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JOURNAL ONKOLOGIE – STUDIE

A Phase III Study Evaluating Glofitamab in Combination With Gemcitabine + Oxaliplatin vs Rituximab in Combination With Gemcitabine + Oxaliplatin in Participants With Relapsed/Refractory Diffuse Large B-Cell Lymphoma

Rekrutierend

NCT-Nummer:
NCT04408638

Studienbeginn:
Februar 2021

Letztes Update:
08.04.2024

Wirkstoff:
Obinutuzumab, Glofitamab, Rituxumab, Tocilizumab, Gemcitabine, Oxaliplatin

Indikation (Clinical Trials):
Lymphoma, Lymphoma, B-Cell, Lymphoma, Large B-Cell, Diffuse

Geschlecht:
Alle

Altersgruppe:
Erwachsene (18+)

Phase:
Phase 3

Sponsor:
Hoffmann-La Roche

Collaborator:
-

Studienleiter

Clinical Trials
Study Director
Hoffmann-La Roche

Kontakt

Reference Study ID Number: GO41944 https://forpatients.roche.com/
Kontakt:
Phone: 888-662-6728
E-Mail: global-roche-genentech-trials@gene.com
» Kontaktdaten anzeigen

Studienlocations
(3 von 80)

Städtisches Klinikum Dessau
06847 Dessau-Roßlau
(Sachsen-Anhalt)
GermanyZurückgezogen» Google-Maps
Universitatsklinikum Frankfurt
60590 Frankfurt
(Hessen)
GermanyAbgeschlossen» Google-Maps
Universitätsklinikum Gießen und Marburg GmbH Standort Gießen Medizinische Klinik I
35392 Giessen
(Hessen)
GermanyAbgeschlossen» Google-Maps
Universitaetsklinikum Heidelberg
69120 Heidelberg
(Baden-Württemberg)
GermanyZurückgezogen» Google-Maps
Universitaetsklinikum Regensburg
93053 Regensburg
(Bayern)
GermanyAktiv, nicht rekrutierend» Google-Maps
Katharinenhospital Stuttgart; Klinik für Hämatologie, Onkologie und Palliativmedizin
70174 Stuttgart
(Baden-Württemberg)
GermanyAktiv, nicht rekrutierend» Google-Maps
University of Alabama at Birmingham
35294-3300 Birmingham
United StatesAktiv, nicht rekrutierend» Google-Maps
Banner Health MD Anderson AZ
85234 Gilbert
United StatesZurückgezogen» Google-Maps
Community Cancer Institute (CCI)
93720 Fresno
United StatesAbgeschlossen» Google-Maps
Baptist Medical Center - Jacksonville
32207-8202 Jacksonville
United StatesAktiv, nicht rekrutierend» Google-Maps
Baptist - MD Anderson Cancer Center
32207 Jacksonville
United StatesAbgeschlossen» Google-Maps
Ochsner Medical Center
70121 New Orleans
United StatesZurückgezogen» Google-Maps
University of Maryland Medical Center
21201 Baltimore
United StatesAbgeschlossen» Google-Maps
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
21287 Baltimore
United StatesAktiv, nicht rekrutierend» Google-Maps
Massachusetts General Hospital
02114 Boston
United StatesAktiv, nicht rekrutierend» Google-Maps
University of Mississippi Medical Center
39216 Jackson
United StatesAktiv, nicht rekrutierend» Google-Maps
Rutgers Cancer Institute of New Jersey
08901 New Brunswick
United StatesAbgeschlossen» Google-Maps
Icahn School of Medicine at Mount Sinai
10029 New York
United StatesAbgeschlossen» Google-Maps
Duke University Medical Center
27705 Durham
United StatesAktiv, nicht rekrutierend» Google-Maps
Allegheny General Hospital
15212 Pittsburgh
United StatesZurückgezogen» Google-Maps
Providence Regional Cancer Partnership
98201 Everett
United StatesZurückgezogen» Google-Maps
Prince of Wales Hospital; Haematology
2031 Randwick
AustraliaAktiv, nicht rekrutierend» Google-Maps
Royal Adelaide Hospital; Haematology Clinical Trials
5000 Adelaide
AustraliaAktiv, nicht rekrutierend» Google-Maps
Monash Health Monash Medical Centre
3168 Clayton
AustraliaAktiv, nicht rekrutierend» Google-Maps
St Vincent's Hospital Melbourne
3065 Fitzroy
AustraliaAktiv, nicht rekrutierend» Google-Maps
Peter Maccallum Cancer Centre
3000 Melbourne
AustraliaAktiv, nicht rekrutierend» Google-Maps
Sir Charles Gairdner Hospital
6009 Nedlands
AustraliaAktiv, nicht rekrutierend» Google-Maps
UZ Leuven Gasthuisberg
3000 Leuven
BelgiumAktiv, nicht rekrutierend» Google-Maps
Peking University Third Hospital
100191 Beijing
ChinaAktiv, nicht rekrutierend» Google-Maps
West China Hospital, Sichuan University
610041 Chengdu
ChinaZurückgezogen» Google-Maps
Sun Yet-sen University Cancer Center
510663 Guangzhou City
ChinaAktiv, nicht rekrutierend» Google-Maps
Harbin Medical University Cancer Hospital
150081 Harbin
ChinaAktiv, nicht rekrutierend» Google-Maps
Fudan University Shanghai Cancer Center
200120 Shanghai City
ChinaRekrutierend» Google-Maps
Tianjin Cancer Hospital
300060 Tianjin
ChinaAktiv, nicht rekrutierend» Google-Maps
Wuhan Union Hospital Tongji Medical College, Huazhong University of Science and Technology
430022 Wuhan City
ChinaAktiv, nicht rekrutierend» Google-Maps
Henan Cancer Hospital
450008 Zhengzhou
ChinaAktiv, nicht rekrutierend» Google-Maps
Aarhus Universitetshospital Skejby; Blodsygdomme
8200 Aarhus N
DenmarkAbgeschlossen» Google-Maps
Rigshospitalet; Hæmatologisk Klinik
2100 København Ø
DenmarkAktiv, nicht rekrutierend» Google-Maps
Institut Bergonie; Hematologie Oncologie
33076 Bordeaux
FranceAktiv, nicht rekrutierend» Google-Maps
Hopital Henri Mondor; 51 Av Mal Lattre De Tassigny
94010 Creteil
FranceAktiv, nicht rekrutierend» Google-Maps
Hopital Claude Huriez; Hematologie
59037 Lille
FranceAktiv, nicht rekrutierend» Google-Maps
CHU DE MONTPELLIER-ST ELOI; Département d'Hématologie Clinique
34295 Montpellier
FranceAktiv, nicht rekrutierend» Google-Maps
Centre Hospitalier Lyon Sud
69495 Pierre Benite
FranceAktiv, nicht rekrutierend» Google-Maps
CHU Pontchaillou; Service Hématologie
35003 Rennes
FranceAbgeschlossen» Google-Maps
Pusan National University Hospital
602-739 Busan
Korea, Republic ofAktiv, nicht rekrutierend» Google-Maps
National Cancer Center
10408 Goyang-si
Korea, Republic ofAbgeschlossen» Google-Maps
Seoul National University Bundang Hospital
463-707 Seongnam-si
Korea, Republic ofAktiv, nicht rekrutierend» Google-Maps
Seoul National University Hospital
03080 Seoul
Korea, Republic ofAktiv, nicht rekrutierend» Google-Maps
Asan Medical Center
05505 Seoul
Korea, Republic ofAktiv, nicht rekrutierend» Google-Maps
Samsung Medical Center
06351 Seoul
Korea, Republic ofAktiv, nicht rekrutierend» Google-Maps
Uniwersyteckie Centrum Kliniczne
Gdansk
PolandAktiv, nicht rekrutierend» Google-Maps
Centrum Onkologii Ziemi Lubelskiej im. ?w. Jana z Dukli
20-090 Lublin
PolandAktiv, nicht rekrutierend» Google-Maps
Oddzial Kliniczny Hematologii SPZOZ MSWiA z Warminsko-Mazurskim Centrum Onkologii w Olsztynie
10-228 Olsztyn
PolandAktiv, nicht rekrutierend» Google-Maps
Szpital Wojewodzki w Opolu, Oddzial Hematologii i Onkologii Hematologicznej
45-061 Opole
PolandZurückgezogen» Google-Maps
Uniwersytecki Szpital Kliniczny w Poznaniu; Oddzial Hematologii i Transplantacji Szpiku
60-569 Pozna?
PolandAktiv, nicht rekrutierend» Google-Maps
Instytut Hematologii i Transfuzjologii; Klinika Hematologii
02-776 Warszawa
PolandAktiv, nicht rekrutierend» Google-Maps
Uniwersytecki Szpital Kliniczny; Klinika Hematologii, Nowotworów Krwi i Transplantacji Szpiku
50-367 Wroc?aw
PolandAktiv, nicht rekrutierend» Google-Maps
PanOncology Trials; Hospital Oncológico, Puerto Rico Medical Center
00935 San Juan
Puerto RicoAbgeschlossen» Google-Maps
Hospital Universitario Marques de Valdecilla; Servicio de Hematologia
39008 Santander
SpainAktiv, nicht rekrutierend» Google-Maps
Hospital Universitari Vall d'Hebron; Servicio de Hematologia
08035 Barcelona
SpainAbgeschlossen» Google-Maps
Hospital Clínic i Provincial; Servicio de Hematología y Oncología
08036 Barcelona
SpainAktiv, nicht rekrutierend» Google-Maps
Hospital Universitario la Paz; Servicio de Hematologia
28046 Madrid
SpainAbgeschlossen» Google-Maps
Hospital Universitario Virgen del Rocio; Servicio de Hematologia
41013 Sevilla
SpainAktiv, nicht rekrutierend» Google-Maps
Hospital Clinico Universitario de Valencia; Servicio de Onco-hematologia
46010 Valencia
SpainAktiv, nicht rekrutierend» Google-Maps
Inselspital Bern, Insel-Gruppe AG
3010 Bern
SwitzerlandAktiv, nicht rekrutierend» Google-Maps
Universitätsspital Zürich
8091 Zürich
SwitzerlandAbgeschlossen» Google-Maps
Chang Gung Medical Foundation - Kaohsiung; Oncology; Division of Hematology-Oncology
833 Kaoisung
TaiwanAbgeschlossen» Google-Maps
Chang Gung Medical Foundation - Linkou; Division of Hematology- Oncology
333 Taoyuan
TaiwanAktiv, nicht rekrutierend» Google-Maps
Taichung Veterans General Hospital
40705 Xitun Dist.
TaiwanAbgeschlossen» Google-Maps
Beatson West of Scotland Cancer Centre
G12 0YN Glasgow
United KingdomAktiv, nicht rekrutierend» Google-Maps
St James's Institute of Oncology; Dept of Haematology
LS9 7TF Leeds
United KingdomAktiv, nicht rekrutierend» Google-Maps
UCLH - Clinical Trials Pharmacy B&D Centre
N7 9NH London
United KingdomAktiv, nicht rekrutierend» Google-Maps
Christie Hospital; Department of Haematology and Transplant
M20 4BX Manchester
United KingdomAbgeschlossen» Google-Maps
Nottingham City Hospital; Dept of Haematology
NG5 1PB Nottingham
United KingdomAktiv, nicht rekrutierend» Google-Maps
Southampton General Hospital
SO16 6YD Southampton
United KingdomZurückgezogen» Google-Maps
Alle anzeigen

Studien-Informationen

Brief Summary:

This study will evaluate the efficacy and safety of glofitamab in combination with

gemcitabine plus oxaliplatin (Glofit-GemOx) compared with rituximab in combination with

gemcitabine plus oxaliplatin (R-GemOx) in patients with R/R DLBCL.

Ein-/Ausschlusskriterien

Inclusion Criteria

- Histologically confirmed diffuse large B-cell lymphoma (DLBCL), not otherwise

specified

- Relapsed/refractory (R/R) disease, defined as follows: Relapsed = disease that has

recurred ≥6 months after completion of the last line of therapy; Refractory = disease

that either progressed during the last line of therapy or progressed within 6 months

(<6 months) of the last line of prior therapy

- At least one (≥1) line of prior systemic therapy

- Participants who have failed only one prior line of therapy must not be a candidate

for high-dose chemotherapy followed by autologous stem cell transplant, as defined by

the study protocol

- Confirmed availability of tumor tissue, unless unobtainable per investigator

assessment. Freshly collected biopsy is preferred. Archival tissue is acceptable

- At least one bi-dimensionally measurable (≥1.5 cm) nodal lesion, or one

bi-dimensionally measurable (≥1 cm) extranodal lesion, as measured on computed

tomography (CT) scan

- Eastern Cooperative Oncology Group (ECOG) Performance Status of 0, 1, or 2

- Adequate hematologic function (unless attributable to the underlying disease, as

established by extensive bone marrow involvement or associated with hypersplenism

secondary to the involvement of the spleen by DLBCL per the investigator), as defined

by the study protocol

- Negative SARS-CoV-2 antigen or PCR test within 7 days prior to enrollment

- Adequate renal function, defined as an estimated creatinine clearance ≥30 mL/min

Exclusion Criteria

- Patient has failed only one prior line of therapy and is a candidate for stem cell

transplantation

- History of transformation of indolent disease to DLBCL

- High-grade B-cell lymphoma with MYC and BCL2 and/or BCL6 rearrangements, and

high-grade B-cell lymphoma not otherwise specified, as defined by 2016 WHO guidelines

- Primary mediastinal B-cell lymphoma

- History of severe allergic or anaphylactic reactions to humanized or murine monoclonal

antibodies (or recombinant antibody-related fusion proteins) or known sensitivity or

allergy to murine products

- Contraindication to obinutuzumab, rituximab, gemcitabine or oxaliplatin, or

tocilizumab

- Prior treatment with glofitamab or other bispecific antibodies targeting both CD20 and

CD3

- Peripheral neuropathy assessed to be Grade >1 according to National Cancer Institute

Common Terminology Criteria for Adverse Events (NCI CTCAE) v5.0 at enrollment

- Treatment with radiotherapy, chemotherapy, immunotherapy, immunosuppressive therapy,

or any investigational agent for the purposes of treating cancer within 2 weeks prior

to first study treatment

- Treatment with monoclonal antibodies for the purposes of treating cancer within 4

weeks prior to first study treatment

- Primary or secondary central nervous system (CNS) lymphoma at the time of recruitment

or history of CNS lymphoma

- Current or history of CNS disease, such as stroke, epilepsy, CNS vasculitis, or

neurodegenerative disease

- Known active bacterial, viral, fungal, mycobacterial, parasitic, or other infection

(excluding fungal infections of nail beds) at study enrollment or any major episode of

infection (as evaluated by the investigator) within 4 weeks prior to the first study

treatment

- Positive SARS-CoV-2 infection within 30 days prior to the first study treatment,

including asymptomatic SARS-CoV-2 infection

- Documented SARS-CoV-2 infection within 6 months of first study treatment

- Suspected or latent tuberculosis

- Positive for hepatitis B virus (HBV), hepatitis C virus (HCV), or human

immunodeficiency virus (HIV)

- Known or suspected chronic active Epstein-Barr viral infection

- Known or suspected history of hemophagocytic lymphohistiocytosis (HLH)

- Known history of progressive multifocal leukoencephalopathy

- Adverse events from prior anti-cancer therapy not resolved to Grade 1 or better (with

the exception of alopecia and anorexia)

- Administration of a live, attenuated vaccine within 4 weeks before first study

treatment administration or anticipation that such a live, attenuated vaccine will be

required during the study

- Prior solid organ transplantation

- Prior allogeneic stem cell transplant

- Active autoimmune disease requiring treatment

- Prior treatment with systemic immunosuppressive medications (including, but not

limited to, cyclophosphamide, azathioprine, methotrexate, thalidomide, and anti-tumor

necrosis factor agents), within 4 weeks prior to first dose of study treatment

- Corticosteroid therapy within 2 weeks prior to first dose of study treatment

(exceptions defined by study protocol)

- Recent major surgery (within 4 weeks before the first study treatment) other than for

diagnosis

- Clinically significant history of cirrhotic liver disease

Studien-Rationale

Primary outcome:

1. Overall survival (OS), defined as the time from randomization to date of death from any cause (Time Frame - Up to 5 years)



Secondary outcome:

1. Progression-free survival (PFS), defined as the time from randomization to the first occurrence of disease progression or death from any cause, whichever occurs first, as determined by the Independent Review Committee (IRC) (Time Frame - Up to 5 years)

2. PFS, defined as the time from randomization to the first occurrence of disease progression or death from any cause, whichever occurs first, as determined by the investigator (Time Frame - Up to 5 years)

3. Complete response (CR) rate, defined as the proportion of patients whose best overall response is a CR on positron emission tomography/computed tomography (PET/CT) during the study, as determined by the IRC (Time Frame - Up to 5 years)

4. CR rate, defined as the proportion of patients whose best overall response is a CR on positron emission tomography/computed tomography (PET/CT) during the study, as determined by the investigator (Time Frame - Up to 5 years)

5. Objective response rate (ORR), defined as the proportion of patients whose best overall response is a partial response (PR) or a CR during the study, as determined by the IRC (Time Frame - Up to 5 years)

6. ORR, defined as the proportion of patients whose best overall response is a partial response (PR) or a CR during the study, as determined by the investigator (Time Frame - Up to 5 years)

7. Duration of objective response (DOR), defined as the time from the first occurrence of a documented objective response (CR or PR) to disease progression, or death from any cause, whichever occurs first (Time Frame - Up to 5 years)

8. Duration of CR, defined as the time from the first occurrence of a documented CR to disease progression, or death from any cause, whichever occurs first (Time Frame - Up to 5 years)

9. Time to deterioration in physical functioning and fatigue, as measured by the European Organisation for Research and Treatment of Cancer Quality of Life-Core 30 Questionnaire (EORTC QLQ-C30) (Time Frame - Up to 5 years)

10. Time to deterioration in lymphoma symptoms, as measured by the Functional Assessment of Cancer Therapy-Lymphoma subscale (FACT-Lym LymS) (Time Frame - Up to 5 years)

11. Percentage of Participants with Adverse Events (Time Frame - Up to 5 years)

12. Tolerability, as assessed by dose interruptions, dose reductions, and dose intensity, and study treatment discontinuation because of adverse events (Time Frame - Up to 5 years)

Studien-Arme

  • Experimental: Glofit-GemOx
    Participants will receive up to 8 cycles of glofitamab (Glofit) in combination with gemcitabine and oxaliplatin (GemOx), followed by up to 4 cycles of glofitamab monotherapy. A single dose of obinutuzumab will be administered 7 days prior to the first dose of glofitamab. Treatment is administered in 21-day cycles.
  • Experimental: R-GemOx
    Participants will receive rituxumab (R) in combination with gemcitabine and oxaliplatin (GemOx) for up to 8 cycles. Treatment is administered in 21-day cycles.

Geprüfte Regime

  • Obinutuzumab:
    Participants will receive a single dose of intravenous (IV) obinutuzumab pre-treatment 7 days prior to the first dose of glofitamab.
  • Glofitamab:
    Participants will receive IV glofitamab for up to 12 cycles.
  • Rituxumab:
    Participants will receive IV rituxumab on Day 1 of each cycle for up to 8 cycles.
  • Tocilizumab:
    Participants will receive IV tocilizumab as needed for treatment of cytokine-release syndrome (CRS).
  • Gemcitabine:
    Participants will receive IV gemcitabine prior to oxaliplatin administration for up to 8 cycles.
  • Oxaliplatin:
    Participants will receive IV oxaliplatin after gemcitabine administration for up to 8 cycles.

Quelle: ClinicalTrials.gov


Sie können folgenden Inhalt einem Kollegen empfehlen:

"A Phase III Study Evaluating Glofitamab in Combination With Gemcitabine + Oxaliplatin vs Rituximab in Combination With Gemcitabine + Oxaliplatin in Participants With Relapsed/Refractory Diffuse Large B-Cell Lymphoma"

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