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A Pharmacokinetic and Pharmacodynamic Study Comparing HLX01 And Rituximab in Patients With CD20-Positive, B-cell Lymphoma

Primary Purpose

B-cell Non Hodgkin's Lymphoma

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
HLX01
Rituximab
Sponsored by
Shanghai Henlius Biotech
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for B-cell Non Hodgkin's Lymphoma

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. aged from 18 to 65 years;
  2. CD20-positive non-Hodgkin's lymphoma (NHL);
  3. having obtained CR (complete remission) or CRu (uncertain complete remisson) after the prior therapy;
  4. ECOG performance status of <=1, expected survival of at least >= 3 months;
  5. Peripheral blood lymphocyte count < 5×10^9/L
  6. signed an informed consent form which was approved by the institutional review board of the respective medical center .

Exclusion Criteria:

  1. Other invasive malignancies within 5 years except for adequately treated basal cell or squamous cell skin cancer, in situ carcinoma of the cervix;
  2. Chemotherapy within 1 month;
  3. Had received rituximab or other anti-CD20(+) monoclonal antibody treatment within 1 month before enrollment;
  4. Had received rituximab or other anti-CD20(+) monoclonal antibody treatment 1 month ago but with ADA(+) before enrollment;
  5. Blood concentration of Rituximab> 24 μg/ml prior to study entry;
  6. Had received hematopoitic growth factor within 1 week prior to study entry;
  7. Receipt of a live/attenuated vaccine within 4 weeks prior to the Screening Visit;
  8. Recent major surgery (within 8 weeks prior to screening, excluding lymph node biopsy);
  9. Peripheral or central nervous system disease;
  10. Serious hematologic dysfunction (white blood cell count of <3.0×109/L; absolute neutrophil count of <1.5×109/L; platelet count of < 100×109/L; hemoglobin level of < 9.0 g/dL);
  11. Hepatic dysfunction (total bilirubin level of > 1.5 × upper limit of normal (ULN); aspartate amino transferase (AST) and alanine amino transferase (ALT) levels of > 2.0 × ULN; alkaline phosphatase > 3.0 × ULN; renal dysfunction (serum creatinine level of > 1.5×ULN );
  12. Abnormal thyroid function;
  13. Seropositive for HIV , HCV antibody; seropositive for hepatitis B virus surface antigen (HBsAg). HBV DNA>1.0×103copies/ml;
  14. Serious underlying medical conditions, could impair the ability of the patient to participate in the trial (including but not limited to ongoing active infection, uncontrolled diabetes mellitus, significant cardiac disease, uncontrolled angina, gastric ulcers, active autoimmune disease);
  15. Pregnancy or breast feeding. For women of childbearing potential.
  16. History of a severe allergic reaction or anaphylactic reaction to a biological agent or history of hypersensitivity to any component of the trial drug.
  17. Subjects had a history of alcoholism or drug abuse;
  18. Researchers think that do not fit into the group.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    HLX01

    Rituximab

    Arm Description

    375mg/m2 iv single dose

    375mg/m2 iv single dose

    Outcomes

    Primary Outcome Measures

    Area under the curve (AUC) for HLX01 and rituximab concentrations

    Secondary Outcome Measures

    The Maximum Concentration (Cmax) of the HLX01 and rituximab
    Presence of Anti-Drug Antibodies against HLX01
    Change from baseline of CD19+ B-cells

    Full Information

    First Posted
    October 21, 2015
    Last Updated
    May 4, 2022
    Sponsor
    Shanghai Henlius Biotech
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02584920
    Brief Title
    A Pharmacokinetic and Pharmacodynamic Study Comparing HLX01 And Rituximab in Patients With CD20-Positive, B-cell Lymphoma
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2022
    Overall Recruitment Status
    Completed
    Study Start Date
    October 2014 (undefined)
    Primary Completion Date
    August 2015 (Actual)
    Study Completion Date
    August 2015 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Shanghai Henlius Biotech

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    Randomised, double-blind, parallel group study to compare PK and PD profiles between HLX01 and rituximab (MabThera®) in patients with CD20+ B-cell Lymphoma.

    6. Conditions and Keywords

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

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1, Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    87 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    HLX01
    Arm Type
    Experimental
    Arm Description
    375mg/m2 iv single dose
    Arm Title
    Rituximab
    Arm Type
    Active Comparator
    Arm Description
    375mg/m2 iv single dose
    Intervention Type
    Drug
    Intervention Name(s)
    HLX01
    Intervention Type
    Drug
    Intervention Name(s)
    Rituximab
    Primary Outcome Measure Information:
    Title
    Area under the curve (AUC) for HLX01 and rituximab concentrations
    Time Frame
    91 days
    Secondary Outcome Measure Information:
    Title
    The Maximum Concentration (Cmax) of the HLX01 and rituximab
    Time Frame
    91 days
    Title
    Presence of Anti-Drug Antibodies against HLX01
    Time Frame
    91 days
    Title
    Change from baseline of CD19+ B-cells
    Time Frame
    91 days

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    65 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: aged from 18 to 65 years; CD20-positive non-Hodgkin's lymphoma (NHL); having obtained CR (complete remission) or CRu (uncertain complete remisson) after the prior therapy; ECOG performance status of <=1, expected survival of at least >= 3 months; Peripheral blood lymphocyte count < 5×10^9/L signed an informed consent form which was approved by the institutional review board of the respective medical center . Exclusion Criteria: Other invasive malignancies within 5 years except for adequately treated basal cell or squamous cell skin cancer, in situ carcinoma of the cervix; Chemotherapy within 1 month; Had received rituximab or other anti-CD20(+) monoclonal antibody treatment within 1 month before enrollment; Had received rituximab or other anti-CD20(+) monoclonal antibody treatment 1 month ago but with ADA(+) before enrollment; Blood concentration of Rituximab> 24 μg/ml prior to study entry; Had received hematopoitic growth factor within 1 week prior to study entry; Receipt of a live/attenuated vaccine within 4 weeks prior to the Screening Visit; Recent major surgery (within 8 weeks prior to screening, excluding lymph node biopsy); Peripheral or central nervous system disease; Serious hematologic dysfunction (white blood cell count of <3.0×109/L; absolute neutrophil count of <1.5×109/L; platelet count of < 100×109/L; hemoglobin level of < 9.0 g/dL); Hepatic dysfunction (total bilirubin level of > 1.5 × upper limit of normal (ULN); aspartate amino transferase (AST) and alanine amino transferase (ALT) levels of > 2.0 × ULN; alkaline phosphatase > 3.0 × ULN; renal dysfunction (serum creatinine level of > 1.5×ULN ); Abnormal thyroid function; Seropositive for HIV , HCV antibody; seropositive for hepatitis B virus surface antigen (HBsAg). HBV DNA>1.0×103copies/ml; Serious underlying medical conditions, could impair the ability of the patient to participate in the trial (including but not limited to ongoing active infection, uncontrolled diabetes mellitus, significant cardiac disease, uncontrolled angina, gastric ulcers, active autoimmune disease); Pregnancy or breast feeding. For women of childbearing potential. History of a severe allergic reaction or anaphylactic reaction to a biological agent or history of hypersensitivity to any component of the trial drug. Subjects had a history of alcoholism or drug abuse; Researchers think that do not fit into the group.

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    34321836
    Citation
    Shi Y, Zhang Q, Han X, Qin Y, Ke X, Su H, Liu L, Fu J, Jin J, Feng J, Hong X, Zhang X, Wu D, Jiang B, Dong X. Phase 1 studies comparing safety, tolerability, pharmacokinetics and pharmacodynamics of HLX01 (a rituximab biosimilar) to reference rituximab in Chinese patients with CD20-positive B-cell lymphoma. Chin J Cancer Res. 2021 Jun 30;33(3):405-416. doi: 10.21147/j.issn.1000-9604.2021.03.11.
    Results Reference
    result

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    A Pharmacokinetic and Pharmacodynamic Study Comparing HLX01 And Rituximab in Patients With CD20-Positive, B-cell Lymphoma

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