Lymphoma, Large B-Cell, Diffuse, Lymphoma, Non-Hodgkin
Conditions
Keywords
Lymphoproliferative Disorders, Lymphoma, Antigens, CD40, Antibody, Monoclonal, Combined Modality Therapy, Lymphoma, Large B-Cell, Diffuse, Lymphoma, Non-Hodgkin, Hematologic Diseases, Immunoproliferative Disorders, Lymphatic Diseases
Brief summary
This is a randomized trial to estimate the activity of R-ICE plus SGN-40 vs. R-ICE plus placebo in patients with DLBCL. The study will assess safety and tolerability and will measure any additional clinical benefit observed in patients receiving SGN-40.
Interventions
2-8 mg/kg IV. Cycle 1: Days -1, 3, 8, 15; Cycles 2, 3: Days 1, 8, 15.
Volume as equivalent to corresponding SGN 40 dose IV. Cycle 1: Days -1, 3, 8, 15. Cycles 2, 3: Days 1, 8, 15.
375 mg/m2 IV. Cycle 1: Day -2; Cycles 2, 3: Day 1
100 mg/m2 IV. Cycles 1-3: Days 1, 2 and 3.
AUC=5 mg/mL min IV. Cycles 1-3: Day 2.
5 g/m2 24 hr. IV infusion. Cycles 1-3: Day2.
Sponsors
Study design
Eligibility
Inclusion criteria
* Confirmed diagnosis of de novo or transformed DLBCL, or follicular grade 3b lymphoma. * Received at least four cycles of first-line therapy with R-CHOP, or equivalent. * Best clinical response to first-line therapy of stable disease, partial response, or complete response. * At least one measureable lesion that is both greater than or equal to 1.5cm by radiographic imaging and by positive FDG-PET scan.
Exclusion criteria
* Leptomeningeal or central nervous system lymphoma. * Received any therapy for relapsed or progressive disease except for local radiation, steroids, or rituximab. * Received a hematopoietic stem cell transplant.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Complete response as assessed by CT and PET scans and revised response criteria for malignant lymphoma. | 9 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Adverse events, laboratory values, and anti-drug antibody immune responses. | 9 weeks |
| Partial response, failure free survival, overall survival, and response for one and two years following treatment. | Every 3 months for 2 years |
Countries
Australia, Belgium, Czechia, France, Germany, Hungary, Italy, Poland, Spain, United States