A Study of Rocbrutinib Combined With R-GemOx in Patients With Relapsed or Refractory Diffuse Large B-cell Lymphoma
A Phase Ib Study to Evaluate the Safety and Efficacy of Rocbrutinib in Combination With Rituximab, Gemcitabine, Oxaliplatin (R-GemOx) in Patients With Refractory or Relapsed Diffuse Large B-cell Lymphoma
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Studientyp
Studientyp
Einschreibung (Geschätzt)
Einschreibung
Phase
Phase
- Phase 1
Kontakte und Standorte
Studienkontakt
Studienkontakt
- Name: Qingqing Cai
- Telefonnummer: 086-20-87343355
- E-Mail: caiqq@sysucc.org.cn
Studieren Sie die Kontaktsicherung
- Name: Rong Tao
- Telefonnummer: 086-210-64175590
- E-Mail: hkutao@hotmail.com
Studienorte
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Guangdong
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Guangzhou, Guangdong, China, 510050
- Rekrutierung
- Sun Yat-sen University Cancer Center
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Kontakt:
- Qingqing Cai
- Telefonnummer: 086-20-87343355
- E-Mail: caiqq@sysucc.org.cn
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Shanghai Municipality
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Shanghai, Shanghai Municipality, China, 200032
- Rekrutierung
- Fudan University Shanghai Cancer Center
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Kontakt:
- Rong Tao
- Telefonnummer: 086-210-64175590
- E-Mail: hkutao@hotmail.com
-
-
Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
- Erwachsene
- Älterer Erwachsener
Akzeptiert gesunde Freiwillige
Beschreibung
Inclusion Criteria:
- Patients with relapsed or refractory non-GCB DLBCL.
- Have at least one measurable lesion according to the Lugano Response Criteria 2014.
- ECOG performance status 0-2 (0-1 for dose escalation part).
- Life expectancy ≥ 12 weeks.
- Adequate coagulation function, liver and kidney function, bone marrow hematopoietic function.
- No plan for autologous/allogeneic hematopoietic stem cell transplantation or chimeric antigen receptor T-cell (CAR-T) therapy.
- Toxicities from prior anti-tumor therapy have recovered to Grade ≤1 according to NCI CTCAE v5.0.
- All male subjects and female subjects of childbearing potential must strictly use medically approved contraception throughout the entire study period. All male subjects must also avoid sperm donation during the above period. For women of childbearing potential, the result of serum pregnancy test must be obtained. Women must be non-lactating
- Subjects must provide adequate tissue and blood samples for exploratory study. Participation is voluntary, requiring signed informed consent and compliance with the treatment regimen and visit schedule.
Exclusion Criteria:
- Intolerance to Rocbrutinib or any drug in the combination regimen.
- Prior treatment with a BTK-targeted therapy; prior treatment with R-GemOx.
- DLBCL transformed from an indolent lymphoma; diagnosis of high-grade or double-hit DLBCL.
- Chemotherapy, biologic therapy (except CAR-T), immunotherapy or major surgery within 4 weeks of the first dose of study treatment.
- Small molecule targeted therapy within 4 weeks or within 5 half-lives (whichever is shorter) of the first dose of study treatment.
- Herbal or proprietary Chinese medicines with antitumor activity or radiotherapy with a limited field of radiation within 7 days of the first dose of study treatment.
- History of allogeneic hematopoietic stem-cell transplantation (allo-HSCT) or other organ transplantation, or autologous HSCT (auto-HSCT) or chimeric antigen receptor T-cell (CAR-T) therapy within 90 days of the first dose of study treatment.
- Current corticosteroid therapy at a dose >20 mg/day prednisone equivalent. The prednisone-equivalent dose must have been stable for at least 4 weeks before Cycle 1 Day 1.
- Unable to discontinue prohibited medications during the study period (strong or moderate CYP3A inhibitors or inducers, P-gp inhibitors, OATP1B3-sensitive substrates, warfarin or other vitamin K antagonists).
- Known or suspected CNS involvement by lymphoma.
- Presence of peripheral neuropathy > Grade 1.
- Any severe and/or uncontrolled systemic disease, or condition affecting drug swallowing or absorption, that in the investigator's judgment makes the subject unsuitable for the study.
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Nicht randomisiert
- Interventionsmodell: Sequenzielle Zuweisung
- Maskierung: Keine (Offenes Etikett)
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
|
Experimental: Dose Level 1
Patients will receive Rocbrutinib at 150 mg once daily in combination with R-GemOx
|
Patients will receive Rocbrutinib until disease progression or unacceptable toxicity
Andere Namen:
Patients will receive 6 cycles every 21 days of R-GemOx.
Rituximab 375mg/m2 i.v. on day 1 of every cycle.
GemOx (gemcitabine 1000mg/m2 plus oxaliplatin 100mg/m2) i.v. on day 2 of each cycle.
|
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Experimental: Dose Level 2
Patients will receive Rocbrutinib at 200 mg once daily in combination with R-GemOx
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Patients will receive Rocbrutinib until disease progression or unacceptable toxicity
Andere Namen:
Patients will receive 6 cycles every 21 days of R-GemOx.
Rituximab 375mg/m2 i.v. on day 1 of every cycle.
GemOx (gemcitabine 1000mg/m2 plus oxaliplatin 100mg/m2) i.v. on day 2 of each cycle.
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Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
DLTs
Zeitfenster: At the end of Cycle 1 (the length of cycle 1 is 21 days)
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Dose-Limiting Toxicities
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At the end of Cycle 1 (the length of cycle 1 is 21 days)
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MTD
Zeitfenster: At the end of Cycle 1 (the length of cycle 1 is 21 days)
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Maximum Tolerated Dose
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At the end of Cycle 1 (the length of cycle 1 is 21 days)
|
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Adverse events as assessed by CTCAE v5.0
Zeitfenster: From the first administration to 28 days after the last administration
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From the first administration to 28 days after the last administration
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Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
ORR
Zeitfenster: Up to approximately two years
|
Overall Response Rate
|
Up to approximately two years
|
|
TTR
Zeitfenster: Up to approximately two years
|
Time to Response
|
Up to approximately two years
|
|
DoR
Zeitfenster: Up to approximately two years
|
Duration of Response
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Up to approximately two years
|
|
PFS
Zeitfenster: Up to approximately two years
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Progression-free Survival
|
Up to approximately two years
|
|
OS
Zeitfenster: Up to approximately two years
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Overall Survival
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Up to approximately two years
|
|
Cmax
Zeitfenster: From 1 hour prior to administration to 24 hours post-dose
|
Maximum Plasma Concentration
|
From 1 hour prior to administration to 24 hours post-dose
|
|
Tmax
Zeitfenster: From 1 hour prior to administration to 24 hours post-dose
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Time to Maximum Plasma Concentration
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From 1 hour prior to administration to 24 hours post-dose
|
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AUC0-t
Zeitfenster: From 1 hour prior to administration to 24 hours post-dose
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Area Under the Plasma Concentration-Time Curve from Time Zero to Time t
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From 1 hour prior to administration to 24 hours post-dose
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|
t1/2
Zeitfenster: From 1 hour prior to administration to 24 hours post-dose
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Half-life
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From 1 hour prior to administration to 24 hours post-dose
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Mitarbeiter und Ermittler
Sponsor
Sponsor
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Studienbeginn
Primärer Abschluss (Geschätzt)
Primärer Abschluss
Studienabschluss (Geschätzt)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- LP-168-CN109
Plan für individuelle Teilnehmerdaten (IPD)
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Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
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