Study of Brentuximab Vedotin Combined With RCHOP or RCHP in Front-line Treatment of Patients With Diffuse Large B-cell Lymphoma (DLBCL)
Lymphoma, B-cell, Lymphoma, Large B-cell, Diffuse
About this trial
This is an interventional treatment trial for Lymphoma, B-cell focused on measuring Antibodies, Monoclonal, Antibody-Drug Conjugate, Antigens, CD30, Drug Therapy, Hematologic Diseases, Lymphoma, B-cell, Lymphoma, Large B-cell, Diffuse, Monomethyl auristatin E
Eligibility Criteria
Inclusion Criteria:
- Treatment-naive patients with systemic de novo or transformed diffuse large B cell lymphoma (DLBCL) or follicular non-Hodgkin lymphoma (NHL) grade 3b
- International Prognostic Index (IPI) score greater than or equal to 3 for patients greater than 60 years of age or age-adjusted IPI (aaIPI) score of 2 or 3 for patients less than or equal to 60 years of age
- Stage IAX (bulk defined as single lymph node mass >10 cm in diameter), IB-IV disease
- Measurable disease of at least 1.5 cm
- Eastern Cooperative Oncology Group (ECOG) performance status less than or equal to 2
- Patients in Parts 2 and 3 must have histologically confirmed diagnosis of CD30-positive DLBCL
Exclusion Criteria:
- Previous history of treated indolent lymphoma
- History of another primary malignancy that has not been in remission for 3 years
Sites / Locations
- Arizona Oncology Associates, PC - HAL
- Arizona Oncology Associates, PC - HOPE
- University of Arkansas for Medical Sciences
- Comprehensive Blood and Cancer Center
- City of Hope National Medical Center
- Sansum Clinic
- Stanford Cancer Center
- Rocky Mountain Cancer Centers - Aurora
- Augusta University
- Cardinal Bernardin Cancer Center / Loyola University Medical Center
- Illinois Cancer Specialists / Advocate Lutheran General Hospital
- Norton Cancer Institute
- Johns Hopkins Medical Center
- Henry Ford Health System
- Washington University School of Medicine
- Billings Clinic Cancer Research
- Comprehensive Cancer Centers of Nevada
- Summit Medical Group
- Jersey Shore University Medical Center
- New York Oncology Hematology, P.C.
- Mid Ohio Oncology/Hematology Inc
- Willamette Valley Cancer Institute and Research Center
- Northwest Cancer Specialists, P.C.
- Saint Francis Hospital / Bon Secours
- Tennessee Cancer Specialists
- Texas Oncology - Austin Midtown
- Texas Oncology - Baylor Sammons Cancer Center
- US Oncology Investigational Products Center (IPC)
- MD Anderson Cancer Center / University of Texas
- Texas Oncology - San Antonio Medical Center
- US Oncology Central Regulatory
- Texas Oncology - Tyler
- University of Utah
- Virginia Cancer Specialists, PC
- Virginia Commonwealth University Medical Center
- Benaroya Research Institute/Virginia Mason Medical Center
- Fakultni nemocnice Brno
- Fakultni nemocnice Hradec Kralove-oddeleni klinicke hematologie
- Fakultni Nemocnice Kralovske Vinohrady
- Fakultni nemocnice v Motole
- Centro di Riferimento Oncologico di Aviano
- Instituto di Ematologia ed Oncologia Medica
- Azienda Ospedaliero-Universitaria Pisana - Ospedale S. Chiara
- IRCCS Ospedale Casa Sollievo della Sofferenza
- COPERNICUS Podmiot Leczniczy Sp. z o.o. Wojewodzkie Centrum Onkologii
- Malopolskie Centrum Medyczne S.C.
- Samodzielny Publiczny Zaklad Opieki Zdrowotnej Ministerstwa Spraw Wewnetrznych z Warminsko-Mazurskim
- Hospital de la Santa Creu i Sant Paul
- Hospital Universitario Vall d'Hebron
- Institut Català D'oncologia
- Complejo Hospitalano de Navarra Servicio Hematologia
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Experimental
Experimental
Experimental
Active Comparator
Experimental
Part 1: BV(1.2 mg/kg) + RCHOP
Part 1: BV(1.8 mg/kg) + RCHOP
Part 2: BV(1.8 mg/kg) + RCHP
Part 3: RCHOP
Part 3: BV(1.8 mg/kg) + RCHP
Brentuximab vedotin 1.2 mg/kg plus rituximab, cyclophosphamide, doxorubicin, vincristine, prednisone Part 1 of the study is a phase 2, randomized, open-label, multicenter study designed to evaluate the antitumor activity and safety of brentuximab vedotin when administered in combination with standard RCHOP chemotherapy (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone). Patients in this arm were randomized into the 1.2 mg/kg brentuximab vedotin dosing cohort, to be administered in combination with RCHOP.
Brentuximab vedotin 1.8 mg/kg plus rituximab, cyclophosphamide, doxorubicin, vincristine, prednisone Part 1 of the study is a phase 2, randomized, open-label, multicenter study designed to evaluate the antitumor activity and safety of brentuximab vedotin when administered in combination with standard RCHOP chemotherapy (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone). Patients in this arm were randomized into the 1.8 mg/kg brentuximab vedotin dosing cohort, to be administered in combination with RCHOP.
Brentuximab vedotin 1.8 mg/kg plus rituximab, cyclophosphamide, doxorubicin, prednisone Part 2 of the study is a phase 2, non-randomized, open-label, multicenter study designed to evaluate the antitumor activity and safety of brentuximab vedotin 1.8 mg/kg when administered in combination with RCHP chemotherapy (rituximab, cyclophosphamide, doxorubicin, and prednisone). Patients in this treatment arm were enrolled into a dosing cohort with 1.8 mg/kg brentuximab vedotin administered in combination with RCHP.
Rituximab, cyclophosphamide, doxorubicin, vincristine, prednisone Part 3 of the study is a phase 2, randomized, open-label, multicenter study designed to evaluate the antitumor activity and safety of brentuximab vedotin 1.8 mg/kg when administered in combination with RCHP chemotherapy compared to RCHOP chemotherapy alone. Patients in this treatment arm were randomized to receive RCHOP treatment alone.
Brentuximab vedotin 1.8 mg/kg plus rituximab, cyclophosphamide, doxorubicin, prednisone Part 3 of the study is a phase 2, randomized, open-label, multicenter study designed to evaluate the antitumor activity and safety of brentuximab vedotin 1.8 mg/kg when administered in combination with RCHP chemotherapy compared to RCHOP chemotherapy alone. Patients in this treatment arm were randomized to receive RCHOP treatment alone. Randomization in this part of the study is for the purpose of evaluating the safety of 1.8 mg/kg brentuximab vedotin in combination with RCHP versus standard RCHOP chemotherapy. Part 3 of the study is a phase 2, randomized, open-label, multicenter study designed to evaluate the antitumor activity and safety of brentuximab vedotin 1.8 mg/kg when administered in combination with RCHP chemotherapy compared to RCHOP chemotherapy alone. Patients in this treatment arm were randomized to receive 1.8 mg/kg brentuximab vedotin administered in combination with RCHP.