search
Back to results

An Open-Label Study Comparing Glofitamab and Polatuzumab Vedotin + Rituximab, Cyclophosphamide, Doxorubicin, and Prednisone Versus Pola-R-CHP in Previously Untreated Patients With Large B-Cell Lymphoma

Primary Purpose

Large B-Cell Lymphoma

Status
Recruiting
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Glofitamab
Polatuzumab vedotin
Rituximab
Cyclophosphamide
Doxorubicin
Prednisone
Sponsored by
Hoffmann-La Roche
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Large B-Cell Lymphoma

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Previously untreated participants with CD20-positive LBCL Confirmed availability of tumor tissue International prognostic index (IPI) score 2-5 Eastern cooperative oncology group (ECOG) performance status of 0, 1, or 2 At least one bi-dimensionally measurable lesion, defined as > 1.5 cm in its longest dimension as measured by CT or MRI Left ventricular ejection fraction (LVEF) >/=50% on cardiac multiple-gated acquisition (MUGA) scan or cardiac echocardiogram (ECHO) Adequate hematologic function Negative HIV test at screening with exceptions as defined by the protocol Negative SARS-CoV-2 antigen or PCR test Exclusion Criteria: Contraindication to any of the individual components of Pola-R-CHP or glofitamab, including prior receipt of anthracyclines, or history of severe allergic or anaphylactic reactions to humanized or murine monoclonal antibodies, or known sensitivity or allergy to murine products Prior solid organ transplantation Current Grade > 1 peripheral neuropathy by clinical examination or demyelinating form of Charcot-Marie-Tooth disease History of indolent lymphoma Current diagnosis of the following: Follicular lymphoma grade 3B; transformations of indolent B-cell lymphomas (e.g., de novo transformed follicular lymphoma); mediastinal grey zone lymphoma; primary mediastinal (thymic) large B-cell lymphoma; Burkitt lymphoma; primary large B-cell lymphoma of immune-privileged sites; primary effusion DLBCL; and primary cutaneous DLBCL Prior treatment with systemic immunotherapeutic agents Prior use of any monoclonal antibody for the purposes of treating cancer within 3 months of the start of Cycle 1 Any investigational therapy for the purposes of treating cancer within 28 days prior to the start of Cycle 1 Prior radiotherapy to the mediastinal/pericardial region Prior therapy for LBCL, with the exception of corticosteriods Corticosteroid use > 50 mg/day of prednisone or equivalent, for purposes other than lymphoma symptom control History of other malignancy that could affect compliance with the protocol or interpretation of results Significant or extensive history of cardiovascular disease Recent major surgery (within 4 weeks prior to the start of Cycle 1), other than for diagnosis Current or past history of central nervous system (CNS) disease, such as stroke, epilepsy, CNS vasculitis, or neurodegenerative disease History of treatment-emergent immune-related adverse events associated with prior immunotherapeutic agents Active autoimmune disease which is not well controlled by therapy Clinically significant liver disease Live, attenuated vaccine within 4 weeks before study treatment infusion on Day 1 of Cycle 1 or anticipation that such a live, attenuated vaccine will be required during the study. Live vaccines during the study and until participants B cells recover are prohibited Any active infection within 7 days prior to Cycle 1 Day 1 that would impact participant safety Suspected active or latent tuberculosis Positive test results for chronic hepatitis B infection, hepatitis C, or the human T-lymphotropic virus type 1 (HTLV-1) History of progressive multifocal leukoencephalopathy

Sites / Locations

  • Townsville Hospital; Haematology and OncologyRecruiting
  • Barwon HealthRecruiting
  • Peter Maccallum Cancer CentreRecruiting
  • First Affiliated Hospital of Medical College of Xi'an Jiaotong University
  • Korea University Anam HospitalRecruiting
  • Clinica Universitaria de Navarra; Servicio de HematologiaRecruiting
  • Hospital General Universitario Gregorio Marañon; Servicio de HematologíaRecruiting
  • Clinica Universidad de Navarra Madrid; Servicio de HematologíaRecruiting
  • Hospital Universitario Virgen del Rocio; Servicio de HematologiaRecruiting
  • National Taiwan University Hospital; Internal MedicinceRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Glofitamab + Pola-R-CHP

Pola-R-CHP

Arm Description

Participants will receive glofitamab in combination with polatuzumab vedotin, rituximab, cyclophosphamide, doxorubicin, and prednisone (Pola-R-CHP).

Participants will receive Pola-R-CHP.

Outcomes

Primary Outcome Measures

Progression-free survival (PFS) as determined by Independent Review Facility (IRF)

Secondary Outcome Measures

PFS as determined by the investigator
PFS as determined by the investigator and IRF for participants with international prognostic index (IPI) 3-5
Event-free survival efficacy causes (EFSeff)
Complete response (CR) rate
Objective response rate (ORR)
Overall survival (OS)
Duration of response (DOR)
Duration of complete response (DOCR)
Disease-free survival (DFS)
Serum concentration of glofitamab
Incidence of anti-drug antibodies (ADAs)
Proportion of participants experiencing a clinically meaningful improvement in physical functioning and fatigue (EORTC QLQ-C30) and lymphoma symptoms (FACT-Lym LymS)
Time to deterioration in physical functioning and fatigue (EORTC QLQ-C30) and lymphoma symptoms (FACT-Lym LymS)
Percentage of Participants with Adverse Events (AEs)

Full Information

First Posted
September 14, 2023
Last Updated
October 10, 2023
Sponsor
Hoffmann-La Roche
search

1. Study Identification

Unique Protocol Identification Number
NCT06047080
Brief Title
An Open-Label Study Comparing Glofitamab and Polatuzumab Vedotin + Rituximab, Cyclophosphamide, Doxorubicin, and Prednisone Versus Pola-R-CHP in Previously Untreated Patients With Large B-Cell Lymphoma
Official Title
A Phase III, Multicenter, Randomized, Open-Label Study Comparing the Efficacy and Safety of Glofitamab (RO7082859) in Combination With Polatuzumab Vedotin Plus Rituximab, Cyclophosphamide, Doxorubicin, and Prednisone (Pola-R-CHP) Versus Pola-R-CHP in Previously Untreated Patients With Large B-Cell Lymphoma
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
September 18, 2023 (Actual)
Primary Completion Date
June 1, 2026 (Anticipated)
Study Completion Date
February 28, 2029 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Hoffmann-La Roche

4. Oversight

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

5. Study Description

Brief Summary
The purpose of this study is to compare the efficacy and safety of glofitamab in combination with polatuzumab vedotin plus rituximab, cyclophosphamide, doxorubicin, and prednisone (Pola-R-CHP) vs Pola-R-CHP in participants with previously untreated CD20-positive large B-cell lymphoma (LBCL).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Large B-Cell Lymphoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
1130 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Glofitamab + Pola-R-CHP
Arm Type
Experimental
Arm Description
Participants will receive glofitamab in combination with polatuzumab vedotin, rituximab, cyclophosphamide, doxorubicin, and prednisone (Pola-R-CHP).
Arm Title
Pola-R-CHP
Arm Type
Active Comparator
Arm Description
Participants will receive Pola-R-CHP.
Intervention Type
Drug
Intervention Name(s)
Glofitamab
Intervention Description
Participants will receive intravenous (IV) glofitamab
Intervention Type
Drug
Intervention Name(s)
Polatuzumab vedotin
Intervention Description
Participants will receive IV polatuzumab vedotin in combination with R-CHP
Intervention Type
Drug
Intervention Name(s)
Rituximab
Intervention Description
Participants will receive IV rituximab
Intervention Type
Drug
Intervention Name(s)
Cyclophosphamide
Intervention Description
Participants will receive cyclophosphamide as part of CHP chemotherapy
Intervention Type
Drug
Intervention Name(s)
Doxorubicin
Intervention Description
Participants will receive IV doxorubicin
Intervention Type
Drug
Intervention Name(s)
Prednisone
Intervention Description
Participants will receive oral prednisone as part of CHP chemotherapy
Primary Outcome Measure Information:
Title
Progression-free survival (PFS) as determined by Independent Review Facility (IRF)
Time Frame
From randomization to the first occurrence of disease progression or relapse, or death due to any cause, whichever occurs first (up to approximately 65 months)
Secondary Outcome Measure Information:
Title
PFS as determined by the investigator
Time Frame
From randomization to the first occurrence of disease progression or relapse or death from any cause, whichever occurs first (up to approximately 65 months)
Title
PFS as determined by the investigator and IRF for participants with international prognostic index (IPI) 3-5
Time Frame
From randomization to the first occurrence of disease progression or relapse or death from any cause, whichever occurs first (up to 65 months)
Title
Event-free survival efficacy causes (EFSeff)
Time Frame
From randomization to the earliest occurrence of disease progression or relapse; death due to any cause; initiation of new anti-lymphoma treatment; or positive biopsy for residual disease after treatment completion (up to approximately 65 months)
Title
Complete response (CR) rate
Time Frame
At the end of treatment (up to approximately 65 months)
Title
Objective response rate (ORR)
Time Frame
At treatment completion or discontinuation (up to approximately 65 months)
Title
Overall survival (OS)
Time Frame
From randomization to death from any cause (up to approximately 65 months)
Title
Duration of response (DOR)
Time Frame
From the first occurrence of a documented objective response to disease progression or death from any cause, whichever occurs first (up to approximately 65 months)
Title
Duration of complete response (DOCR)
Time Frame
From the first occurrence of a documented complete response (CR) to disease progression or death, whichever occurs first (up to approximately 65 months)
Title
Disease-free survival (DFS)
Time Frame
From a documented CR at the end of treatment to disease progression or death, whichever occurs first (up to approximately 65 months)
Title
Serum concentration of glofitamab
Time Frame
Up to approximately 65 months
Title
Incidence of anti-drug antibodies (ADAs)
Time Frame
Baseline up to approximately 65 months
Title
Proportion of participants experiencing a clinically meaningful improvement in physical functioning and fatigue (EORTC QLQ-C30) and lymphoma symptoms (FACT-Lym LymS)
Time Frame
Up to approximately 65 months
Title
Time to deterioration in physical functioning and fatigue (EORTC QLQ-C30) and lymphoma symptoms (FACT-Lym LymS)
Time Frame
Up to approximately 65 months
Title
Percentage of Participants with Adverse Events (AEs)
Time Frame
From randomization to the end of study (up to approximately 65 months)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Previously untreated participants with CD20-positive LBCL Confirmed availability of tumor tissue International prognostic index (IPI) score 2-5 Eastern cooperative oncology group (ECOG) performance status of 0, 1, or 2 At least one bi-dimensionally measurable lesion, defined as > 1.5 cm in its longest dimension as measured by CT or MRI Left ventricular ejection fraction (LVEF) >/=50% on cardiac multiple-gated acquisition (MUGA) scan or cardiac echocardiogram (ECHO) Adequate hematologic function Negative HIV test at screening with exceptions as defined by the protocol Negative SARS-CoV-2 antigen or PCR test Exclusion Criteria: Contraindication to any of the individual components of Pola-R-CHP or glofitamab, including prior receipt of anthracyclines, or history of severe allergic or anaphylactic reactions to humanized or murine monoclonal antibodies, or known sensitivity or allergy to murine products Prior solid organ transplantation Current Grade > 1 peripheral neuropathy by clinical examination or demyelinating form of Charcot-Marie-Tooth disease History of indolent lymphoma Current diagnosis of the following: Follicular lymphoma grade 3B; transformations of indolent B-cell lymphomas (e.g., de novo transformed follicular lymphoma); mediastinal grey zone lymphoma; primary mediastinal (thymic) large B-cell lymphoma; Burkitt lymphoma; primary large B-cell lymphoma of immune-privileged sites; primary effusion DLBCL; and primary cutaneous DLBCL Prior treatment with systemic immunotherapeutic agents Prior use of any monoclonal antibody for the purposes of treating cancer within 3 months of the start of Cycle 1 Any investigational therapy for the purposes of treating cancer within 28 days prior to the start of Cycle 1 Prior radiotherapy to the mediastinal/pericardial region Prior therapy for LBCL, with the exception of corticosteriods Corticosteroid use > 50 mg/day of prednisone or equivalent, for purposes other than lymphoma symptom control History of other malignancy that could affect compliance with the protocol or interpretation of results Significant or extensive history of cardiovascular disease Recent major surgery (within 4 weeks prior to the start of Cycle 1), other than for diagnosis Current or past history of central nervous system (CNS) disease, such as stroke, epilepsy, CNS vasculitis, or neurodegenerative disease History of treatment-emergent immune-related adverse events associated with prior immunotherapeutic agents Active autoimmune disease which is not well controlled by therapy Clinically significant liver disease Live, attenuated vaccine within 4 weeks before study treatment infusion on Day 1 of Cycle 1 or anticipation that such a live, attenuated vaccine will be required during the study. Live vaccines during the study and until participants B cells recover are prohibited Any active infection within 7 days prior to Cycle 1 Day 1 that would impact participant safety Suspected active or latent tuberculosis Positive test results for chronic hepatitis B infection, hepatitis C, or the human T-lymphotropic virus type 1 (HTLV-1) History of progressive multifocal leukoencephalopathy
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Reference Study ID Number: GO44145 https://forpatients.roche.com/
Phone
888-662-6728
Email
global-roche-genentech-trials@gene.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Trials
Organizational Affiliation
Hoffmann-La Roche
Official's Role
Study Director
Facility Information:
Facility Name
Townsville Hospital; Haematology and Oncology
City
Douglas
State/Province
Queensland
ZIP/Postal Code
4812
Country
Australia
Individual Site Status
Recruiting
Facility Name
Barwon Health
City
Geelong
State/Province
Victoria
ZIP/Postal Code
3220
Country
Australia
Individual Site Status
Recruiting
Facility Name
Peter Maccallum Cancer Centre
City
Melbourne
State/Province
Victoria
ZIP/Postal Code
3000
Country
Australia
Individual Site Status
Recruiting
Facility Name
First Affiliated Hospital of Medical College of Xi'an Jiaotong University
City
Xi'an
ZIP/Postal Code
710061
Country
China
Individual Site Status
Withdrawn
Facility Name
Korea University Anam Hospital
City
Seoul
ZIP/Postal Code
02841
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Name
Clinica Universitaria de Navarra; Servicio de Hematologia
City
Pamplona
State/Province
Navarra
ZIP/Postal Code
31008
Country
Spain
Individual Site Status
Recruiting
Facility Name
Hospital General Universitario Gregorio Marañon; Servicio de Hematología
City
Madrid
ZIP/Postal Code
28007
Country
Spain
Individual Site Status
Recruiting
Facility Name
Clinica Universidad de Navarra Madrid; Servicio de Hematología
City
Madrid
ZIP/Postal Code
28027
Country
Spain
Individual Site Status
Recruiting
Facility Name
Hospital Universitario Virgen del Rocio; Servicio de Hematologia
City
Sevilla
ZIP/Postal Code
41013
Country
Spain
Individual Site Status
Recruiting
Facility Name
National Taiwan University Hospital; Internal Medicince
City
Taipei
ZIP/Postal Code
00100
Country
Taiwan
Individual Site Status
Recruiting

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Qualified researchers may request access to individual patient level data through the clinical study data request platform (www.vivli.org). Further details on Roche's criteria for eligible studies are available here (https://vivli.org/ourmember/roche/). For further details on Roche's Global Policy on the Sharing of Clinical Information and how to request access to related clinical study documents, see here (https://www.roche.com/research_and_development/who_we_are_how_we_work/clinical_trials/our_commitment_to_data_sharing.htm).

Learn more about this trial

An Open-Label Study Comparing Glofitamab and Polatuzumab Vedotin + Rituximab, Cyclophosphamide, Doxorubicin, and Prednisone Versus Pola-R-CHP in Previously Untreated Patients With Large B-Cell Lymphoma

We'll reach out to this number within 24 hrs