중국에서 B세포 비호지킨 림프종을 앓고 있는 성인 참가자를 대상으로 단일 요법 또는 표준 치료 요법과 병용한 피하(SC) 엡코리타맙의 부작용 및 질병 활동의 변화를 평가하기 위한 연구
B세포 비호지킨 림프종을 앓고 있는 중국 피험자에서 단일 요법 또는 표준 치료 요법과 병용 요법으로서 Epcoritamab의 안전성 및 예비 효능을 평가하기 위한 1b/2상, 공개 라벨 시험
B-cell Lymphoma is an aggressive and rare cancer of a type of immune cells (a white blood cell responsible for fighting infections). The purpose of this study is to assess the safety and toxicity of epcoritamab as a monotherapy and when combined with standard of care therapy [Rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP) or Rituximab and lenalidomide (R2)] in adult participants in China with B-Cell Non-Hodgkin Lymphoma. Adverse events and change in disease activity will be assessed.
Epcoritamab is an investigational drug being developed for the treatment of B-Cell Non-Hodgkin Lymphoma. Study doctors put the participants in groups called treatment arms. A monotherapy of epcoritamab and two different combination of epcoritamab with standard of care therapy (R-CHOP or R2) will be explored. Each treatment arm receives a different treatment combination depending on stage of the study and eligibility. Approximately 66 adult participants with B-Cell Non-Hodgkin Lymphoma will be enrolled in the study in approximately 21 sites in China.
In the monotherapy arm (Cohort 1), participants will receive subcutaneous epcoritamab in 28-day cycles. In the combination arms (Cohorts 2 and 3), participants in Cohort 2 will receive subcutaneous epcoritamab with standard of care therapy (R-CHOP) in 21-day cycles followed by 28-day cycles, participants in Cohort 3 will receive subcutaneous epcoritamab with standard of care therapy (R2) in 28-day cycles.
There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at an approved institution (hospital or clinic). The effect of the treatment will be frequently checked by medical assessments, blood tests, questionnaires and side effects.
연구 개요
상태
상태
정황
정황
개입 / 치료
개입 / 치료
연구 유형
연구 유형
등록 (실제)
등록
단계
단계
- 2 단계
- 1단계
연락처 및 위치
연구 장소
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Beijing Municipality
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Beijing, Beijing Municipality, 중국, 100071
- The Fifth Medical Center of PLA General Hospital /ID# 230520
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Beijing, Beijing Municipality, 중국, 100191
- Peking University Third Hospital /ID# 228138
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Fujian
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Fuzhou, Fujian, 중국, 350001
- Fujian Medical University Union Hospital /ID# 231890
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Guangdong
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Guangzhou, Guangdong, 중국, 510060
- Sun Yat-Sen University Cancer Center /ID# 228033
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Guangzhou, Guangdong, 중국, 510080
- Guangdong Provincial People's Hospital /ID# 228028
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Guangzhou, Guangdong, 중국, 510515
- Nanfang Hospital of Southern Medical University /ID# 227916
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Henan
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Zhengzhou, Henan, 중국, 450008
- Henan Cancer Hospital /ID# 228772
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Hubei
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Wuhan, Hubei, 중국, 430022
- Union Hospital affiliated to Tongji Medical College of Huazhong University of Sc /ID# 231221
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Hunan
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Changsha, Hunan, 중국, 410006
- Hunan Cancer Hospital /ID# 231859
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Jiangsu
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Suzhou, Jiangsu, 중국, 215006
- The First Affiliated Hospital of Soochow University /ID# 228024
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Xuzhou, Jiangsu, 중국, 221006
- The Affiliated Hospital of Xuzhou Medical College /ID# 228774
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Jiangxi
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Nanchang, Jiangxi, 중국, 330006
- The First Affiliated Hospital of Nanchang University /ID# 228771
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Nanchang, Jiangxi, 중국, 330029
- Jiangxi Provincial Cancer Hospital /ID# 231944
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Shanghai Municipality
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Shanghai, Shanghai Municipality, 중국, 200065
- Ruijin Hospital, Shanghai Jiaotong University School of Medicine /ID# 227724
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Sichuan
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Chengdu, Sichuan, 중국, 610041
- West China Hospital, Sichuan University /ID# 231434
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Tianjin Municipality
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Tianjin, Tianjin Municipality, 중국, 300000
- Tianjin Cancer Hospital /ID# 228135
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Zhejiang
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Hangzhou, Zhejiang, 중국, 310003
- The First Affiliated Hospital, Zhejiang University School of Medicine /ID# 228154
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Hangzhou, Zhejiang, 중국, 310022
- Zhejiang Cancer hospital /ID# 228776
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참여기준
자격 기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
All Cohorts:
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Life expectancy of >= 3 months on standard of care (SOC).
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Must have an Eastern Cooperative Oncology Group (ECOG) performance status score 0 - 2.
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Has one or more measurable disease sites:
- Fluorodeoxyglucose-positron emission tomography (FDGPET) scan demonstrating positive lesion compatible with computed tomography (CT) or magnetic resonance image (MRI)-defined anatomical tumor sites.
- >= 1 measurable nodal lesion (long axis > 1.5 cm and short axis > 1.0 cm) or >= 1.0 measurable extra-nodal lesion (long axis >= 1 cm) on CT scan or MRI. Note: A previously irradiated lesion must have demonstrated progression or residual disease in the lesion after radiotherapy to be considered measurable.
Cohort 1 Part 1 (Monotherapy Safety Run-in) Specific Criteria:
- Must have histologically confirmed CD20+ Diffuse large B-cell lymphoma (DLBCL), or High-grade B-cell lymphoma (HGCBL) with MYC and BCL2 and/or BCL6 translocations and DLBCL feature, and follicular Lymphoma (FL) at most recent (previous or current) representative tumor biopsy based on the pathology report, according to the World Health Organization (WHO) 2016 (or later) classification.
- Must have at least one prior treatment with an anti-CD20 monoclonal antibody (e.g., rituximab) potentially in combination with chemotherapy and/or relapsed after autologous stem cell rescue.
- Must have relapsed or refractory disease. Note: Relapsed disease is defined as disease that has recurred >= 6 months after completion of therapy. Refractory disease is defined as disease that either progressed or failed to achieve an objective response during therapy or progressed within 6 months (<6 months) of completion of therapy.
Cohort 1 Part 2 (Monotherapy Expansion) Specific Criteria:
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Must have histologically confirmed CD20+ DLBCL at most recent (previous or current) representative tumor biopsy based on the pathology report, inclusive of the following according to the World Health Organization (WHO) 2016 (or later) classification.
- DLBCL, not otherwise specified (NOS) including de novo or histologically transformed from an earlier diagnosis of indolent lymphoma such as FL and nodal marginal zone lymphoma with a subsequent development of DLBCL relapse or.
- "Double-hit" or "triple-hit" with DLBCL morphology (technically classified in WHO 2016 as HGBCL, with MYC and BCL2 and/or BCL6 translocations). Note: Double- /triple-hit lymphomas without DLBCL morphology and those classified in WHO 2016 as HGBCL, NOS are not eligible.
- FL Grade 3B.
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Following safety run-in and up to the 12th participant (including the number of safety run-in participants) in Cohort 1, participants must have received at least 1 prior line of systemic therapies which must include an anti-CD20 monoclonal antibody containing combination therapy (e.g., rituximab). After safety run-in confirms tolerability of the full dose A of epcoritamab, participants must have received at least 2 prior lines of systemic therapies.
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Must have either failed prior autologous HSCT, or be ineligible for autologous HSCT due to age, comorbidities, performance status, comorbidities, or insufficient response to prior treatment.
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Must have relapsed or refractory disease. Note: Relapsed disease is defined as disease that has recurred >= 6 months after completion of therapy. Refractory disease is defined as disease that either progressed or failed to achieve an objective response during therapy or progressed within 6 months (< 6 months) of completion of therapy.
Cohort 2 Specific Criteria:
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Must have newly diagnosed CD20+ DLBCL.
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Must have one of the following histologically confirmed CD20+ DLBCL (de novo or histologically transformed from FL at most recent (previous or current) representative tumor biopsy based on the pathology report including one of the following diagnoses according to the WHO 2016 (or later) classification:
- DLBCL, not otherwise specified (NOS);
- "Double-hit" or "triple-hit" with DLBCL morphology (technically classified in WHO 2016 as HGBCL, with MYC and BCL2 and/or BCL6 translocations) Note: Double-/triple-hit lymphomas without DLBCL morphology and those classified in WHO 2016 as HGBCL, NOS are not eligible or;
- FL Grade 3B
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Eligible for standard R-CHOP for 6 cycles.
Cohort 3 Specific Criteria:
- Must have histologically confirmed CD20+ Grade 1 - 3a Follicular Lymphoma stage II, III, or IV with no evidence of histologic transformation to an aggressive lymphoma at most recent (previous or current) representative tumor biopsy and based on the pathology report, according to the WHO 2016 (or later) classification.
- Must have R/R disease to at least one prior systemic anti-lymphoma treatment which must include an anti CD20 monoclonal antibody (e.g., rituximab). Participant who received only prior anti-CD20 monoclonal antibody monotherapy is not eligible. Note: Relapsed disease is defined as disease that previously responded to therapy but progressed >= 6 months after completion of therapy. Refractory disease is defined as disease that either progressed during therapy, failed to achieve an objective response or progressed within 6 months (< 6 months) of completion of therapy.
- Must be eligible for R2 per investigator determination.
- Willing to take aspirin prophylaxis (participants with low or intermediate risk for thromboembolism) or prophylactic anticoagulant (if high risk for a thromboembolic event) (lenalidomide treated participants only).
Exclusion Criteria:
All Cohorts:
- History of primary mediastinal lymphoma.
- Autologous Stem Cell Transplantation within 100 days prior to enrollment.
- Have received prior allogeneic hematopoietic stem cell transplantation at any time.
- Have been treated with a bispecific antibody targeting CD3 and CD20.
Cohort 2 Specific Criteria:
- History of prior systemic anti-lymphoma therapy (including definitive radiotherapy) for Diffuse large B-cell lymphoma (DLBCL) other than corticosteroids.
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위화되지 않음
- 중재 모델: 순차적 할당
- 마스킹: 없음(오픈 라벨)
팔의 수
무기와 개입
참가자 그룹 / 팔참가자 그룹 / 팔 |
개입 / 치료개입 / 치료 |
|---|---|
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실험적: Cohort 1 Part 1: Epcoritamab Monotherapy
Participants will receive subcutaneous (SC) epcoritamab in 28 day cycles. |
Subcutaneous Injection (SC)
다른 이름들:
|
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실험적: Cohort 1 Part 2: Epcoritamab Expansion
Participants will receive SC epcoritamab in 28 day cycles. |
Subcutaneous Injection (SC)
다른 이름들:
|
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실험적: Cohort 2: Epcoritamab + RCHOP
Participants will receive SC epcoritamab in combination with [intravenously (IV) infused rituximab, IV injected cyclophosphamide, IV infused doxorubicin, IV infused vincristine, and oral prednisone (R-CHOP)] in 21 day cycles followed by 28 day cycles. |
Subcutaneous Injection (SC)
다른 이름들:
IV Injection Intravenous (IV) Infusion IV Infusion IV Infusion Oral; Tablet |
|
실험적: Cohort 3: Epcoritamab + R2
Participants will receive SC epcoritamab in combination with [intravenously (IV) infused rituximab, and oral lenalidomide (R2)] in 28 day cycles. |
Subcutaneous Injection (SC)
다른 이름들:
Intravenous (IV) Infusion Oral; Capsule |
연구는 무엇을 측정합니까?
주요 결과 측정
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Cohort 1 Part 2 [(3L+) R/R DLBCL]: Best Overall Response (BOR)
기간: Up to Approximately 5 Years
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Best overall response (BOR) is defined as the percentage of participants in Cohort 1 Part 2 third line plus (3L) R/R DLBCL who achieved best overall response of complete response (CR) or partial response (PR) by Lugano 2014 criteria as assessed by independent review committee (IRC). |
Up to Approximately 5 Years
|
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Cohort 1 Part 1, Cohort 2, and Cohort 3: Number of Incidence of Dose-Limiting Toxicities (DLT)
기간: Up to Approximately 5 Years
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DLT events are defined as clinically significant adverse events or abnormal laboratory values assessed as unrelated to disease progression, underlying disease, intercurrent illness, or concomitant medications. |
Up to Approximately 5 Years
|
2차 결과 측정
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Cohort 1 Part 2 [(3L+) R/R DLBCL]: Percentage of Participants with Complete Remission (CR)
기간: Up to Approximately 5 Years
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CR is defined as the absence of lymphoma determined by Lugano 2014 criteria as assessed by IRC. |
Up to Approximately 5 Years
|
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Cohort 1 Part 2 [(3L+) R/R DLBCL]: Number of Participants with Progression-free survival (PFS)
기간: Up to Approximately 5 Years
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PFS is defined as the time in months from the first dose of study drug to the earliest occurrence of radiographic progression determined by Lugano 2014 criteria as assessed by IRC, or death from any cause. |
Up to Approximately 5 Years
|
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Cohort 1 Part 2 [(3L+) R/R DLBCL]: Overall survival (OS)
기간: Up to Approximately 5 Years
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OS is defined for Cohort 1 epcoritamab monotherapy participants, as the time in months from first dose of epcoritamab to death from any cause. |
Up to Approximately 5 Years
|
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Cohort 1 Part 2 [(3L+) R/R DLBCL]: Duration of response (DOR)
기간: Up to Approximately 5 Years
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DOR is defined for participants who achieved best overall response of CR or PR ('responders'), as the time in months from initial CR/PR to the earliest occurrence of radiographic progression determined by Lugano 2014 criteria as assessed by IRC, or death from any cause. |
Up to Approximately 5 Years
|
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Cohort 1 Part 2 [(3L+) R/R DLBCL]: Time-to-response (TTR)
기간: Up to Approximately 5 Years
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TTR is defined as the number of months from the date of first dose to the date of best overall response of CR or PR ('responders') determined by Lugano 2014 criteria as assessed by IRC. |
Up to Approximately 5 Years
|
공동 작업자 및 조사자
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
연구 시작
기본 완료 (추정된)
기본 완료
연구 완료 (추정된)
연구 완료
연구 등록 날짜
최초 제출
최초 제출
QC 기준을 충족하는 최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
처음 게시됨
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
마지막 업데이트 게시됨
QC 기준을 충족하는 마지막 업데이트 제출
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
추가 관련 MeSH 약관
- 면역계 질환
- 조직학적 유형에 따른 신생물
- 림프계 질환
- 림프 증식 장애
- 면역증식성 장애
- 림프종, 비호지킨
- 림프종
- 헴 및 림프병
- 신생물
- 림프종, B세포
- 아미노산, 펩티드 및 단백질
- 단백질
- 유기 화학 물질
- 이종 사이 클릭 화합물, 1- 링
- 이종 사이 클릭 화합물
- 이종 사이 클릭 화합물, 2- 링
- 이종 사이 클릭 화합물, 융합 링
- 탄화수소
- 탄화수소, 순환
- 탄수화물
- 카르 복실 산
- 알칼로이드
- 다 환식 방향족 탄화수소
- 탄화수소, 방향족
- 다 환식 화합물
- 글리코 사이드
- 파이퍼 리딘
- 인돌
- 항체, 모노클로 날
- 항체
- 면역 글로불린
- 면역 단백질
- 혈액 단백질
- 혈청 글로불린
- 글로불린
- Pretadienes
- 임신
- 스테로이드
- 융합 링 화합물
- 포스 포 아미드 머스타드
- 질소 머스타드 화합물
- 겨자 화합물
- 탄화수소, 할로겐화
- 포스 포 아미드
- 유기 인 화합물
- Pregnadienediols
- Vinca 알칼로이드
- Secologanin Tryptamine 알칼로이드
- 인돌 알칼로이드
- 인돌리 지딘
- 인도인
- 안트라 사이클린
- 나프 타센
- 아미노 글리코 시드
- 항체, 모노클로 날, 뮤린 유래
- Daunorubicin
- 프탈리 미드
- 프탈산
- 산, 카르 보 사이 클릭
- 파이퍼리돈
- Isoindoles
- 레날리도마이드
- 리툭시맙
- 프레드니손
- 시클로포스파미드
- 독소루비신
- 빈크리스틴
기타 연구 ID 번호
기타 연구 ID 번호
- M21-103
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
IPD 계획 설명
AbbVie is committed to responsible clinical trial data sharing. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols, analyses plans, clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.
IPD 공유 기간
For details on when studies are available for sharing visit https://vivli.org/ourmember/abbvie/
IPD 공유 액세스 기준
To learn more about the process, or to submit a request, visit the following link https://www.abbvieclinicaltrials.com/hcp/data-sharing/
IPD 공유 지원 정보 유형
- 연구_프로토콜
- 수액
- CSR
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
미국에서 제조되어 미국에서 수출되는 제품
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .