CClinicalTrials.gg
CompletedNCT01909934Updated Sep 19, 2025Results posted

Study of Brentuximab Vedotin in Participants With Relapsed or Refractory Systemic Anaplastic Large Cell Lymphoma

A Phase 4 interventional study of Brentuximab vedotin in Lymphoma, sponsored by Takeda. Completed at 40 sites in 10 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-09-19.

Sponsored by Takeda · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
50
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to assess the antitumor efficacy of single-agent brentuximab vedotin 1.8 mg/kg administered intravenously (IV) every 3 weeks, as measured by the overall objective response rate (ORR) in patients with r/r sALCL following at least 1 multiagent chemotherapy regimen (cyclophosphamide, doxorubicin hydrochloride [hydroxydaunorubicin], vincristine sulfate [Oncovin], and prednisone [CHOP] or equivalent multiagent chemotherapy regimens with curative intent).

02

Conditions studied

  • Lymphoma

Keywords

  • Lymphoma
  • Anaplastic Large-cell
  • Relapsed
  • Refractory
  • Antigens, CD30
  • Antibody-Drug Conjugate
  • Antibodies, Monoclonal
  • Lymphoma, Non-Hodgkin
  • Lymphoma, Large-Cell, Anaplastic
  • monomethyl auristatin E
  • Drug Therapy
  • Immunotherapy
  • Hematologic Diseases
03

In context

Lymphoma

5,578 studies on the registry are indexed under Lymphoma; 825 are open to participants now.

This study's enrollment of 50 is above the median of 40 across 4,509 interventional studies indexed under Lymphoma.

Browse Lymphoma studies →

Lead sponsor

Takeda is the lead sponsor of 1,002 studies on the registry; 92 are open to participants now.

Of its 173 completed or terminated interventional studies of FDA-regulated products, 149 (86%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Male or female participants age 18 years or older, with relapsed or refractory sALCL who have previously received at least 1 multiagent chemotherapy
  • Bidimensional measurable disease
  • An Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • Female participants who are postmenopausal for at least 1 year before the screening visit, surgically sterile, or agree to practice 2 effective methods of contraception, at the same time, from the time of signing the informed consent form through 30 days after the last dose of study drug, or agree to practice true abstinence
  • Male participants who agree to practice effective barrier contraception during the entire study treatment period through 6 months after the last dose of study drug or agree to practice true abstinence
  • Clinical laboratory values as specified in the study protocol

Exclusion criteria

Exclusion Criteria:

  • Previous treatment with brentuximab vedotin.
  • Previously received an allogeneic transplant.
  • Participants with current diagnosis of primary cutaneous anaplastic large cell lymphoma [ALCL] (participants whose ALCL has transformed to sALCL are eligible).
  • Known cerebral/meningeal disease including signs or symptoms of progressive multifocal leukoencephalopathy (PML)
  • Female participants who are lactating and breastfeeding or pregnant
  • Known human immunodeficiency virus (HIV) positive
  • Known hepatitis B surface antigen-positive, or known or suspected active hepatitis C infection
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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
50 participants (actual)

Study arms

  • Experimental
    Brentuximab Vedotin 1.8 mg/kg

    Participants received brentuximab vedotin 1.8 mg/kg as a 30 minute intravenous (IV) infusion on Day 1 of each 3 week cycle. Participants with stable disease or better and without unacceptable toxicity were to receive a minimum of 8 cycles with the opportunity to receive a maximum of 16 cycles.

    Drug: Brentuximab vedotin

Interventions

  • DrugBrentuximab vedotin

    Brentuximab vedotin IV infusion

    Also known as: SGN-35, ADCETRIS

06

What researchers measure

Primary outcomes

  1. Objective Response Rate (ORR)

    ORR was defined as the percentage of participants with a complete remission (CR) or partial remission (PR) by Independent Review Facility (IRF) response assessment according to the International Working Group (IWG) Revised Response Criteria for Malignant Lymphoma. CR is defined as the disappearance of all evidence of disease and PR is defined as regression of measurable disease and no new sites.

    Time frame: Up to data cut-off date: 04 May 2021 (Up to approximately 7 years)

Secondary outcomes

  1. Duration of Response (DOR) Per IRF

    DOR was defined as the time between initial response and documented tumor progression in the subset of participants who achieved an objective response, either CR or PR. DOR per IRF was based upon the radiological assessment of measured lesions from an independent review facility. DOR was censored on the date of the last disease assessment documenting absence of progressive disease (PD) for participants who were lost to follow-up, withdrew consent, started a new anticancer therapy other than stem cell transplant (SCT), or discontinued treatment due to undocumented PD after the last adequate disease assessment.

    Time frame: Until disease progression, death, or the data cut-off date: 4 May 2021 (Up to approximately 7 years)

  2. Progression-free Survival (PFS) Per IRF

    PFS is defined as the time from start of study treatment to first documentation of objective tumor progression or to death due to any cause, whichever comes first. PFS per IRF is based upon the radiological assessment from an independent review facility.

    Time frame: Until disease progression, death, or the data cut-off date: 4 May 2021 (Up to approximately 7 years)

  3. Complete Remission Rate (CRR) Per IRF

    CRR is defined as percentage of participants with CR. CR is defined as the disappearance of all evidence of disease.

    Time frame: Until disease progression, death, or the data cut-off date: 4 May 2021 (Up to approximately 7 years)

  4. Overall Survival (OS)

    OS is defined as the time from start of study treatment to date of death due to any cause.

    Time frame: Until disease progression, death, or end of study (Up to approximately 10.7 years)

  5. Percentage of Participants Receiving Hematopoietic Stem Cell Transplant (SCT) Following Treatment With Brentuximab Vedotin

    Time frame: Until disease progression, death, or end of study (Up to approximately 10.7 years)

  6. Percentage of Participants With Treatment-emergent Adverse Events (TEAEs), Serious TEAEs, Related TEAEs and TEAEs by Severity (Grade 3 or Higher)

    An adverse event (AE): any untoward medical occurrence in a participant administered a pharmaceutical product; the untoward medical occurrence does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product whether or not it is related to medicinal product. TEAE was defined as any AE that started after the first administration of study drug in this continuation study. Serious TEAEs: defined as any untoward medical occurrence that at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongation of an existing hospitalization, results in persistent or significant disability or incapacity, is a congenital anomaly/birth defect, or is a medically important event.

    Time frame: From first dose up to 30 days post last dose of study drug (Up to approximately 1 year)

  7. Concentration of Serum Antibody-drug Conjugate (ADC) at the End of Infusion

    Time frame: Cycle 1, Day 1 and Cycle 3, Day 1 at the end of infusion

  8. Concentration of Serum Total Antibody (TAb) Conjugate Plus Free Total Antibody

    Time frame: Cycle 1, Day 1 and Cycle 3, Day 1 at the end of infusion

  9. Maximum Concentration for Unconjugated Drug- Monomethyl Auristatin E (MMAE)

    Time frame: Cycle 1, Day 1 and Cycle 3, Day 1 at the end of infusion

  10. Percentage of Participants With Presence of Anti-Therapeutic Antibodies (ATA) and Neutralizing Antibodies (NAb) to Brentuximab Vedotin

    Time frame: Up to 16 cycles (each cycle = 21 days)

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Results

Posted May 26, 2022

Participant flow

Participants took part in the study at various investigative sites globally from 23 January 2014 to 29 August 2024.

Participant flow — Overall Study
MilestoneBrentuximab Vedotin 1.8 mg/kg
Started50
Completed19
Not completed31
Withdrew: Withdrawal by subject3
Withdrew: Lost to follow-up1
Withdrew: Death25
Withdrew: Withdrawal of informed consent1
Withdrew: Reason not specified1

Outcome measures

PrimaryObjective Response Rate (ORR)

ORR was defined as the percentage of participants with a complete remission (CR) or partial remission (PR) by Independent Review Facility (IRF) response assessment according to the International Working Group (IWG) Revised Response Criteria for Malignant Lymphoma. CR is defined as the disappearance of all evidence of disease and PR is defined as regression of measurable disease and no new sites.

Time frame:
Up to data cut-off date: 04 May 2021 (Up to approximately 7 years)
Reported as:
Number · percentage of participants
Objective Response Rate (ORR)
percentage of participantsBrentuximab Vedotin 1.8 mg/kg
Objective Response Rate (ORR)64 (49 to 77)
SecondaryDuration of Response (DOR) Per IRF

DOR was defined as the time between initial response and documented tumor progression in the subset of participants who achieved an objective response, either CR or PR. DOR per IRF was based upon the radiological assessment of measured lesions from an independent review facility. DOR was censored on the date of the last disease assessment documenting absence of progressive disease (PD) for participants who were lost to follow-up, withdrew consent, started a new anticancer therapy other than stem cell transplant (SCT), or discontinued treatment due to undocumented PD after the last adequate disease assessment.

Time frame:
Until disease progression, death, or the data cut-off date: 4 May 2021 (Up to approximately 7 years)
Reported as:
Median · months
Duration of Response (DOR) Per IRF
monthsBrentuximab Vedotin 1.8 mg/kg
Duration of Response (DOR) Per IRFNA (19.71 to NA)
SecondaryProgression-free Survival (PFS) Per IRF

PFS is defined as the time from start of study treatment to first documentation of objective tumor progression or to death due to any cause, whichever comes first. PFS per IRF is based upon the radiological assessment from an independent review facility.

Time frame:
Until disease progression, death, or the data cut-off date: 4 May 2021 (Up to approximately 7 years)
Reported as:
Median · months
Progression-free Survival (PFS) Per IRF
monthsBrentuximab Vedotin 1.8 mg/kg
Progression-free Survival (PFS) Per IRF20.9 (4.17 to NA)
SecondaryComplete Remission Rate (CRR) Per IRF

CRR is defined as percentage of participants with CR. CR is defined as the disappearance of all evidence of disease.

Time frame:
Until disease progression, death, or the data cut-off date: 4 May 2021 (Up to approximately 7 years)
Reported as:
Number · percentage of participants
Complete Remission Rate (CRR) Per IRF
percentage of participantsBrentuximab Vedotin 1.8 mg/kg
Complete Remission Rate (CRR) Per IRF30 (18 to 45)
SecondaryOverall Survival (OS)

OS is defined as the time from start of study treatment to date of death due to any cause.

Time frame:
Until disease progression, death, or end of study (Up to approximately 10.7 years)
Reported as:
Median · months
Overall Survival (OS)
monthsBrentuximab Vedotin 1.8 mg/kg
Overall Survival (OS)67.6 (17.68 to NA)
SecondaryPercentage of Participants Receiving Hematopoietic Stem Cell Transplant (SCT) Following Treatment With Brentuximab Vedotin
Time frame:
Until disease progression, death, or end of study (Up to approximately 10.7 years)
Reported as:
Number · percentage of participants
Percentage of Participants Receiving Hematopoietic Stem Cell Transplant (SCT) Following Treatment With Brentuximab Vedotin
percentage of participantsBrentuximab Vedotin 1.8 mg/kg
Percentage of Participants Receiving Hematopoietic Stem Cell Transplant (SCT) Following Treatment With Brentuximab Vedotin28
SecondaryPercentage of Participants With Treatment-emergent Adverse Events (TEAEs), Serious TEAEs, Related TEAEs and TEAEs by Severity (Grade 3 or Higher)

An adverse event (AE): any untoward medical occurrence in a participant administered a pharmaceutical product; the untoward medical occurrence does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product whether or not it is related to medicinal product. TEAE was defined as any AE that started after the first administration of study drug in this continuation study. Serious TEAEs: defined as any untoward medical occurrence that at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongation of an existing hospitalization, results in persistent or significant disability or incapacity, is a congenital anomaly/birth defect, or is a medically important event.

Time frame:
From first dose up to 30 days post last dose of study drug (Up to approximately 1 year)
Reported as:
Number · percentage of participants
Percentage of Participants With Treatment-emergent Adverse Events (TEAEs), Serious TEAEs, Related TEAEs and TEAEs by Severity (Grade 3 or Higher)
percentage of participantsBrentuximab Vedotin 1.8 mg/kg
TEAEs94
Serious TEAEs32
Drug-Related TEAEs70
TEAEs by Severity (Grade 3 or Higher)58
SecondaryConcentration of Serum Antibody-drug Conjugate (ADC) at the End of Infusion
Time frame:
Cycle 1, Day 1 and Cycle 3, Day 1 at the end of infusion
Reported as:
Geometric mean · micrograms per liter (µg/L)
Concentration of Serum Antibody-drug Conjugate (ADC) at the End of Infusion
micrograms per liter (µg/L)Brentuximab Vedotin 1.8 mg/kg
Cycle 1, Day 135 ± 35
Cycle 3, Day 138 ± 25
SecondaryConcentration of Serum Total Antibody (TAb) Conjugate Plus Free Total Antibody
Time frame:
Cycle 1, Day 1 and Cycle 3, Day 1 at the end of infusion
Reported as:
Geometric mean · µg/L
Concentration of Serum Total Antibody (TAb) Conjugate Plus Free Total Antibody
µg/LBrentuximab Vedotin 1.8 mg/kg
Cycle 1, Day 133 ± 29
Cycle 3, Day 138 ± 23
SecondaryMaximum Concentration for Unconjugated Drug- Monomethyl Auristatin E (MMAE)
Time frame:
Cycle 1, Day 1 and Cycle 3, Day 1 at the end of infusion
Reported as:
Geometric mean · nanogram per milliliter (ng/ml)
Maximum Concentration for Unconjugated Drug- Monomethyl Auristatin E (MMAE)
nanogram per milliliter (ng/ml)Brentuximab Vedotin 1.8 mg/kg
Cycle 1, Day 10.25 ± 87
Cycle 3, Day 10.29 ± 88
SecondaryPercentage of Participants With Presence of Anti-Therapeutic Antibodies (ATA) and Neutralizing Antibodies (NAb) to Brentuximab Vedotin
Time frame:
Up to 16 cycles (each cycle = 21 days)
Reported as:
Number · percentage of participants
Percentage of Participants With Presence of Anti-Therapeutic Antibodies (ATA) and Neutralizing Antibodies (NAb) to Brentuximab Vedotin
percentage of participantsBrentuximab Vedotin 1.8 mg/kg
ATA Positive30
Neutralizing ATA Positive0.0

Adverse events

Collected over All-cause mortality: Throughout the study (Up to approximately 10.7 years); Serious and other adverse events: From first dose up to 30 days post last dose of study drug (up to approximately 1 year). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Brentuximab Vedotin 1.8 mg/kg25/50 (50%)16/50 (32%)37/50 (74%)
Most frequent serious events
Showing 10 of 29
Most frequent serious events
EventBrentuximab Vedotin 1.8 mg/kg
Anaplastic large cell lymphoma T- and null-cell typesNeoplasms benign, malignant and unspecified (incl cysts and polyps)2/50
DiarrhoeaGastrointestinal disorders2/50
DyspnoeaRespiratory, thoracic and mediastinal disorders2/50
General physical health deteriorationGeneral disorders2/50
HypotensionVascular disorders2/50
PneumoniaInfections and infestations2/50
Abdominal incarcerated herniaGastrointestinal disorders1/50
Acute respiratory failureRespiratory, thoracic and mediastinal disorders1/50
Aortic stenosisVascular disorders1/50
Autonomic neuropathyNervous system disorders1/50
Most frequent other events
Showing 10 of 23
Most frequent other events
EventBrentuximab Vedotin 1.8 mg/kg
Peripheral sensory neuropathyNervous system disorders9/50
PyrexiaGeneral disorders9/50
DiarrhoeaGastrointestinal disorders8/50
NeutropeniaBlood and lymphatic system disorders8/50
AnaemiaBlood and lymphatic system disorders7/50
FatigueGeneral disorders6/50
ArthralgiaMusculoskeletal and connective tissue disorders5/50
NauseaGastrointestinal disorders5/50
Back painMusculoskeletal and connective tissue disorders4/50
ConstipationGastrointestinal disorders4/50

Baseline characteristics

Safety Population included all participants who received at least 1 dose of brentuximab vedotin.

Age, Continuous
Age, Continuous(years)Brentuximab Vedotin 1.8 mg/kg
Mean56.4 ± 16.70
Sex: Female, Male
Sex: Female, Male(Participants)Brentuximab Vedotin 1.8 mg/kg
Female31
Male19
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Brentuximab Vedotin 1.8 mg/kg
Hispanic or Latino2
Not Hispanic or Latino45
Unknown or Not Reported3
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Brentuximab Vedotin 1.8 mg/kg
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American0
White50
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(Participants)Brentuximab Vedotin 1.8 mg/kg
Belgium1
Croatia2
Czech Republic12
Hungary5
Poland8
Portugal3
Romania3
Spain4
Turkey6
United Kingdom6
Height
Height(centimeters (cm))Brentuximab Vedotin 1.8 mg/kg
Mean166.8 ± 10.40
Weight
Weight(kilograms (kg))Brentuximab Vedotin 1.8 mg/kg
Mean75.2 ± 20.73
Body Mass Index (BMI)
Body Mass Index (BMI)(kilograms per meter squared (kg/m^2))Brentuximab Vedotin 1.8 mg/kg
Mean26.9 ± 6.39
08

Study locations

40 sites
  • ZNA Stuivenberg
    Antwerp, 2060, Belgium
  • Cliniques Universitaires Saint-Luc
    Brussels, 1200, Belgium
  • Universitair Ziekenhuis Gent
    Ghent, 9000, Belgium
  • UZ Leuven
    Leuven, 3000, Belgium
  • Clinical Hospital Centre Rijeka
    Rijeka, 51000, Croatia
  • Clinical Hospital Centre Zagreb
    Zagreb, 10000, Croatia
  • Clinical Hospital Dubrava
    Zagreb, 10000, Croatia
  • Fakultni nemocnice Brno
    Brno, 625 00, Czechia
  • Fakultni nemocnice Olomouc
    Olomouc, 779 00, Czechia
  • Fakultni nemocnice Kralovske Vinohrady
    Prague, 100 34, Czechia
  • Vseobecna fakultni nemocnice v Praze
    Prague, 128 08, Czechia
  • Semmelweis Egyetem
    Budapest, 1083, Hungary
  • Debreceni Egyetem Klinikai Kozpont
    Debrecen, 4032, Hungary
  • Pecsi Tudomanyegyetem
    Pécs, 7624, Hungary
  • Uniwersyteckie Centrum Kliniczne
    Gdansk, 80-952, Poland
  • Malopolskie Centrum Medyczne s.c.
    Krakow, 30-510, Poland
  • SPZOZ MSW zWarminsko-MazurskimCen.Onko.wOlsztynie
    Olsztyn, 10-228, Poland
  • Centrum Onkologii-Instytut im. M. Sklodowskiej Curie
    Warsaw, 02-781, Poland
  • Hospital de Braga
    Braga, 4710-243, Portugal
  • Centro Hospitalar de Lisboa Norte, E.P.E. - Hospital de Santa Maria
    Lisbon, 1649-035, Portugal
  • Centro Hospitalar do Porto, E.P.E. - Hospital de Santo Antonio
    Porto, 4099-001, Portugal
  • Instituto Portugues de Oncologia do Porto Francisco Gentil, EPE
    Porto, 4200-072, Portugal
  • Policlinica de Diagnostic Rapid SA
    Brasov, 500152, Romania
  • Spitalul Clinic Colentina
    Bucharest, 020125, Romania
  • Spitalul Clinic Coltea
    Bucharest, 030171, Romania
  • Spitalul Clinic Judetean de Urgenta Targu Mures
    Târgu Mureş, 540042, Romania
  • ICO lHospitalet Hospital Duran i Reynals
    L'Hospitalet de Llobregat, Barcelona 08907, Spain
  • Hospital Universitario Marques de Valdecilla
    Santander, Cantabria 39008, Spain
  • Hospital Universitari Vall d'Hebron
    Barcelona, 08035, Spain
  • Hospital Universitario Ramon y Cajal
    Madrid, 28034, Spain
  • Hospital Universitario de Salamanca
    Salamanca, 37007, Spain
  • Ankara University Medical Faculty
    Ankara, 06340, Turkey (Türkiye)
  • Pamukkale Uni. Med. Fac.
    Denizli, 20070, Turkey (Türkiye)
  • Istanbul Bilim University Medical Fac.
    Istanbul, 34200, Turkey (Türkiye)
  • Ege University Medical Faculty
    Izmir, 35040, Turkey (Türkiye)
  • Dokuz Eylul University Faculty of Medicine
    Izmir, 35340, Turkey (Türkiye)
  • Erciyes University Medical Faculty
    Kayseri, 38039, Turkey (Türkiye)
  • Royal Cornwall Hospital
    Truro, Cornwall TR1 3LJ, United Kingdom
  • The Christie
    Manchester, Greater Manchester M20 4BX, United Kingdom
  • Birmingham Heartlands Hospital
    Birmingham, West Midlands B9 5SS, United Kingdom
09

References and documents

Study documents

  • Study protocol · Aug 27, 2021
  • Statistical analysis plan · Jun 18, 2021

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.

Supporting information: Study protocol, Sap, Icf, Csr

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 19, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01909934
Lead sponsor
Takeda
Collaborators
Takeda Development Center Americas, Inc.
Responsible party
Sponsor
First posted
Jul 29, 2013
Start date
Jan 23, 2014
Primary completion
May 4, 2021
Completion
Aug 29, 2024
Results posted
May 26, 2022
Last update
Sep 19, 2025

Study contacts

Medical Director
study director · Takeda

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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