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Active (not recruiting) Phase 3 NCT06047080

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

Phase 3 – large-scale trial before approval
Conditions: Large B-Cell Lymphoma

Sponsor: Hoffmann-La Roche

trial.available_in: БГ
Overview
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).
Who can participate
Inclusion Criteria: * Previously untreated participants with CD20-positive LBCL * Ability to provide 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 * Participants receiving systemic immunosuppressive agent such as, but not limited to cyclosporin, azathioprine, methotrexate, thalidomide, and anti-tumor necrosis factor agents within 4 weeks prior to first dose of study treatment * Current Grade \> 1 peripheral neuropathy by clinical examination or demyelinating form of Charcot-Marie-Tooth disease * History of indolent lymphoma (e.g., Follicular Lymphoma, Marginal Zone Lymphoma, Waldenstrom macroglobulinemia) * 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 (encompassing primary diffuse large B-cell lymphoma of the CNS, primary large B-cell lymphoma of the vitreoretina and primary large B-cell lymphoma of the testis); primary effusion DLBCL; and primary cutaneous DLBCL, leg type * Primary or secondary CNS lymphoma at the time of recruitment or history of CNS lymphoma * 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 \> 30 mg/day of prednisone or equivalent, for purposes other than lymphoma symptom control * History of other malignant or non-malignant diseases 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 * Known or suspected chronic active Epstein-Barr viral infection * Known or suspected history of hemophagocytic lymphohistiocytosis (HLH) * Active autoimmune disease requiring treatment * 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
Locations 20
Argentina (1)
Instituto Alexander Fleming
Buenos Aires
Australia (1)
Concord Repatriation General Hospital
Concord , New South Wales
Belgium (1)
Institut Jules Bordet
Anderlecht
Brazil (1)
Hospital Erasto Gaertner
Curitiba , Paraná
Canada (1)
Queen Elizabeth II Health Sciences Centre
Halifax , Nova Scotia
China (1)
Beijing Cancer Hospital
Beijing
Denmark (1)
Aalborg Universitetshospital
Aalborg
France (1)
CHRU de Lille - Hopital Claude Huriez
Lille
Italy (1)
Istituto Nazionale Tumori Irccs Fondazione g. Pascale
Naples , Campania
Japan (1)
Anjo Kosei Hospital
Aichi
Mexico (1)
Health Pharma Professional Research
Mexico City , Mexico CITY (federal District)
Poland (1)
Szpital Specjalistyczny Podkarpacki O?rodek Onkologiczny
Brzozów
Puerto Rico (1)
Auxilio Mutuo Cancer Center
San Juan
South Korea (1)
Inje university Haeundae Paik Hospital
Busan
Spain (1)
Complejo Hospitalario Universitario de Santiago (CHUS)
Santiago de Compostela , LA Coruna
Switzerland (1)
Universitaetsspital Basel
Basel
Taiwan (1)
Chang Gung Medical Foundation - Chai Yi
Chai Yi
Turkey (1)
Abdurrahman Yurtarslan Onkoloji Training and Research Hospital
Ankara
United Kingdom (1)
Barnet Hospital
Barnet
United States (1)
Alaska Oncology & Hematology, LLC
Anchorage , Alaska
Technical details
Status
Active (not recruiting)
Phase
Phase 3
Study type
INTERVENTIONAL
Sex
Male and female
Minimum age
18 Years
Maximum age
80 Years
Healthy volunteers
No
Start date
18.09.2023
Completion date
30.10.2030
Registry ID
NCT06047080
Source
anzctr
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