This study is researching an experimental drug called odronextamab, referred to as study drug. The study is focused on participants with previously untreated follicular lymphoma. Follicular lymphoma is a type of non-Hodgkin lymphoma or NHL. Participants with follicular lymphoma that has come back after treatment (called "relapsed") or did not respond to treatment (called "refractory") are eligible to take part only in Part 1A of the study. This study is made up of 3 parts: Part 1A (non-randomized), Part 1B and Part 2 (randomized - controlled). The aim of Part 1A and Part 1B of the study is to see how safe and tolerable the study drug in combination with chemotherapy is and to determine the dose and schedule of the study drug to be combined with chemotherapy to be used in Part 2 of the study. The aim of Part 2 of the study is to assess how effective the combination of the study drug with chemotherapy is in comparison with the combination of rituximab and chemotherapy (the current standard-of-care for NHL). Standard-of-care means the usual medication expected and used when receiving treatment for a condition. The study is looking at several other research questions, including: * What side effects may happen from taking the study drug * How much study drug is in the blood at different times * Whether the body makes antibodies against the study drug (which could make the study drug less effective or could lead to side effects) * The impact from the study drug on quality-of-life and ability to complete routine daily activities
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
733
Administered by intravenous (IV) infusion
Administered by IV infusion, or subcutaneous (SC)
Administered by IV infusion
Administered by IV infusion
Administered by IV infusion
Administered orally (PO)
Boca Raton Clinical Research (BRCR) Global
Plantation, Florida, United States
Investigative Clinical Research of Indiana
Noblesville, Indiana, United States
Cancer Center of Kansas
Wichita, Kansas, United States
University of Kentucky
Lexington, Kentucky, United States
Henry Ford Health System
Detroit, Michigan, United States
Incidence of dose limiting toxicities (DLTs) for odronextamab in combination with chemotherapy
Part 1, DLT period
Time frame: Up to 35 days
Incidence of treatment-emergent adverse events (TEAEs) of odronextamab in combination with chemotherapy
Part 1, Treatment period
Time frame: Up to 2 years
Severity of TEAEs of odronextamab in combination with chemotherapy
Part 1, Treatment period
Time frame: Up to 2 years
Complete Response rate at 30 months (CR30) assessed by independent central review (ICR)
Part 2
Time frame: Up to 30 months
Odronextamab concentrations in serum when administered with chemotherapy
Part 1, Maintenance period and Part 2, Induction period
Time frame: Up to 30 months
Odronextamab concentrations in serum when administered as monotherapy
Part 1 and Part 2, Maintenance period
Time frame: Up to 30 months
Incidence of anti-odronextamab antibodies (ADAs)
Part 1 and Part 2
Time frame: Up to 30 months
Titers of ADAs to odronextamab
Part 1 and Part 2
Time frame: Up to 30 months
Incidence of neutralizing antibodies (NAb) to odronextamab
Part 1 and Part 2
Time frame: Up to 30 months
Best overall response (BOR) as assessed by the investigator
Part 1, end of Induction period and end of Maintenance period
Time frame: Up to 30 months
Progression free survival (PFS) as assessed by ICR
Part 2
Time frame: Up to 5 years
CR30 as assessed by local investigator
Part 2
Time frame: Up to 30 months
Change in patient reported physical functioning scale scores on the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Cancer-30 (EORTC-QLQ-C30)
Part 2 The EORTC QLQ-C30 includes 5 functional scales (physical, role, cognitive, emotional and social functioning), 3 symptom scales (fatigue, pain and nausea/vomiting), a global health status (GHS)/QoL scale, and six single items (constipation, diarrhea, insomnia, shortness of breath, appetite loss and financial difficulties). For the functioning scales and global health status / QoL, scores range from 1 = "very poor" to 7 = "excellent" with higher scores indicate better functioning; for the symptom scales, scores range from 1 = "not at all" to 4 = "very much" higher scores indicate higher symptom burden.
Time frame: Up to 5 years
PFS as assessed by local investigator
Part 2
Time frame: Up to 5 years
Event-free survival (EFS) as assessed by ICR
Part 2
Time frame: Up to 5 years
EFS as assessed by local investigator
Part 2
Time frame: Up to 5 years
Overall Survival (OS)
Part 2
Time frame: Up to 5 years
BOR as assessed by local investigator
Part 2
Time frame: Up to 30 months
BOR as assessed by ICR
Part 2
Time frame: Up to 30 months
Duration of response (DOR) assessed by ICR
Part 2
Time frame: Up to 5 years
DOR as assessed by local investigator
Part 2
Time frame: Up to 5 years
Time to next anti-lymphoma treatment (TTNT)
Part 2
Time frame: Up to 5 years
Incidence of TEAEs
Part 2
Time frame: Up to 2 years
Severity of TEAEs
Part 2
Time frame: Up to 2 years
Change in patient reported health related quality of life (HRQoL) as measured by EORTC-QLQ-C30
Part 2 The EORTC QLQ-C30 includes 5 functional scales (physical, role, cognitive, emotional and social functioning), 3 symptom scales (fatigue, pain and nausea/vomiting), a GHS/QoL scale, and six single items (constipation, diarrhea, insomnia, shortness of breath, appetite loss and financial difficulties). For the functioning scales and global health status / QoL, scores range from 1 = "very poor" to 7 = "excellent" with higher scores indicate better functioning; for the symptom scales, scores range from 1 = "not at all" to 4 = "very much" higher scores indicate higher symptom burden.
Time frame: Up to 5 years
Change in cancer disease as measured by EORTC-QLQ-C30
Part 2 The EORTC QLQ-C30 includes 5 functional scales (physical, role, cognitive, emotional and social functioning), 3 symptom scales (fatigue, pain and nausea/vomiting), a GHS/QoL scale, and six single items (constipation, diarrhea, insomnia, shortness of breath, appetite loss and financial difficulties). For the functioning scales and global health status / QoL, scores range from 1 = "very poor" to 7 = "excellent" with higher scores indicate better functioning; for the symptom scales, scores range from 1 = "not at all" to 4 = "very much" higher scores indicate higher symptom burden.
Time frame: Up to 5 years
Change in treatment related symptoms as measured by EORTC-QLQ-C30
Part 2 The EORTC QLQ-C30 includes 5 functional scales (physical, role, cognitive, emotional and social functioning), 3 symptom scales (fatigue, pain and nausea/vomiting), a GHS/QoL scale, and six single items (constipation, diarrhea, insomnia, shortness of breath, appetite loss and financial difficulties). For the functioning scales and global health status / QoL, scores range from 1 = "very poor" to 7 = "excellent" with higher scores indicate better functioning; for the symptom scales, scores range from 1 = "not at all" to 4 = "very much" higher scores indicate higher symptom burden.
Time frame: Up to 5 years
Change in patient-reported lymphoma disease as measured by the Lymphoma Subscale of the Functional Assessment of Cancer Treatment-Lymphoma (FACT-LymS)
Part 2 The FACT-Lym lymphoma subscale (LymS) includes 15 items to assess NHL-related symptoms and concerns. All questions are answered on a 5-point scale ranging from "not at all" (0) to "very much" (4). Higher scores are associated with a worse quality of life.
Time frame: Up to 5 years
Change in treatment-related symptoms as measured by the FACT-LymS
Part 2 The FACT-LymS includes 15 items to assess NHL-related symptoms and concerns. All questions are answered on a 5-point scale ranging from "not at all" (0) to "very much" (4). Higher scores are associated with a worse quality of life.
Time frame: Up to 5 years
Change in patient-reported general health status per EuroQol-5 Dimensions-5 Levels (EQ-5D-5L)
Part 2 The EQ-5D-5L consists of the EQ-5D descriptive system and the EQ visual analogue scale (EQ VAS). The EQ-5D-5L descriptive system comprises the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: "no problems", "slight problems", "moderate problems", "severe problems" and "extreme problems". The EQ VAS records the participant's self-rated health on a vertical visual analogue scale where the endpoints are labeled "Best imaginable health state" and "Worst imaginable health state".
Time frame: Up to 5 years
Change in patient-reported treatment side effects burden per Functional Assessment of Cancer Therapy-General Global Population Item 5 (FACT-G GP5)
Part 2 A single item GP5 of the validated FACT-G questionnaire will be used to assess from the participant perspective the overall impact of treatment side-effect. The question item is on a 5-point scale ranging from "not at all" (0) to "very much" (4).
Time frame: Up to 5 years
Change in Patient Global Impression of Severity (PGIS)
Part 2 The PGIS includes a single-item to assess how a patient perceives the overall severity of cancer symptoms over the past 7 days. Patients will choose the response that best describes the severity of their overall cancer symptoms with options on a 5-point scale ranging from 1 (No symptoms) to 4 (Very Severe).
Time frame: Up to 5 years
Change in Patient Global Impression of Change (PGIC)
Part 2 The PGIC item includes a single-item to assess how a patient perceives their overall change in health status since the start of study treatment. Patients will choose from response options on a 7-point scale ranging from 1 (Much Better) to 7 (Much worse); 1- Much Better, 2-Moderately Better, 3-A Little Better, 4-About the Same, 5-A Little Worse, 6-Moderately Worse, 7-Much Worse.
Time frame: Up to 5 years
Change in score of the FACT-G GP5 item in the patient population
Part 2 A single item GP5 of the validated FACT-G questionnaire will be used to assess from the participant perspective the overall impact of treatment side-effect. The question item is on a 5-point scale ranging from "not at all" (0) to "very much" (4).
Time frame: Up to 5 years
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Cancer and Hematology Centers of Western Michigan
Grand Rapids, Michigan, United States
Center for Oncology and Blood Disorders
Houston, Texas, United States
Community Cancer Trials of Utah
Ogden, Utah, United States
Prohealth Care Inc
Waukesha, Wisconsin, United States
Liverpool Hospital
Liverpool, New South Wales, Australia
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