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BREntuximab Vedotin in SEcond LIne Therapy BEfore Transplant (BRESELIBET)

Primary Purpose

Hodgkin Lymphoma, Adult

Status
Recruiting
Phase
Phase 2
Locations
Spain
Study Type
Interventional
Intervention
Induction with Brentuximab vedotin (BV)
Induction without Brentuximab Vedotin
Consolidation with Brentuximab Vedotin
Sponsored by
Grupo Español de Linfomas y Transplante Autólogo de Médula Ósea
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hodgkin Lymphoma, Adult

Eligibility Criteria

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

Inclusion Criteria:

Patients with classical HL CD30+ confirmed histologically (either at the time of diagnosis / at the time of first relapse) will be included in the trial

  • Male or female patients 18 to 65 years of age
  • Voluntary written informed consent must be given before performance of any study-related procedure not part of standard medical care, with the understanding that consent may be withdrawn by the patient at any time without prejudice to future medical care
  • Female patient is either post-menopausal for at least 1 year before the screening visit or surgically sterile or if of childbearing potential, agree to practice 2 effective methods of contraception, at the same time, from the time of signing the informed consent through 6 months after the last dose of study drug, or agrees to completely abstain from heterosexual intercourse
  • Male patients, even if surgically sterilized, (i.e., status post-vasectomy) agree to practice effective barrier contraception during the entire study period and through 6 months after the last dose of study drug, or agrees to completely abstain from heterosexual intercourse
  • ECOG 0 to 2
  • Measurable disease at time of enrolment (lymphadenopathy/ extranodal mass of at least 1.5 cm)
  • No evidence of neuropathy grade ≥2
  • Clinical laboratory values as specified in the protocol below within 7 days before the first dose of study drug

Exclusion Criteria:

  • Lymphocyte predominant nodular Hodgkin's lymphoma
  • Prior treatment with brentuximab vedotin
  • Female patient who are both lactating and breast-feeding or have a positive serum pregnancy test during the screening period or a positive pregnancy test on Day 1 before first dose of study drug
  • Any serious medical or psychiatric illness that could, in the investigator's opinion, potentially interfere with the completion of treatment according to the protocol.
  • Known cerebral or meningeal disease (HL or any other etiology), including signs or symptoms of progressive multifocal leukoencephalopathy (PML)
  • Symptomatic neurologic disease compromising normal activities of daily living or requiring medic
  • Any sensory or motor peripheral neuropathy greater than or equal to Grade 2
  • Known history of any of the following cardiovascular conditions defined in the protocol
  • Any active systemic viral, bacterial, or fungal infection requiring systemic antibiotics within 2 weeks prior to first study drug dose
  • Patients that have not completed any prior treatment chemotherapy and/or other investigational agents within at least 5 half-lives (or 28 days if the half-lives are unknown) of last dose of that prior treatment
  • Known hypersensitivity to recombinant proteins, murine proteins, or to any excipient contained in the drug formulation of brentuximab vedotin.
  • Known human immunodeficiency virus (HIV) positive
  • Known hepatitis B surface antigen-positive, or known or suspected active hepatitis C infection
  • Focal radiation therapy within 30 days prior to study recruitment
  • Major surgery within 28 days prior to randomization
  • Diagnosed or treated for another malignancy within 3 years before the first dose or previously diagnosed with another malignancy and have evidence of residual disease.
  • Patients with nonmelanoma skin cancer or carcinoma in situ of any type are not excluded if they have undergone complete resection.

Sites / Locations

  • Hospital Universitario Central de AsturiasRecruiting
  • Institut Català D'Oncologia - Hospital Germans Trias I PujolRecruiting
  • Hospital Universitario Marqués de ValdecillaRecruiting
  • Complexo Hospitalario Universitario A CoruñaRecruiting
  • Hospital Clínic de BarcelonaRecruiting
  • Hospital de La Santa Creu I Sant PauRecruiting
  • Institut Català D'Oncologia - Hospital Duran I ReynalsRecruiting
  • Institut Català D'OncologiaRecruiting
  • Hospital Universitario de CrucesRecruiting
  • Hospital Universitario Virgen de Las NievesRecruiting
  • Hospital General Universitario Gregorio MarañónRecruiting
  • Hospital Ramón Y CajalRecruiting
  • Hospital Universitario Fundación Jiménez DíazRecruiting
  • Hospital Universitario 12 de OctubreRecruiting
  • Hospital General Universitario J.M. Morales MeseguerRecruiting
  • Hospital Universitario de SalamancaRecruiting
  • Hospital Universitario Virgen Del RocíoRecruiting
  • Hospital Universitario Y Politécnico La FeRecruiting
  • Hospital Clínico Universitario de ValenciaRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

Induction ESHAP

Induction BV-ESHAP

Arm Description

3 Cycles ESHAP ( 21 days) : Etoposide [40 mg/m2/ day IV, D1-4], Solumedrol [250 mg/day IV, D1-4], High dose Ara-C [2 g/m2 IV, D5] Cisplatinum [25 mg/m2/day IV, D1-4]

3 Cycles of Brentuximab VEedotin + ESHAP ( 21 days) : Etoposide [40 mg/m2/ day IV, D1-4], Solumedrol [250 mg/day IV, D1-4], High dose Ara-C [2 g/m2 IV, D5] Cisplatinum [25 mg/m2/day IV, D1-4] Brentuximab Vedotin [1.8 mg/kg IV, D1]

Outcomes

Primary Outcome Measures

PET-CT result
PET-CT negative, Deauville scores 1 and 2

Secondary Outcome Measures

progression-free survival (PFS)
Evaluation of patient without progression of disease
Duration of response
Lenght of time between date of evidence response and progression of disease or death
Overall Survival (OS)
Time from entry onto the clinical trial (random assignment in a phase III study) until death as a result of any cause.
Duration of response (DOR)
Time from first documentation of CR or PR to disease progression

Full Information

First Posted
May 4, 2020
Last Updated
November 28, 2020
Sponsor
Grupo Español de Linfomas y Transplante Autólogo de Médula Ósea
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1. Study Identification

Unique Protocol Identification Number
NCT04378647
Brief Title
BREntuximab Vedotin in SEcond LIne Therapy BEfore Transplant
Acronym
BRESELIBET
Official Title
A Randomized Phase IIb Study, Evaluating Efficacy of Salvage Therapy With Brentuximab Vedotin-ESHAP vs ESHAP in Patients With Relapsed / Refractory Classical Hodgkin's Lymphoma, Followed by Brentuximab Vedotin Consolidation (Instead of Autologous Hematopoietic Stem Cell Transplantation) in Those Who Attained a Metabolic Complete Remission After Salvage Therapy
Study Type
Interventional

2. Study Status

Record Verification Date
November 2020
Overall Recruitment Status
Recruiting
Study Start Date
June 1, 2020 (Actual)
Primary Completion Date
August 30, 2026 (Anticipated)
Study Completion Date
August 30, 2026 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Grupo Español de Linfomas y Transplante Autólogo de Médula Ósea

4. Oversight

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

5. Study Description

Brief Summary
A Randomized Phase IIb Study, Evaluating Efficacy of Salvage Therapy with Brentuximab Vedotin-ESHAP vs ESHAP in Patients with Relapsed / Refractory Classical Hodgkin's Lymphoma, Followed by Brentuximab Vedotin Consolidation (instead of Autologous Hematopoietic Stem Cell Transplantation) in Those who Attained a Metabolic Complete Remission after Salvage Therapy
Detailed Description
A phase IIb open label multi-center trial in patients with refractory / relapsed cHL. Patients are randomized (1:1) to receive: • ESHAP- BV (Etoposide [40 mg/m2/ day IV, D1-4], Solumedrol [250 mg/day IV, D1-4], high dose Ara-C [2 g/m2 IV, D5] and cisplatinum [25 mg/m2/day IV, D1-4] + BV [1.8 mg/kg IV, D1], every 21 days (3 cycles, q21 days). Or • ESHAP (Etoposide [40 mg/m2/ day IV, D1-4], Solumedrol [250 mg/day IV, D1-4], high dose Ara-C [2 g/m2 IV, D5] and cisplatinum [25 mg/m2/day IV, D1-4] (3 cycles, q21 days) Stem cell collection will be performed in all patients according to institutional guidelines, but preferably after the first / second cycle of ESHAP-BV or ESHAP. Patients attaining a mCR (Deauville 1, 2) after receiving 3 cycles of ESHAP-BV, will receive up to 13 cycles of BV consolidation (administered every 3 weeks, over 39 weeks). Patients who were randomized to ESHAP and attained a mCR after receiving 3 cycles will receive up to 16 cycles of BV (same dosage and time intervals). Patients who attained less than mCR following ESHAP-BV/ESHAP they will be taken out of the trial and will be treated according to their physician's clinical decision. However, they will be followed in order to evaluate their clinical outcome in terms of ORR, CR rate, TTNT2 and OS, that will be analyzed the study separately.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hodgkin Lymphoma, Adult

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
150 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Induction ESHAP
Arm Type
Active Comparator
Arm Description
3 Cycles ESHAP ( 21 days) : Etoposide [40 mg/m2/ day IV, D1-4], Solumedrol [250 mg/day IV, D1-4], High dose Ara-C [2 g/m2 IV, D5] Cisplatinum [25 mg/m2/day IV, D1-4]
Arm Title
Induction BV-ESHAP
Arm Type
Experimental
Arm Description
3 Cycles of Brentuximab VEedotin + ESHAP ( 21 days) : Etoposide [40 mg/m2/ day IV, D1-4], Solumedrol [250 mg/day IV, D1-4], High dose Ara-C [2 g/m2 IV, D5] Cisplatinum [25 mg/m2/day IV, D1-4] Brentuximab Vedotin [1.8 mg/kg IV, D1]
Intervention Type
Drug
Intervention Name(s)
Induction with Brentuximab vedotin (BV)
Other Intervention Name(s)
Adcetris treatment + ESHAP as salvage therapy
Intervention Description
3 cycles ESHAP plus antibody-drug conjugate brentuximab vedotin (BV) at a dose of 1.8 mg/kg IV
Intervention Type
Drug
Intervention Name(s)
Induction without Brentuximab Vedotin
Other Intervention Name(s)
ESHAP treatment as salvage therapy
Intervention Description
3 cycles of ESHAP as a standard of care therapy for those patients with primary refractory cHL and those patients relapsing after first-line therapy
Intervention Type
Drug
Intervention Name(s)
Consolidation with Brentuximab Vedotin
Other Intervention Name(s)
Adcetris treatment as consolidation
Intervention Description
Up to 13 or 16 cycles of antibody-drug conjugate brentuximab vedotin (BV) at doses of 1.8 mg/kg iv every 21 days)
Primary Outcome Measure Information:
Title
PET-CT result
Description
PET-CT negative, Deauville scores 1 and 2
Time Frame
4-6 weeks after the Cycle 3 started (each cycle is 21 days)
Secondary Outcome Measure Information:
Title
progression-free survival (PFS)
Description
Evaluation of patient without progression of disease
Time Frame
At the end of two years of last dose of consoldation Brentuximab VEdotin treatment
Title
Duration of response
Description
Lenght of time between date of evidence response and progression of disease or death
Time Frame
At the end of two years of last dose of consoldation Brentuximab VEdotin treatment
Title
Overall Survival (OS)
Description
Time from entry onto the clinical trial (random assignment in a phase III study) until death as a result of any cause.
Time Frame
At the end of two years of last dose of consoldation Brentuximab VEdotin treatment
Title
Duration of response (DOR)
Description
Time from first documentation of CR or PR to disease progression
Time Frame
At the end of two years of last dose of consoldation Brentuximab VEdotin treatment
Other Pre-specified Outcome Measures:
Title
Safety and tolerability
Description
AEs, fertility,infections, and secondary malignancies
Time Frame
At the end of the 3 years of of last dose of consoldation Brentuximab VEdotin treatment

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: Patients with classical HL CD30+ confirmed histologically (either at the time of diagnosis / at the time of first relapse) will be included in the trial Male or female patients 18 to 65 years of age Voluntary written informed consent must be given before performance of any study-related procedure not part of standard medical care, with the understanding that consent may be withdrawn by the patient at any time without prejudice to future medical care Female patient is either post-menopausal for at least 1 year before the screening visit or surgically sterile or if of childbearing potential, agree to practice 2 effective methods of contraception, at the same time, from the time of signing the informed consent through 6 months after the last dose of study drug, or agrees to completely abstain from heterosexual intercourse Male patients, even if surgically sterilized, (i.e., status post-vasectomy) agree to practice effective barrier contraception during the entire study period and through 6 months after the last dose of study drug, or agrees to completely abstain from heterosexual intercourse ECOG 0 to 2 Measurable disease at time of enrolment (lymphadenopathy/ extranodal mass of at least 1.5 cm) No evidence of neuropathy grade ≥2 Clinical laboratory values as specified in the protocol below within 7 days before the first dose of study drug Exclusion Criteria: Lymphocyte predominant nodular Hodgkin's lymphoma Prior treatment with brentuximab vedotin Female patient who are both lactating and breast-feeding or have a positive serum pregnancy test during the screening period or a positive pregnancy test on Day 1 before first dose of study drug Any serious medical or psychiatric illness that could, in the investigator's opinion, potentially interfere with the completion of treatment according to the protocol. Known cerebral or meningeal disease (HL or any other etiology), including signs or symptoms of progressive multifocal leukoencephalopathy (PML) Symptomatic neurologic disease compromising normal activities of daily living or requiring medic Any sensory or motor peripheral neuropathy greater than or equal to Grade 2 Known history of any of the following cardiovascular conditions defined in the protocol Any active systemic viral, bacterial, or fungal infection requiring systemic antibiotics within 2 weeks prior to first study drug dose Patients that have not completed any prior treatment chemotherapy and/or other investigational agents within at least 5 half-lives (or 28 days if the half-lives are unknown) of last dose of that prior treatment Known hypersensitivity to recombinant proteins, murine proteins, or to any excipient contained in the drug formulation of brentuximab vedotin. Known human immunodeficiency virus (HIV) positive Known hepatitis B surface antigen-positive, or known or suspected active hepatitis C infection Focal radiation therapy within 30 days prior to study recruitment Major surgery within 28 days prior to randomization Diagnosed or treated for another malignancy within 3 years before the first dose or previously diagnosed with another malignancy and have evidence of residual disease. Patients with nonmelanoma skin cancer or carcinoma in situ of any type are not excluded if they have undergone complete resection.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
lucia palacios, MSc
Phone
+18599134526
Email
ensayosclinicos01@geltamo.com
First Name & Middle Initial & Last Name or Official Title & Degree
Angel Cedillo, MSc
Phone
+34 91315780
Email
sc@geltamo.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Anna Sureda, PhD
Organizational Affiliation
Institut Català d'Oncologia, Hospital Duran i Reynals
Official's Role
Principal Investigator
Facility Information:
Facility Name
Hospital Universitario Central de Asturias
City
Oviedo
State/Province
Asturias
ZIP/Postal Code
33011
Country
Spain
Individual Site Status
Recruiting
Facility Name
Institut Català D'Oncologia - Hospital Germans Trias I Pujol
City
Barcelona
State/Province
Barceolna
ZIP/Postal Code
08916
Country
Spain
Individual Site Status
Recruiting
Facility Name
Hospital Universitario Marqués de Valdecilla
City
Santander
State/Province
Cantabria
ZIP/Postal Code
39008
Country
Spain
Individual Site Status
Recruiting
Facility Name
Complexo Hospitalario Universitario A Coruña
City
A Coruña
ZIP/Postal Code
15006
Country
Spain
Individual Site Status
Recruiting
Facility Name
Hospital Clínic de Barcelona
City
Barcelona
ZIP/Postal Code
08036
Country
Spain
Individual Site Status
Recruiting
Facility Name
Hospital de La Santa Creu I Sant Pau
City
BArcelona
ZIP/Postal Code
08041
Country
Spain
Individual Site Status
Recruiting
Facility Name
Institut Català D'Oncologia - Hospital Duran I Reynals
City
Barcelona
ZIP/Postal Code
08908
Country
Spain
Individual Site Status
Recruiting
Facility Name
Institut Català D'Oncologia
City
Barcelona
ZIP/Postal Code
08908
Country
Spain
Individual Site Status
Recruiting
Facility Name
Hospital Universitario de Cruces
City
Bilbao
ZIP/Postal Code
48903
Country
Spain
Individual Site Status
Recruiting
Facility Name
Hospital Universitario Virgen de Las Nieves
City
Granada
ZIP/Postal Code
18014
Country
Spain
Individual Site Status
Recruiting
Facility Name
Hospital General Universitario Gregorio Marañón
City
Madrid
ZIP/Postal Code
28007
Country
Spain
Individual Site Status
Recruiting
Facility Name
Hospital Ramón Y Cajal
City
Madrid
ZIP/Postal Code
28034
Country
Spain
Individual Site Status
Recruiting
Facility Name
Hospital Universitario Fundación Jiménez Díaz
City
Madrid
ZIP/Postal Code
28040
Country
Spain
Individual Site Status
Recruiting
Facility Name
Hospital Universitario 12 de Octubre
City
MAdrid
ZIP/Postal Code
28041
Country
Spain
Individual Site Status
Recruiting
Facility Name
Hospital General Universitario J.M. Morales Meseguer
City
Murcia
ZIP/Postal Code
30008
Country
Spain
Individual Site Status
Recruiting
Facility Name
Hospital Universitario de Salamanca
City
Salamanca
ZIP/Postal Code
37007
Country
Spain
Individual Site Status
Recruiting
Facility Name
Hospital Universitario Virgen Del Rocío
City
Sevilla
ZIP/Postal Code
41013
Country
Spain
Individual Site Status
Recruiting
Facility Name
Hospital Universitario Y Politécnico La Fe
City
Valencia
ZIP/Postal Code
46026
Country
Spain
Individual Site Status
Recruiting
Facility Name
Hospital Clínico Universitario de Valencia
City
Valencia
Country
Spain
Individual Site Status
Recruiting

12. IPD Sharing Statement

Learn more about this trial

BREntuximab Vedotin in SEcond LIne Therapy BEfore Transplant

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