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TAK-659 in Participants With Relapsed or Refractory Diffuse Large B-Cell Lymphoma (DLBCL)

2023년 2월 6일 업데이트: Calithera Biosciences, Inc

Phase 2 Study of TAK-659 in Patients With Relapsed or Refractory Diffuse Large B-Cell Lymphoma After at Least 2 Prior Lines of Chemotherapy

The purpose of this study is to assess the efficacy of TAK-659 measured by independent radiologic review committee (IRC)-assessed overall response rate (ORR) in participants with relapsed or refractory DLBCL.

연구 개요

상태

종료됨

정황

개입 / 치료

상세 설명

The drug being tested is TAK-659. This study will evaluate overall response rate (ORR) in participants with relapsed or refractory DLBCL who take TAK-659.

The study will enroll approximately 122 participants. Participants will be assigned to:

• TAK-659 60 mg to 100 mg

All participants will be asked to take the tablets of TAK-659 at the same time each day throughout the study in a 28-day cycle.

This multi-center trial will be conducted in the United States, United Kingdom, Spain, Italy, France, Canada, Germany. The overall time to participate in this study is approximately 48 months. Participants will be assessed for disease response and progression during the PFS follow-up every 3 months after end of treatment (for participants who discontinue due to reasons other than disease progression) and OS follow-up every 3 months from the last dose of study drug until death or conclusion of the study, whichever occurs first.

연구 유형

중재적

등록 (실제)

49

단계

  • 2 단계

연락처 및 위치

이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.

연구 장소

  • 미국
    • Kansas
      • Westwood, Kansas, 미국, 66205
        • University of Kansas Medical Center
    • Michigan
      • Ann Arbor, Michigan, 미국, 48109-1274
        • University of Michigan
    • New York
      • Buffalo, New York, 미국, 14263
        • Roswell Park Cancer Institute
      • New York, New York, 미국, 10016
        • New York University Langone Medical Center
    • Pennsylvania
      • Philadelphia, Pennsylvania, 미국, 19104
        • Perelman Center for Advanced Medicine
    • Washington
      • Edmonds, Washington, 미국, 98026
        • Swedish Medical Oncology - Edmonds
      • Issaquah, Washington, 미국, 98029
        • Swedish Cancer Institute - Issaquah
      • Seattle, Washington, 미국, 98104
        • Swedish Health Services
      • Seattle, Washington, 미국, 98109
        • University of Washington, Hutchinson Cancer Research Center
      • Seattle, Washington, 미국, 98122
        • Swedish First Hill Campus
  • 스페인
      • Barcelona, 스페인, 08036
        • Hospital Clínic de Barcelona
      • Barcelona, 스페인, 08035
        • Hospital Universitari Vall d'Hebron
      • Madrid, 스페인, 28046
        • Hospital Universitario La Paz
      • Madrid, 스페인, 28009
        • Hospital General Universitario Gregorio Marañon
      • Salamanca, 스페인, 37007
        • Hospital Universitario de Salamanca
      • Santander, 스페인, 39008
        • Hospital Universitario Marqués de Valdecilla
      • Valencia, 스페인, 46026
        • Hospital Universitario la Fe
  • 영국
    • England
      • Birmingham, England, 영국, B15 2GW
        • University Hospitals Birmingham NHS Foundation Trust, Queen Elizabeth Hospital
      • Harrow, England, 영국, HA1 3UJ
        • London North West Healthcare NHS Trust, Imperial College London
      • London, England, 영국, NW1 2BU
        • University College London Hospitals NHS Foundation Trust
      • Manchester, England, 영국, M20 4BX
        • The Christie NHS Foundation Trust
      • Newcastle upon Tyne, England, 영국, NE7 7DN
        • Newcastle Hospitals NHS Foundation Trust
  • 이탈리아
      • Bergamo, 이탈리아, 24127
        • Azienda Ospedaliera Papa Giovanni XXIII
      • Milano, 이탈리아, 20162
        • Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda
      • Novara, 이탈리아, 28100
        • Azienda Ospedaliero-Universitaria "Maggiore della Carità"
      • Udine, 이탈리아, 33100
        • Azienda Ospedaliero Universitaria Santa Maria della Misericordia di Udine
    • Foggia
      • San Giovanni Rotondo, Foggia, 이탈리아, 71013
        • Ospedale Casa Sollievo della Sofferenza
    • Piemonte
      • Torino, Piemonte, 이탈리아, 10126
        • Azienda Ospedaliera Universitaria Citta Della Salute E Della Scienza Di Torino
  • 캐나다
      • Quebec, 캐나다, G1J 1Z4
        • CHU de Quebec -Universite Laval-Hopital de L'Enfant Jesus
    • Ontario
      • Toronto, Ontario, 캐나다, M5G2M9
        • Princess Margaret Cancer Center
    • Quebec
      • Rimouski, Quebec, 캐나다, G5L 5T1
        • Centre Hospitalier Regional De Rimouski
  • 프랑스
    • Aquitaine
      • Pessac Cedex, Aquitaine, 프랑스, 33604
        • Hôpital Haut-Lévêque
    • Auvergne
      • Clermont-Ferrand, Auvergne, 프랑스, 63000
        • CHRU Clermont- Ferrand CHU Estaing
    • Haute-normandie
      • Rouen Cedex 1, Haute-normandie, 프랑스, 76038
        • Centre Henri-Becquerel
    • Ile-de-france
      • Paris, Ile-de-france, 프랑스, 75015
        • Hôpital Necker-Enfants Malades
      • Paris Cedex 10, Ile-de-france, 프랑스, 75475
        • Hopital saint Louis
      • Paris Cedex 13, Ile-de-france, 프랑스, 75651
        • Groupe Hospitalier - Hopitaux Universitaires Pitie-Salpetriere - Charles-Foix - Pitie-Salpetriere
      • Villejuif Cedex, Ile-de-france, 프랑스, 94805
        • Institut Gustave Roussy
    • Limousin, Lorraine
      • Limoges Cedex, Limousin, Lorraine, 프랑스, 87042
        • Hôpital Dupuytren
    • Provence Alpes COTE D'azur
      • Marseille, Provence Alpes COTE D'azur, 프랑스, 13009
        • Institut Paoli Calmettes Departement de Recherche Clinique et de l'Innovation
    • Rhone-alpes
      • Pierre Benite Cedex, Rhone-alpes, 프랑스, 69495
        • Centre Hospitalier Lyon Sud

참여기준

연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.

자격 기준

공부할 수 있는 나이

18년 이상 (성인, OLDER_ADULT)

건강한 자원 봉사자를 받아들입니다

아니

연구 대상 성별

모두

설명

Inclusion Criteria:

  1. Must have histologically confirmed DLBCL, including de novo disease or transformed disease from indolent NHL.

    a. High-grade B-cell lymphoma (BCL) with MYC and BCL-2 and/or BCL-6 translocations (double-hit DLBCL under DLBCL, not otherwise specified [NOS], based on the 2008 World Health Organization [WHO] classification criteria) is not eligible for this study.

  2. Local pathology review for histological confirmation; A formalin-fixed, paraffin-embedded (FFPE) tumor block or appropriately stained slides from a fresh biopsy is required.
  3. Relapsed or refractory to greater than or equal to (>=) 2 prior lines of chemotherapy based on standard of care with certain requirements for prior therapy.
  4. Documented investigator-assessed relapse or progression after the last treatment is required if the participant responded and then progressed on the prior treatment.
  5. Measurable disease per IWG 2007 criteria.
  6. Eastern Cooperative Oncology Group (ECOG) performance status less than (<) 2.
  7. Life expectancy of greater than (>) 3 months.

  8. Adequate organ function, including the following:

    1. Bone marrow reserve: absolute neutrophil count (ANC) >=1000/microliter (μL), platelet count >=75,000/μL (>=50,000/μL for participants with bone marrow involvement), and hemoglobin >=8 gram per deciliter (g/dL).
    2. Hepatic: total bilirubin less than or equal to (<=) 1.5 times the upper limit of the normal range (ULN); alanine aminotransferase (ALT) and aspartate aminotransferase (AST) <=2.5*ULN.
    3. Renal: creatinine clearance >=60 milliliter per minute (mL/min).

    4. Others:

      • Lipase <=1.5*ULN and amylase <=1.5*ULN with no clinical symptoms suggestive of pancreatitis or cholecystitis.
      • Blood pressure <=Grade 1 (hypertensive participants are permitted if their blood pressure is controlled to <=Grade 1 by hypertensive medications.
      • Glycosylated hemoglobin is <=6.5% hyperglycemic participants permitted if glucose is well controlled by antihyperglycemic medication).

Exclusion Criteria:

  1. Central nervous system (CNS) lymphoma; active brain or leptomeningeal metastases.
  2. Known human immunodeficiency virus (HIV)-related malignancy.
  3. Systemic anticancer treatment (including investigational agents) less than 3 weeks before the first dose of study treatment (<=4 weeks for antibody-based therapy including unconjugated antibody, antibody-drug conjugate, and bi-specific T-cell engager agents; <=8 weeks for cell-based therapy or anti-tumor vaccine).
  4. Radiotherapy less than 3 weeks before the first dose of study treatment. If prior radiotherapy occurred <4 to 6 weeks before study start, as radiated lesions cannot be reliably assessed by fluorodeoxyglucose-positron emission tomography (FDG-PET), nonradiated target lesions are required for eligibility, and prior radiotherapy information must be submitted to the IRC.
  5. Known HIV positive, hepatitis B surface antigen positive or known or suspected active hepatitis C infection.
  6. Prior autologous stem cell transplant (ASCT) within 6 months or prior ASCT at any time without full hematopoietic recovery before Cycle 1 Day 1, or allogeneic stem cell transplant any time.
  7. Participants with certain cardiovascular conditions are excluded.
  8. Major surgery within 14 days before the first dose of study drug or incomplete recovery from any complications from surgery.
  9. Systemic infection requiring parenteral antibiotic therapy or other serious infection (bacterial, fungal, or viral) within 21 days before the first dose of study drug.
  10. Treatment with high-dose corticosteroids for anticancer purposes within 7 days before the first dose of TAK-659.
  11. Participants with another malignancy within 2 years of study start. Participants with nonmelanoma skin cancer or carcinoma in situ of any type are not excluded if they have undergone complete resection and are considered disease-free at the time of study entry.
  12. Known gastrointestinal (GI) disease or GI procedure that could interfere with the oral absorption or tolerance of TAK-659.
  13. Received medications, supplements, or food/beverages that are P-glycoprotein (P-gp) inhibitors or inducers or strong cytochrome P450 (CYP) 3A inhibitors or inducers within a certain timeframe prior to the first dose of study drug. Depending on the substance, the washout period for P-gp inhibitors or inducers or strong CYP3A inhibitors or inducers will be either 7 days or 5 times the half-life (half-life is related to the time required for elimination from the body). The washout period for grapefruit containing food or beverages is 5 days.

공부 계획

이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.

연구는 어떻게 설계됩니까?

디자인 세부사항

  • 주 목적: 치료
  • 할당: 무작위
  • 중재 모델: 평행한
  • 마스킹: 없음

무기와 개입

참가자 그룹 / 팔
개입 / 치료
실험적: Cohort A: TAK-659 100 mg
TAK-659 100 mg tablet, orally, once daily (QD), during each 28-days cycle (median exposure was 41 days).
의약품: TAK-659
TAK-659 정제
실험적: Cohort B: TAK-659 Ramp-up Dosing
TAK-659 60-100 mg tablet, orally, QD, dose based on safety and tolerability during each 28-days cycle (median exposure was 28 days).
의약품: TAK-659
TAK-659 정제

연구는 무엇을 측정합니까?

주요 결과 측정

결과 측정
측정값 설명
기간
Stage 2: ORR as Assessed by Independent Radiologic Review Committee (IRRC) Based on Modified 2007 International Working Group (IWG) Criteria
기간: Up to 12 months
ORR was defined as the percentage of participants with complete response (CR), or partial response (PR) as assessed by IRRC according to the modified 2007 IWG criteria for malignant lymphoma. CR was defined as disappearance of all evidence of disease. PR was defined as regression of measurable disease and no new sites.
Up to 12 months

2차 결과 측정

결과 측정
측정값 설명
기간
Stage 2: CR Rate as Assessed by IRC Based on Modified 2007 IWG Criteria
기간: Up to 12 months
CR rate was defined as percentage of participants with complete response as assessed by IRC according to the modified 2007 IWG. CR was defined as disappearance of all evidence of disease.
Up to 12 months
Stage 2: ORR as Assessed by IRRC Based on 2014 IWG-Lugano Criteria
기간: Up to 12 months
ORR was defined as the percentage of participants with CR or PR as assessed by IRRC according to the 2014 Lugano classification, IWG criteria for malignant lymphoma. CR was defined as disappearance of all evidence of disease. PR was defined as regression of measurable disease and no new sites.
Up to 12 months
Stage 2: CR Rate as Assessed by IRRC Based on 2014 IWG-Lugano Criteria
기간: Up to 12 months
CR rate was defined as percentage of participants with complete response as assessed by IRC according to the 2014 Lugano classification, IWG criteria. CR was defined as disappearance of all evidence of disease.
Up to 12 months
Stage 2: Duration of Response (DOR)
기간: Up to 12 months
DOR was defined as the time from the date of first documentation of a CR/PR to the date of first documentation of tumor progression or progressive disease (PD) per IRRC assessment according to IWG criteria. CR was defined as disappearance of all evidence of disease. PR was defined as regression of measurable disease and no new sites. PD was defined as presence of any new lesion or increase by >=50% of previously involved sites from nadir.
Up to 12 months
Stage 2: Duration of CR
기간: Up to 12 months
Duration of CR was defined as the time from the date of first documentation of a CR/PR to the date of first documentation of tumor progression or PD per IRRC assessment according to IWG criteria. CR was defined as disappearance of all evidence of disease. PR was defined as regression of measurable disease and no new sites. PD was defined as presence of any new lesion or increase by >=50% of previously involved sites from nadir.
Up to 12 months
Stage 2: ORR as Assessed by IRRC in Participants With Germinal Center B-cell (GCB) DLBCL
기간: 최대 12개월
ORR은 악성 림프종에 대한 수정된 2007 IWG 기준에 따라 IRRC에서 평가한 CR 또는 PR이 있는 참가자의 백분율로 정의되었습니다. CR은 질병의 모든 증거가 소실된 것으로 정의되었습니다. PR은 측정 가능한 질병의 퇴행 및 새로운 부위가 없는 것으로 정의되었습니다.
최대 12개월
Stage 2: ORR as Assessed by IRC in Participants With DLBCL Transformed From Indolent Non-Hodgkin's Lymphoma (NHL)
기간: Up to 12 months
ORR was defined as the percentage of participants with CR or PR as assessed by IRC according to the modified 2007 IWG criteria for malignant lymphoma. CR was defined as disappearance of all evidence of disease. PR was defined as regression of measurable disease and no new sites.
Up to 12 months
Stage 2: Progression Free Survival (PFS) as Assessed by IRC
기간: Up to 18 months
PFS was defined as time from start of study treatment to first documentation of PD per IRC assessment or up to death due to any cause, whichever occurs first based on IWG criteria. PD was defined as presence of any new lesion or increase by >=50% of previously involved sites from nadir.
Up to 18 months
Stage 2: Overall Survival (OS)
기간: Up to 24 months
OS was defined as the time from start of study treatment to date of death due to any cause.
Up to 24 months
Stage 1: ORR as Assessed by IRRC to Select Stage 2 Dose Regimen of TAK-659 From the Lead-in Dose Exploration Phase
기간: Up to 12 months
ORR was defined as the percentage of participants with CR or PR as assessed by IRC. CR was defined as disappearance of all evidence of disease. PR was defined as regression of measurable disease and no new sites.
Up to 12 months
Stage 2: ORR as Assessed by IRC at 3, 6, and 9 Cycles in Participants With DLBCL
기간: At Cycles 3, 6 and 9 (Up to 12 months) (Each cycle of 28 days)
ORR was defined as the percentage of participants with CR or PR as assessed by IRC according to the modified 2007 IWG criteria for malignant lymphoma. CR was defined as disappearance of all evidence of disease. PR was defined as regression of measurable disease and no new sites.
At Cycles 3, 6 and 9 (Up to 12 months) (Each cycle of 28 days)

공동 작업자 및 조사자

여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.

스폰서

Calithera Biosciences, Inc

연구 기록 날짜

이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.

연구 주요 날짜

연구 시작 (실제)

2017년 10월 10일

기본 완료 (실제)

2019년 12월 17일

연구 완료 (실제)

2019년 12월 17일

연구 등록 날짜

최초 제출

2017년 4월 17일

QC 기준을 충족하는 최초 제출

2017년 4월 20일

처음 게시됨 (실제)

2017년 4월 21일

연구 기록 업데이트

마지막 업데이트 게시됨 (실제)

2023년 2월 8일

QC 기준을 충족하는 마지막 업데이트 제출

2023년 2월 6일

마지막으로 확인됨

2023년 2월 1일

추가 정보

이 연구와 관련된 용어

키워드

추가 관련 MeSH 약관

기타 연구 ID 번호

  • C34004
  • U1111-1187-6208 (다른: WHO)
  • 2016-003716-12 (EUDRACT_NUMBER)
  • 17/YH/0181 (기재: NRES)

개별 참가자 데이터(IPD) 계획

개별 참가자 데이터(IPD)를 공유할 계획입니까?

예

IPD 계획 설명

Takeda makes patient-level, de-identified data sets and associated documents available for all interventional studies after applicable marketing approvals and commercial availability have been received (or program is completely terminated), an opportunity for the primary publication of the research and final report development has been allowed, and other criteria have been met as set forth in Takeda's Data Sharing Policy (see www.TakedaClinicalTrials.com for details). To obtain access, researchers must submit a legitimate academic research proposal for adjudication by an independent review panel, who will review the scientific merit of the research and the requestor's qualifications and conflict of interest that can result in potential bias. Once approved, qualified researchers who sign a data sharing agreement are provided access to these data in a secure research environment.

약물 및 장치 정보, 연구 문서

미국 FDA 규제 의약품 연구

예

미국 FDA 규제 기기 제품 연구

아니

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. .

미만성 거대 B세포 림프종에 대한 임상 시험

TAK-659에 대한 임상 시험

유사한 임상시험 검색

스폰서 및 공동 작업자

건강 상태

약물 개입

CROs by country

CROs in New Zealand

정황

희귀 질병

약물 개입

식이 보충제

스폰서 / 협력자

위치

구독하다