Clinical trial • Phase III • Oncology|Haematology

HUMAN NORMAL IMMUNOGLOBULIN (IV) for B-cell acute lymphoblastic leukaemia|B-cell lymphoma|Diffuse large B-cell lymphoma|Mantle cell lymphoma|Follicular lymphoma

Phase III trial of HUMAN NORMAL IMMUNOGLOBULIN (IV) for B-cell acute lymphoblastic leukaemia|B-cell lymphoma|Diffuse large B-cell lymphoma|Mantle cell lym…

Overview

Trial Therapeutic Area
Oncology|Haematology
Trial Disease
B-cell acute lymphoblastic leukaemia|B-cell lymphoma|Diffuse large B-cell lymphoma|Mantle cell lymphoma|Follicular lymphoma
Trial Stage
Phase III
Drug Modality
Peptide/protein/enzyme|Small molecule
Paediatric Trial
Yes

Key dates

Initial CTIS Submission Date
12-12-2025
First CTIS Authorization Date
13-04-2026

Trial design

Randomised, open-label, levofloxacin — oral, max daily dose 500 mg (comparator); amoxicillin — oral, max daily dose 1000 mg (comparator); azithromycin — oral, max daily dose 250 mg (comparator); sulfamethoxazole and trimethoprim (cotrimoxazole) — oral, max daily dose 800 mg (comparator). specific schedules not stated beyond route and maximum daily doses.-controlled Phase III trial in France.

Randomised
Yes
Open Label
Yes
Comparator
Levofloxacin — oral, max daily dose 500 mg (comparator); Amoxicillin — oral, max daily dose 1000 mg (comparator); Azithromycin — oral, max daily dose 250 mg (comparator); Sulfamethoxazole and Trimethoprim (cotrimoxazole) — oral, max daily dose 800 mg (comparator). Specific schedules not stated beyond route and maximum daily doses.
Target Sample Size
228
Trial Duration For Participant
365

Eligibility

Recruits 228 paediatric patients.

Pregnancy Exclusion
7. Females who are pregnant or breastfeeding
Vulnerable Population
Participants aged 16-80 are eligible; minors aged 16-17 are included. Informed consent must be signed by the patient or legal representatives. Subject information and informed consent forms specific for minors (16-17 years) and parental-authority forms are provided. Documents include adult and minors ICFs and parental-authority forms (French and translated versions indicated).

Inclusion criteria

  • {"criterion_text":"- 1.\tAge 16-80 years at inclusion\n- 2.\tB-cell acute lymphoblastic leukemia or a B-cell lymphoma (diffuse large B cell lymphoma, mantle cell lymphoma, follicular lymphoma)\n- 3.\tWith gammaglobulin <4g/L at the time of lymphodepletion\n- 4.\tReceiving CD19-targeted autologous CAR-T cells\n- 5.\tPatients with childbearing potential* should have reliable contraception for the all duration of the study and another 12 months after CAR-T infusion.\n- 6.\tContraceptive measures for concerned patients (cf part 6)\n- 7.\tInformed consent signed by patient or legal representatives"}

Exclusion criteria

  • {"criterion_text":"- 1.\tAny medical history of intolerance to intravenous immunoglobulin\n- 2.\tWith renal failure calculated glomerular filtrate rate <30 mL / min;\n- 3.\tWith hepatic failure or hepatitis or bilirubin> 3 times the upper limit of normal, Serum ALT/AST >=5N\n- 4.\tWith existing serious acute infection\n- 5.\tContraindication to immunoglobulin or to prophylactic antibiotherapy administered in this clinical trial\n- 6.\tNo health insurance coverage\n- 7.\tFemales who are pregnant or breastfeeding\n- 8.\tParticipation in another interventional study or being in the exclusion period at the end of a previous study"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- A composite outcome defined by the occurrence of either recurrent infections (defined by at least 2 episodes requiring a curative systemic antibiotic treatment) or a severe infection (defined by the need of hospitalization) between randomization and M12.","definition_or_measurement_approach":"Composite outcome: recurrent infections defined as at least 2 episodes requiring a curative systemic antibiotic treatment; severe infection defined by the need for hospitalization; measured between randomization and month 12 (M12)."}

Secondary endpoints

  • {"endpoint_text":"- Cumulative hazard of severe (requiring hospitalization) infections within 12 months","definition_or_measurement_approach":"Cumulative hazard of severe infections (those requiring hospitalization) assessed within 12 months."}
  • {"endpoint_text":"- Infection-free survival rate at M12","definition_or_measurement_approach":"Infection-free survival at month 12 (M12)."}
  • {"endpoint_text":"- Occurrence of COVID19 infection within 12 months","definition_or_measurement_approach":"Occurrence/incidence of SARS-CoV-2 infection within 12 months."}
  • {"endpoint_text":"- Cumulative incidence of readmissions due to infectious episode after hospital discharge following the infusion of CAR-T cells within 12 months","definition_or_measurement_approach":"Cumulative incidence of hospital readmissions for infectious episodes within 12 months after CAR-T infusion hospital discharge."}
  • {"endpoint_text":"- Incidence of adverse events due to IgRT and/or PA between randomization and M12","definition_or_measurement_approach":"Incidence of adverse events attributed to immunoglobulin replacement therapy (IgRT) and/or prophylactic antibiotherapy (PA) between randomization and month 12."}
  • {"endpoint_text":"- Measures of IgA, IgG, IgM, CD19/CD4/CD8 lymphocytes counts at lymphodepletion, M1, M3, M6, M9, M12","definition_or_measurement_approach":"Immunological measures (IgA, IgG, IgM and lymphocyte subsets CD19/CD4/CD8) at predefined timepoints: lymphodepletion, month 1, 3, 6, 9, 12."}
  • {"endpoint_text":"- Quality of life measured on QLQ-C30 and EQ5D5L","definition_or_measurement_approach":"Patient-reported quality of life assessed using QLQ-C30 and EQ-5D-5L instruments."}
  • {"endpoint_text":"- Cost effectiveness and cost utility: incremental cost effectiveness/utility ratios","definition_or_measurement_approach":"Health economic outcomes: incremental cost-effectiveness and cost-utility ratios comparing interventions."}

Recruitment

Planned Sample Size
228
Recruitment Window Months
36
Consent Approach
Informed consent required, signed by the patient or legal representatives. Specific subject information sheets and ICFs are provided for adults and for minors aged 16-17, as well as parental-authority consent forms. Documents available include French versions and translated/TC versions (indicated). Continuation/pursuit consent forms are also provided.

Geography

Total Number Of Sites
20
Total Number Of Participants
228

France

Earliest CTIS Part Ii Submission Date
20-03-2026
Latest Decision Or Authorization Date
13-04-2026
Processing Time Days
24
Number Of Sites
20
Number Of Participants
228

Sites

Site Name
Assistance Publique Hopitaux De Paris
Department Name
Hematology Department
Contact Person Name
Roberta DI BLASI
Contact Person Email
roberta.diblasi@aphp.fr
Site Name
Centre Hospitalier Universitaire De Bordeaux
Department Name
Hematology Department
Contact Person Name
Xavier GROS
Site Name
Centre Hospitalier Universitaire De Saint Etienne
Department Name
Hematology Department
Contact Person Name
Ludovic FOUILLET
Site Name
Centre Hospitalier Universitaire De Caen Normandie
Department Name
Hematology Department
Contact Person Name
Hippolyte BARDET
Contact Person Email
bardet-h@chu-caen.fr
Site Name
Assistance Publique Hopitaux De Paris
Department Name
Hematology Department
Contact Person Name
Inès BOUSSEN
Contact Person Email
Ines.boussen@aphp.fr
Site Name
University Hospital Of Clermont-Ferrand
Department Name
Hematology Department
Contact Person Name
Anne Pascale GRANDJEAN
Site Name
Assistance Publique Hopitaux De Paris
Department Name
Hematology Department
Contact Person Name
Justine DECROOCQ
Contact Person Email
Justine.decroocq@aphp.fr
Site Name
Centre Hospitalier Et Universitaire De Limoges
Department Name
Hematology Department
Contact Person Name
Julie ABRAHAM
Contact Person Email
julie.abraham@chu-limoges.fr
Site Name
Centre Hospitalier Universitaire De Nantes
Department Name
Hematology Department
Contact Person Name
Thomas GASTINNE
Contact Person Email
Thomas.gastinne@chu-nantes.fr
Site Name
Centre Hospitalier Universitaire De Nice
Department Name
Hematology Department
Principal Investigator Name
Michael LOSCHI
Principal Investigator Email
Loschi.m@chu-nice.fr
Contact Person Name
Michael LOSCHI
Contact Person Email
Loschi.m@chu-nice.fr
Site Name
Centre Hospitalier Universitaire De Lille
Department Name
Hematology Department
Contact Person Name
David BEAUVAIS
Contact Person Email
David.beauvais@chru-lille.fr
Site Name
Centre Hospitalier Regional Universitaire De Tours
Department Name
Clinical Hematology and Cell Therapy Department
Principal Investigator Name
Martin ELOIT
Principal Investigator Email
m.eloit@chu-tours.fr
Contact Person Name
Martin ELOIT
Contact Person Email
m.eloit@chu-tours.fr
Site Name
Centre Hospitalier Universitaire D'Angers
Department Name
Hematology Department
Contact Person Name
Aline SCHMIDT
Contact Person Email
aischmidt@chu-angers.fr
Site Name
Assistance Publique Hopitaux De Paris
Department Name
Hematology Department
Contact Person Name
Emmanuel RAFFOUX
Contact Person Email
emmanuel.raffoux@aphp.fr
Site Name
Centre Hospitalier Universitaire De Toulouse
Department Name
Hematology Department
Contact Person Name
Pierre BORIES
Contact Person Email
Bories.Pierre@iuct-oncopole.fr
Site Name
Assistance Publique Hopitaux De Paris
Department Name
Hematology Department
Contact Person Name
Come BOMMIER
Contact Person Email
come.bommier@aphp.fr
Site Name
Centre Hospitalier Universitaire Grenoble Alpes
Department Name
Hematology Department
Contact Person Name
Lucile BUSSOT
Contact Person Email
lbussot@chu-grenoble.fr
Site Name
Centre Hospitalier Regional Et Universitaire De Brest
Department Name
Hematology Department
Contact Person Name
Laura HERBRETEAU
Contact Person Email
laura.herbreteau@chu-brest.fr
Site Name
CHRU De Nancy
Department Name
Hematology Department
Contact Person Name
Arnaud CAMPIDELLI
Contact Person Email
a.campidelli@chru-nancy.fr
Site Name
Assistance Publique Hopitaux De Paris
Department Name
Hematology Department
Principal Investigator Name
Florence RABIAN
Principal Investigator Email
Florence.rabian@aphp.fr
Contact Person Name
Florence RABIAN
Contact Person Email
Florence.rabian@aphp.fr

Sponsor

Primary sponsor

Full Name
Assistance Publique Hopitaux De Paris
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
France

Investigational products

Investigational Product Name
IMMUNOGLOBULINS, NORMAL HUMAN, FOR INTRAVASCULAR ADM.
Active Substance
HUMAN NORMAL IMMUNOGLOBULIN (IV)
Modality
Peptide/protein/enzyme
Routes Of Administration
INTRAVENOUS
Route
INTRAVENOUS
Maximum Dose
400 mg/kg daily; max total 4800 mg/kg
Investigational Product Name
LEVOFLOXACIN
Active Substance
LEVOFLOXACIN
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Maximum Dose
500 mg daily
Investigational Product Name
AMOXICILLIN / AMOXICILLIN TRIHYDRATE
Active Substance
AMOXICILLIN SODIUM / AMOXICILLIN TRIHYDRATE
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Maximum Dose
1000 mg daily
Investigational Product Name
AZITHROMYCIN
Active Substance
AZITHROMYCIN
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Maximum Dose
250 mg daily
Investigational Product Name
SULFAMETHOXAZOLE AND TRIMETHOPRIM (COTRIMOXAZOLE)
Active Substance
SULFAMETHOXAZOLE AND TRIMETHOPRIM
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Maximum Dose
800 mg daily (as per product listing)

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