A Trial to Learn How Effective and Safe Odronextamab is Compared to Standard of Care for Adult Participants With Previously Treated Aggressive B-cell Non-Hodgkin Lymphoma

NCT ID: NCT06230224

Last Updated: 2025-11-13

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

216 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-02-15

Study Completion Date

2027-05-14

Brief Summary

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This study is researching an experimental drug called odronextamab, referred to as study drug. The study is focused on patients with previously treated aggressive B-cell non-Hodgkin lymphoma whose cancer has stopped responding to treatment (also known as 'refractory') or has returned (also known as 'relapsed'). The aim of the study is to see how safe, tolerable and effective the study drug is when given alone.

The study is looking at several other research questions, including:

* What side effects may happen from taking the study drug versus Standard of Care (SOC)
* How much study drug is in the blood at different times
* Whether the body makes antibodies against the study drug (which could make the study drug less effective or could lead to side effects)
* Comparing the impact from the study drug versus SOC on quality-of-life and ability to complete routine daily activities

Detailed Description

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Conditions

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B-Cell Non-Hodgkin Lymphoma (B-NHL)

Keywords

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Non-Hodgkin lymphomas (NHLs) Aggressive NHL B-Cell Non-Hodgkin Lymphoma (B-NHL) Odronextamab Anti-CD20 × anti-CD3 bispecific antibody Relapsed/Refractory NHL

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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Odronextamab

Participants will receive odronextamab monotherapy.

Group Type EXPERIMENTAL

Odronextamab

Intervention Type DRUG

Administered by intravenous (IV) infusion

Standard Of Care

Participants will receive salvage therapy (ifosfamide, carboplatin, etoposide ± rituximab \[ICE ± R\], or dexamethasone, cisplatin, cytarabine ± rituximab \[DHAP ± R\], or gemcitabine, dexamethasone, cisplatin ± rituximab \[GDP ± R\]) and continue with autologous stem cell transplant (ASCT) following a complete response (CR)/partial response (PR).

Group Type ACTIVE_COMPARATOR

Etoposide

Intervention Type DRUG

Administered by IV infusion, as part of the ICE ± R salvage therapy

Rituximab

Intervention Type DRUG

Administered by IV infusion, as part of the ICE ± R, or DHAP ± R, or GDP ± R salvage therapy.

Dexamethasone

Intervention Type DRUG

Administered by IV, or orally (PO) as part of the DHAP ± R, or GDP ± R salvage therapy.

Cisplatin

Intervention Type DRUG

Administered by IV infusion, as part of the DHAP ± R or GDP +/-R salvage therapy.

Cytarabine

Intervention Type DRUG

Administered by IV infusion, as part of the DHAP ± R salvage therapy.

Gemcitabine

Intervention Type DRUG

Administered by IV infusion, as part of the GDP ± R salvage therapy.

Ifosfamide

Intervention Type DRUG

Administered by IV infusion, as part of the ICE ± R salvage therapy

Carboplatin

Intervention Type DRUG

Administered by IV infusion, as part of the ICE ± R salvage therapy

Interventions

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Etoposide

Administered by IV infusion, as part of the ICE ± R salvage therapy

Intervention Type DRUG

Rituximab

Administered by IV infusion, as part of the ICE ± R, or DHAP ± R, or GDP ± R salvage therapy.

Intervention Type DRUG

Dexamethasone

Administered by IV, or orally (PO) as part of the DHAP ± R, or GDP ± R salvage therapy.

Intervention Type DRUG

Cisplatin

Administered by IV infusion, as part of the DHAP ± R or GDP +/-R salvage therapy.

Intervention Type DRUG

Cytarabine

Administered by IV infusion, as part of the DHAP ± R salvage therapy.

Intervention Type DRUG

Gemcitabine

Administered by IV infusion, as part of the GDP ± R salvage therapy.

Intervention Type DRUG

Odronextamab

Administered by intravenous (IV) infusion

Intervention Type DRUG

Ifosfamide

Administered by IV infusion, as part of the ICE ± R salvage therapy

Intervention Type DRUG

Carboplatin

Administered by IV infusion, as part of the ICE ± R salvage therapy

Intervention Type DRUG

Other Intervention Names

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R1979 Ifex Paraplatin Etopophos Rituxan Decadron Platinol Cytosar-U Gemzar

Eligibility Criteria

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Inclusion Criteria

1. Histologically proven aggressive B-NHL, as described in the protocol. Availability of tumor tissue for submission to central laboratory is required for study enrollment. Archival tumor tissue for histological assessment prior to enrollment is allowed
2. Have primary refractory or relapse 12 months or less (≤) from initiation of frontline therapy Only patients who received 1 prior line of therapy containing an anti-Cluster of Differentiation 20 (CD20) antibody and anthracycline are allowed for enrollment
3. Have measurable disease with at least one nodal lesion with longer diameter (LDi) greater than 1.5 cm or at least one extranodal lesion with LDi greater than 1.0 cm, documented by diagnostic imaging (computed tomography \[CT\] or magnetic resonance imaging \[MRI\])
4. Intent to proceed to autologous stem cell transplant (ASCT), as described in the protocol
5. Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1
6. Adequate hematologic and organ function.

Exclusion Criteria

1. Primary central nervous system (CNS) lymphoma or known involvement by non-primary CNS NHL, as described in the protocol
2. History of or current relevant CNS pathology, as described in the protocol
3. A malignancy other than NHL unless the participant is adequately and definitively treated and is cancer free for at least 3 years, with the exception of localized prostate cancer, cervical carcinoma in situ, breast cancer in situ, or nonmelanoma skin cancer that was definitively treated
4. Any other significant active disease or medical condition that could interfere with the conduct of the study or put the participant at significant risk, as described in the protocol
5. Wash-out period from prior anti-lymphoma treatments and infections, as described in the protocol
6. Allergy/hypersensitivity to study drug, or excipients.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Regeneron Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trial Management

Role: STUDY_DIRECTOR

Regeneron Pharmaceuticals

Locations

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Hospital Britanico de Buenos Aires

Ciudad Autonoma de Buenos Aires, Buenos Aires, Argentina

Site Status RECRUITING

Instituto Alexander Fleming

Ciudad Autonoma de Buenos Aires, Buenos Aires, Argentina

Site Status RECRUITING

Fundaleu - Fundacion Para Combatir La Leucemia

Ciudad Autonoma de Buenos Aires, Buenos Aires, Argentina

Site Status RECRUITING

Liverpool Hospital

Liverpool, New South Wales, Australia

Site Status WITHDRAWN

Princess Alexandra Hospital

Woolloongabba, Queensland, Australia

Site Status RECRUITING

Royal Hobart Hospital

Hobart, Tasmania, Australia

Site Status RECRUITING

Olivia Newton John Cancer Wellness & Research Centre

Heidelberg, Victoria, Australia

Site Status RECRUITING

Hospital Santa Izabel - Santa Casa de Misericordia da Bahia

Salvador, Estado de Bahia, Brazil

Site Status RECRUITING

Hospital Sao Rafael

Salvador, Estado de Bahia, Brazil

Site Status RECRUITING

Ensino e Terapia de Inovacao Clinica Amo (Etica)

Salvador, Estado de Bahia, Brazil

Site Status RECRUITING

Hospital Sirio Libanes Brasilia

Brasília, Federal District, Brazil

Site Status RECRUITING

Uopeccan Hospital do Cancer de Cascavel

Cascavel, Paraná, Brazil

Site Status RECRUITING

Hospital Erasto Gaertner

Curitiba, Paraná, Brazil

Site Status RECRUITING

Hospital de Clinicas de Porto Alegre

Porto Alegre, Rio Grande do Sul, Brazil

Site Status RECRUITING

Centro Gaucho Integrado

Porto Alegre, Rio Grande do Sul, Brazil

Site Status RECRUITING

Amaral Carvalho Hospital

Jaú, São Paulo, Brazil

Site Status RECRUITING

Instituto Nacional de Cancer Jose Alencar Gomes da Silva

Rio de Janeiro, , Brazil

Site Status RECRUITING

Hospital Sirio Libanes

São Paulo, , Brazil

Site Status RECRUITING

A Beneficencia Portuguesa de Sao Paulo, Oncology House

São Paulo, , Brazil

Site Status RECRUITING

Instituto D'Or De Pesquisa e Ensino

São Paulo, , Brazil

Site Status RECRUITING

Casa de Saude Santa Marcelina

São Paulo, , Brazil

Site Status RECRUITING

Clinica Alemana de Santiago

Santiago, Santiago Metropolitan, Chile

Site Status RECRUITING

University of Pecs

Pécs, Baranya, Hungary

Site Status RECRUITING

Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori

Meldola, Forli-Cesena, Italy

Site Status WITHDRAWN

Centro Di Riferimento Oncologico (CRO), Aviano, National Cancer Institute

Aviano, Pordenone, Italy

Site Status WITHDRAWN

Azienda Ospedaliera Spedali Civili di Brescia

Brescia, , Italy

Site Status WITHDRAWN

AOU Maggiore della Carita

Novara, , Italy

Site Status WITHDRAWN

Ospedale di Circolo e Fondazione Macchi Varese

Varese, , Italy

Site Status WITHDRAWN

Hospital Sultanah Aminah Jhor Bahru

Johor Bahru, Johor, Malaysia

Site Status RECRUITING

University Malaya Medical Centre

Kuala Lumpur, Kuala Lumpur, Malaysia

Site Status RECRUITING

Hospital Queen Elizabeth

Kota Kinabalu, Sabah, Malaysia

Site Status RECRUITING

Hospital Ampang

Kuala Lumpur, Selangor, Malaysia

Site Status RECRUITING

Subang Jaya Medical Center

Subang Jaya, Selangor, Malaysia

Site Status RECRUITING

Erasmus University Medical Center

Rotterdam, , Netherlands

Site Status WITHDRAWN

Ion Chiricuta Oncology Institute

Cluj-Napoca, Cluj, Romania

Site Status RECRUITING

National University Hospital Singapore

Singapore, , Singapore

Site Status RECRUITING

Singapore General Hospital

Singapore, , Singapore

Site Status RECRUITING

National Cancer Center

Gyeonggi-do, Gyeonggi-do, South Korea

Site Status RECRUITING

St. Vincent Hospital - The Catholic University of Korea

Suwon, Gyeonggi-do, South Korea

Site Status RECRUITING

Pusan National University Yangsan Hospital

Yangsan, Gyeongsangnam-do, South Korea

Site Status RECRUITING

Jeonbuk National University Hospital

Jeonju, Jeollabuk-do, South Korea

Site Status RECRUITING

Gachon University Gil Medical Center

Incheon, Namdong-Gu, South Korea

Site Status RECRUITING

Dong-A University Hospital

Busan, , South Korea

Site Status RECRUITING

Pusan National University Hospital

Busan, , South Korea

Site Status RECRUITING

Yeyungnam University Medical Center

Daegu, , South Korea

Site Status WITHDRAWN

Keimyung University Dongsan Hospital

Daegu, , South Korea

Site Status RECRUITING

Asan Medical Center

Seoul, , South Korea

Site Status RECRUITING

Seoul St Marys Hospital

Seoul, , South Korea

Site Status RECRUITING

Yeouido St. Marys Hospital

Seoul, , South Korea

Site Status RECRUITING

Ulsan University Hospital

Ulsan, , South Korea

Site Status RECRUITING

Hospital Universitario Virgen del Rocio

Seville, Andalusia, Spain

Site Status WITHDRAWN

Hospital Universitari Son Espases

Palma, Balearic Islands, Spain

Site Status COMPLETED

Hospital Universitari Mutua Terrassa

Terrassa, Barcelona, Spain

Site Status WITHDRAWN

Hospital Universitario Quironsalud Madrid

Pozuelo de Alarcón, Madrid, Spain

Site Status WITHDRAWN

Clinica Universidad de Navarra

Pamplona, Navarre, Spain

Site Status RECRUITING

Hospital Virgen De Las Nieves De Granada

Granada, , Spain

Site Status WITHDRAWN

Hospital Universitario Infanta Leonor

Madrid, , Spain

Site Status WITHDRAWN

Hospital Universitario Ramon y Cajal

Madrid, , Spain

Site Status RECRUITING

Fundacion Jimenez Diaz University Hospital

Madrid, , Spain

Site Status WITHDRAWN

Clinica Universidad de Navarra

Pamplona, , Spain

Site Status RECRUITING

Instituto Valenciano de Oncologia

Valencia, , Spain

Site Status COMPLETED

University Hospital Doctor Peset

Valencia, , Spain

Site Status WITHDRAWN

Chang Gung Medical Foundation

Chiayi City, Chianan Plain, Taiwan

Site Status RECRUITING

Chang Gung Memorial Hospital - Linkou Branch

Taoyuan District, Hunan Province, Taiwan

Site Status RECRUITING

Changhua Christian Hospital

Changhua, , Taiwan

Site Status RECRUITING

Show Chwan Memorial Hospital

Changhua, , Taiwan

Site Status RECRUITING

Kaohsiung Medical University Hospital

Kaohsiung City, , Taiwan

Site Status RECRUITING

Chang Gung Memorial Hospital Kaohsiung

Kaohsiung City, , Taiwan

Site Status RECRUITING

Taipei Medical University - Shuang Ho Hospital

New Taipei City, , Taiwan

Site Status RECRUITING

Taichung General Veterans Hospital

Taichung, , Taiwan

Site Status RECRUITING

National Cheng Kung University Hospital

Tainan, , Taiwan

Site Status RECRUITING

National Taiwan University Hospital

Taipei, , Taiwan

Site Status RECRUITING

Tri-Service General Hospital

Taipei, , Taiwan

Site Status RECRUITING

Chulalongkorn University

Bangkok, , Thailand

Site Status RECRUITING

Sriraj Hospital

Bangkok, , Thailand

Site Status RECRUITING

Chiang Mai University

Chiang Mai, , Thailand

Site Status RECRUITING

Khon Kaen University

Khon Kaen, , Thailand

Site Status RECRUITING

Ankara University Faculty of Medicine

Mamak, Ankara, Turkey (Türkiye)

Site Status RECRUITING

Gazi University

Ankara, Central Anatolia, Turkey (Türkiye)

Site Status RECRUITING

VM Medical Park Mersin Hospital

Mezitli, Mersin, Turkey (Türkiye)

Site Status RECRUITING

Tekirdag Namik Kemal University Hospital

Tekirdağ, Suleymanpasa, Turkey (Türkiye)

Site Status RECRUITING

Sbu Dr.A.Y. Ankara Onkoloji Suam

Ankara, , Turkey (Türkiye)

Site Status RECRUITING

Istanbul University

Istanbul, , Turkey (Türkiye)

Site Status RECRUITING

Ege University

Izmir, , Turkey (Türkiye)

Site Status RECRUITING

Sakarya University Medical Faculty

Sakarya, , Turkey (Türkiye)

Site Status RECRUITING

Ondokuz Mayıs University

Samsun, , Turkey (Türkiye)

Site Status RECRUITING

Zonguldak Bulent Ecevit University

Zonguldak, , Turkey (Türkiye)

Site Status RECRUITING

Countries

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Argentina Australia Brazil Chile Hungary Italy Malaysia Netherlands Romania Singapore South Korea Spain Taiwan Thailand Turkey (Türkiye)

Central Contacts

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Clinical Trials Administrator

Role: CONTACT

Phone: 844-734-6643

Email: [email protected]

Related Links

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Other Identifiers

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2022-502783-21-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

R1979-HM-2299

Identifier Type: -

Identifier Source: org_study_id