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
- Contact Person Email
- francois-xavier.gros@chu-bordeaux.fr
- Site Name
- Centre Hospitalier Universitaire De Saint Etienne
- Department Name
- Hematology Department
- Contact Person Name
- Ludovic FOUILLET
- Contact Person Email
- Ludovic.Fouillet@chu-st-etienne.fr
- 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
- Contact Person Email
- apgrandjean@chu-clermontferrand.fr
- 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)
Related trials
Other published trials that may interest you.
- DAUNORUBICIN HYDROCHLORIDE for Acute myeloid leukemia|Relapsed or refractory acute myeloid leukemia
- Brentuximab vedotin for Peripheral T-cell lymphoma (PTCL) | Anaplastic large cell lymphoma (ALCL) | Peripheral T-cell lymphoma not otherwise specified (PTCL-NOS) | Angioimmunoblastic T-cell lymphoma (AITL) | Adult T-cell leukaemia/lymphoma (ATLL) | Enteropathy-associated T-cell lymphoma (EATL) | Hepatosplenic T-cell lymphoma | Monomorphic epitheliotropic intestinal T-cell lymphoma (MEITL) | Indolent T-cell lymphoproliferative disorder of the gastrointestinal tract | Follicular T-cell lymphoma | Nodal peripheral T-cell lymphoma with T-follicular helper phenotype
- RITUXIMAB for Diffuse large B-cell lymphoma (ABC)
- Lenalidomide for Primary central nervous system lymphoma
- Cytarabine; Daunorubicin for Myelodysplastic syndrome (higher-risk)|Oligoblastic acute myeloid leukaemia (AML)