A Study to Evaluate the Efficacy and Safety of a Sintilimab Plus ICE Regimen Versus ICE Regimen in Classic Hodgkin's Lymphoma Patients (cHL) Who Have Failed First-line Standard Chemotherapy
Primary Purpose
Classic Hodgkin's Lymphoma
Status
Recruiting
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
Sintilimab
Carboplatin
Etoposide
Ifosfamide
Placebo
Carboplatin
Etoposide
Ifosfamide
Sponsored by
About this trial
This is an interventional treatment trial for Classic Hodgkin's Lymphoma
Eligibility Criteria
Inclusion Criteria:
- Signed informed consent
- Histopathologically confirmed cHL
- Failed first-line standard combination chemotherapy
- One measurable lesion (Lugano 2014)
- Eastern Cooperative Oncology Group (ECOG) of 0-1
- Male or female aged ≥18 years
- Patients must have adequate organ and bone marrow function
Exclusion Criteria:
- Patients must not have known central nervous system (CNS) involvement
- Patients must not have had prior exposure to any immune checkpoint inhibitors including anti-PD-L1 agents, anti-PD-L2 agents, or anti-CTLA-4 monoclonal antibodies
- Patients may not simultaneously participate in another interventional clinical study
- Patients may not receive any other investigational agents within 4 weeks of study registration
- Patients may not receive any other form of immunosuppressive therapy within 4 weeks prior to the first dose of study drug
- Patients may not receive live attenuated vaccines within 4 weeks prior to the first dose of study drug (or plan to receive live attenuated vaccines during the study period)
- Patients with known immunodeficiency are ineligible
- Patients with known active TB (Bacillus tuberculosis) are ineligible
- Patients must not have had prior allogeneic stem cell transplantation or allogeneic organ transplantation
- Patients must not be pregnant or breastfeeding
Sites / Locations
- Cancer Hospital Chinese Academy of Medical SciencesRecruiting
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
Treatment (Sintilimab, etoposide, ifosfamide, carboplatin)
Treatment (placebo, etoposide, ifosfamide, carboplatin)
Arm Description
Patients receive sintilimab IV on day 1, etoposide IV on days 1-3 of courses 1-6, carboplatin IV on day 2 of courses 1-6, and ifosfamide IV on day 1-3 of courses 1-6. Sintilimab in combination with ICE chemotherapy repeats every 21 days for 6 courses.
Patients receive placebo IV on day 1, etoposide IV on days 1-3 of courses 1-6, carboplatin IV on day 2 of courses 1-6, and ifosfamide IV on day 1-3 of courses 1-6. Placebo in combination with ICE chemotherapy repeats every 21 days for 6 courses.
Outcomes
Primary Outcome Measures
PFS
Secondary Outcome Measures
Full Information
NCT ID
NCT04044222
First Posted
August 1, 2019
Last Updated
September 12, 2022
Sponsor
Innovent Biologics (Suzhou) Co. Ltd.
1. Study Identification
Unique Protocol Identification Number
NCT04044222
Brief Title
A Study to Evaluate the Efficacy and Safety of a Sintilimab Plus ICE Regimen Versus ICE Regimen in Classic Hodgkin's Lymphoma Patients (cHL) Who Have Failed First-line Standard Chemotherapy
Official Title
A Phase III, Multicenter, Randomized, Double-Blind, Placebo-Controlled Trial Comparing the Efficacy and Safety of a Sintilimab Plus ICE Regimen Versus a Placebo Plus ICE Regimen in Classic Hodgkin's Lymphoma Patients With First-line Standard Chemotherapy Failure
Study Type
Interventional
2. Study Status
Record Verification Date
September 2022
Overall Recruitment Status
Recruiting
Study Start Date
October 21, 2019 (Actual)
Primary Completion Date
July 30, 2023 (Anticipated)
Study Completion Date
December 31, 2024 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Innovent Biologics (Suzhou) Co. Ltd.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
5. Study Description
Brief Summary
This phase III trial studies the side effects of sintilimab to see how well it works when given together with ifosfamide, carboplatin, and etoposide in treating patients with classic Hodgkin lymphoma that does not respond to first-line standard chemotherapy.
Detailed Description
randomized, double-blind, two arms , multicenter
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Classic Hodgkin's Lymphoma
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Crossover Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
240 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Treatment (Sintilimab, etoposide, ifosfamide, carboplatin)
Arm Type
Experimental
Arm Description
Patients receive sintilimab IV on day 1, etoposide IV on days 1-3 of courses 1-6, carboplatin IV on day 2 of courses 1-6, and ifosfamide IV on day 1-3 of courses 1-6. Sintilimab in combination with ICE chemotherapy repeats every 21 days for 6 courses.
Arm Title
Treatment (placebo, etoposide, ifosfamide, carboplatin)
Arm Type
Experimental
Arm Description
Patients receive placebo IV on day 1, etoposide IV on days 1-3 of courses 1-6, carboplatin IV on day 2 of courses 1-6, and ifosfamide IV on day 1-3 of courses 1-6. Placebo in combination with ICE chemotherapy repeats every 21 days for 6 courses.
Intervention Type
Biological
Intervention Name(s)
Sintilimab
Intervention Description
IV
Intervention Type
Drug
Intervention Name(s)
Carboplatin
Intervention Description
IV
Intervention Type
Drug
Intervention Name(s)
Etoposide
Intervention Description
IV
Intervention Type
Drug
Intervention Name(s)
Ifosfamide
Intervention Description
IV
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
IV
Intervention Type
Drug
Intervention Name(s)
Carboplatin
Intervention Description
IV
Intervention Type
Drug
Intervention Name(s)
Etoposide
Intervention Description
IV
Intervention Type
Drug
Intervention Name(s)
Ifosfamide
Intervention Description
IV
Primary Outcome Measure Information:
Title
PFS
Time Frame
44months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Signed informed consent
Histopathologically confirmed cHL
Failed first-line standard combination chemotherapy
One measurable lesion (Lugano 2014)
Eastern Cooperative Oncology Group (ECOG) of 0-1
Male or female aged ≥18 years
Patients must have adequate organ and bone marrow function
Exclusion Criteria:
Patients must not have known central nervous system (CNS) involvement
Patients must not have had prior exposure to any immune checkpoint inhibitors including anti-PD-L1 agents, anti-PD-L2 agents, or anti-CTLA-4 monoclonal antibodies
Patients may not simultaneously participate in another interventional clinical study
Patients may not receive any other investigational agents within 4 weeks of study registration
Patients may not receive any other form of immunosuppressive therapy within 4 weeks prior to the first dose of study drug
Patients may not receive live attenuated vaccines within 4 weeks prior to the first dose of study drug (or plan to receive live attenuated vaccines during the study period)
Patients with known immunodeficiency are ineligible
Patients with known active TB (Bacillus tuberculosis) are ineligible
Patients must not have had prior allogeneic stem cell transplantation or allogeneic organ transplantation
Patients must not be pregnant or breastfeeding
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Ronghua Zhang
Phone
15267110561
Email
ronghua.zhang@innoventbio.com
First Name & Middle Initial & Last Name or Official Title & Degree
Hui Zhou
Phone
86-021-31837200
Email
hui.zhou@innoventbio.com
Facility Information:
Facility Name
Cancer Hospital Chinese Academy of Medical Sciences
City
Beijing
State/Province
Beijing
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yuankai Shi
Phone
010-87788293
Email
syuankaipumc@126.com
12. IPD Sharing Statement
Learn more about this trial
A Study to Evaluate the Efficacy and Safety of a Sintilimab Plus ICE Regimen Versus ICE Regimen in Classic Hodgkin's Lymphoma Patients (cHL) Who Have Failed First-line Standard Chemotherapy
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