The purpose of this study is to evaluate the clinical activity and tolerability of a combination of obinutuzumab plus venetoclax in patients with relapsed or refractory diffuse large B-cell lymphoma.
The study will have a 6 patient run-in phase to determine safety and to adjust treatment. Once the sixth patient has completed 21 days of treatment, withdrawn due to toxicity, or died, a formal review will be undertaken by the sponsor (AGMT). Enrolment will be halted until review is completed. If one (1) treatment related death is reported or three (3) or more patients experience CTC grade 4 events other than neutropenia, anemia, or thrombocytopenia, the study will be stopped for further recruitment. If the stopping criteria are not met, enrollment will be continued. A futility analysis will be conducted when the first 10 patients have been evaluated for response: If at least 2 patients had an objective response (CR or PR), the study will be continued. The combination treatment will be repeated for up to 3 cycles. The first response assessment (including PET-CT) will be performed after the first cycle of obinutuzumab-venetoclax and patients with at least stable disease (SD) or better will be given another 2 cycles of therapy and then have assessment after a total of 3 cycles. Patients with complete or partial remission (CR, PR) after 3 cycles of therapy will either go on to transplant or receive 9 further cycles of the combination therapy (if transplant ineligible). Patients with progressive disease at any time-point or stable disease after 3 cycles will be taken off study.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
22
3 cycles followed by 9 cycles consolidation if not transplant eligible
3 cycles followed by 9 cycles consolidation if not transplant eligible
UK Graz: Universitätsklinik für Innere Medizin; Klinische Abteilung für Hämatologie
Graz, Austria
Medizinische Universität Innsbruck Univ.-Klinik für Innere Medizin V Hämatologie und Onkologie
Innsbruck, Austria
Kepler Universitätsklinikum Linz, Med Campus III.,Univ.-Klinik für Hämatologie und Internistische Onkologie
Linz, Austria
Clinical activity and tolerability
Objective response rate (complete or partial responses; best response) defined by PET/CT scan and bone marrow examination examination after 3 cycles.
Time frame: After 3 cycles of treatment (9 weeks)
Safety: Incidence of dose-limiting toxicities
Incidence of dose-limiting toxicities of the combination treatment.
Time frame: 9 weeks induction plus maximum of 27 weeks consolidation
Response duration
Time frame: From first documented response until end of follow up (max 108 weeks)
Progression-free survival
Time frame: 72 weeks after last patient last visit
Overall survival
Time frame: 72 weeks after last patient last visit
Ability to proceed to further stem cell transplantation
Assessed by number of eligible patients reaching transplant
Time frame: After 3 cycles of treatment (9 weeks)
Genetically/biomarker defined subgroups
Identification of genetically/biomarker defined subgroups regarding response and survival
Time frame: 72 weeks after last patient last visit
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Universitätsklinik für Innere Med. III, PMU Salzburg
Salzburg, Austria
AKH Meduni Wien Universitätsklinik für Innere Medizin I Klinische Abteilung für Hämatologie und Hämostaseologie
Vienna, Austria
Klinikum Wels-Grieskirchen, Abteilung für Innere Medizin IV
Wels, Austria