The purpose of this randomized, open-label study is to evaluate the safety and efficacy of denintuzumab mafodotin plus RICE (rituximab, ifosfamide, carboplatin, and etoposide) when compared to RICE alone in the treatment of patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) or Grade 3b follicular lymphoma. Eligible patients must also be candidates for autologous stem cell transplant. Patients will be randomly assigned in a 1:1 ratio to receive 3 cycles of study treatment with either denintuzumab mafodotin + RICE or RICE alone. The study will assess whether there is a difference between the 2 groups in the side effects that are reported and the number of patients who achieve complete remission at the end of their study treatment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
81
Denintuzumab mafodotin 3 mg/kg by intravenous (IV) infusion, every 3 weeks for up to 3 cycles.
375 mg/m\^2 by IV infusion, every 3 weeks for up to 3 cycles
5000 mg/m\^2 by IV infusion over a 24-hour period, every 3 weeks for up to 3 cycles
AUC 5mg/mL x min by IV infusion, every 3 weeks for up to 3 cycles
100 mg/m\^2 per day by IV infusion for 3 days, every 3 weeks for up to 3 cycles
University of Arkansas for Medical Sciences
Little Rock, Arkansas, United States
City of Hope National Medical Center
Duarte, California, United States
Scripps Mercy Cancer Center
San Diego, California, United States
Colorado Blood Cancer Institute
Denver, Colorado, United States
Yale Cancer Center
New Haven, Connecticut, United States
Complete Remission Rate Per Independent Review Facility
Number of patients with complete metabolic response by PET (positive emission tomography) and CT (computed tomography) scans, or complete radiologic response by CT only.
Time frame: Up to 4 months
Number of Participants With Adverse Events (AEs)
Treatment-emergent adverse events (TEAEs) are presented and defined as newly occurring (not present at baseline) or worsening after first dose of investigational product. AE severity and seriousness are assessed independently. 'Severity' characterizes the intensity of an AE and is graded using the National Cancer Institute's Common Terminology Criteria for Adverse Events (NCI CTCAE), version 4.03. An AE is considered 'serious' if it is life-threatening, fatal, requires hospitalization, or is otherwise considered to be medically significant.
Time frame: Up to 4 months
Number of Participants With Laboratory Abnormalities
Number of participants who experienced a maximum post-baseline laboratory toxicity of Grade 3 or higher (per National Cancer Institute's Common Terminology Criteria for Adverse Events, version 4.03).
Time frame: Up to 4 months
Objective Response Rate (ORR)
ORR is defined as the proportion of patients with complete remission (CR) or partial remission (PR) per independent review facility (IRF) at the end of treatment.
Time frame: Up to 4 months
Duration of Complete Response (CR)
Defined as the time from the start of the first radiographic documentation of CR per investigator to the first documentation of progressive disease, death due to any cause, or receipt of subsequent anticancer therapy, whichever comes first.
Time frame: Up to 27.9 months
Duration of Objective Response (OR)
Duration of OR is defined as the time from the start of the first radiographic documentation of OR per investigator to the first documentation of PD, death due to any cause, or receipt of subsequent anticancer therapy, whichever comes first.
Time frame: Up to 27.9 months
Progression-free Survival (PFS)
PFS is defined as the time from randomization to first documentation of disease progression per investigator, death due to any cause, or receipt of subsequent anticancer therapy, whichever comes first.
Time frame: Up to 30 months
Overall Survival (OS)
OS is defined as the time from date of randomization to date of death due to any cause. In the absence of confirmation of death, survival time will be censored at the last date the patient is known to be alive.
Time frame: Up to 30 months
Number of Patients Achieving Peripheral Blood Stem Cell (PBSC) Mobilization
Defined as the number of patients who are able to adequately mobilize PBSC per investigator assessment on or after completion of study treatment, prior to subsequent anticancer therapy.
Time frame: Up to 30 months
Number of Patients Receiving Autologous Stem Cell Transplant (ASCT)
Number of patients receiving ASCT after completion of study treatment (EOT), prior to subsequent anticancer therapy.
Time frame: Up to 30 months
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Shands Cancer Center / University of Florida
Gainesville, Florida, United States
University of Miami
Miami, Florida, United States
H. Lee Moffitt Cancer Center & Research Institute
Tampa, Florida, United States
Winship Cancer Institute / Emory University School of Medicine
Atlanta, Georgia, United States
Rush University Medical Center
Chicago, Illinois, United States
...and 19 more locations