A Study of Zilovertamab Vedotin (MK-2140) in Combination With Cyclophosphamide, Doxorubicin, and Prednisone Plus Rituximab or Rituximab Biosimilar (Truxima) (R-CHP) in Participants With Diffuse Large B-Cell Lymphoma (DLBCL) (MK-2140-007)
Lymphoma, Large B-Cell, Diffuse (DLBCL)
About this trial
This is an interventional treatment trial for Lymphoma, Large B-Cell, Diffuse (DLBCL)
Eligibility Criteria
The main inclusion and exclusion criteria include but are not limited to the following:
Inclusion:
- Has histologically confirmed diagnosis of DLBCL by prior biopsy
- Has positron emission tomography (PET)-positive disease verified by blinded independent central review (BICR) at screening, defined as 4-5 on the Lugano response criteria 5-point scale
- Has received no prior treatment for DLBCL
- Has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1 assessed within 7 days prior to the start of study intervention
Exclusion:
- Has a history of transformation of indolent disease to DLBCL
- Has received solid organ transplant at any time
- Has received a diagnosis of primary mediastinal B-cell lymphoma (PMBCL)
- Has clinically significant (ie, active) cardiovascular disease: cerebral vascular accident/stroke (<6 months prior to enrollment), myocardial infarction (<6 months prior to enrollment), unstable angina, congestive heart failure (New York Heart Association Classification Class ≥II), or serious cardiac arrhythmia requiring medication
- Has pericardial effusion or clinically significant pleural effusion
- Has ongoing Grade >1 peripheral neuropathy
- Has a demyelinating form of Charcot-Marie-Tooth disease
- History of a second malignancy unless potentially curative treatment has been completed with no evidence of malignancy for 2 years with the exception of participants who underwent successful definitive resection of basal cell carcinoma of the skin, squamous-cell carcinoma of the skin, or carcinoma in situ, excluding carcinoma in situ of the bladder
- Has received prior radiotherapy within 28 days of start of study intervention
- Has ongoing corticosteroid therapy (exceeding 30 mg daily of prednisone equivalent)
- Has received a live or live-attenuated vaccine within 30 days before the first dose of study intervention
- Has received a strong inhibitor or inducer of CYP3A4 (including itraconazole, ketoconazole, posaconazole, or voriconazole) within 7 days prior to the start of study intervention or expected requirement for chronic use of a strong CYP3A4 inhibitor until <30 days after the last dose
- Is currently participating in or has participated in a study of an investigational agent or has used an investigational device within 28 days before the first dose of study intervention
- Has known active central nervous system (CNS) lymphoma
- Has an active infection requiring systemic therapy
- Has a known history of human immunodeficiency virus (HIV) infection
- Has a known active hepatitis C virus infection
- Has a known active hepatitis B virus infection
Sites / Locations
- BC Cancer Victoria-Clinical Trials Unit ( Site 0105)Recruiting
- William Osler Health System ( Site 0106)Recruiting
- Hopital du Sacre-Coeur de Montreal ( Site 0108)Recruiting
- Hadassah Medical Center ( Site 0401)Recruiting
- Sheba Medical Center-Hemato Oncology ( Site 0400)Recruiting
- Fondazione Policlinico Universitario Agostino Gemelli-ISTITUTO DI EMATOLOGIA ( Site 0306)Recruiting
- Ospedale San Raffaele-Unità Linfomi ( Site 0305)Recruiting
- Az. Osp. Ospedali Riuniti VILLA SOFIA-CERVELLO-EMATOLOGIA I ( Site 0307)Recruiting
- Azienda Ospedaliera Universitaria Careggi-SOD Ematologia ( Site 0308)Recruiting
- Azienda Ospedaliera Nazionale SS. Antonio e Biagio e Cesare -Azienda Ospedaliera Nazionale SS. AntRecruiting
- Seoul National University Hospital ( Site 0201)Recruiting
- Samsung Medical Center ( Site 0200)Recruiting
- Wojewodzkie Wielospecjalistyczne Centrum Onkologii i Traumat-Oddiał Hematologii Ogólnej ( Site 0503)Recruiting
- Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - P-Kilinka Onkologii I Hematologii ( SiteRecruiting
- Uniwersyteckie Centrum Kliniczne-Klinika Hematologii i Transplantologii ( Site 0504)Recruiting
- Narodowy Instytut Onkologii - Oddzial w Gliwicach ( Site 0505)Recruiting
- HOSPITAL UNIVERSITARIO VIRGEN DEL ROCIO-Hematology ( Site 0704)Recruiting
- Instituto Catalan de Oncologia - Hospital Duran i Reynals-Haematology Department ( Site 0703)Recruiting
- Hospital Universitario Fundación Jiménez Díaz-Oncology & Hematology ( Site 0700)Recruiting
- Mega Medipol-Hematology ( Site 0808)Recruiting
- Ankara Universitesi Tip Fakultesi Hastanesi-hematology ( Site 0801)Recruiting
- Trakya University ( Site 0805)Recruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Zilovertamab Vedotin + R-CHP: Dose Escalation/Confirmation
Zilovertamab Vedotin + R-CHP: Efficacy Expansion
Participants in the dose escalation/confirmation phase receive a dose level of zilovertamab vedotin (from 1.5 mg/Kg up to 2.5 mg/Kg) plus 750 mg/m^2 cyclophosphamide, 50 mg/m^2 doxorubicin, and 375 mg/m^2 rituximab or rituximab biosimilar (truxima) administered by intravenous (IV) infusion on Day 1 of each 21-day cycle (Q3W) for up to 8 cycles (up to approximately 5.5 months). Participants also receive 100 mg prednisone or prednisolone per day during Days 1-5 of each 21-day cycle for up to 8 cycles (up to approximately 5.5 months).
Participants in the efficacy expansion phase receive the RP2D of zilovertamab vedotin plus 750 mg/m^2 cyclophosphamide, 50 mg/m^2 doxorubicin, and 375 mg/m^2 rituximab or rituximab biosimilar (truxima) administered by intravenous (IV) infusion on Day 1 of each 21-day cycle (Q3W) for up to 8 cycles (up to approximately 5.5 months). Participants also receive 100 mg prednisone or prednisolone per day during Days 1-5 of each 21-day cycle for up to 8 cycles (up to approximately 5.5 months).