Anti-PD-1 Antibody Treatment With Cemiplimab and Radiotherapy in Early-stage Classical Hodgkin Lymphoma
Primary Purpose
Hodgkin Lymphoma
Status
Withdrawn
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Cemiplimab
Involved-site radiotherapy (IS-RT)
Sponsored by
About this trial
This is an interventional treatment trial for Hodgkin Lymphoma focused on measuring Early Stage, Favorable, Classical, classical Hodgkin lymphoma (cHL)
Eligibility Criteria
Key Inclusion Criteria:
- Histologically proven classical HL
- First diagnosis, no previous treatment
- Stage I-II without risk factors as defined in the protocol
Key Exclusion Criteria:
- Composite lymphoma or nodular lymphocyte-predominant Hodgkin lymphoma (NLPHL)
- Prior malignancy within the previous 5 years (except for locally treatable cancers that have been apparently cured by complete resection)
- Prior chemotherapy or radiation therapy
- Concurrent disease precluding protocol treatment as defined in the protocol
- Pregnancy or breast-feeding
- Non-compliance as defined in the protocol
Note: Other protocol-defined Inclusion/Exclusion criteria apply
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
Concomitant treatment
Sequential treatment
Arm Description
Treatment Group A
Treatment Group B
Outcomes
Primary Outcome Measures
Progression-free survival (PFS) at 1 year
Secondary Outcome Measures
PFS at 2 and 3 years
Overall survival (OS) at 1, 2, and 3 years
Incidence of acute toxicities
Rate of patients with long-term fatigue using EORTC-QLQ-FA12
European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ).
-FA12 module complements the core EORTC QLQ-C30 questionnaire regarding fatigue. Each item can be scored in four dimension on a scale from 1 to 4 with higher scores indicating worse symptoms.
Rate of patients with long-term fatigue using EORTC-QLQ-C30
Scores range from 0 to 100. A high scale score represents a higher response level.
Quality of life (QoL) using EORTC-QLQ-30
Scores range from 0 to 100. A high scale score represents a higher response level.
Rate of early discontinuation of study treatment
Frequency of lymphoma treatment administered in addition to study treatment
Types of lymphoma treatment administered in addition to study treatment
Full Information
NCT ID
NCT04373083
First Posted
April 15, 2020
Last Updated
January 13, 2021
Sponsor
Regeneron Pharmaceuticals
Collaborators
Sanofi
1. Study Identification
Unique Protocol Identification Number
NCT04373083
Brief Title
Anti-PD-1 Antibody Treatment With Cemiplimab and Radiotherapy in Early-stage Classical Hodgkin Lymphoma
Official Title
Anti-PD-1 Antibody Treatment With Cemiplimab and Radiotherapy in Early-stage Favorable Classical Hodgkin Lymphoma (CARHL) - A Randomized Phase II Trial
Study Type
Interventional
2. Study Status
Record Verification Date
December 2020
Overall Recruitment Status
Withdrawn
Why Stopped
Business Decision
Study Start Date
November 15, 2020 (Anticipated)
Primary Completion Date
December 20, 2022 (Anticipated)
Study Completion Date
February 20, 2025 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Regeneron Pharmaceuticals
Collaborators
Sanofi
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The primary objective is to estimate the efficacy of experimental treatment with the anti-PD-1 antibody cemiplimab (REGN2810) in combination with simultaneous or subsequent radiotherapy (RT) in early-stage favorable classical Hodgkin lymphoma (cHL).
Secondary objectives are to assess the safety and feasibility of the 2 experimental strategies.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hodgkin Lymphoma
Keywords
Early Stage, Favorable, Classical, classical Hodgkin lymphoma (cHL)
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
0 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Concomitant treatment
Arm Type
Experimental
Arm Description
Treatment Group A
Arm Title
Sequential treatment
Arm Type
Experimental
Arm Description
Treatment Group B
Intervention Type
Drug
Intervention Name(s)
Cemiplimab
Other Intervention Name(s)
REGN2810, Libtayo
Intervention Description
Administered in 3-week intervals
Intervention Type
Radiation
Intervention Name(s)
Involved-site radiotherapy (IS-RT)
Intervention Description
Patients will receive IS-RT with a dose of 20 Gy. Involved-site radiotherapy will be carried out on the basis of 3D imaging as described in the protocol
Primary Outcome Measure Information:
Title
Progression-free survival (PFS) at 1 year
Time Frame
From randomization up to 1 year
Secondary Outcome Measure Information:
Title
PFS at 2 and 3 years
Time Frame
From randomization up to 3 years
Title
Overall survival (OS) at 1, 2, and 3 years
Time Frame
From randomization up to 3 years
Title
Incidence of acute toxicities
Time Frame
Up to 90 days after study treatment
Title
Rate of patients with long-term fatigue using EORTC-QLQ-FA12
Description
European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ).
-FA12 module complements the core EORTC QLQ-C30 questionnaire regarding fatigue. Each item can be scored in four dimension on a scale from 1 to 4 with higher scores indicating worse symptoms.
Time Frame
12-18 months after randomization
Title
Rate of patients with long-term fatigue using EORTC-QLQ-C30
Description
Scores range from 0 to 100. A high scale score represents a higher response level.
Time Frame
12-18 months after randomization
Title
Quality of life (QoL) using EORTC-QLQ-30
Description
Scores range from 0 to 100. A high scale score represents a higher response level.
Time Frame
Up to 3 years
Title
Rate of early discontinuation of study treatment
Time Frame
From first dose to up to 19 weeks
Title
Frequency of lymphoma treatment administered in addition to study treatment
Time Frame
From randomization up to 3 years
Title
Types of lymphoma treatment administered in addition to study treatment
Time Frame
From randomization up to 3 years
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria:
Histologically proven classical HL
First diagnosis, no previous treatment
Stage I-II without risk factors as defined in the protocol
Key Exclusion Criteria:
Composite lymphoma or nodular lymphocyte-predominant Hodgkin lymphoma (NLPHL)
Prior malignancy within the previous 5 years (except for locally treatable cancers that have been apparently cured by complete resection)
Prior chemotherapy or radiation therapy
Concurrent disease precluding protocol treatment as defined in the protocol
Pregnancy or breast-feeding
Non-compliance as defined in the protocol
Note: Other protocol-defined Inclusion/Exclusion criteria apply
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Trial Management
Organizational Affiliation
Regeneron Pharmaceuticals
Official's Role
Study Director
12. IPD Sharing Statement
Plan to Share IPD
Yes
IPD Sharing Plan Description
All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing
IPD Sharing Time Frame
Individual anonymized participant data will be considered for sharing once the indication has been approved by a regulatory body, if there is legal authority to share the data and there is not a reasonable likelihood of participant re-identification.
IPD Sharing Access Criteria
Qualified researchers may request access to anonymized patient level data or aggregate study data when Regeneron has received marketing authorization from major health authorities (e.g., FDA, European Medicines Agency [EMA], Pharmaceuticals and Medical Devices Agency [PMDA], etc) for the product and indication, has the legal authority to share the data, and has made the study results publicly available (eg, scientific publication, scientific conference, clinical trial registry).
IPD Sharing URL
https://vivli.org/
Learn more about this trial
Anti-PD-1 Antibody Treatment With Cemiplimab and Radiotherapy in Early-stage Classical Hodgkin Lymphoma
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