A Study Comparing the Efficacy and Safety of Polatuzumab Vedotin With Rituximab-Cyclophosphamide, Doxorubicin, and Prednisone (R-CHP) Versus Rituximab-Cyclophosphamide, Doxorubicin, Vincristine, and Prednisone (R-CHOP) in Participants With Diffuse Large B-Cell Lymphoma (POLARIX)
Diffuse Large B-Cell Lymphoma
About this trial
This is an interventional treatment trial for Diffuse Large B-Cell Lymphoma
Eligibility Criteria
Inclusion Criteria:
- Previously untreated participants with cluster of differentiation 20 (CD20)-positive DLBCL, including one of the following diagnoses by 2016 World Health Organization (WHO) classification of lymphoid neoplasms: DLBCL, not otherwise specified (NOS) including germinal center B-cell type, activated B-cell type; T-cell/histiocyte-rich large B-cell lymphoma; Epstein-Barr virus-positive DLBCL, NOS; anaplastic lymphoma kinase (ALK)-positive large B-cell lymphoma; human herpesvirus-8 (HHV8)-positive DLBCL, NOS; High-grade B-cell lymphoma with MYC and B-cell lymphoma 2 (BCL2) and/or B-cell lymphoma 6 (BCL6) rearrangements (double-hit or triple-hit lymphoma); High-grade B-cell lymphoma, NOS
- Availability of archival or freshly collected tumor tissue before study enrolment
- International Prognostic Index (IPI) score of 2-5
- Eastern Cooperative Oncology Group (ECOG) Performance Status of 0, 1, or 2
- Life expectancy greater than or equal to (>/=)12 months
- Left ventricular ejection fraction (LVEF) >/= 50 percent (%) on cardiac multiple-gated acquisition (MUGA) scan or cardiac echocardiogram (ECHO)
- Adequate hematologic function
- Female participants: Agreement to remain abstinent (refrain from heterosexual intercourse) or use contraceptive methods and refrain from donating eggs.
- Male participants: agreement to remain abstinent (refrain from heterosexual intercourse) or use a condom and agreement to refrain from donating sperm.
Exclusion Criteria:
- History of severe allergic or anaphylactic reactions to humanized or murine monoclonal antibodies or known sensitivity or allergy to murine products
- Contraindication to any of the individual components of CHOP, including prior receipt of anthracyclines
- Prior organ transplantation
- Current Grade greater than (>) 1 peripheral neuropathy by clinical examination
- Demyelinating form of Charcot-Marie-Tooth disease
- History of indolent lymphoma
- History of follicular lymphoma grade 3B
- B-cell lymphoma, unclassifiable, with features intermediate between DLBCL and classical Hodgkin lymphoma (grey-zone lymphoma)
- Primary mediastinal (thymic) large B-cell lymphoma
- Burkitt lymphoma
- Prior treatment with cytotoxic drugs within 5 years of screening for any condition (example [e.g.], cancer, rheumatoid arthritis) or prior use of any anti-CD20 antibody
- Prior use of any monoclonal antibody within 3 months of the start of Cycle 1
- Prior therapy for DLBCL, with the exception of nodal biopsy
- Corticosteroid use >30 mg/day of prednisone or equivalent, for purposes other than lymphoma symptom control
- Participants with central nervous system (CNS) lymphoma (primary or secondary involvement), primary effusion DLBCL, and primary cutaneous DLBCL
- Vaccination with live vaccines within 28 days prior to the start of Cycle 1
- Any investigational therapy within 28 days prior to the start of Cycle 1
- History of other malignancy that could affect compliance with the protocol or interpretation of results
- Evidence of significant, uncontrolled, concomitant diseases that could affect compliance with the protocol or interpretation of results, including significant cardiovascular disease or pulmonary disease
- Recent major surgery (within 4 weeks prior to the start of Cycle 1), other than for diagnosis
- History or presence of an abnormal electrocardiogram (ECG) that is clinically significant in the investigator's opinion, including complete left bundle branch block, second- or third-degree heart block, or evidence of prior myocardial infarction
- Known active bacterial, viral, fungal, mycobacterial, parasitic, or other infection (excluding fungal infections of nail beds) at study enrollment or significant infections within 2 weeks before the start of Cycle 1
- Clinically significant liver disease, including active viral or other hepatitis, current alcohol abuse, or cirrhosis
- Prior radiotherapy to the mediastinal/pericardial region
- Participants with suspected active or latent tuberculosis
- Positive test results for chronic hepatitis B and hepatitis C infection
- Known history of human immunodeficiency virus (HIV) seropositive status
- Positive results for the human T-lymphotrophic 1 virus (HTLV-1)
- Participants with a history of progressive multifocal leukoencephalopathy
Sites / Locations
- University of Alabama at Birmingham
- Southern Cancer Center
- City of Hope
- Ronald Reagan UCLA Medical Center; Drug Information Center
- Georgetown University Medical Center
- Florida Cancer Specialists - Fort Myers (New Hampshire Ct)
- Florida Cancer Specialists & Research Institute
- Florida Cancer Specialists
- Emory University; Investigational Drug Service
- Illinois Cancer Specialists
- University of Louisville Hospital; The James Graham Brown Cancer Center
- Ochsner Medical Center
- University of Maryland
- Johns Hopkins University
- Massachusetts General Hospital
- Dana Farber Cancer Institute; Lymphoma Program
- Beth Israel Deaconess Medical Center
- University of Michigan Health System; UMH Internal Medicine/Hematology-Oncology
- Karmanos Cancer Center
- HCA Midwest Division
- Washington University; Wash Uni. Sch. Of Med
- Memorial Sloan Kettering Bergen
- Roswell Park Cancer Institute; Grace Cancer Drug Center
- Memorial Sloan Kettering Cancer Center - Commack
- Memorial Sloan Kettering Cancer Center at Westchester
- New York University Cancer Cen
- Memorial Sloan Kettering Cancer Center
- University of Rochester Medical Center
- University of North Carolina at Chapel Hill
- Levine Cancer Institute - Clincal Trials Administration
- University Hospitals Case Medical Center
- Ohio State University; B406 Starling-Loving Hall
- Oncology/Hematology Care Clinical Trials LLC
- Oncology Associates of Oregon, P.C
- Oregon HSU; Bld-Brain Barr/Neuro-Onc
- Northwest Cancer Specialists - Portland (SW Barnes Rd)
- Hospital of the University of Pennsylvania
- Fox Chase Cancer Center; Hematology/Oncology
- University of Pittsburgh Medical Center Cancer Center; Pharmacy
- Medical University of South Carolina Hospital
- Prisma Health ? Upstate
- Tennessee Oncology - Chattanooga; Tennessee Oncology - East Third Street
- Sarah Cannon Research Institute
- Texas Oncology-Austin Midtown
- Rocky Mountain Cancer Centers, LLP
- Texas Oncology-Tyler
- Texas Oncology San Antonio Medical Center
- University of Utah; Huntsman Cancer Hospital
- Oncology Associates of Southwest Virginia, Inc.
- Virginia Cancer Specialists, PC
- Shenandoah Oncology Associates
- Seattle Cancer Care Alliance; Investigational Drug Service
- North Star Lodge
- West Virginia Uni Med. Center - Robert Byrd Health Science
- Concord Repatriation General Hospital
- St George Hospital
- Prince of Wales Hospital; Haematology
- Calvary Mater Newcastle
- Westmead Hospital; Outpatient Pharmacy University Clinic
- Princess Alexandra Hospital Woolloongabba; Clinical Hematology and Medical Oncology
- Ashford Cancer Center Research
- The University of Adelaide - The Queen Elizabeth Hospital (TQEH)
- Monash Medical Centre
- Austin Hospital; Cancer Clinical Trials Centre
- Medizinische Universitaet Innsbruck - Universitaetsklinik fuer Innere Medizin III
- Landesklinikum Krems
- Paracelsus Medizinischen Privatuniversitaet-Salzburger Landeskliniken (SALK)
- Medizinische Universität Wien
- Wiener Gesundheitsverbund ? Klinik Ottakring
- UZ Gent
- CH Jolimont - Lobbes (Jolimont)
- CHU UCL Mont-Godinne
- Hospital Erasto Gaertner
- Hospital Sao Vicente de Paulo
- Hospital das Clinicas - UFRGS
- Centro de Hematologia e Hemoterapia - HEMOCENTRO UNICAMP
- Hospital das Clinicas - FMUSP
- University of Alberta Hospital
- BC Cancer ? Vancouver
- CancerCare Manitoba (CCMB)
- McMaster University Medical Center, Juravinski Cancer Centre, Hamilton Health Sciences
- The Ottawa Hospital
- Sunnybrook Health Sciences Centre
- University Health Network; Princess Margaret Hospital; Medical Oncology Dept
- CIUSSS de l'Est-de-l'Ile-de-Montréal - Hôpital Maisonneuve-Rosemont
- Centre Hospitalier de l'Universite de Montreal - Pavillon E (PEA)
- CHU de Quebec-Universite Laval
- Peking Union Medical College Hospital
- Beijing Cancer Hospital
- The First Hospital of Jilin University
- Fujian Provincial Cancer Hospital
- Sun Yet-sen University Cancer Center
- The First Affiliated Hospital of College of Medicine, Zhejiang University
- Jiangsu Cancer Hospital
- Jiangsu Province Hospital
- Ruijin Hospital, Shanghai Jiaotong University School of Medicine
- Shanghai East Hospital, Tongji University
- Fudan University Shanghai Cancer Center
- Institute of Hematology and Blood Diseases Hospital Chinese Academy of Medical Sciences
- Tianjin Medical University Cancer Institute & Hospital
- Union Hospital Tongji Medical College Huazhong University of Science and Technology
- Henan Cancer Hospital
- Fakultni Nemocnice Hradec Kralove (FNHK); IV. Interni Hematologicka Klinika
- Fakultni Nemocnice Kralovske Vinohrady (FNKV); Interni Hematologicka Klinika
- Fakultni nemocnice Olomouc
- Fakultni nemocnice Ostrava
- Univerzita Karlova v Praze 1. Lekarska Fakulta
- CHU Amiens - Hopital Sud; Hematologie Clinique et Therapie Cellulaire
- CHU Angers
- Centre Hospitalier de La Cote Basque; Hematologie
- Hopital Jean Minjoz; Hematologie
- Institut Bergonie
- Institut d'Hématologie de Basse Normandie
- CH Metropole de Savoie
- Hopital Henri Mondor; Hematologie Clinique
- CHU de Dijon - Hopital le Bocage
- L'Union Mutualiste de la Gestion des Eaux Claires - Institut Daniel Hollard
- CHD Vendée
- Hôpital Albert Michallon; Hematologie Clinique
- Clinique Victor Hugo - Centre Jean Bernard
- Hôpital Saint Vincent de Paul
- Hopital Claude Huriez; Hematologie
- Hopital Uni Ire Dupuytren; Hematologie
- Centre Leon Berard
- CHU Montpellier - Saint ELOI
- CHU de Nantes - Hotel Dieu
- Centre Antoine Lacassagne
- CHU de Nîmes - Hôpital Carémeau
- Hôpital Saint-Louis; Service d'Hématologie
- Gh Necker Enfants Malades; Hematologie Clinique
- Hopital Saint Jean; Hematologie
- Hopital Haut-Leveque - Centre Francois Magendie; Service d'Hematologie Clinique
- CHU Lyon Sud - Service Hématologie
- CHU de Poitiers
- Centre Hospitalier de Quimper Cornouaille (CHIC); Médecine interne-Maladies du sang
- Hopital Pontchaillou; Hematologie Clinique
- Centre Henri Becquerel; Hematologie
- Centre Hospitalier de Saint Brieuc - Hôpital Yves Le Foll
- Pôle de Cancérologie ? CHU de Saint?Etienne'
- CHRU DE STRASBOURG; Département d?Hématologie et Oncologie
- Institut Universitaire du Cancer - Oncopole Toulouse (IUCT-O)
- CHU Bretonneau
- CHU de Brabois
- CH Bretagne Atlantique; Médecine interne
- Institut Gustave Roussy; Unite D'Hematologie
- Vivantes Klinikum Am Urban
- Städtisches Klinikum Dessau
- Universitätsklinikum Essen
- Universitaetsklinikum Halle (Saale)
- Universitaetsklinikum Heidelberg
- InVO - Institut für Versorgungsforschung in der Onkologie GbR
- University of Munich
- Universitatsklinikum Munster
- Queen Mary Hospital
- Queen Elizabeth Hospital
- Azienda Ospedaliera Papa Giovanni XXIII
- Universita degli Studi Di Brescia - Azienda Ospedaliera Spedali Civili di Brescia
- Universita degli Studi di Roma ''La Sapienza" - Clinica Ematologica
- Azienda Ospedaliera Universitaria Senese
- AUSL di Reggio Emilia, IRCCS, P.O. Arcispedale Santa Maria Nuova
- IRCCS AOU San Martino - IST
- Fondazione IRCCS Istituto Nazionale dei Tumori - s.c. Ematologia
- Istituto Nazionale dei Tumori
- Azienda Ospedaliero Universitaria Maggiore della Carita di Novara
- Azienda Ospedaliera Universitaria Citta della Salute e della Scienza di Torino; Ospedale Molinette
- Aichi Cancer Center
- Chiba University Hospital
- Chiba Cancer Center
- National Cancer Center Hospital East
- National Hospital Organization Kyushu Cancer Center
- Kyushu University Hospital
- Hiroshima University Hospital
- Hokkaido University Hospital
- Kobe City Medical Center General Hospital
- Tokai University Hospital
- Kumamoto University Hospital
- University Hospital Kyoto Prefectural University of Medicine
- Tohoku University Hospital
- Osaka Metropolitan University Hospital
- Osaka University Hospital
- Kindai University Hospital
- Jichi Medical University Hospital
- National Cancer Center Hospital
- The Cancer Institute Hospital of JFCR
- Inje University Busan Paik Hospital
- Pusan National University Hospital
- National Cancer Center; Medical Oncology
- Seoul National University Hospital
- Severance Hospital
- Asan Medical Center
- Samsung Medical Center
- Pusan National University Yangsan Hospital; hemato-oncology
- Auckland City Hospital, Cancer and Blood Research
- Canterbury Health Laboratories; Immunology/Rheumatology
- Waikato Hospital
- Palmerston North Hospital
- Wojewódzki Szpital Specjalistyczny im. M. Kopernika; Klinika Hematologii UM w ?odzi
- Samodzielny Publiczny Zak?ad Opieki Zdrowotnej Zespó? Szpitali Miejskich w Chorzowie
- PRATIA MCM Kraków
- SPZOZ Ministerstwa Spraw Wewn?trznych i Administracji w Poznaniu; Oddzia? Hematologii
- Centrum Onkologii-Instytut im. M. Sklodowskiej Curie
- Wojskowy Instytut Medyczny - Panstwowy Instytut Badawczy
- Leningrad Regional Clinical Hospital
- Republican Clinical Oncology Dispensary of Ministry of Healthcare of Tatarstan Republic
- Penza Regional Oncology Dispensary
- Institut Catala d Oncologia Hospitalet
- Hospital Universitario Puerta de Hierro - Majadahonda
- Complejo Hospitalario de Navarra
- Hospital de la Santa Creu i Sant Pau
- Hospital Universitari Vall d'Hebron
- Hospital Clinic Barcelona
- Hospital San Pedro de Alcantara
- Hospital Universitari Dr. Josep Trueta
- Hospital Universitario La Paz
- Hospital Quiron Madrid
- Fundación Jimenez Díaz
- Hospital Universitario Virgen de la Victoria
- Hospital Universitario Virgen del Rocio
- Hirslanden Medical Center - Tumorzentrum
- Universitätsspital Basel Gynäkologie - Onkologie
- Hopital Cantonal Universitaire De Geneve
- Kaohsiung Medical University Hospital, Cancer Center
- China Medical University Hospital; Clinical Research Center Clinical Pharmacy
- Chi-Mei Hospital, Liouying
- Taipei Veterans General Hospital
- National Taiwan University Hospital
- Ankara University Faculty of Medicine Cebeci Hospital
- Ege Üniversitesi Tip Fakültesi
- Dokuz Eylul Universitesi Tip Fakultesi
- Vehbi Koc Vakfi (VKV) - Amerikan Hastanesi
- Communal Institution 'Cherkassy Regional Oncology Dispensary' of the Cherkassy Regional Council
- MNE Lviv Territorial Medical Association Clinical Hospital for Palliative Care
- Khmelnytskyi Regional Hospital; Department of Hemathology
- Feofaniya Center of Haematology and Chemotherapy of Haemoblastosis
- Cambridge University Hospitals NHS Foundation Trust - Addenbrookes Hospital
- East Kent Hospitals University NHS Foundation Trust
- University Hospitals of Leicester NHS Trust - Leicester Royal Infirmary
- Barts Health NHS Trust; Bartholomew's H., King George V Building
- The Christie NHS Foundation Trust
- The Newcastle upon Tyne Hospitals NHS Foundation Trust. Freeman Hospital
- Nottingham City Hospital; Dept of Haematology
- Oxford University Hospitals NHS Foundation Trust
- University Hospital Southampton NHS Foundation Trust
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
R-CHP plus Vincristine Placebo plus Polatuzumab Vedotin
R-CHOP plus Polatuzumab Vedotin Placebo
Participants will receive polatuzumab vedotin 1.8 milligrams per kilogram (mg/kg) intravenously (IV), placebo for vincristine IV, rituximab 375 milligrams per square meter (mg/m^2) IV, cyclophosphamide 750 mg/m^2 IV, and doxorubicin 50 mg/m^2 IV on Day 1 and prednisone 100 milligrams per day (mg/day) orally (PO) on Days 1-5 of every 21-day cycle for 6 cycles. Rituximab 375 mg/m^2 IV will be administered as monotherapy in Cycles 7 and 8.
Participants will receive placebo for polatuzumab vedotin, rituximab 375 mg/m^2 IV, cyclophosphamide 750 mg/m^2 IV, doxorubicin 50 mg/m^2 IV, and vincristine 1.4 mg/m^2 IV (maximum 2 milligrams per dose [mg/dose]) on Day 1 and prednisone 100 mg/day PO on Days 1-5 of every 21-day cycle for 6 cycles. Rituximab 375 mg/m^2 IV will be administered as monotherapy in Cycles 7 and 8.