Study to Evaluate the Efficacy and Tolerability of Debio 1562 in Combination With Rituximab in Participants With Relapsed and/or Refractory DLBCL and Other Forms of NHL
Diffuse Large B-Cell Lymphoma, B-cell Non-Hodgkin's Lymphoma
About this trial
This is an interventional treatment trial for Diffuse Large B-Cell Lymphoma
Eligibility Criteria
Inclusion Criteria:
- For Part 1 of the study, participants must have histopathologically confirmed diagnosis of R/R, DLBCL, FL, MZL/MALT, MCL, or other Sponsor approved NHL subtypes according to the World Health Organization (WHO) classification 2008 for which standard measures do not exist or are no longer effective.
For Part 2 and Part 3 of the study, participants must have histopathologically and clinically confirmed diagnosis of relapsed DLBCL. Participants will be considered to have a relapsed disease if they showed a duration of response of at least 24 weeks after their first line of therapy. The following participants with relapsed DLBCL will be enrolled:
- Participants who received at least only one line of previous therapy and achieved either complete response (CR) or partial response (PR) for at least 24 weeks (from the last day of the last cycle) after their first line of therapy, but are not eligible for high dose chemotherapy with autologous stem cell transplantation (HD-ASCT)
- Participants who received more than one line of previous therapy (including HD-ASCT), and have achieved a duration of response (CR or PR) of at least 8 weeks (from the last day of the last cycle) after their last line of therapy
- Participants must have evaluable or measurable disease in accordance with the International Working Group Guidelines for Lymphoma.
- Participants must have received at least one but no more than six prior treatment regimens. Prior treatment with an anti-cluster of differentiation 20 (anti-CD20) agent, either alone or in combination, is allowed.
- Participants must have Eastern Cooperative Oncology Group (ECOG) Performance Status 0 - 2.
- Participants who are Hepatitis B surface antigen positive (HBsAg+) (must be polymerase chain reaction (PCR) negative) who are taking antivirals, are allowed to enroll.
Exclusion Criteria:
- Participants with a diagnosis of chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL).
- For Part 2 and Part 3 of the study, participants with primary refractory DLBCL (defined as progression of disease within 24 weeks after first line of treatment).
- For Part 2 and Part 3 of the study, participants that are eligible to undergo first time HD-ASCT.
- For Part 2 and Part 3 of the study, participants with R/R FL, MZL/MALT, MCL, or any other NHL subtypes according to the WHO classification.
- Participants with active hepatitis A, B or C infection.
- Women who are pregnant or breast feeding.
- Participants who have received prior therapy with other anti-CD37-targeting therapy.
- Participants who have known central nervous system, meningeal, or epidural disease including brain metastases.
- Participants with impaired cardiac function or clinically significant cardiac disease.
- Participants currently presenting interstitial lung disease, diffuse parenchymal lung disease, or with a past history of severe/Grade 3 parenchymal lung disorders.
Sites / Locations
- Alabama Oncology
- Carle Cancer Center at Carle Foundation Hospital
- Virginia Piper Cancer Institute
- Novant Health Oncology
- Cleveland Clinic
- Abramson Cancer Center of The University of Pennsylvania
- Spartanburg Regional Healthcare System
- Baylor Sammons Cancer Center
- Swedish Medical Center
- CHU UCL Namur asbl - Site Godinne
- Jan Yperman Ziekenhuis
- University Hospitals Leuven, Campus Gasthuisberg, Department of Medical Oncology
- St. Augustinus Hospital, Department of Hematology
- University Multiprofile Hospital for Active Treatment "Sveti Georgi", Clinic of Medical Oncology
- Specialized Hospital for Active Treatment of Hematological Diseases,Clinic of Hematology, Department of Clinical Hematology
- Multiprofile Hospital for Active Treatment - Hristo Botev, Vratsa, First Department of Internal Medicine
- University Hospital Brno
- University Hospital Hradec Kralove
- University Hospital Kralovske Vinohrady
- General University Hospital in Prague
- National Institute of Oncology
- University of Debrecen Clinical Center
- Medical Center of the University of Pecs
- University Hospital - Ospedali Riuniti Umberto I - GM Lancisi - G Salesi of Ancona, Clinic of Hematology
- Civil Hospital of Brescia
- United Hospitals Villa Sofia Cervello, Department of Hematology and Oncology
- Local Healthcare Company 8 Berica (Azienda ULSS8 Berica), Hospital San Bortolo of Vicenza, Complex Operative Unit of Hematology
- University Clinical Center in Gdansk, Teaching Department of Hematology and Transplantology
- Małopolskie Medical Centre
- St. John of Dukla Oncology Center of Lublin Land, Department of Hematology
- Provincial Hospitals in Gdynia Sp. z o.o. (LLC), Department of Oncology and Radiotherapy, Clinical Oncology Unit
- Oncology Institute of Southern Switzerland - Ospedale Regionale Bellinzona e Valli
- Cherkasy Regional Oncology Center, Regional Treatment and Diagnostic Hematology Center, Department of Hematology
- S.P. Hryhoriev Institute of Medical Radiology
- Communal Non-profit enterprise "Regional Center of Oncology"
- National Institute of Cancer
- National Research Center for Radiation Medicine
- Kyiv City Clinical Hospital #9, City Hematology Center
- Podillia Regional Oncology Center
Arms of the Study
Arm 1
Experimental
Debio 1562
Participants with a diagnosis of relapsed and/or refractory (R/R) Diffuse Large B Cell Lymphoma (DLBCL), Follicular Non-Hodgkin's Lymphoma (FL), Marginal Zone Lymphoma (MZL)/Mucosa-associated Lymphoid Tissue (MALT), Mantle Cell Lymphoma (MCL) or other Non-Hodgkin's Lymphoma (NHL) with the Sponsor's approval, will receive Debio 1562 and Rituximab in 3 different parts of study i.e., Safety run in, Part 2 and Expansion (Part 3). Participants in Part 2 will be enrolled in two parallel cohorts (Cohort A and Cohort B).