Phase I of the study is designed to determine the recommended phase II dose (RP2D) for tazemetostat in patients treated with 8 cycles of R-CHOP 21. Phase II of the study is designed to determine the safety and the efficacy of tazemetostat in DLBCL and FL patients : DLBCL : tazemetostat with 6 cycles of R-CHOP 21 + 2 cycles of Rituximab FL : tazemetostat with 6 cycles of R-CHOP 21 + 2 cycles of Rituximab then maintenance with 6 months of tazemetostat and 24 months of Rituximab
Phase I: Up to 18 patients will be recruited, using a conventional dose-escalation algorithm (3+3 patients per dose level) to identify the maximum tolerated dose (MTD) which will be deemed the RP2D. Patients will receive 8 cycles of RCHOP every 21 days and tazemetostat every day, starting on day 2 of cycle 1. 4 cohorts are defined, according to dose levels of tazemetostat: 400mg Twice a day (BID) (cohort 1, starting level), 600mg BID (cohort 2), 800mg BID (cohort 3), 200mg BID (cohort -1), depending on the observed toxicities. Phase II: Up to 184 patients (122 DLBCL and 62 FL) will be recruited and treated with tazemetostat at the MTD and RCHOP. Patients will receive 6 cycles of RCHOP every 21 days and tazemetostat at the MTD every day, starting on day 2 of cyle 1, + 2 cycles of Rituximab+tazemetostat. For FL, a maintenance of tazemetostat (6 months) + rituximab (24 months) is expected
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
214
Tablets 200 mg, to be administrated per os
375 mg/m²/dose, D1
750 mg/m²/dose, D1
1.4 mg/m²/dose (max 2 mg), D1
50 mg/m²/dose, D1
40 mg/m2 in the morning D1 to D5
Institut Jules Bordet
Brussels, Belgium
CHU de Liege
Liège, Belgium
CHRU Mont Godinne
Yvoir, Belgium
Centre Hospitalier Victor Dupouy
Argenteuil, France
CH d'Avignon - Hôpital Henri Dufaut
Avignon, France
CHU de Besançon - Hôpital Jean Minjoz
Besançon, France
Polyclinique Bordeaux Nord Aquitaine
Bordeaux, France
CH de Chambéry
Chambéry, France
CHU d'Estaing
Clermont-Ferrand, France
APHP - Hopital Henri Mondor
Créteil, France
...and 21 more locations
Phase I : Number of Dose Limiting Toxicities
Incidence and severity of treatment-emergent AEs qualifying as protocol defined DLT's in cycle 1 and 2 in order to establish the MTD/RP2D
Time frame: 1 cycle (1 cycle is 21 days)
Phase I : Number of Dose Limiting Toxicities
Incidence and severity of treatment-emergent AEs qualifying as protocol defined DLT's in cycle 1 and 2 in order to establish the MTD/RP2D
Time frame: 2 cycles (1 cycle is 21 days)
Phase II - DLBCL Cohort : Complete Response Rate based on local assessment
Complete response rate as determined by Cheson International Work Group (IWG) 2014: Lugano Classification (Deauville scale 1-3)
Time frame: 8 cycles (1 cycle is 21 days)
Phase II - FL Cohort : Complete Response Rate based on local assessment
Complete response rate as determined by Cheson IWG 2014: Lugano Classification (Deauville scale 1-3)
Time frame: 8 cycles (1 cycle is 21 days)
Phase I : Serum concentration of CHOP components in presence/absence of Tazemetostat
Time frame: Change between baseline - 1 month
Phase I : Serum concentration of Tazemetostat and its metabolite (EZH 6930) in presence of CHOP
Time frame: Change between baseline - 1 month
Phase I : Complete response rate (CRR) by central review using Cheson IWG criteria
Time frame: 8 cycles (1 cycle is 21 days)
Phase II - DLBCL Cohort : Number of Adverse Events (AE)/Serious Adverse Events (SAE)
Time frame: 8 cycles (1 cycle is 21 days)
Phase II - DLBCL Cohort : Complete response rate (CRR) by central review using Cheson IWG criteria
Time frame: 8 cycles (1 cycle is 21 days)
Phase II - DLBCL Cohort : Overall response rate (ORR) by central review
Time frame: 52 weeks
Phase II - DLBCL Cohort : Overall response rate (ORR) by central review
Time frame: 104 weeks
Phase II - DLBCL Cohort : progression free survival (PFS)
Time frame: 52 weeks
Phase II - DLBCL Cohort : progression free survival (PFS)
Time frame: 104 weeks
Phase II - DLBCL Cohort : duration of response (DR)
Time frame: 52 weeks
Phase II - DLBCL Cohort : duration of response (DR)
Time frame: 104 weeks
Phase II - DLBCL Cohort : overall survival (OS)
Time frame: 52 weeks
Phase II - DLBCL Cohort : overall survival (OS)
Time frame: 104 weeks
Phase II - DLBCL Cohort : best overall response (BOR)
Time frame: 104 weeks
Phase II - FL cohort : Number of AE/SAE
Time frame: 8 cycles (1 cycle is 21 days)
Phase II - FL cohort : Number of AE/SAE
Time frame: 13 months
Phase II - FL cohort : PET Complete Response Rate (PET-CRR) by central review according to Lugano 2014 criteria
Time frame: 8 cycles (1 cycle is 21 days)
Phase II - FL cohort : Complete Response Rate (CRR)
Time frame: 31 months
Phase II - FL cohort : Overall Response Rate (CRR)
Time frame: 31 months
Phase II - FL cohort : Progression Free Survival (PFS)
Time frame: 24 months
Phase II - FL cohort : Progression Free Survival (PFS)
Time frame: 31 months
Phase II - FL cohort : Event Free Survival (EFS)
Time frame: 24 months
Phase II - FL cohort : Overall Survival (OS)
Time frame: 24 months
Phase II - FL cohort : Duration of Response (DR)
Time frame: 31 months
Phase II - FL cohort : Best Overall Response
Time frame: 31 months
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