Study of Brentuximab Vedotin in Participants With Relapsed or Refractory Systemic Anaplastic Large Cell Lymphoma
A Phase 4, Open-label, Single-Arm Study of Brentuximab Vedotin in Patients With Relapsed or Refractory Systemic Anaplastic Large Cell Lymphoma
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Locations
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Antwerp, Belgium, 2060
- ZNA Stuivenberg
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Brussels, Belgium, 1200
- Cliniques Universitaires Saint-luc
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Ghent, Belgium, 9000
- Universitair Ziekenhuis Gent
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Leuven, Belgium, 3000
- UZ Leuven
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Rijeka, Croatia, 51000
- Clinical Hospital Centre Rijeka
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Zagreb, Croatia, 10000
- Clinical Hospital Centre Zagreb
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Zagreb, Croatia, 10000
- Clinical Hospital Dubrava
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Brno, Czechia, 625 00
- Fakultni nemocnice Brno
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Olomouc, Czechia, 779 00
- Fakultni nemocnice Olomouc
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Prague, Czechia, 128 08
- Vseobecna fakultni nemocnice v Praze
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Prague, Czechia, 100 34
- Fakultni nemocnice Kralovske Vinohrady
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Budapest, Hungary, 1083
- Semmelweis Egyetem
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Debrecen, Hungary, 4032
- Debreceni Egyetem Klinikai Kozpont
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Pécs, Hungary, 7624
- Pecsi Tudomanyegyetem
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Gdansk, Poland, 80-952
- Uniwersyteckie Centrum Kliniczne
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Krakow, Poland, 30-510
- Malopolskie Centrum Medyczne s.c.
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Olsztyn, Poland, 10-228
- SPZOZ MSW zWarminsko-MazurskimCen.Onko.wOlsztynie
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Warsaw, Poland, 02-781
- Centrum Onkologii-Instytut im. M. Sklodowskiej Curie
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Braga, Portugal, 4710-243
- Hospital de Braga
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Lisbon, Portugal, 1649-035
- Centro Hospitalar de Lisboa Norte, E.P.E. - Hospital de Santa Maria
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Porto, Portugal, 4200-072
- Instituto Português de Oncologia do Porto Francisco Gentil, EPE
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Porto, Portugal, 4099-001
- Centro Hospitalar Do Porto, E.P.E. - Hospital de Santo António
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Brasov, Romania, 500152
- Policlinica de Diagnostic Rapid SA
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Bucharest, Romania, 030171
- Spitalul Clinic Coltea
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Bucharest, Romania, 020125
- Spitalul Clinic Colentina
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Târgu Mureş, Romania, 540042
- Spitalul Clinic Judetean de Urgenta Targu Mures
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Barcelona, Spain, 08035
- Hospital Universitari Vall d'Hebron
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Madrid, Spain, 28034
- Hospital Universitario Ramon y Cajal
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Salamanca, Spain, 37007
- Hospital Universitario de Salamanca
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Barcelona
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L'Hospitalet de Llobregat, Barcelona, Spain, 08907
- Ico Lhospitalet Hospital Duran I Reynals
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Cantabria
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Santander, Cantabria, Spain, 39008
- Hospital Universitario Marqués de Valdecilla
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Ankara, Turkey (Türkiye), 06340
- Ankara University Medical Faculty
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Denizli, Turkey (Türkiye), 20070
- Pamukkale Uni. Med. Fac.
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Istanbul, Turkey (Türkiye), 34200
- Istanbul Bilim University Medical Fac.
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Izmir, Turkey (Türkiye), 35040
- Ege University Medical Faculty
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Izmir, Turkey (Türkiye), 35340
- Dokuz Eylul University Faculty of Medicine
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Kayseri, Turkey (Türkiye), 38039
- Erciyes University Medical Faculty
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Cornwall
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Truro, Cornwall, United Kingdom, TR1 3LJ
- Royal Cornwall Hospital
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Greater Manchester
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Manchester, Greater Manchester, United Kingdom, M20 4BX
- The Christie
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West Midlands
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Birmingham, West Midlands, United Kingdom, B9 5SS
- Birmingham Heartlands Hospital
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Male or female participants age 18 years or older, with relapsed or refractory sALCL who have previously received at least 1 multiagent chemotherapy
- Bidimensional measurable disease
- An Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
- Female participants who are postmenopausal for at least 1 year before the screening visit, surgically sterile, or agree to practice 2 effective methods of contraception, at the same time, from the time of signing the informed consent form through 30 days after the last dose of study drug, or agree to practice true abstinence
- Male participants who agree to practice effective barrier contraception during the entire study treatment period through 6 months after the last dose of study drug or agree to practice true abstinence
- Clinical laboratory values as specified in the study protocol
Exclusion Criteria:
- Previous treatment with brentuximab vedotin.
- Previously received an allogeneic transplant.
- Participants with current diagnosis of primary cutaneous anaplastic large cell lymphoma [ALCL] (participants whose ALCL has transformed to sALCL are eligible).
- Known cerebral/meningeal disease including signs or symptoms of progressive multifocal leukoencephalopathy (PML)
- Female participants who are lactating and breastfeeding or pregnant
- Known human immunodeficiency virus (HIV) positive
- Known hepatitis B surface antigen-positive, or known or suspected active hepatitis C infection
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Experimental: Brentuximab Vedotin 1.8 mg/kg
Participants received brentuximab vedotin 1.8 mg/kg as a 30 minute intravenous (IV) infusion on Day 1 of each 3 week cycle.
Participants with stable disease or better and without unacceptable toxicity were to receive a minimum of 8 cycles with the opportunity to receive a maximum of 16 cycles.
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Brentuximab vedotin IV infusion
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Objective Response Rate (ORR)
Time Frame: Up to data cut-off date: 04 May 2021 (Up to approximately 7 years)
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ORR was defined as the percentage of participants with a complete remission (CR) or partial remission (PR) by Independent Review Facility (IRF) response assessment according to the International Working Group (IWG) Revised Response Criteria for Malignant Lymphoma.
CR is defined as the disappearance of all evidence of disease and PR is defined as regression of measurable disease and no new sites.
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Up to data cut-off date: 04 May 2021 (Up to approximately 7 years)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Concentration of Serum Antibody-drug Conjugate (ADC) at the End of Infusion
Time Frame: Cycle 1, Day 1 and Cycle 3, Day 1 at the end of infusion
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Cycle 1, Day 1 and Cycle 3, Day 1 at the end of infusion
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Concentration of Serum Total Antibody (TAb) Conjugate Plus Free Total Antibody
Time Frame: Cycle 1, Day 1 and Cycle 3, Day 1 at the end of infusion
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Cycle 1, Day 1 and Cycle 3, Day 1 at the end of infusion
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Maximum Concentration for Unconjugated Drug- Monomethyl Auristatin E (MMAE)
Time Frame: Cycle 1, Day 1 and Cycle 3, Day 1 at the end of infusion
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Cycle 1, Day 1 and Cycle 3, Day 1 at the end of infusion
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Duration of Response (DOR) Per IRF
Time Frame: Until disease progression, death, or the data cut-off date: 4 May 2021 (Up to approximately 7 years)
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DOR was defined as the time between initial response and documented tumor progression in the subset of participants who achieved an objective response, either CR or PR.
DOR per IRF was based upon the radiological assessment of measured lesions from an independent review facility.
DOR was censored on the date of the last disease assessment documenting absence of progressive disease (PD) for participants who were lost to follow-up, withdrew consent, started a new anticancer therapy other than stem cell transplant (SCT), or discontinued treatment due to undocumented PD after the last adequate disease assessment.
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Until disease progression, death, or the data cut-off date: 4 May 2021 (Up to approximately 7 years)
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Progression-free Survival (PFS) Per IRF
Time Frame: Until disease progression, death, or the data cut-off date: 4 May 2021 (Up to approximately 7 years)
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PFS is defined as the time from start of study treatment to first documentation of objective tumor progression or to death due to any cause, whichever comes first.
PFS per IRF is based upon the radiological assessment from an independent review facility.
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Until disease progression, death, or the data cut-off date: 4 May 2021 (Up to approximately 7 years)
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Complete Remission Rate (CRR) Per IRF
Time Frame: Until disease progression, death, or the data cut-off date: 4 May 2021 (Up to approximately 7 years)
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CRR is defined as percentage of participants with CR.
CR is defined as the disappearance of all evidence of disease.
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Until disease progression, death, or the data cut-off date: 4 May 2021 (Up to approximately 7 years)
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Overall Survival (OS)
Time Frame: Until disease progression, death, or end of study (Up to approximately 10.7 years)
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OS is defined as the time from start of study treatment to date of death due to any cause.
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Until disease progression, death, or end of study (Up to approximately 10.7 years)
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Percentage of Participants Receiving Hematopoietic Stem Cell Transplant (SCT) Following Treatment With Brentuximab Vedotin
Time Frame: Until disease progression, death, or end of study (Up to approximately 10.7 years)
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Until disease progression, death, or end of study (Up to approximately 10.7 years)
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Percentage of Participants With Treatment-emergent Adverse Events (TEAEs), Serious TEAEs, Related TEAEs and TEAEs by Severity (Grade 3 or Higher)
Time Frame: From first dose up to 30 days post last dose of study drug (Up to approximately 1 year)
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An adverse event (AE): any untoward medical occurrence in a participant administered a pharmaceutical product; the untoward medical occurrence does not necessarily have a causal relationship with this treatment.
An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product whether or not it is related to medicinal product.
TEAE was defined as any AE that started after the first administration of study drug in this continuation study.
Serious TEAEs: defined as any untoward medical occurrence that at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongation of an existing hospitalization, results in persistent or significant disability or incapacity, is a congenital anomaly/birth defect, or is a medically important event.
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From first dose up to 30 days post last dose of study drug (Up to approximately 1 year)
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Percentage of Participants With Presence of Anti-Therapeutic Antibodies (ATA) and Neutralizing Antibodies (NAb) to Brentuximab Vedotin
Time Frame: Up to 16 cycles (each cycle = 21 days)
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Up to 16 cycles (each cycle = 21 days)
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Medical Director, Takeda
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Pathologic Processes
- Neoplasms
- Disease Attributes
- Immune System Diseases
- Neoplasms by Histologic Type
- Lymphatic Diseases
- Lymphoproliferative Disorders
- Immunoproliferative Disorders
- Lymphoma, T-Cell
- Pathological Conditions, Signs and Symptoms
- Hemic and Lymphatic Diseases
- Recurrence
- Lymphoma
- Lymphoma, Non-Hodgkin
- Lymphoma, Large-Cell, Anaplastic
- Hematologic Diseases
- Peptides
- Amino Acids, Peptides, and Proteins
- Oligopeptides
- Proteins
- Antibodies, Monoclonal, Humanized
- Antibodies, Monoclonal
- Antibodies
- Immunoglobulins
- Immunoproteins
- Blood Proteins
- Serum Globulins
- Globulins
- Brentuximab Vedotin
Other Study ID Numbers
Other Study ID Numbers
- C25006
- 2012-004128-39 (EudraCT Number)
- U1111-1154-9784 (Registry Identifier: WHO)
- REec-2014-0649 (Registry Identifier: REec)
- 13/NI/0072 (Registry Identifier: NRES)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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