The primary objective of this study is to characterize the safety and tolerability of loncastuximab tesirine in combination with rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP) chemotherapy, and identify the maximum tolerated dose (MTD) and/or recommended dose for expansion (RDE) for the combination therapy.
This is a Phase 1b, open-label, multi-center study in participants with previously untreated DLBCL, with a dose escalation part followed by dose expansion part. Participants will be treated by loncastuximab tesirine in combination with R CHOP. The duration of the study participation for each participant is defined as the time from the date of signed written informed consent to the completion of the follow-up period, withdrawal of consent, lost to follow-up, or death, whichever occurs first. The study will include a Screening Period (of up to 28 days), a Treatment Period of 6 cycles (cycles of 3 weeks), and a Follow-up Period (approximately every 12 week visits) for up to approximately 3 years from end-of-treatment (EOT).
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Intravenous (IV) infusion
Orally via tablet or capsule
Intravenous (IV) infusion
University Hospitals Cleveland Medical Center
Cleveland, Ohio, United States
Number of Participants Who Experience Dose Limiting Toxicities (DLTs) in Part 1
Time frame: Day 1 to Day 21 of Cycle 1, where a cycle is 21 days
Number of Participants Who Experience a Treatment-emergent Adverse Event (TEAE)
Frequency and severity of TEAEs and treatment-emergent serious adverse events (SAEs), graded according to Common Terminology Criteria for Adverse Events (CTCAE) v5.0.
Time frame: Day 1 up to End of Treatment (up to 30 days after last dose of study treatment in this study or start of a new anticancer therapy, whichever is earlier; approximately 20 weeks)
Number of Participants Who Experience an Adverse Event (AE) Leading to Dose Delay
Time frame: Day 1 up to approximately 18 weeks
Number of Participants Who Experience an Adverse Event (AE) Leading to Dose Interruption
Time frame: Day 1 up to approximately 18 weeks
Number of Participants Who Experience an Adverse Event (AE) Leading to Dose Reduction
Time frame: Day 1 up to approximately 18 weeks
Number of Participants Who Experience a Clinically Significant Change from Baseline in Safety Laboratory Values
Time frame: Baseline (Day 1) to End of Treatment (up to 30 days after last dose of study treatment; approximately 20 weeks)
Number of Participants Who Experience a Clinically Significant Change from Baseline in Vital Signs
Time frame: Baseline (Day 1) to End of Treatment (up to 30 days after last dose of study treatment; approximately 20 weeks)
Number of Participants Who Experience a Clinically Significant Change from Baseline in Eastern Cooperative Oncology Group (ECOG) Performance Status
ECOG performance status will be measured on a scale from grades 0-5, where a higher grade indicates a worse outcome.
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Intravenous (IV) infusion
Intravenous (IV) infusion
Intravenous (IV) infusion
Time frame: Baseline (Day 1) to End of Treatment (up to 30 days after last dose of study treatment; approximately 20 weeks)
Number of Participants Who Experience a Clinically Significant Change from Baseline in 12-Lead Electrocardiograms (ECGs)
Time frame: Baseline (Day 1) to End of Treatment (up to 30 days after last dose of study treatment; approximately 20 weeks)
Number of Participants Who Experience a Clinically Significant Change from Baseline in Left Ventricular Ejection Fraction (LVEF) Assessments
Time frame: Baseline (Screening) to End of Treatment (up to 30 days after last dose of study treatment; approximately 20 weeks)
Overall Response Rate (ORR)
Time frame: Up to approximately 3.5 years
Duration of Response (DOR)
Time frame: Up to approximately 3.5 years
Progression Free Survival (PFS)
Time frame: Up to approximately 3.5 years
Overall Survival (OS)
Time frame: Up to approximately 3.5 years
Complete Response Rate
Time frame: Up to approximately 3.5 years
Average Concentration of Loncastuximab Tesirine
Time frame: Day 2 to End of Treatment (up to 30 days after last dose of study treatment; approximately 20 weeks)
Maximum Concentration (Cmax) of Loncastuximab Tesirine
Time frame: Day 2 to End of Treatment (up to 30 days after last dose of study treatment; approximately 20 weeks)
Time to Maximum Concentration (Tmax) of Loncastuximab Tesirine
Time frame: Day 2 to End of Treatment (up to 30 days after last dose of study treatment; approximately 20 weeks)
Area Under the Concentration-Time Curve from Time Zero to the Last Quantifiable Concentration (AUClast) of Loncastuximab Tesirine
Time frame: Day 2 to End of Treatment (up to 30 days after last dose of study treatment; approximately 20 weeks)
Area Under the Concentration-Time Curve from Time Zero to the End of the Dosing Interval (AUCtau) of Loncastuximab Tesirine
Time frame: Day 2 to End of Treatment (up to 30 days after last dose of study treatment; approximately 20 weeks)
Area Under the Concentration-Time Curve from Time Zero to Infinity (AUCinf) of Loncastuximab Tesirine
Time frame: Day 2 to End of Treatment (up to 30 days after last dose of study treatment; approximately 20 weeks)
Apparent Terminal Elimination Half-Life (Thalf) of Loncastuximab Tesirine
Time frame: Day 2 to End of Treatment (up to 30 days after last dose of study treatment; approximately 20 weeks)
Clearance of Loncastuximab Tesirine
Time frame: Day 2 to End of Treatment (up to 30 days after last dose of study treatment; approximately 20 weeks)
Steady-State Volume of Distribution (Vss) of Loncastuximab Tesirine
Time frame: Day 2 to End of Treatment (up to 30 days after last dose of study treatment; approximately 20 weeks)
Accumulation Index of Loncastuximab Tesirine
Time frame: Day 2 to End of Treatment (up to 30 days after last dose of study treatment; approximately 20 weeks)
Number of Participants With Anti-Drug Antibody (ADA) Titers to Loncastuximab Tesirine
Time frame: Day 2 to End of Treatment (up to 30 days after last dose of study treatment; approximately 20 weeks)