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Study to Evaluate the Efficacy and Tolerability of Debio 1562 in Combination With Rituximab in Participants With Relapsed and/or Refractory DLBCL and Other Forms of NHL

Primary Purpose

Diffuse Large B-Cell Lymphoma, B-cell Non-Hodgkin's Lymphoma

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Debio 1562
Rituximab
Sponsored by
Debiopharm International SA
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Diffuse Large B-Cell Lymphoma

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • For Part 1 of the study, participants must have histopathologically confirmed diagnosis of R/R, DLBCL, FL, MZL/MALT, MCL, or other Sponsor approved NHL subtypes according to the World Health Organization (WHO) classification 2008 for which standard measures do not exist or are no longer effective.
  • For Part 2 and Part 3 of the study, participants must have histopathologically and clinically confirmed diagnosis of relapsed DLBCL. Participants will be considered to have a relapsed disease if they showed a duration of response of at least 24 weeks after their first line of therapy. The following participants with relapsed DLBCL will be enrolled:

    1. Participants who received at least only one line of previous therapy and achieved either complete response (CR) or partial response (PR) for at least 24 weeks (from the last day of the last cycle) after their first line of therapy, but are not eligible for high dose chemotherapy with autologous stem cell transplantation (HD-ASCT)
    2. Participants who received more than one line of previous therapy (including HD-ASCT), and have achieved a duration of response (CR or PR) of at least 8 weeks (from the last day of the last cycle) after their last line of therapy
  • Participants must have evaluable or measurable disease in accordance with the International Working Group Guidelines for Lymphoma.
  • Participants must have received at least one but no more than six prior treatment regimens. Prior treatment with an anti-cluster of differentiation 20 (anti-CD20) agent, either alone or in combination, is allowed.
  • Participants must have Eastern Cooperative Oncology Group (ECOG) Performance Status 0 - 2.
  • Participants who are Hepatitis B surface antigen positive (HBsAg+) (must be polymerase chain reaction (PCR) negative) who are taking antivirals, are allowed to enroll.

Exclusion Criteria:

  • Participants with a diagnosis of chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL).
  • For Part 2 and Part 3 of the study, participants with primary refractory DLBCL (defined as progression of disease within 24 weeks after first line of treatment).
  • For Part 2 and Part 3 of the study, participants that are eligible to undergo first time HD-ASCT.
  • For Part 2 and Part 3 of the study, participants with R/R FL, MZL/MALT, MCL, or any other NHL subtypes according to the WHO classification.
  • Participants with active hepatitis A, B or C infection.
  • Women who are pregnant or breast feeding.
  • Participants who have received prior therapy with other anti-CD37-targeting therapy.
  • Participants who have known central nervous system, meningeal, or epidural disease including brain metastases.
  • Participants with impaired cardiac function or clinically significant cardiac disease.
  • Participants currently presenting interstitial lung disease, diffuse parenchymal lung disease, or with a past history of severe/Grade 3 parenchymal lung disorders.

Sites / Locations

  • Alabama Oncology
  • Carle Cancer Center at Carle Foundation Hospital
  • Virginia Piper Cancer Institute
  • Novant Health Oncology
  • Cleveland Clinic
  • Abramson Cancer Center of The University of Pennsylvania
  • Spartanburg Regional Healthcare System
  • Baylor Sammons Cancer Center
  • Swedish Medical Center
  • CHU UCL Namur asbl - Site Godinne
  • Jan Yperman Ziekenhuis
  • University Hospitals Leuven, Campus Gasthuisberg, Department of Medical Oncology
  • St. Augustinus Hospital, Department of Hematology
  • University Multiprofile Hospital for Active Treatment "Sveti Georgi", Clinic of Medical Oncology
  • Specialized Hospital for Active Treatment of Hematological Diseases,Clinic of Hematology, Department of Clinical Hematology
  • Multiprofile Hospital for Active Treatment - Hristo Botev, Vratsa, First Department of Internal Medicine
  • University Hospital Brno
  • University Hospital Hradec Kralove
  • University Hospital Kralovske Vinohrady
  • General University Hospital in Prague
  • National Institute of Oncology
  • University of Debrecen Clinical Center
  • Medical Center of the University of Pecs
  • University Hospital - Ospedali Riuniti Umberto I - GM Lancisi - G Salesi of Ancona, Clinic of Hematology
  • Civil Hospital of Brescia
  • United Hospitals Villa Sofia Cervello, Department of Hematology and Oncology
  • Local Healthcare Company 8 Berica (Azienda ULSS8 Berica), Hospital San Bortolo of Vicenza, Complex Operative Unit of Hematology
  • University Clinical Center in Gdansk, Teaching Department of Hematology and Transplantology
  • Małopolskie Medical Centre
  • St. John of Dukla Oncology Center of Lublin Land, Department of Hematology
  • Provincial Hospitals in Gdynia Sp. z o.o. (LLC), Department of Oncology and Radiotherapy, Clinical Oncology Unit
  • Oncology Institute of Southern Switzerland - Ospedale Regionale Bellinzona e Valli
  • Cherkasy Regional Oncology Center, Regional Treatment and Diagnostic Hematology Center, Department of Hematology
  • S.P. Hryhoriev Institute of Medical Radiology
  • Communal Non-profit enterprise "Regional Center of Oncology"
  • National Institute of Cancer
  • National Research Center for Radiation Medicine
  • Kyiv City Clinical Hospital #9, City Hematology Center
  • Podillia Regional Oncology Center

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Debio 1562

Arm Description

Participants with a diagnosis of relapsed and/or refractory (R/R) Diffuse Large B Cell Lymphoma (DLBCL), Follicular Non-Hodgkin's Lymphoma (FL), Marginal Zone Lymphoma (MZL)/Mucosa-associated Lymphoid Tissue (MALT), Mantle Cell Lymphoma (MCL) or other Non-Hodgkin's Lymphoma (NHL) with the Sponsor's approval, will receive Debio 1562 and Rituximab in 3 different parts of study i.e., Safety run in, Part 2 and Expansion (Part 3). Participants in Part 2 will be enrolled in two parallel cohorts (Cohort A and Cohort B).

Outcomes

Primary Outcome Measures

Number of Participants with Treatment-emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
Objective Response Rate (ORR)
Number of participants with clinical responses as assessed by Lugano Classification of response assessments.

Secondary Outcome Measures

Maximum plasma drug concentration (Cmax) of Debio 1562 and Rituximab
Area under the time-concentration curve from time 0 to t (AUC0-t) of Debio 1562 and Rituximab
Area under the time-concentration curve from time 0 to infinity (AUC0-inf) of Debio 1562 and Rituximab
Terminal half-life (t1/2) of Debio 1562 and Rituximab
Clearance (CL) of Debio 1562 and Rituximab
Volume of Distribution at Steady State (Vss) of Debio 1562 and Rituximab
Time to Maximum Plasma Concentration (Tmax) of Debio 1562 and Rituximab
Progression-free survival (PFS)
Time to response
Duration of response (DOR)
Overall survival (OS)
Number of participants with presence of human anti-drug antibody (ADA) for Debio 1562

Full Information

First Posted
September 11, 2015
Last Updated
January 5, 2022
Sponsor
Debiopharm International SA
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1. Study Identification

Unique Protocol Identification Number
NCT02564744
Brief Title
Study to Evaluate the Efficacy and Tolerability of Debio 1562 in Combination With Rituximab in Participants With Relapsed and/or Refractory DLBCL and Other Forms of NHL
Official Title
A Phase 2 Study to Evaluate the Efficacy and Tolerability of Debio 1562 in Combination With Rituximab in Patients With Relapsed and/or Refractory Diffuse Large B-Cell Lymphoma and Other Forms of Non-Hodgkin's Lymphoma
Study Type
Interventional

2. Study Status

Record Verification Date
January 2022
Overall Recruitment Status
Completed
Study Start Date
June 15, 2016 (Actual)
Primary Completion Date
January 13, 2021 (Actual)
Study Completion Date
June 25, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Debiopharm International SA

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is an open label, multicenter, adaptive Phase 2 clinical study. The study will consist of a screening period, a treatment period, an end of treatment visit, and a follow-up period.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diffuse Large B-Cell Lymphoma, B-cell Non-Hodgkin's Lymphoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
100 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Debio 1562
Arm Type
Experimental
Arm Description
Participants with a diagnosis of relapsed and/or refractory (R/R) Diffuse Large B Cell Lymphoma (DLBCL), Follicular Non-Hodgkin's Lymphoma (FL), Marginal Zone Lymphoma (MZL)/Mucosa-associated Lymphoid Tissue (MALT), Mantle Cell Lymphoma (MCL) or other Non-Hodgkin's Lymphoma (NHL) with the Sponsor's approval, will receive Debio 1562 and Rituximab in 3 different parts of study i.e., Safety run in, Part 2 and Expansion (Part 3). Participants in Part 2 will be enrolled in two parallel cohorts (Cohort A and Cohort B).
Intervention Type
Drug
Intervention Name(s)
Debio 1562
Intervention Description
Safety run in: Debio 1562 will be given on the same day as rituximab, once every three weeks (Q3W) intravenously (IV) at the dose of 0.7 mg/kg on Day 1 of a 21-day cycle. Parts 2 and 3: Cohort A- Debio 1562 will be given on the same day as rituximab, once every three weeks (Q3W) intravenously (IV) at the dose of 0.7 mg/kg on Day 1 of a 21-day cycle. Cohort B- Debio 1562 weekly (QW) will be given at a total dose of 0.8 milligram per kilogram (mg/kg) IV over a 21-day cycle. Participants receiving QW regimen will be allowed to switch to Q3W regimen during Coronavirus Disease 2019 (COVID-19) pandemic.
Intervention Type
Drug
Intervention Name(s)
Rituximab
Intervention Description
Rituximab will be given on the same day as Debio 1562, Q3W IV at a dose of 375 mg/m^2 on Day 1 of a 21-day cycle in all participants.
Primary Outcome Measure Information:
Title
Number of Participants with Treatment-emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time Frame
up to 30 months
Title
Objective Response Rate (ORR)
Description
Number of participants with clinical responses as assessed by Lugano Classification of response assessments.
Time Frame
up to 30 months
Secondary Outcome Measure Information:
Title
Maximum plasma drug concentration (Cmax) of Debio 1562 and Rituximab
Time Frame
Part 1: Pre-dose, within 5 minutes of infusion, on Days 1, 2, 3, 8, 15, Cycles 1 and 3 (each cycle=21 days); Day 1 Cycles 2, 4-8; Parts 2 and 3: Pre-dose, within 5 minutes of infusion, on Days 1, 2, 3, 8, 15 for Cycles 1-2; Days 1, 8, 15 for Cycles 3-6
Title
Area under the time-concentration curve from time 0 to t (AUC0-t) of Debio 1562 and Rituximab
Time Frame
Part 1: Pre-dose, within 5 minutes of infusion, on Days 1, 2, 3, 8, 15, Cycles 1 and 3 (each cycle=21 days); Day 1 Cycles 2, 4-8; Parts 2 and 3: Pre-dose, within 5 minutes of infusion, on Days 1, 2, 3, 8, 15 for Cycles 1-2; Days 1, 8, 15 for Cycles 3-6
Title
Area under the time-concentration curve from time 0 to infinity (AUC0-inf) of Debio 1562 and Rituximab
Time Frame
Part 1: Pre-dose, within 5 minutes of infusion, on Days 1, 2, 3, 8, 15, Cycles 1 and 3 (each cycle=21 days); Day 1 Cycles 2, 4-8; Parts 2 and 3: Pre-dose, within 5 minutes of infusion, on Days 1, 2, 3, 8, 15 for Cycles 1-2; Days 1, 8, 15 for Cycles 3-6
Title
Terminal half-life (t1/2) of Debio 1562 and Rituximab
Time Frame
Part 1: Pre-dose, within 5 minutes of infusion, on Days 1, 2, 3, 8, 15, Cycles 1 and 3 (each cycle=21 days); Day 1 Cycles 2, 4-8; Parts 2 and 3: Pre-dose, within 5 minutes of infusion, on Days 1, 2, 3, 8, 15 for Cycles 1-2; Days 1, 8, 15 for Cycles 3-6
Title
Clearance (CL) of Debio 1562 and Rituximab
Time Frame
Part 1: Pre-dose, within 5 minutes of infusion, on Days 1, 2, 3, 8, 15, Cycles 1 and 3 (each cycle=21 days); Day 1 Cycles 2, 4-8; Parts 2 and 3: Pre-dose, within 5 minutes of infusion, on Days 1, 2, 3, 8, 15 for Cycles 1-2; Days 1, 8, 15 for Cycles 3-6
Title
Volume of Distribution at Steady State (Vss) of Debio 1562 and Rituximab
Time Frame
Part 1: Pre-dose, within 5 minutes of infusion, on Days 1, 2, 3, 8, 15, Cycles 1 and 3 (each cycle=21 days); Day 1 Cycles 2, 4-8; Parts 2 and 3: Pre-dose, within 5 minutes of infusion, on Days 1, 2, 3, 8, 15 for Cycles 1-2; Days 1, 8, 15 for Cycles 3-6
Title
Time to Maximum Plasma Concentration (Tmax) of Debio 1562 and Rituximab
Time Frame
Part 1: Pre-dose, within 5 minutes of infusion, on Days 1, 2, 3, 8, 15, Cycles 1 and 3 (each cycle=21 days); Day 1 Cycles 2, 4-8; Parts 2 and 3: Pre-dose, within 5 minutes of infusion, on Days 1, 2, 3, 8, 15 for Cycles 1-2; Days 1, 8, 15 for Cycles 3-6
Title
Progression-free survival (PFS)
Time Frame
up to 30 months
Title
Time to response
Time Frame
up to 30 months
Title
Duration of response (DOR)
Time Frame
up to 30 months
Title
Overall survival (OS)
Time Frame
up to 30 months
Title
Number of participants with presence of human anti-drug antibody (ADA) for Debio 1562
Time Frame
Part 1: Pre-dose on Day 1 of Cycles 1-8 (each cycle=21 days); Parts 2 and 3: Pre-dose on Day 1 of Cycles 1-6; and at the end of treatment (Up to Month 36) and 30-day follow-up visit or Day 1 Cycle 7 for participants who received treatment beyond Cycle 6

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: For Part 1 of the study, participants must have histopathologically confirmed diagnosis of R/R, DLBCL, FL, MZL/MALT, MCL, or other Sponsor approved NHL subtypes according to the World Health Organization (WHO) classification 2008 for which standard measures do not exist or are no longer effective. For Part 2 and Part 3 of the study, participants must have histopathologically and clinically confirmed diagnosis of relapsed DLBCL. Participants will be considered to have a relapsed disease if they showed a duration of response of at least 24 weeks after their first line of therapy. The following participants with relapsed DLBCL will be enrolled: Participants who received at least only one line of previous therapy and achieved either complete response (CR) or partial response (PR) for at least 24 weeks (from the last day of the last cycle) after their first line of therapy, but are not eligible for high dose chemotherapy with autologous stem cell transplantation (HD-ASCT) Participants who received more than one line of previous therapy (including HD-ASCT), and have achieved a duration of response (CR or PR) of at least 8 weeks (from the last day of the last cycle) after their last line of therapy Participants must have evaluable or measurable disease in accordance with the International Working Group Guidelines for Lymphoma. Participants must have received at least one but no more than six prior treatment regimens. Prior treatment with an anti-cluster of differentiation 20 (anti-CD20) agent, either alone or in combination, is allowed. Participants must have Eastern Cooperative Oncology Group (ECOG) Performance Status 0 - 2. Participants who are Hepatitis B surface antigen positive (HBsAg+) (must be polymerase chain reaction (PCR) negative) who are taking antivirals, are allowed to enroll. Exclusion Criteria: Participants with a diagnosis of chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL). For Part 2 and Part 3 of the study, participants with primary refractory DLBCL (defined as progression of disease within 24 weeks after first line of treatment). For Part 2 and Part 3 of the study, participants that are eligible to undergo first time HD-ASCT. For Part 2 and Part 3 of the study, participants with R/R FL, MZL/MALT, MCL, or any other NHL subtypes according to the WHO classification. Participants with active hepatitis A, B or C infection. Women who are pregnant or breast feeding. Participants who have received prior therapy with other anti-CD37-targeting therapy. Participants who have known central nervous system, meningeal, or epidural disease including brain metastases. Participants with impaired cardiac function or clinically significant cardiac disease. Participants currently presenting interstitial lung disease, diffuse parenchymal lung disease, or with a past history of severe/Grade 3 parenchymal lung disorders.
Facility Information:
Facility Name
Alabama Oncology
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35211
Country
United States
Facility Name
Carle Cancer Center at Carle Foundation Hospital
City
Urbana
State/Province
Illinois
ZIP/Postal Code
61801
Country
United States
Facility Name
Virginia Piper Cancer Institute
City
Minneapolis
State/Province
Minnesota
ZIP/Postal Code
55407
Country
United States
Facility Name
Novant Health Oncology
City
Winston-Salem
State/Province
North Carolina
ZIP/Postal Code
27103
Country
United States
Facility Name
Cleveland Clinic
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44195
Country
United States
Facility Name
Abramson Cancer Center of The University of Pennsylvania
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States
Facility Name
Spartanburg Regional Healthcare System
City
Spartanburg
State/Province
South Carolina
ZIP/Postal Code
29303
Country
United States
Facility Name
Baylor Sammons Cancer Center
City
Dallas
State/Province
Texas
ZIP/Postal Code
75246
Country
United States
Facility Name
Swedish Medical Center
City
Seattle
State/Province
Washington
ZIP/Postal Code
98104
Country
United States
Facility Name
CHU UCL Namur asbl - Site Godinne
City
Yvoir
State/Province
Namur
ZIP/Postal Code
5530
Country
Belgium
Facility Name
Jan Yperman Ziekenhuis
City
Ieper
State/Province
West-Vlaanderen
ZIP/Postal Code
8900
Country
Belgium
Facility Name
University Hospitals Leuven, Campus Gasthuisberg, Department of Medical Oncology
City
Leuven
ZIP/Postal Code
3000
Country
Belgium
Facility Name
St. Augustinus Hospital, Department of Hematology
City
Wilrijk
ZIP/Postal Code
2610
Country
Belgium
Facility Name
University Multiprofile Hospital for Active Treatment "Sveti Georgi", Clinic of Medical Oncology
City
Plovdiv
ZIP/Postal Code
4002
Country
Bulgaria
Facility Name
Specialized Hospital for Active Treatment of Hematological Diseases,Clinic of Hematology, Department of Clinical Hematology
City
Sofia
ZIP/Postal Code
1756
Country
Bulgaria
Facility Name
Multiprofile Hospital for Active Treatment - Hristo Botev, Vratsa, First Department of Internal Medicine
City
Vratsa
ZIP/Postal Code
3000
Country
Bulgaria
Facility Name
University Hospital Brno
City
Brno
ZIP/Postal Code
625 00
Country
Czechia
Facility Name
University Hospital Hradec Kralove
City
Hradec Králové
ZIP/Postal Code
500 05
Country
Czechia
Facility Name
University Hospital Kralovske Vinohrady
City
Prague
ZIP/Postal Code
100 34
Country
Czechia
Facility Name
General University Hospital in Prague
City
Prague
ZIP/Postal Code
128 08
Country
Czechia
Facility Name
National Institute of Oncology
City
Budapest
ZIP/Postal Code
H-1122
Country
Hungary
Facility Name
University of Debrecen Clinical Center
City
Debrecen
ZIP/Postal Code
4032
Country
Hungary
Facility Name
Medical Center of the University of Pecs
City
Pécs
ZIP/Postal Code
H-7624
Country
Hungary
Facility Name
University Hospital - Ospedali Riuniti Umberto I - GM Lancisi - G Salesi of Ancona, Clinic of Hematology
City
Ancona
ZIP/Postal Code
60126
Country
Italy
Facility Name
Civil Hospital of Brescia
City
Brescia
ZIP/Postal Code
25123
Country
Italy
Facility Name
United Hospitals Villa Sofia Cervello, Department of Hematology and Oncology
City
Palermo
ZIP/Postal Code
90146
Country
Italy
Facility Name
Local Healthcare Company 8 Berica (Azienda ULSS8 Berica), Hospital San Bortolo of Vicenza, Complex Operative Unit of Hematology
City
Vicenza
ZIP/Postal Code
36100
Country
Italy
Facility Name
University Clinical Center in Gdansk, Teaching Department of Hematology and Transplantology
City
Gdańsk
ZIP/Postal Code
80-214
Country
Poland
Facility Name
Małopolskie Medical Centre
City
Kraków
ZIP/Postal Code
30-510
Country
Poland
Facility Name
St. John of Dukla Oncology Center of Lublin Land, Department of Hematology
City
Lublin
ZIP/Postal Code
20-090
Country
Poland
Facility Name
Provincial Hospitals in Gdynia Sp. z o.o. (LLC), Department of Oncology and Radiotherapy, Clinical Oncology Unit
City
Olsztyn
ZIP/Postal Code
10-228
Country
Poland
Facility Name
Oncology Institute of Southern Switzerland - Ospedale Regionale Bellinzona e Valli
City
Bellinzona
State/Province
Ticino
ZIP/Postal Code
6500
Country
Switzerland
Facility Name
Cherkasy Regional Oncology Center, Regional Treatment and Diagnostic Hematology Center, Department of Hematology
City
Cherkasy
ZIP/Postal Code
18009
Country
Ukraine
Facility Name
S.P. Hryhoriev Institute of Medical Radiology
City
Kharkiv
ZIP/Postal Code
61024
Country
Ukraine
Facility Name
Communal Non-profit enterprise "Regional Center of Oncology"
City
Kharkiv
ZIP/Postal Code
61070
Country
Ukraine
Facility Name
National Institute of Cancer
City
Kyiv
ZIP/Postal Code
03022
Country
Ukraine
Facility Name
National Research Center for Radiation Medicine
City
Kyiv
ZIP/Postal Code
03115
Country
Ukraine
Facility Name
Kyiv City Clinical Hospital #9, City Hematology Center
City
Kyiv
ZIP/Postal Code
04112
Country
Ukraine
Facility Name
Podillia Regional Oncology Center
City
Vinnytsia
ZIP/Postal Code
21029
Country
Ukraine

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Study to Evaluate the Efficacy and Tolerability of Debio 1562 in Combination With Rituximab in Participants With Relapsed and/or Refractory DLBCL and Other Forms of NHL

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