一项评估皮下 (SC) Epcoritamab 作为单一疗法或与标准护理疗法联合用于中国成年 B 细胞非霍奇金淋巴瘤参与者的不良事件和疾病活动变化的研究
评估 Epcoritamab 作为单一疗法或与标准护理疗法联合治疗中国 B 细胞非霍奇金淋巴瘤患者的安全性和初步疗效的 1b/2 期开放标签试验
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.
研究概览
地位
地位
干预/治疗
干预/治疗
研究类型
研究类型
注册 (实际的)
注册
阶段
阶段
- 阶段2
- 阶段1
联系人和位置
学习地点
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Beijing Municipality
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Beijing、Beijing Municipality、中国、100071
- The Fifth Medical Center of PLA General Hospital /ID# 230520
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Beijing、Beijing Municipality、中国、100191
- Peking University Third Hospital /ID# 228138
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Fujian
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Fuzhou、Fujian、中国、350001
- Fujian Medical University Union Hospital /ID# 231890
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Guangdong
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Guangzhou、Guangdong、中国、510060
- Sun Yat-Sen University Cancer Center /ID# 228033
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Guangzhou、Guangdong、中国、510080
- Guangdong Provincial People's Hospital /ID# 228028
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Guangzhou、Guangdong、中国、510515
- Nanfang Hospital of Southern Medical University /ID# 227916
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Henan
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Zhengzhou、Henan、中国、450008
- Henan Cancer Hospital /ID# 228772
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Hubei
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Wuhan、Hubei、中国、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、中国、410006
- Hunan Cancer Hospital /ID# 231859
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Jiangsu
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Suzhou、Jiangsu、中国、215006
- The First Affiliated Hospital of Soochow University /ID# 228024
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Xuzhou、Jiangsu、中国、221006
- The Affiliated Hospital of Xuzhou Medical College /ID# 228774
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Jiangxi
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Nanchang、Jiangxi、中国、330006
- The First Affiliated Hospital of Nanchang University /ID# 228771
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Nanchang、Jiangxi、中国、330029
- Jiangxi Provincial Cancer Hospital /ID# 231944
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Shanghai Municipality
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Shanghai、Shanghai Municipality、中国、200065
- Ruijin Hospital, Shanghai Jiaotong University School of Medicine /ID# 227724
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Sichuan
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Chengdu、Sichuan、中国、610041
- West China Hospital, Sichuan University /ID# 231434
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Tianjin Municipality
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Tianjin、Tianjin Municipality、中国、300000
- Tianjin Cancer Hospital /ID# 228135
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Zhejiang
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Hangzhou、Zhejiang、中国、310003
- The First Affiliated Hospital, Zhejiang University School of Medicine /ID# 228154
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Hangzhou、Zhejiang、中国、310022
- Zhejiang Cancer hospital /ID# 228776
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参与标准
资格标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
All Cohorts:
-
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:
-
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:
-
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.
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:非随机化
- 介入模型:顺序分配
- 屏蔽:无(打开标签)
手臂数量
武器和干预
参与者组/臂参与者组/臂 |
干预/治疗干预/治疗 |
|---|---|
|
实验性的:Cohort 1 Part 1: Epcoritamab Monotherapy
Participants will receive subcutaneous (SC) epcoritamab in 28 day cycles. |
Subcutaneous Injection (SC)
其他名称:
|
|
实验性的:Cohort 1 Part 2: Epcoritamab Expansion
Participants will receive SC epcoritamab in 28 day cycles. |
Subcutaneous Injection (SC)
其他名称:
|
|
实验性的: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)
其他名称:
IV Injection Intravenous (IV) Infusion IV Infusion IV Infusion Oral; Tablet |
|
实验性的: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)
其他名称:
Intravenous (IV) Infusion Oral; Capsule |
研究衡量的是什么?
主要结果指标
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Cohort 1 Part 2 [(3L+) R/R DLBCL]: Best Overall Response (BOR)
大体时间:Up to Approximately 5 Years
|
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
|
|
Cohort 1 Part 1, Cohort 2, and Cohort 3: Number of Incidence of Dose-Limiting Toxicities (DLT)
大体时间:Up to Approximately 5 Years
|
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
|
次要结果测量
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Cohort 1 Part 2 [(3L+) R/R DLBCL]: Percentage of Participants with Complete Remission (CR)
大体时间:Up to Approximately 5 Years
|
CR is defined as the absence of lymphoma determined by Lugano 2014 criteria as assessed by IRC. |
Up to Approximately 5 Years
|
|
Cohort 1 Part 2 [(3L+) R/R DLBCL]: Number of Participants with Progression-free survival (PFS)
大体时间:Up to Approximately 5 Years
|
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
|
|
Cohort 1 Part 2 [(3L+) R/R DLBCL]: Overall survival (OS)
大体时间:Up to Approximately 5 Years
|
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
|
|
Cohort 1 Part 2 [(3L+) R/R DLBCL]: Duration of response (DOR)
大体时间:Up to Approximately 5 Years
|
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
|
|
Cohort 1 Part 2 [(3L+) R/R DLBCL]: Time-to-response (TTR)
大体时间:Up to Approximately 5 Years
|
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
|
合作者和调查者
研究记录日期
研究主要日期
学习开始 (实际的)
学习开始
初级完成 (估计的)
初级完成
研究完成 (估计的)
研究完成
研究注册日期
首次提交
首次提交
首先提交符合 QC 标准的
首先提交符合 QC 标准的
首次发布 (实际的)
首次发布
研究记录更新
最后更新发布 (实际的)
最后更新发布
上次提交的符合 QC 标准的更新
上次提交的符合 QC 标准的更新
最后验证
最后验证
更多信息
与本研究相关的术语
其他相关的 MeSH 术语
- 免疫系统疾病
- 组织学类型的肿瘤
- 淋巴系统疾病
- 淋巴增生性疾病
- 免疫增生性疾病
- 淋巴瘤,非霍奇金
- 淋巴瘤
- 半身和淋巴疾病
- 肿瘤
- 淋巴瘤,B细胞
- 氨基酸,肽和蛋白质
- 蛋白质
- 有机化学品
- 杂环化合物,1形
- 杂环化合物
- 杂环化合物,2环
- 杂环化合物,融合环
- 碳氢化合物
- 碳氢化合物,循环
- 碳水化合物
- 羧酸
- 生物碱
- 多环芳烃
- 碳氢化合物,芳香族
- 多环化合物
- 糖苷
- 哌啶
- 吲哚
- 抗体,单克隆
- 抗体
- 免疫球蛋白
- 免疫蛋白
- 血蛋白
- 血清球蛋白
- 球蛋白
- 怀孕
- 怀孕
- 类固醇
- 融合环化合物
- 磷酰胺芥末
- 氮芥末化合物
- 芥末化合物
- 碳氢化合物,卤素
- 磷酰胺
- 有机磷化合物
- 妊娠二培养子
- VINCA生物碱
- Secologanin色素生物碱
- 吲哚生物碱
- 吲哚衍生物
- 吲哚王
- 蒽环类动物
- 萘烯
- 氨基糖苷
- 抗体,单克隆,鼠的衍生
- Daunorubicin
- 邻苯二甲胺
- 邻苯二甲酸
- 酸,碳环
- 哌啶酮
- 等词
- 来那度胺
- 利妥昔单抗
- 强的松
- 环磷酰胺
- 阿霉素
- 长春新碱
其他研究编号
其他研究编号
- M21-103
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