- ICH GCP
- Registro degli studi clinici negli Stati Uniti
- Sperimentazione clinica NCT07695896
Real-World Study of Bispecific Antibody in Relapsed or Refractory B-Cell Non-Hodgkin Lymphoma
A Real-World Study on the Efficacy and Safety of Bispecific Antibody in the Treatment of Patients With Relapsed or Refractory B-Cell Non-Hodgkin Lymphoma
B-cell non-Hodgkin lymphoma (B-NHL) is the most common type of lymphoma. Although first-line R-CHOP can cure a proportion of patients, approximately 30%-40% relapse or become refractory (R/R). CD20xCD3 bispecific antibodies, represented by glofitamab, have shown significant efficacy in clinical trials. However, large-scale real-world efficacy and safety data in Chinese clinical practice are still lacking, particularly regarding combination with different regimens and use in the relapsed population.
This is a prospective, multicenter, observational registry study evaluating the efficacy and safety of CD20xCD3 bispecific antibody-containing regimens in patients with relapsed or refractory B-cell non-Hodgkin lymphoma in a real-world setting. Efficacy is assessed using the Lugano 2014 response criteria. The primary endpoint is best objective response rate (ORR).
Panoramica dello studio
Stato
Intervento / Trattamento
Descrizione dettagliata
Study design: Prospective, multicenter, observational (non-interventional) registry study.
Population: Patients aged >=18 years with histologically confirmed B-cell non-Hodgkin lymphoma who are relapsed or refractory after at least one prior line of therapy and who receive a CD20xCD3 bispecific antibody-containing regimen after study initiation.
Efficacy evaluation: Lugano 2014 response criteria.
Primary endpoint: Best objective response rate (ORR).
Secondary endpoints: Complete response rate (CRR), disease control rate (DCR), duration of response (DOR), time to next treatment (TTNT), progression-free survival (PFS), overall survival (OS), and safety.
Exploratory endpoints: Subgroup analyses by combination pattern (e.g., combined with chemotherapy or targeted agents) and special populations; correlation of biomarkers (e.g., peripheral blood lymphocyte subsets, T-lymphocyte mitochondrial immune analysis, cytokines) with efficacy and safety; and patient compliance and quality-of-life analyses based on electronic patient-reported outcomes (ePRO).
Planned enrollment: 200 participants. As a non-interventional study, no formal statistical hypothesis is tested; the sample size is based on the confidence-interval width method (expected ORR P=0.5, half-width d=0.07), yielding approximately 196 participants, rounded to 200.
Tipo di studio
Iscrizione (Stimato)
Contatti e Sedi
Contatto studio
- Nome: Yanyan Liu
- Numero di telefono: +86 13838176375
- Email: yyliu@zzu.edu.cn
Luoghi di studio
-
-
Henan
-
Zhengzhou, Henan, Cina
- Henan Cancer Hospital
-
Contatto:
- Yanyan Liu
- Numero di telefono: +86 13838176375
- Email: yyliu@zzu.edu.cn
-
-
Criteri di partecipazione
Criteri di ammissibilità
Età idonea allo studio
- Adulto
- Adulto più anziano
Accetta volontari sani
Metodo di campionamento
Popolazione di studio
Descrizione
Inclusion Criteria:
- Age >= 18 years at the start of treatment
- Histologically confirmed B-cell non-Hodgkin lymphoma
- Relapsed or refractory disease after at least one prior line of systemic therapy
- Planned to receive a CD20xCD3 bispecific antibody-containing regimen after study initiation
- Signed informed consent for the investigational treatment
Exclusion Criteria:
- Currently participating in, or planning to participate in, any interventional clinical trial
- Any other condition that, in the investigator's judgment, makes the patient unsuitable for participation in this study
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
Coorti e interventi
Gruppo / Coorte |
Intervento / Trattamento |
|---|---|
|
R/R B-NHL treated with bispecific antibody
Patients with relapsed or refractory B-cell non-Hodgkin lymphoma who receive a CD20xCD3 bispecific antibody-containing regimen (e.g., glofitamab) in routine clinical practice.
This is a single observational cohort; no treatment is assigned by the study.
|
Glofitamab, a CD20xCD3 bispecific monoclonal antibody, administered per real-world clinical practice and product labeling.
As an observational study, treatment is determined by the treating physician and not by the study protocol; the intervention of interest is recorded to describe the treated population.
|
Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Best Overall Response Rate (ORR)
Lasso di tempo: From treatment initiation until disease progression or start of new anti-lymphoma therapy, assessed up to approximately 2 years
|
ORR is defined as the proportion of participants achieving a best overall response of complete response (CR) or partial response (PR), assessed by the investigator according to the Lugano 2014 response criteria for malignant lymphoma.
|
From treatment initiation until disease progression or start of new anti-lymphoma therapy, assessed up to approximately 2 years
|
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Disease Control Rate (DCR)
Lasso di tempo: From treatment initiation until disease progression, assessed up to approximately 2 years
|
DCR is defined as the proportion of participants achieving complete response (CR), partial response (PR), or stable disease (SD) per Lugano 2014 criteria.
|
From treatment initiation until disease progression, assessed up to approximately 2 years
|
|
Duration of Response (DOR)
Lasso di tempo: From first response until disease progression or death, assessed up to approximately 2 years
|
DOR is defined as the time from the first documented CR or PR to the first documented disease progression or death from any cause, whichever occurs first, among responders.
|
From first response until disease progression or death, assessed up to approximately 2 years
|
|
Time to Next Treatment (TTNT)
Lasso di tempo: From treatment initiation until start of next therapy or death, assessed up to approximately 2 years
|
TTNT is defined as the time from treatment initiation to the start of the next line of anti-lymphoma therapy or death from any cause, whichever occurs first.
|
From treatment initiation until start of next therapy or death, assessed up to approximately 2 years
|
|
Progression-Free Survival (PFS)
Lasso di tempo: From treatment initiation until disease progression or death, assessed up to approximately 2 years
|
PFS is defined as the time from treatment initiation to the first documented disease progression per Lugano 2014 criteria or death from any cause, whichever occurs first.
|
From treatment initiation until disease progression or death, assessed up to approximately 2 years
|
|
Overall Survival (OS)
Lasso di tempo: From treatment initiation until death from any cause, assessed up to approximately 2 years
|
OS is defined as the time from treatment initiation to death from any cause.
|
From treatment initiation until death from any cause, assessed up to approximately 2 years
|
|
Incidence of Adverse Events (Safety)
Lasso di tempo: From treatment initiation until 90 days after last dose, assessed up to approximately 2 years
|
Safety is assessed by the incidence, severity, and type of adverse events (AEs) and serious adverse events (SAEs), including adverse events of special interest such as cytokine release syndrome (CRS), graded per NCI CTCAE and, for CRS, per ASTCT consensus criteria.
|
From treatment initiation until 90 days after last dose, assessed up to approximately 2 years
|
|
Complete Response Rate (CRR)
Lasso di tempo: From treatment initiation until disease progression or start of new therapy, assessed up to approximately 2 years
|
CRR is defined as the proportion of participants achieving a best overall response of complete response (CR) per Lugano 2014 criteria.
|
From treatment initiation until disease progression or start of new therapy, assessed up to approximately 2 years
|
Collaboratori e investigatori
Sponsor
Investigatori
- Investigatore principale: Yanyan Liu, Henan Cancer Hospital
Studiare le date dei record
Studia le date principali
Inizio studio (Stimato)
Completamento primario (Stimato)
Completamento dello studio (Stimato)
Date di iscrizione allo studio
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
- Processi patologici
- Neoplasie
- Attributi della malattia
- Malattie del sistema immunitario
- Neoplasie per tipo istologico
- Malattie linfatiche
- Malattie linfoproliferative
- Disturbi immunoproliferativi
- Linfoma non Hodgkin
- Linfoma
- Condizioni patologiche, segni e sintomi
- Malattie emiche e linfatiche
- Ricorrenza
- Linfoma, cellule B
- Glofitamab
Altri numeri di identificazione dello studio
- HNSZLYYNHL12
- 2026-254 (Altro identificatore: Henan Cancer Hospital Medical Ethics Committee)
Informazioni su farmaci e dispositivi, documenti di studio
Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti
Studia un dispositivo regolamentato dalla FDA degli Stati Uniti
Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .
Prove cliniche su Linfoma non Hodgkin a cellule B recidivato o refrattario
-
Hospices Civils de LyonAttivo, non reclutanteLinfoma a cellule B | Danno renale acuto (AKI) | Infusione di CD19 CAR T CELLFrancia
Prove cliniche su Glofitamab
-
The First Affiliated Hospital of Soochow UniversityReclutamento
-
American University of Beirut Medical CenterRoche Pharma AGNon ancora reclutamentoLinfoma diffuso a grandi cellule B refrattario
-
The Lymphoma Academic Research OrganisationReclutamento
-
Peking Union Medical College HospitalReclutamento
-
Arvinas Inc.ReclutamentoLinfoma non Hodgkin (NHL) a cellule B mature recidivante/refrattario (R/R) | Linfoma angioimmunoblastico a cellule T (AITL) recidivante/refrattario (R/R)Stati Uniti, Canada, Spagna, Danimarca
-
Fondazione Italiana Linfomi - ETSReclutamentoLinfoma a cellule del mantelloItalia
-
Zhengzhou UniversityNon ancora reclutamentoLinfoma a cellule B (BCL)Cina
-
Hoffmann-La RocheReclutamentoLinfoma diffuso a grandi cellule BHong Kong, Cina
-
M.D. Anderson Cancer CenterGenentech, Inc.RitiratoLinfoma a cellule BStati Uniti
-
Liling ZhangReclutamentoIpofrazione radioterapia in combinazione con glofitamab nel linfoma a cellule B recidiva (GLOHRT-01)Linfoma | Linfoma diffuso a grandi cellule B recidivato/refrattario (DLBCL)Cina