A Phase 2 interventional study of denintuzumab mafodotin and rituximab in Lymphoma, B-cell, Lymphoma, Large B-Cell, Diffuse and Lymphoma, Follicular, Grade 3b, sponsored by Seagen Inc.. Terminated at 29 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-05-17.
Sponsored by Seagen Inc. · Phase 2, Interventional, and Treatment
The purpose of this randomized, open-label study is to evaluate the safety and efficacy of denintuzumab mafodotin plus RICE (rituximab, ifosfamide, carboplatin, and etoposide) when compared to RICE alone in the treatment of patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) or Grade 3b follicular lymphoma. Eligible patients must also be candidates for autologous stem cell transplant. Patients will be randomly assigned in a 1:1 ratio to receive 3 cycles of study treatment with either denintuzumab mafodotin + RICE or RICE alone. The study will assess whether there is a difference between the 2 groups in the side effects that are reported and the number of patients who achieve complete remission at the end of their study treatment.
5,578 studies on the registry are indexed under Lymphoma; 825 are open to participants now.
This study's enrollment of 81 is above the median of 40 across 4,508 interventional studies indexed under Lymphoma.
Browse Lymphoma studies →Seagen Inc. is the lead sponsor of 84 studies on the registry; 1 is open to participants now.
Of its 25 completed or terminated interventional studies of FDA-regulated products, 13 (52%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Denintuzumab mafodotin plus rituximab, ifosfamide, carboplatin, and etoposide
Drug: denintuzumab mafodotin · Drug: rituximab · Drug: ifosfamide · Drug: carboplatin · Drug: etoposide
Rituximab, ifosfamide, carboplatin, and etoposide
Drug: rituximab · Drug: ifosfamide · Drug: carboplatin · Drug: etoposide
Denintuzumab mafodotin 3 mg/kg by intravenous (IV) infusion, every 3 weeks for up to 3 cycles.
Also known as: SGN-CD19A
375 mg/m\^2 by IV infusion, every 3 weeks for up to 3 cycles
5000 mg/m\^2 by IV infusion over a 24-hour period, every 3 weeks for up to 3 cycles
AUC 5mg/mL x min by IV infusion, every 3 weeks for up to 3 cycles
100 mg/m\^2 per day by IV infusion for 3 days, every 3 weeks for up to 3 cycles
Complete Remission Rate Per Independent Review Facility
Number of patients with complete metabolic response by PET (positive emission tomography) and CT (computed tomography) scans, or complete radiologic response by CT only.
Time frame: Up to 4 months
Number of Participants With Adverse Events (AEs)
Treatment-emergent adverse events (TEAEs) are presented and defined as newly occurring (not present at baseline) or worsening after first dose of investigational product. AE severity and seriousness are assessed independently. 'Severity' characterizes the intensity of an AE and is graded using the National Cancer Institute's Common Terminology Criteria for Adverse Events (NCI CTCAE), version 4.03. An AE is considered 'serious' if it is life-threatening, fatal, requires hospitalization, or is otherwise considered to be medically significant.
Time frame: Up to 4 months
Number of Participants With Laboratory Abnormalities
Number of participants who experienced a maximum post-baseline laboratory toxicity of Grade 3 or higher (per National Cancer Institute's Common Terminology Criteria for Adverse Events, version 4.03).
Time frame: Up to 4 months
Objective Response Rate (ORR)
ORR is defined as the proportion of patients with complete remission (CR) or partial remission (PR) per independent review facility (IRF) at the end of treatment.
Time frame: Up to 4 months
Duration of Complete Response (CR)
Defined as the time from the start of the first radiographic documentation of CR per investigator to the first documentation of progressive disease, death due to any cause, or receipt of subsequent anticancer therapy, whichever comes first.
Time frame: Up to 27.9 months
Duration of Objective Response (OR)
Duration of OR is defined as the time from the start of the first radiographic documentation of OR per investigator to the first documentation of PD, death due to any cause, or receipt of subsequent anticancer therapy, whichever comes first.
Time frame: Up to 27.9 months
Progression-free Survival (PFS)
PFS is defined as the time from randomization to first documentation of disease progression per investigator, death due to any cause, or receipt of subsequent anticancer therapy, whichever comes first.
Time frame: Up to 30 months
Overall Survival (OS)
OS is defined as the time from date of randomization to date of death due to any cause. In the absence of confirmation of death, survival time will be censored at the last date the patient is known to be alive.
Time frame: Up to 30 months
Number of Patients Achieving Peripheral Blood Stem Cell (PBSC) Mobilization
Defined as the number of patients who are able to adequately mobilize PBSC per investigator assessment on or after completion of study treatment, prior to subsequent anticancer therapy.
Time frame: Up to 30 months
Number of Patients Receiving Autologous Stem Cell Transplant (ASCT)
Number of patients receiving ASCT after completion of study treatment (EOT), prior to subsequent anticancer therapy.
Time frame: Up to 30 months
| Milestone | RICE | 19A+RICE |
|---|---|---|
| Started | 41 | 40 |
| Received study drug | 40 | 40 |
| Completed treatment | 34 | 32 |
| Completed | 0 | 0 |
| Not completed | 41 | 40 |
| Withdrew: Withdrawal by subject | 3 | 3 |
| Withdrew: Study termination by sponsor | 32 | 27 |
| Withdrew: Lost to follow-up | 0 | 1 |
| Withdrew: Death | 6 | 9 |
Number of patients with complete metabolic response by PET (positive emission tomography) and CT (computed tomography) scans, or complete radiologic response by CT only.
| Participants | RICE | 19A+RICE |
|---|---|---|
| Complete Remission Rate Per Independent Review Facility | 18 | 25 |
Treatment-emergent adverse events (TEAEs) are presented and defined as newly occurring (not present at baseline) or worsening after first dose of investigational product. AE severity and seriousness are assessed independently. 'Severity' characterizes the intensity of an AE and is graded using the National Cancer Institute's Common Terminology Criteria for Adverse Events (NCI CTCAE), version 4.03. An AE is considered 'serious' if it is life-threatening, fatal, requires hospitalization, or is otherwise considered to be medically significant.
| Participants | RICE | 19A+RICE |
|---|---|---|
| Treatment-emergent AE (TEAE) | 39 | 40 |
| Treatment-related AEs | 38 | 40 |
| Grade 3 or Higher TEAEs | 31 | 38 |
| Serious AEs (SAEs) | 13 | 19 |
| Treatment-related SAEs | 9 | 13 |
| AEs Leading to Dose Delay | 3 | 8 |
| AEs Leading to Dose Reduction | 3 | 5 |
| AEs Leading to Treatment Discontinuation | 2 | 3 |
Number of participants who experienced a maximum post-baseline laboratory toxicity of Grade 3 or higher (per National Cancer Institute's Common Terminology Criteria for Adverse Events, version 4.03).
| Participants | RICE | 19A+RICE |
|---|---|---|
| Any Hematology Test | 37 | 37 |
| Hemoglobin Low | 19 | 18 |
| Leukocytes High | 1 | 0 |
| Leukocytes Low | 23 | 24 |
| Lymphocytes High | 2 | 0 |
| Lymphocytes Low | 34 | 31 |
| Neutrophils Low | 22 | 22 |
| Platelets Low | 26 | 35 |
| Any Chemistry Test | 18 | 16 |
| Alanine Aminotransferase High | 3 | 3 |
| Aspartate Aminotransferase High | 1 | 2 |
| Calcium High | 4 | 0 |
| Calcium Low | 0 | 2 |
| Creatinine High | 0 | 1 |
| Glucose High | 4 | 3 |
| Phosphate Low | 9 | 8 |
| Potassium Low | 3 | 5 |
| Sodium Low | 4 | 3 |
| Urate High | 2 | 0 |
ORR is defined as the proportion of patients with complete remission (CR) or partial remission (PR) per independent review facility (IRF) at the end of treatment.
| Participants | RICE | 19A+RICE |
|---|---|---|
| Objective Response Rate (ORR) | 30 | 32 |
Defined as the time from the start of the first radiographic documentation of CR per investigator to the first documentation of progressive disease, death due to any cause, or receipt of subsequent anticancer therapy, whichever comes first.
| months | RICE | 19A+RICE |
|---|---|---|
| Duration of Complete Response (CR) | NA (NA to NA) | NA (NA to NA) |
Duration of OR is defined as the time from the start of the first radiographic documentation of OR per investigator to the first documentation of PD, death due to any cause, or receipt of subsequent anticancer therapy, whichever comes first.
| months | RICE | 19A+RICE |
|---|---|---|
| Duration of Objective Response (OR) | NA (8.15 to NA) | NA (NA to NA) |
PFS is defined as the time from randomization to first documentation of disease progression per investigator, death due to any cause, or receipt of subsequent anticancer therapy, whichever comes first.
| months | RICE | 19A+RICE |
|---|---|---|
| Progression-free Survival (PFS) | NA (2.86 to NA) | NA (5.82 to NA) |
OS is defined as the time from date of randomization to date of death due to any cause. In the absence of confirmation of death, survival time will be censored at the last date the patient is known to be alive.
| months | RICE | 19A+RICE |
|---|---|---|
| Overall Survival (OS) | NA (NA to NA) | NA (10.97 to NA) |
Defined as the number of patients who are able to adequately mobilize PBSC per investigator assessment on or after completion of study treatment, prior to subsequent anticancer therapy.
| Participants | RICE | 19A+RICE |
|---|---|---|
| Patients with attempted stem cell collection(s) | 28 | 24 |
| Patients with sufficient stem cell collection | 26 | 21 |
Number of patients receiving ASCT after completion of study treatment (EOT), prior to subsequent anticancer therapy.
| Participants | RICE | 19A+RICE |
|---|---|---|
| Patients planned to receive ASCT at EOT | 28 | 25 |
| Patients who received ASCT at EOT | 25 | 22 |
Collected over Up to 30 months. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| RICE | 6/40 (15%) | 13/40 (32.5%) | 40/40 (100%) |
| 19A+RICE | 9/40 (22.5%) | 19/40 (47.5%) | 40/40 (100%) |
| Event | RICE | 19A+RICE |
|---|---|---|
| Febrile neutropeniaBlood and lymphatic system disorders | 6/40 | 8/40 |
| AnaemiaBlood and lymphatic system disorders | 0/40 | 3/40 |
| Platelet count decreasedInvestigations | 0/40 | 3/40 |
| White blood cell count decreasedInvestigations | 0/40 | 2/40 |
| ThrombocytopeniaBlood and lymphatic system disorders | 1/40 | 1/40 |
| TachycardiaCardiac disorders | 1/40 | 0/40 |
| Gastric haemorrhageGastrointestinal disorders | 0/40 | 1/40 |
| GastritisGastrointestinal disorders | 0/40 | 1/40 |
| Gastrointestinal haemorrhageGastrointestinal disorders | 0/40 | 1/40 |
| Intestinal fistulaGastrointestinal disorders | 0/40 | 1/40 |
| Event | RICE | 19A+RICE |
|---|---|---|
| KeratopathyEye disorders | 3/40 | 27/40 |
| Vision blurredEye disorders | 5/40 | 26/40 |
| NauseaGastrointestinal disorders | 25/40 | 26/40 |
| AnaemiaBlood and lymphatic system disorders | 23/40 | 19/40 |
| ThrombocytopeniaBlood and lymphatic system disorders | 15/40 | 23/40 |
| FatigueGeneral disorders | 21/40 | 19/40 |
| ConstipationGastrointestinal disorders | 11/40 | 12/40 |
| VomitingGastrointestinal disorders | 11/40 | 12/40 |
| Dry eyeEye disorders | 4/40 | 10/40 |
| NeutropeniaBlood and lymphatic system disorders | 3/40 | 9/40 |
Includes all randomized participants
| Age, Categorical(Participants) | RICE | 19A+RICE | Total |
|---|---|---|---|
| <=18 years | 0 | 0 | 0 |
| Between 18 and 65 years | 28 | 24 | 52 |
| >=65 years | 13 | 16 | 29 |
| Age, Continuous(years) | RICE | 19A+RICE | Total |
|---|---|---|---|
| Median | 60.0 (25 to 74) | 62.5 (20 to 76) | 61.0 (20 to 76) |
| Sex: Female, Male(Participants) | RICE | 19A+RICE | Total |
|---|---|---|---|
| Female | 16 | 13 | 29 |
| Male | 25 | 27 | 52 |
| Ethnicity (NIH/OMB)(Participants) | RICE | 19A+RICE | Total |
|---|---|---|---|
| Hispanic or Latino | 3 | 5 | 8 |
| Not Hispanic or Latino | 37 | 35 | 72 |
| Unknown or Not Reported | 1 | 0 | 1 |
| Race (NIH/OMB)(Participants) | RICE | 19A+RICE | Total |
|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 |
| Asian | 1 | 1 | 2 |
| Native Hawaiian or Other Pacific Islander | 1 | 0 | 1 |
| Black or African American | 1 | 1 | 2 |
| White | 37 | 36 | 73 |
| More than one race | 0 | 0 | 0 |
| Unknown or Not Reported | 1 | 2 | 3 |
| Region of Enrollment(participants) | RICE | 19A+RICE | Total |
|---|---|---|---|
| United States | 41 | 40 | 81 |
| Eastern Cooperative Oncology Group (ECOG) Performance Status(Participants) | RICE | 19A+RICE | Total |
|---|---|---|---|
| Grade 0 | 17 | 19 | 36 |
| Grade 1 | 21 | 21 | 42 |
| Grade 2 | 3 | 0 | 3 |
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Seagen Inc.