt lymphoma,
3. Primary refractory diffuse large B-cell lymphoma (DLBCL),
4. History of double- or triple-hit DLBCL.
* Participants who, within 30 days prior to Cycle 1 Day 1, have:

1. Not discontinued CD20-targeted therapy, chemotherapy, radiotherapy, investigational anticancer therapy or other lymphoma-specific therapy
2. Undergone major surgery or suffered from significant traumatic injury
3. Received live vaccines or have an anticipated need for such vaccination while receiving study treatment
4. Required parenteral antimicrobial therapy for active, intercurrent infections
* Have undergone ASCT within the period ≤ 3 months prior to signing consent.
* Have undergone previous allogenic stem cell transplantation.
* Inadequate recovery (\> Grade 1) from prior treatment toxicity and/or complications from major surgery before Cycle 1 Day 1.
* Have a history of deep venous thrombosis/embolism, threatening thromboembolism or known thrombophilia or are at high risk for a thromboembolic event in the opinion of the investigator and who are not willing/able to take venous thromboembolic event prophylaxis during the entire treatment period.
* Prior history of malignancies other than DLBCL, unless disease-free for ≥ 5 years prior to screening.
* Clinically significant cardiac disease, including unstable angina, acute myocardial infarction, New York Heart Association Class II to IV congestive heart failure, uncontrolled arrhythmia, and/or cardiac conduction issues, within 6 months of Cycle 1 Day 1.
* Any of the following positive tests:

1. Known seropositive for or history of active viral infection with HIV.
2. Known positive test result for hepatitis C (HCV antibody serology testing) and a positive test result for HCV RNA.
3. Known positive test results for chronic HBV infection (defined by HBsAg positivity). Participants with occult or prior HBV infection (defined as negative HBsAg and positive total HBcAb) may be included if HBV DNA was undetectable
Minimum Eligible Age

18 Years

Maximum Eligible Age

99 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Incyte Corporation

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Oliver Manzke, MD

Role: STUDY_DIRECTOR

Incyte Corporation

Locations

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Medical University Plovdiv

Plovdiv, , Bulgaria

Site Status

Acibadem Cityclinica Mhat Tokuda

Sofia, , Bulgaria

Site Status

Umhat Alexandrovska Sofia

Sofia, , Bulgaria

Site Status

Umhat Sv. Ivan Rilski Ead

Sofia, , Bulgaria

Site Status

Specialized Hospital For Active Treatment of Oncological Diseases - Sofia District Eood

Sofia, , Bulgaria

Site Status

Clinical Hospital Dubrava

Zagreb, , Croatia

Site Status

Clinical Hospital Merkur

Zagreb, , Croatia

Site Status

University Hospital Centre Zagreb

Zagreb, , Croatia

Site Status

Fakultni Nemocnice Olomouc

Olomouc, , Czechia

Site Status

Vseobecna Fakultni Nemocnice

Prague, , Czechia

Site Status

Aarhus University Hospital

Aarhus, , Denmark

Site Status

Odense University Hospital

Odense, , Denmark

Site Status

Helsinki University Central Hospital

Helsinki, , Finland

Site Status

Kuopio University Hospital

Kuopio, , Finland

Site Status

Oulu University Hospital

Oulu, , Finland

Site Status

Tampere University Hospital

Tampere, , Finland

Site Status

Turku University Hospital

Turku, , Finland

Site Status

Semmelweis Egyetem

Budapest, , Hungary

Site Status

National Institute of Oncology

Budapest, , Hungary

Site Status

University of Debrecen

Debrecen, , Hungary

Site Status

Markhot Ferenc Korhaz

Eger, , Hungary

Site Status

Somogy Medyei Kaposi Mor Oktato Korhaz

Kaposvár, , Hungary

Site Status

Bekes Megyei Kozponti Korhaz Pandy Kalman Tagkorhaza

Szeged, , Hungary

Site Status

Bon Secours Hospital

Cork, , Ireland

Site Status

Mater Misericordiae University Hospital

Dublin, , Ireland

Site Status

University Hospital Galway

Galway, , Ireland

Site Status

Rambam Health Care Campus

Haifa, , Israel

Site Status

Shaare Zedek Mc

Jerusalem, , Israel

Site Status

Hadassah University Hospital

Jerusalem, , Israel

Site Status

Meir Medical Center

Kefar Sava, , Israel

Site Status

Akershus University Hospital

Lorenskog, , Norway

Site Status

Universitetssykehuset I Trondheim - St. Olavs Hospital

Trondheim, , Norway

Site Status

Szpital Uniwersytecki Nr 2 Im Dr. Jana Biziela

Bydgoszcz, , Poland

Site Status

Medical University of Gdansk

Gdansk, , Poland

Site Status

Szpital Morski Im. Pck Sp. Z O.O

Gdynia, , Poland

Site Status

University Public Hospital Nr 1

Lublin, , Poland

Site Status

Oddzia Kliniczny Hematologii

Olsztyn, , Poland

Site Status

Pratia Poznan

Skórzewo, , Poland

Site Status

Maria Sklodowska-Curie National Research Institute of Oncology

Warsaw, , Poland

Site Status

Uniwersytecki Szpital Kliniczny Im. Jana Mikulicza-Radeckiego

Wroclaw, , Poland

Site Status

Coltea Clinical Hospital

Bucharest, , Romania

Site Status

Institutul Oncologic Prof. Dr. Ion Chiricuta Cluj-Napoca

Cluj-Napoca, , Romania

Site Status

Institutul Regional de Oncologie Iasi

Iași, , Romania

Site Status

Spitalul Clinic Judetean de Urgenta Targu Mures

Târgu Mureş, , Romania

Site Status

Clinic For Hematology, University Clinical Center Serbia

Belgrade, , Serbia

Site Status

Institute For Pulmonary Diseases of Vojvodina

Kamenitz, , Serbia

Site Status

Clinical Center Kragujevac

Kragujevac, , Serbia

Site Status

Clinic of Hematology Clinical Center of Vojvodina

Novi Sad, , Serbia

Site Status

Hacettepe University Cancer Institute Clinical Oncology Department

Ankara, , Turkey (Türkiye)

Site Status

Gazi University Hospital Gazi University Faculty of Medicine

Ankara, , Turkey (Türkiye)

Site Status

Ankara University Medical Faculty

Ankara, , Turkey (Türkiye)

Site Status

Ozel Liv Hospital Onkoloji Klinigi

Ankara, , Turkey (Türkiye)

Site Status

Vkf American Hospital

Istanbul, , Turkey (Türkiye)

Site Status

Marmara Universitesi Pendik Egitim

Istanbul, , Turkey (Türkiye)

Site Status

Ege University Hospital

Izmir, , Turkey (Türkiye)

Site Status

Ercyes University Medical School

Kayseri, , Turkey (Türkiye)

Site Status

Tekrda-Nk Tp Fakltesi

Merkez, , Turkey (Türkiye)

Site Status

Mersin University Medical Faculty

Mersin, , Turkey (Türkiye)

Site Status

Dr. Abdurrahman Yurtaslan Onkology Teaching and Research Hospitalerciyes Universitesi Tip Faklutesi

Yenimahalle, , Turkey (Türkiye)

Site Status

Antrim Area Hospital Northern Health Social Care Trust

Antrim, , United Kingdom

Site Status

Belfast Health and Social Care Trust, of Trust Headquarters

Belfast, , United Kingdom

Site Status

Countries

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Bulgaria Croatia Czechia Denmark Finland Hungary Ireland Israel Norway Poland Romania Serbia Turkey (Türkiye) United Kingdom

Related Links

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https://incyteclinicaltrials.com/studies/incmor-0208-305

Study to Evaluate the Safety and Efficacy of Tafasitamab Plus Lenalidomide in Participants With Relapsed or Refractory Diffuse Large B-Cell Lymphoma (firmMIND)

Other Identifiers

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2023-505579-53-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

INCMOR 0208-305

Identifier Type: -

Identifier Source: org_study_id

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