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JOURNAL ONKOLOGIE – STUDIE

Study of the Adverse Events and Change in Disease State of Pediatric Participants (and Young Adults Between the Ages of 18-25) With Relapsed/Refractory Aggressive Mature B-cell Neoplasms Receiving Subcutaneous (SC) Injections of Epcoritamab

Rekrutierend

NCT-Nummer:
NCT05206357

Studienbeginn:
Oktober 2022

Letztes Update:
06.08.2024

Wirkstoff:
Epcoritamab

Indikation (Clinical Trials):
Lymphoma, Neoplasms, Lymphoma, Non-Hodgkin, Lymphoma, B-Cell, Aggression

Geschlecht:
Alle

Altersgruppe:
Alle

Phase:
Phase 1

Sponsor:
Genmab

Collaborator:
AbbVie

Studienleiter

ABBVIE INC.
Study Director
AbbVie

Kontakt

Studienlocations
(3 von 41)

Universitaetsklinikum Erlangen /ID# 240861
91054 Erlangen
(Bayern)
GermanyRekrutierend» Google-Maps
Universitaetsklinikum Muenster /ID# 239970
48149 Muenster
(Nordrhein-Westfalen)
GermanyRekrutierend» Google-Maps
Universitaetsklinikum Giessen und Marburg /ID# 240787
35043 Marburg
(Hessen)
GermanyRekrutierend» Google-Maps
Lucile Packard Children's Hospital /ID# 240854
94304 Palo Alto
United StatesRekrutierend» Google-Maps
Nicklaus Children's Hospital /ID# 241174
33155-3009 Miami
United StatesRekrutierend» Google-Maps
New York Medical College /ID# 239208
10595 Valhalla
United StatesRekrutierend» Google-Maps
Levine Children's Hospital /ID# 242765
28203 Charlotte
United StatesRekrutierend» Google-Maps
Cincinnati Childrens Hospital Medical Center /ID# 239823
45229 Cincinnati
United StatesRekrutierend» Google-Maps
Children's Hospital of Philadelphia - Main /ID# 239294
19104-4319 Philadelphia
United StatesRekrutierend» Google-Maps
St Jude Children's Research Hospital /ID# 239184
38105 Memphis
United StatesRekrutierend» Google-Maps
University of Texas Southwestern Medical Center /ID# 240892
75390-7208 Dallas
United StatesRekrutierend» Google-Maps
Children's Hospital at Westmead /ID# 240091
2145 Westmead
AustraliaRekrutierend» Google-Maps
Royal Children's Hospital /ID# 240384
3052 Parkville
AustraliaRekrutierend» Google-Maps
Perth Children's Hospital /ID# 240382
6009 Nedlands
AustraliaRekrutierend» Google-Maps
Universitair Ziekenhuis Leuven /ID# 242384
3000 Leuven
BelgiumRekrutierend» Google-Maps
Hospital for Sick Children /ID# 240767
M5G 1X8 Toronto
CanadaRekrutierend» Google-Maps
CHU Sainte-Justine /ID# 240766
H3T 1C5 Montreal
CanadaRekrutierend» Google-Maps
Fakultni nemocnice Brno /ID# 239956
613 00 Brno
CzechiaRekrutierend» Google-Maps
Duplicate_Fakultni Nemocnice v Motole /ID# 239957
150 00 Prague
CzechiaRekrutierend» Google-Maps
CHU Bordeaux - Hopital Pellegrin /ID# 240832
33076 Bordeaux
FranceRekrutierend» Google-Maps
CHU de Nantes, Hotel Dieu -HME /ID# 240831
44000 Nantes
FranceRekrutierend» Google-Maps
Institut Gustave Roussy /ID# 240966
94805 Villejuif Cedex
FranceRekrutierend» Google-Maps
Hospices Civils de Lyon /ID# 240834
69003 Lyon
FranceRekrutierend» Google-Maps
Rambam Health Care Campus /ID# 240037
3109601 Haifa
IsraelRekrutierend» Google-Maps
Schneider Children's Medical Center /ID# 240171
4920235 Petah Tikva
IsraelRekrutierend» Google-Maps
The Chaim Sheba Medical Center /ID# 240670
5265601 Ramat Gan
IsraelRekrutierend» Google-Maps
Azienda Ospedaliero Universitaria Meyer /ID# 240049
50139 Florence
ItalyRekrutierend» Google-Maps
Fondazione IRCCS San Gerardo dei Tintori /ID# 245592
20900 Monza
ItalyRekrutierend» Google-Maps
IRCCS Ospedale Pediatrico Bambino Gesu /ID# 240039
00165 Rome
ItalyRekrutierend» Google-Maps
NHO Nagoya Medical Center /ID# 246680
460-0001 Nagoya-shi
JapanRekrutierend» Google-Maps
Kyoto University Hospital /ID# 246907
606-8507 Kyoto-shi
JapanRekrutierend» Google-Maps
Osaka City General Hospital /ID# 246906
534-0021 Osaka-shi
JapanRekrutierend» Google-Maps
National Cancer Center Hospital /ID# 246722
104-0045 Chuo-ku
JapanRekrutierend» Google-Maps
National Center for Child Health and Development /ID# 246658
157-8535 Setagaya-ku
JapanRekrutierend» Google-Maps
Seoul National University Hospital /ID# 239894
03080 Seoul
Korea, Republic ofRekrutierend» Google-Maps
Samsung Medical Center /ID# 239895
06351 Seoul
Korea, Republic ofRekrutierend» Google-Maps
Hospital Sant Joan de Deu /ID# 240719
08950 Esplugues de Llobregat
SpainRekrutierend» Google-Maps
Hospital Universitario Vall d'Hebron /ID# 240715
08035 Barcelona
SpainRekrutierend» Google-Maps
Hospital Infantil Universitario Nino Jesus /ID# 240717
28009 Madrid
SpainRekrutierend» Google-Maps
National Taiwan University Hospital /ID# 242890
100 Taipei City
TaiwanRekrutierend» Google-Maps
Koc Universitesi Hastanesi Translasyonel Tıp Arastırma Merkezi /ID# 240026
34010 Istanbul
TurkeyRekrutierend» Google-Maps
Alle anzeigen

Studien-Informationen

Brief Summary:

The most common types of mature B-cell lymphomas (MBLs) in children are Burkitt lymphoma

(BL) and diffuse large B-cell lymphoma (DLBCL). Initial treatment cures 90% - 95% of

children with these malignancies, leaving a very small population of relapsed/refractory

disease with a poor prognosis. The purpose of this study is to assess the safety and

tolerability of epcoritamab in pediatric participants with relapsed/refractory aggressive

mature B-cell neoplasms and young adult participants with Burkitt's or Burkitt-like

lymphoma/leukemia. Adverse events and change in disease activity will be assessed.

Epcoritamab is an investigational drug being developed for the treatment of

relapsed/refractory aggressive mature B-cell neoplasms. Participants will receive

subcutaneous (SC) of epcoritamab. Approximately 15 pediatric participants with a

diagnosis of relapsed/refractory aggressive mature B-cell neoplasms and and young adult

participants, ages of 18-25, with a diagnosis of Burkitt's or Burkitt-like

lymphoma/leukemia will be enrolled at 50 sites globally.

Participants will receive subcutaneous epcoritamab in 28-day cycles. Participants will be

followed for a minimum of 3 years after enrollment.

There may be higher treatment burden for participants in this trial compared to their

standard of care. Participants will attend regular visits during the study at an approved

institution (hospital or clinic). The effect of the treatment will be frequently checked

by medical assessments, blood tests, questionnaires and side effects.

Ein-/Ausschlusskriterien

Inclusion Criteria:

- Participants >= 1 and < 18 years old at time of primary diagnosis with Burkitt's or

Burkitt-like lymphoma/leukemia, diffuse large B-cell lymphoma (DLBCL), or other

aggressive mature (CD20+) B-cell lymphomas. Participants up to 25 years of age with

Burkitt's or Burkitt-like lymphoma/leukemia are also eligible.

- Disease pathologically confirmed (tumor tissue) by local testing.

- Relapsed or primary refractory disease meeting any of the following criteria:

- Progressive disease at any time during second-line chemoimmunotherapy (CIT).

- Best response of stable disease (SD) after a minimum of 2 cycles of second-line

CIT.

- Best response of partial response (PR) after a minimum of 3 cycles of

second-line CIT.

- Complete Response (CR) after a minimum of 3 cycles of second-line CIT therapy

but unfit or ineligible for consolidation with cell therapy.

- Not in CR and unable to initiate or tolerate (i.e., must discontinue)

second-line CIT.

- Have received cell therapy (allogeneic or autologous transplant or chimeric

antigen receptor T-cell (CAR-T) therapy) as consolidation but have not obtained

or maintained a CR.

- Recovery from toxic effects of prior chemoimmunotherapy.

- Performance status by Lansky (< 16 years old at evaluation) or Karnofsky (>= 16

years old at evaluation) score >= 50 or Eastern Cooperative Oncology Group (ECOG)

score <= 2 .

- Adequate bone marrow, hepatic, and renal function.

Exclusion Criteria:

- Known central nervous system (CNS) involvement by lymphoma at screening as confirmed

by screening magnetic resonance imaging (MRI)/computed tomography (CT)/positron

emission tomography (PET) brain scans (participants with evidence of CNS disease

only in the cerebrospinal fluid (CSF) will be eligible).

- Other malignancy requiring therapy.

- Currently receiving anti-cancer therapy, including chemotherapy (excluding

intrathecal therapy), radiotherapy, small molecules, monoclonal antibodies, cell

therapy, or other investigational agents.

Studien-Rationale

Primary outcome:

1. Number of Participants with Adverse Events (AE) (Time Frame - Up to Approximately 3 Years):
An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment.

2. Maximum Observed Concentration (Cmax) (Time Frame - Up to Approximately Week 37):
Maximum observed concentration.

3. Area Under the Concentration Versus Time Curve (AUC) from Time 0 to Time of Last Measurable Concentration within the Dosing Interval (AUCtau) (Time Frame - Up to Approximately Week 37):
AUC from time 0 to time of last measurable concentration within the dosing interval.

Secondary outcome:

1. Percentage of Participants who Achieve Complete Response (CR) (Time Frame - Up to Approximately 1 Year):
CR is defined per the International Pediatric Non-Hodgkin Lymphoma Response Criteria as computed tomography (CT) or magnetic resonance imaging (MRI) reveals no residual disease or new lesions; Resected residual mass that is pathologically (morphologically) negative for disease (detection of disease with more sensitive techniques); bone marrow (BM) and cerebrospinal fluid (CSF) morphologically free of disease (detection of disease with more sensitive techniques).

2. Number of Participants with Event-free survival (EFS) (Time Frame - Up to Approximately 3 Years):
EFS will be defined as the number of days from screening to the date of disease progression, treatment failure, or death from any cause.

3. Number of Participants who Achieve Overall Survival (OS) (Time Frame - Up to Approximately 3 Years):
OS will be defined as the number of days from screening to the date of death from any cause.

4. Rate of Initiation of Stem Cell Transplantation or Chimeric Antigen Receptor T-cell (CAR-T) Therapy (Time Frame - Up to Approximately 1 Year):
Rate of initiation of stem cell transplantation or CAR-T therapy.

5. Percentage of Participants Achieving Overall Response (OR) (Time Frame - Up to Approximately 1 Year):
OR is assessed as the percentage of participants with an overall response.

6. Duration of response (DOR) (Time Frame - Up to Approximately 1 Year):
DOR is defined as the time between the date of first response to the date of the first documented tumor progression or death due to any cause, whichever comes first.

7. Duration of CR (DOCR) (Time Frame - Up to Approximately 1 Year):
DOCR is defined as the time between the date of first CR to the date of the first documented tumor progression or death due to any cause, whichever comes first.

8. Percentage of Participants Achieving Immunogenicity (Time Frame - Up to Approximately Week 37):
Immunogenicity is defined the percentage of participants with ADA and neutralizing anti-drug antibodies (nAb).

Geprüfte Regime

  • Epcoritamab (ABBV-GMAB-3013):
    Subcutaneous Injection (SC)

Quelle: ClinicalTrials.gov


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"Study of the Adverse Events and Change in Disease State of Pediatric Participants (and Young Adults Between the Ages of 18-25) With Relapsed/Refractory Aggressive Mature B-cell Neoplasms Receiving Subcutaneous (SC) Injections of Epcoritamab"

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