A Study to Evaluate the Safety and Efficacy of SCTB35 in Combination With Gemcitabine and Oxaliplatin in Patients With Relapsed or Refractory Diffuse Large B-Cell Lymphoma
A Phase 3 Randomized, Open-label, Multicenter Study to Evaluate the Safety and Efficacy of SCTB35 in Combination With Gemcitabine and Oxaliplatin Versus Rituximab in Combination With Gemcitabine and Oxaliplatin in Patients With Relapsed or Refractory Diffuse Large B-Cell Lymphoma
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Beijing, China, 100142
- Recruiting
- Beijing Cancer Hospital
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Contact:
- Yuqin Song, M.D.
- Phone Number: 010-88196118
- Email: SongYQ_VIP@163.com
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age 18-80 years old
- Histologically confirmed diffuse large B-cell lymphoma according to WHO 2022 criteria
- Relapsed or refractory (R/R) disease following at least one prior systemic regimen that contained an anti-CD20 monoclonal antibody (mAb) in combination with chemotherapy
- Participants who have failed after one prior line of therapy are not candidates for high-dose chemotherapy followed by autologous stem cell transplant (ASCT)
- Presence of measurable or evaluable disease at baseline ECOG PS 0-2
- ECOG PS 0-2
- Adequate organ function and bone marrow function
- Expected survival ≥ 3 months
Exclusion Criteria:
- Prior treatment with antibodies targeting both CD20 and CD3
- Contraindication to rituximab, gemcitabine or oxaliplatin, or prior treatment with an anti-CD20 antibody in combination with the GemOx regimen
- Peripheral neuropathy assessed to be Grade >1 according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v6.0 at enrollment
- Known central nervous system (CNS) involvement by lymphoma
- Known any major episode of active infection requiring treatment with systemic antibiotics within 2 weeks
- Treatment with chimeric antigen receptor T-cell (CAR-T) therapy within 100 days prior to first SCTB35 administration
- Autologous HSCT within 100 days prior to first SCTB35 administration, or any prior allogeneic HSCT or solid organ transplantation
- Major surgery within 4 weeks prior to first SCTB35 administration
- Chemotherapy and other non-investigational antineoplastic agents (except CD20 mAbs) within 4 weeks or 5 half-lives (whichever is shorter) prior to first SCTB35 administration
- 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
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Active Comparator: R-GemOx
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Participants will receive IV rituxumab on Day 1 of each cycle for up to 8 cycles.
Participants will receive IV gemcitabine administration for up to 8 cycles.
Participants will receive IV oxaliplatin administration for up to 8 cycles.
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Experimental: SCTB35-GemOx
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SCTB35 will be subcutaneously administered at a dose as specified
Participants will receive IV gemcitabine administration for up to 8 cycles.
Participants will receive IV oxaliplatin administration for up to 8 cycles.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Adverse Events
Time Frame: Up to approximately 3 years
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Treatment-emergent adverse events/serious adverse events/adverse events of special interest
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Up to approximately 3 years
|
|
Progression free survival (PFS)
Time Frame: Up to approximately 3 years
|
Defined as the time from the date of randomization to the date of first documentation of progression disease (PD) or the date of death from any cause, whichever occurs first.
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Up to approximately 3 years
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Percentage of Participants Achieving Best Overall Response (BOR)
Time Frame: Up to approximately 3 years
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BOR is defined as Complete Response (CR) or Partial Response (PR), determined by Lugano criteria
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Up to approximately 3 years
|
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Percentage of Participants Achieving CR
Time Frame: Up to approximately 3 years
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Percentage of participants who achieve a CR determined per Lugano criteria.
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Up to approximately 3 years
|
|
Overall Survival (OS)
Time Frame: Up to approximately 3 years
|
Overall survival is defined as the duration from the date of randomization to the date of the participant's death.
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Up to approximately 3 years
|
|
Duration of Response (DOR)
Time Frame: Up to approximately 3 years
|
DOR is defined as the time from the first occurrence of response (CR or PR) to disease progression or death, whichever occurs first.
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Up to approximately 3 years
|
|
Time to Response (TTR)
Time Frame: Up to approximately 3 years
|
Time to response is defined for participants achieving a CR/PR as the time from starting therapy to first a CR/PR.
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Up to approximately 3 years
|
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Event-Free Survival (EFS)
Time Frame: Up to approximately 3 years
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EFS is defined as the duration from randomization to disease progression determined by Lugano criteria as assessed by the investigator, initiation of any non-protocol-specified new anti-lymphoma therapy for any reason, or death (whichever occurs first).
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Up to approximately 3 years
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Duration of Complete Response (DOCR)
Time Frame: Up to approximately 3 years
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DOCR is defined as the time from the first occurrence of CR to disease progression or death, whichever occurs first.
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Up to approximately 3 years
|
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Time to Complete Response (TTCR)
Time Frame: Up to approximately 3 years
|
Time to complete response is defined for participants achieving a CR as the time from starting therapy to first a CR.
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Up to approximately 3 years
|
|
Blood Concentrations of SCTB35
Time Frame: Up to approximately 1 years
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The pharmacokinetics of SCTB35 will be analyzed based on the drug concentrations at respective timepoints in the blood samples (or blood derivative)
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Up to approximately 1 years
|
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Anti-drug Antibodies of SCTB35
Time Frame: Up to approximately 3 years
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Blood samples (or blood derivative) will be screened for antibodies binding to SCTB35
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Up to approximately 3 years
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Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
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
Additional Relevant MeSH Terms
- Neoplasms
- Neoplasms by Histologic Type
- Lymphatic Diseases
- Histiocytic Disorders, Malignant
- Histiocytosis
- Hemic and Lymphatic Diseases
- Dendritic Cell Sarcoma, Interdigitating
- Organic Chemicals
- Heterocyclic Compounds, 1-Ring
- Heterocyclic Compounds
- Coordination Complexes
- Deoxycytidine
- Cytidine
- Pyrimidine Nucleosides
- Pyrimidines
- Oxaliplatin
- Gemcitabine
Other Study ID Numbers
Other Study ID Numbers
- SCTB35-B301
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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