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TerminatedNCT02592876Updated May 17, 2019Results posted

Treatment Study of Denintuzumab Mafodotin (SGN-CD19A) Plus RICE Versus RICE Alone for Diffuse Large B-Cell Lymphoma

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

Why this study was terminated
Sponsor decision based on portfolio prioritization
Phase
Phase 2
Study type
Interventional
Enrollment
81
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

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.

02

Conditions studied

  • Lymphoma, B-cell
  • Lymphoma, Large B-Cell, Diffuse
  • Lymphoma, Follicular, Grade 3b
  • Follicular Lymphoma, Grade 3b

Keywords

  • Antibodies, Monoclonal
  • Antibody-Drug Conjugate
  • Antigens, CD19
  • Autologous Stem Cell Transplant
  • Drug Therapy
  • Follicular Lymphoma Grade 3b
  • Hematologic Diseases
  • Immune System Diseases
  • Immunoproliferative Disorders
  • Immunotherapy
  • Lymphatic Diseases
  • Lymphoma
  • Lymphoma, B-Cell
  • Lymphoma, Large B-Cell, Diffuse
  • Lymphoma, Non-Hodgkin
  • Monomethylauristatin F
  • Neoplasms
  • Neoplasms by Histologic Type
  • Transformed Lymphoma / DLBCL
  • Rituximab
  • Ifosfamide
  • Carboplatin
  • Etoposide
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 81 is above the median of 40 across 4,508 interventional studies indexed under Lymphoma.

Browse Lymphoma studies →

Lead sponsor

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.

04

Who can participate

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

Inclusion criteria

  • Pathologically confirmed diagnosis of relapsed or refractory diffuse large B-cell lymphoma (DLBCL; including de novo and transformed DLBCL) or Grade 3b follicular lymphoma
  • Available representative tissue from the most recent biopsy after the last therapy; if such tissue is not available, a fresh biopsy must be obtained
  • Received only frontline CD20-directed immunotherapy with anthracycline- or anthracenedione-based multi-agent chemotherapy. Monotherapy rituximab or other CD20-directed immunotherapy as maintenance therapy prior to frontline chemotherapy, and radiotherapy in a limited field or as part of the frontline treatment plan are permitted.
  • Achieved a response of stable disease, partial response, or complete response following the last cycle of frontline treatment. In addition, patients must have relapsed less than or equal to 6 months from the completion of frontline therapy at the time of initial dosing in this clinical trial.
  • Considered eligible for high-dose chemotherapy followed by autologous stem cell transplant (ASCT)
  • Fluorodeoxyglucose (FDG)-avid disease by positive emission tomography (PET), and measurable disease greater than 1.5 cm in diameter
  • Eastern Cooperative Oncology Group (ECOG) performance less than or equal to 2
  • Adequate kidney and hematologic function assessed from baseline laboratory data

Exclusion criteria

Exclusion Criteria:

  • Previous history of indolent lymphoma treated with more than 1 multi-agent chemotherapy regimen or previous cancer therapy for recurrent DLBCL or Grade 3b follicular lymphoma
  • History of autologous or allogeneic stem cell transplant
  • History of another primary invasive cancer, hematologic malignancy, or myelodysplastic syndrome that has not been in remission for at least 1 year
  • History of progressive multifocal leukoencephalopathy (PML)
  • Cerebral/meningeal disease related to the underlying malignancy that has not been definitively treated
  • Known urinary tract obstruction
  • Patients with the following ocular conditions: corneal disorders, monocular vision (i.e., best corrected visual acuity greater than or equal to 20/200 in one eye), or active ocular disorders requiring treatment
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
81 participants (actual)

Study arms

  • Experimental
    19A+RICE

    Denintuzumab mafodotin plus rituximab, ifosfamide, carboplatin, and etoposide

    Drug: denintuzumab mafodotin · Drug: rituximab · Drug: ifosfamide · Drug: carboplatin · Drug: etoposide

  • Active comparator
    RICE

    Rituximab, ifosfamide, carboplatin, and etoposide

    Drug: rituximab · Drug: ifosfamide · Drug: carboplatin · Drug: etoposide

Interventions

  • Drugdenintuzumab mafodotin

    Denintuzumab mafodotin 3 mg/kg by intravenous (IV) infusion, every 3 weeks for up to 3 cycles.

    Also known as: SGN-CD19A

  • Drugrituximab

    375 mg/m\^2 by IV infusion, every 3 weeks for up to 3 cycles

  • Drugifosfamide

    5000 mg/m\^2 by IV infusion over a 24-hour period, every 3 weeks for up to 3 cycles

  • Drugcarboplatin

    AUC 5mg/mL x min by IV infusion, every 3 weeks for up to 3 cycles

  • Drugetoposide

    100 mg/m\^2 per day by IV infusion for 3 days, every 3 weeks for up to 3 cycles

06

What researchers measure

Primary outcomes

  1. 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

Secondary outcomes

  1. 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

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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

  9. 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

07

Results

Posted May 17, 2019

Participant flow

Participant flow — Overall Study
MilestoneRICE19A+RICE
Started4140
Received study drug4040
Completed treatment3432
Completed00
Not completed4140
Withdrew: Withdrawal by subject33
Withdrew: Study termination by sponsor3227
Withdrew: Lost to follow-up01
Withdrew: Death69

Outcome measures

PrimaryComplete 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
Reported as:
Count of participants · Participants
Complete Remission Rate Per Independent Review Facility
ParticipantsRICE19A+RICE
Complete Remission Rate Per Independent Review Facility1825
SecondaryNumber 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
Reported as:
Count of participants · Participants
Number of Participants With Adverse Events (AEs)
ParticipantsRICE19A+RICE
Treatment-emergent AE (TEAE)3940
Treatment-related AEs3840
Grade 3 or Higher TEAEs3138
Serious AEs (SAEs)1319
Treatment-related SAEs913
AEs Leading to Dose Delay38
AEs Leading to Dose Reduction35
AEs Leading to Treatment Discontinuation23
SecondaryNumber 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
Reported as:
Count of participants · Participants
Number of Participants With Laboratory Abnormalities
ParticipantsRICE19A+RICE
Any Hematology Test3737
Hemoglobin Low1918
Leukocytes High10
Leukocytes Low2324
Lymphocytes High20
Lymphocytes Low3431
Neutrophils Low2222
Platelets Low2635
Any Chemistry Test1816
Alanine Aminotransferase High33
Aspartate Aminotransferase High12
Calcium High40
Calcium Low02
Creatinine High01
Glucose High43
Phosphate Low98
Potassium Low35
Sodium Low43
Urate High20
SecondaryObjective 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
Reported as:
Count of participants · Participants
Objective Response Rate (ORR)
ParticipantsRICE19A+RICE
Objective Response Rate (ORR)3032
SecondaryDuration 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
Reported as:
Median · months
Duration of Complete Response (CR)
monthsRICE19A+RICE
Duration of Complete Response (CR)NA (NA to NA)NA (NA to NA)
SecondaryDuration 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
Reported as:
Median · months
Duration of Objective Response (OR)
monthsRICE19A+RICE
Duration of Objective Response (OR)NA (8.15 to NA)NA (NA to NA)
SecondaryProgression-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
Reported as:
Median · months
Progression-free Survival (PFS)
monthsRICE19A+RICE
Progression-free Survival (PFS)NA (2.86 to NA)NA (5.82 to NA)
SecondaryOverall 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
Reported as:
Median · months
Overall Survival (OS)
monthsRICE19A+RICE
Overall Survival (OS)NA (NA to NA)NA (10.97 to NA)
SecondaryNumber 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
Reported as:
Count of participants · Participants
Number of Patients Achieving Peripheral Blood Stem Cell (PBSC) Mobilization
ParticipantsRICE19A+RICE
Patients with attempted stem cell collection(s)2824
Patients with sufficient stem cell collection2621
SecondaryNumber 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
Reported as:
Count of participants · Participants
Number of Patients Receiving Autologous Stem Cell Transplant (ASCT)
ParticipantsRICE19A+RICE
Patients planned to receive ASCT at EOT2825
Patients who received ASCT at EOT2522

Adverse events

Collected over Up to 30 months. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
RICE6/40 (15%)13/40 (32.5%)40/40 (100%)
19A+RICE9/40 (22.5%)19/40 (47.5%)40/40 (100%)
Most frequent serious events
Showing 10 of 50
Most frequent serious events
EventRICE19A+RICE
Febrile neutropeniaBlood and lymphatic system disorders6/408/40
AnaemiaBlood and lymphatic system disorders0/403/40
Platelet count decreasedInvestigations0/403/40
White blood cell count decreasedInvestigations0/402/40
ThrombocytopeniaBlood and lymphatic system disorders1/401/40
TachycardiaCardiac disorders1/400/40
Gastric haemorrhageGastrointestinal disorders0/401/40
GastritisGastrointestinal disorders0/401/40
Gastrointestinal haemorrhageGastrointestinal disorders0/401/40
Intestinal fistulaGastrointestinal disorders0/401/40
Most frequent other events
Showing 10 of 54
Most frequent other events
EventRICE19A+RICE
KeratopathyEye disorders3/4027/40
Vision blurredEye disorders5/4026/40
NauseaGastrointestinal disorders25/4026/40
AnaemiaBlood and lymphatic system disorders23/4019/40
ThrombocytopeniaBlood and lymphatic system disorders15/4023/40
FatigueGeneral disorders21/4019/40
ConstipationGastrointestinal disorders11/4012/40
VomitingGastrointestinal disorders11/4012/40
Dry eyeEye disorders4/4010/40
NeutropeniaBlood and lymphatic system disorders3/409/40

Baseline characteristics

Includes all randomized participants

Age, Categorical
Age, Categorical(Participants)RICE19A+RICETotal
<=18 years000
Between 18 and 65 years282452
>=65 years131629
Age, Continuous
Age, Continuous(years)RICE19A+RICETotal
Median60.0 (25 to 74)62.5 (20 to 76)61.0 (20 to 76)
Sex: Female, Male
Sex: Female, Male(Participants)RICE19A+RICETotal
Female161329
Male252752
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)RICE19A+RICETotal
Hispanic or Latino358
Not Hispanic or Latino373572
Unknown or Not Reported101
Race (NIH/OMB)
Race (NIH/OMB)(Participants)RICE19A+RICETotal
American Indian or Alaska Native000
Asian112
Native Hawaiian or Other Pacific Islander101
Black or African American112
White373673
More than one race000
Unknown or Not Reported123
Region of Enrollment
Region of Enrollment(participants)RICE19A+RICETotal
United States414081
Eastern Cooperative Oncology Group (ECOG) Performance Status
Eastern Cooperative Oncology Group (ECOG) Performance Status(Participants)RICE19A+RICETotal
Grade 0171936
Grade 1212142
Grade 2303
08

Study locations

29 sites
  • University of Arkansas for Medical Sciences
    Little Rock, Arkansas 72205, United States
  • City of Hope National Medical Center
    Duarte, California 91010-3000, United States
  • Scripps Mercy Cancer Center
    San Diego, California 92103, United States
  • Colorado Blood Cancer Institute
    Denver, Colorado 80218, United States
  • Yale Cancer Center
    New Haven, Connecticut 06520, United States
  • Shands Cancer Center / University of Florida
    Gainesville, Florida 32610, United States
  • University of Miami
    Miami, Florida 33136, United States
  • H. Lee Moffitt Cancer Center & Research Institute
    Tampa, Florida 33612, United States
  • Winship Cancer Institute / Emory University School of Medicine
    Atlanta, Georgia 30322, United States
  • Rush University Medical Center
    Chicago, Illinois 60612, United States
  • University of Chicago
    Chicago, Illinois 60637-1470, United States
  • Cardinal Bernardin Cancer Center / Loyola University Medical Center
    Maywood, Illinois 60153, United States
  • University of Kansas Cancer Center
    Westwood, Kansas United States, United States
  • Beth Israel Deaconess Medical Center
    Boston, Massachusetts 02215, United States
  • Dana Farber Cancer Institute
    Boston, Massachusetts 02215, United States
  • University of Minnesota
    Minneapolis, Minnesota 55455, United States
  • Washington University School of Medicine
    Saint Louis, Missouri 63110, United States
  • Hackensack University Medical Center
    Hackensack, New Jersey 07601, United States
  • University of New Mexico Cancer Center
    Albuquerque, New Mexico 87106, United States
  • Memorial Sloan Kettering Cancer Center
    New York, New York 10021, United States
  • UNC Lineberger Comprehensive Cancer Center / University of North Carolina
    Chapel Hill, North Carolina 27599, United States
  • Levine Cancer Institute
    Charlotte, North Carolina 28204, United States
  • Duke University Medical Center
    Durham, North Carolina 27710, United States
  • MD Anderson Cancer Center / University of Texas
    Houston, Texas 77030-4095, United States
  • San Antonio Military Medical Center
    San Antonio, Texas 78234, United States
  • University of Virginia
    Charlottesville, Virginia 22908, United States
  • Seattle Cancer Care Alliance / University of Washington
    Seattle, Washington 98109-1023, United States
  • Carbone Cancer Center / University of Wisconsin
    Madison, Wisconsin United States, United States
  • Medical College of Wisconsin (Milwaukee)
    Milwaukee, Wisconsin 53226, United States
09

References and documents

Study documents

  • Study protocol · Oct 28, 2017
  • Statistical analysis plan · Oct 21, 2016

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

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 17, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02592876
Lead sponsor
Seagen Inc.
Responsible party
Sponsor
First posted
Oct 30, 2015
Start date
Oct 2015
Primary completion
Apr 20, 2018
Completion
Apr 20, 2018
Results posted
May 17, 2019
Last update
May 17, 2019

Study contacts

Juan Pinelli, PA-C, MMSc
study director · Seagen Inc.

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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