Clinical trial • Phase II • Haematology

ODRONEXTAMAB for B-cell non-Hodgkin lymphoma | Follicular lymphoma | Diffuse large B-cell lymphoma | Mantle cell lymphoma | Marginal zone lymphoma

Phase II trial of ODRONEXTAMAB for B-cell non-Hodgkin lymphoma | Follicular lymphoma | Diffuse large B-cell lymphoma | Mantle cell lymphoma | Marginal zon…

Overview

Trial Therapeutic Area
Haematology
Trial Disease
B-cell non-Hodgkin lymphoma | Follicular lymphoma | Diffuse large B-cell lymphoma | Mantle cell lymphoma | Marginal zone lymphoma
Trial Stage
Phase II
Drug Modality
Bispecific antibody
Orphan Drug
Yes

Key dates

Initial CTIS Submission Date
15-04-2024
First CTIS Authorization Date
28-05-2024

Trial design

open-label, none/not specified-controlled Phase II trial across 37 sites in Poland, France, Italy and others.

Open Label
Yes
Comparator
None/Not specified
Target Sample Size
351
Trial Duration For Participant
730

Eligibility

Recruits 351 The CTIS record indicates isVulnerablePopulationSelected = true. Specific details on consent/assent handling for vulnerable participants are not provided in the available metadata/documents..

Vulnerable Population
The CTIS record indicates isVulnerablePopulationSelected = true. Specific details on consent/assent handling for vulnerable participants are not provided in the available metadata/documents.

Inclusion criteria

  • {"criterion_text":"- For the FL grade 1-3a cohort only: Central histopathologic confirmation of the FL Grade 1 to 3a diagnosis must be obtained before study enrollment. Patients with FL grade 3b are ineligible for this cohort but may be included in the \"other B-NHL\" cohort. Follicular lymphoma subtyping is based on the World Health Organization (WHO) classification"}
  • {"criterion_text":"- Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1"}
  • {"criterion_text":"- Other protocol-defined inclusion criteria apply"}
  • {"criterion_text":"- Adequate bone marrow, hepatic, and renal function as defined in the protocol"}
  • {"criterion_text":"- Disease-specific cohorts: Patients should in the judgment of the investigator require systemic therapy for lymphoma at the time of study enrollment. FL grade 1-3a cohort: Patients with FL grade 1-3a that has relapsed after or is refractory to at least 2 prior lines of systemic therapy, as defined in the protocol"}
  • {"criterion_text":"- DLBCL cohort: Patients with DLBCL that has relapsed after or is refractory to at least 2 prior lines of systemic therapy as defined in the protocol"}
  • {"criterion_text":"- MCL after BTK inhibitor therapy cohort: Patients with MCL who have relapsed or refractory disease to at least one prior line of systemic therapy and had prior treatment with a BTK inhibitor."}
  • {"criterion_text":"- MZL cohort: Patients with MZL that have relapsed or is refractory to at least 2 prior lines of systemic therapy."}
  • {"criterion_text":"- Other B-NHL cohort: Patients with B-NHL other than FL grade 1-3a, DLBCL, MCL, or MZL that has relapsed after or is refractory to at least 2 prior lines of systemic therapy as defined in the protocol. New enrollment stopped for patients with Burkitt lymphoma and Burkitt-like lymphoma."}
  • {"criterion_text":"- Patients should in the judgment of the investigator require systemic therapy for lymphoma at the time of study enrollment"}
  • {"criterion_text":"- Measurable disease on cross sectional imaging as defined in the protocol documented by diagnostic imaging (computed tomography (CT), or magnetic resonance imaging (MRI)"}

Exclusion criteria

  • {"criterion_text":"- Primary central nervous system (CNS) lymphoma or known involvement by non-primary CNS Non-Hodgkin Lymphoma (NHL) (suspected CNS lymphoma should be evaluated by lumbar puncture, as appropriate, in addition to the mandatory head CT or MRI)."}
  • {"criterion_text":"- Prior treatment with an anti-CD20 x anti-CD3 bispecific therapy"}
  • {"criterion_text":"- Other protocol-defined exclusion criteria apply"}
  • {"criterion_text":"- Treatment with any systemic anti-lymphoma therapy within 5 half-lives or within 28 days prior to first administration of study drug, whichever is shorter."}
  • {"criterion_text":"- History of allogeneic stem cell transplantation"}
  • {"criterion_text":"- Criterion removed"}
  • {"criterion_text":"- Continuous systemic corticosteroid treatment with more than 10 mg per day of prednisone or anti-inflammatory equivalent within 72 hours of start of study drug"}
  • {"criterion_text":"- History of neurodegenerative condition or CNS movement disorder. Patients with a history of seizure within 12 months prior to study enrollment are excluded"}
  • {"criterion_text":"- Another malignancy except B-NHL in the past 5 years, with the exception of non-melanoma skin cancer that has undergone potentially curative therapy or in situ cervical carcinoma, or any other tumor that has been deemed to be effectively treated with definitive local control and with curative intent."}
  • {"criterion_text":"- Uncontrolled infection with human immunodeficiency virus (HIV), hepatitis B or hepatitis C infection; cytomegalovirus (CMV) infection as noted by detectable levels on a blood polymerase chain reaction (PCR) assay as defined in the protocol or other uncontrolled infections"}
  • {"criterion_text":"- Known hypersensitivity to both allopurinol and rasburicase"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- The primary endpoint of the study for each of the 5 disease-specific cohorts is as follows: ORR according to the Lugano Classification of response in malignant lymphoma (Cheson, 2014) and as assessed by independent central review.","definition_or_measurement_approach":"Objective Response Rate (ORR) measured according to the Lugano Classification of response in malignant lymphoma (Cheson, 2014) as assessed by independent central review."}

Secondary endpoints

  • {"endpoint_text":"- ORR according to the Lugano Classification and as assessed by local investigator evaluation","definition_or_measurement_approach":"Objective Response Rate measured according to the Lugano Classification, assessed by local investigator evaluation."}
  • {"endpoint_text":"- Complete response (CR) rate according to the Lugano Classification and as assessed by local investigator evaluation and independent central review.","definition_or_measurement_approach":"Complete response rate per Lugano Classification assessed by both local investigator evaluation and independent central review."}
  • {"endpoint_text":"- Progression free survival (PFS) according to the Lugano Classification and as assessed by independent central review and local investigator evaluation","definition_or_measurement_approach":"Progression-free survival measured per Lugano Classification assessed by independent central review and local investigator."}
  • {"endpoint_text":"- Overall survival (OS)","definition_or_measurement_approach":"Overall survival (time from enrollment/randomization to death from any cause)."}
  • {"endpoint_text":"- Duration of response (DOR) according to the Lugano Classification and as assessed by independent central review and local investigator evaluation","definition_or_measurement_approach":"Duration of response per Lugano Classification, assessed by independent central review and local investigator."}
  • {"endpoint_text":"- Disease control rate (DCR) according to the Lugano Classification and as assessed by independent central review and local investigator evaluation by independent central review and local investigator evaluation","definition_or_measurement_approach":"Disease control rate per Lugano Classification assessed by independent central review and local investigator."}
  • {"endpoint_text":"- Incidence and severity of treatment emergent adverse events (TEAEs)","definition_or_measurement_approach":"Incidence and severity graded using standard adverse event criteria (as recorded in trial safety reporting)."}
  • {"endpoint_text":"- Pharmacokinetics: concentration of odronextamab, incidence of anti-drug antibodies (ADA) to odronextamab over time, incidence of neutralizing antibodies (Nab) to odronextamab over time","definition_or_measurement_approach":"PK concentration measurements of odronextamab and immunogenicity assessments (ADA and neutralizing antibodies) over time using validated assays."}
  • {"endpoint_text":"- Changes in scores of patient-reported outcomes as measured by EORTC QLQ-C30","definition_or_measurement_approach":"Change from baseline in EORTC QLQ-C30 scores."}
  • {"endpoint_text":"- Changes in scores of patient-reported outcomes as measured by FACT-Lym","definition_or_measurement_approach":"Change from baseline in FACT-Lym scores."}
  • {"endpoint_text":"- Changes in scores of patient-reported outcomes as measured by EQ-5D-3L","definition_or_measurement_approach":"Change from baseline in EQ-5D-3L scores."}

Recruitment

Planned Sample Size
351
Recruitment Window Months
72
Consent Approach
Informed consent is obtained using subject information and informed consent forms (SIS-ICF). Multiple language versions of SIS/ICF and patient-facing documents are present in the dossier (examples: EN, FR, PL, IT, DE, ES). A Pregnant Partner information/ICF document is also included. Specific details on assent or age-stratified consent processes are not provided in the available metadata.

Geography

Total Number Of Sites
37
Total Number Of Participants
225

Poland

Earliest CTIS Part Ii Submission Date
03-06-2024
Latest Decision Or Authorization Date
31-10-2025
Processing Time Days
516
Number Of Sites
6
Number Of Participants
75

Sites

Site Name
Narodowy Instytut Onkologii Im. Marii Sklodowskiej-Curie Panstwowy Instytut Badawczy
Department Name
Bone marrow transplantation
Principal Investigator Name
Jan Walewski
Principal Investigator Email
jan.walewski@coi.waw.pl
Contact Person Name
Jan Walewski
Contact Person Email
jan.walewski@coi.waw.pl
Site Name
Wojewodzkie Wielospecjalistyczne Centrum Onkologii I Traumatologii Im M.Kopernika W Lodzi
Department Name
Hematology
Principal Investigator Name
Tadeusz Robak
Principal Investigator Email
robaktad@csk.umed.lodz.pl
Contact Person Name
Tadeusz Robak
Contact Person Email
robaktad@csk.umed.lodz.pl
Site Name
Uniwersyteckie Centrum Kliniczne
Department Name
Hematology
Principal Investigator Name
Michal Taszner
Principal Investigator Email
mtaszner@uck.gda.pl
Contact Person Name
Michal Taszner
Contact Person Email
mtaszner@uck.gda.pl
Site Name
Instytut Hematologii I Transfuzjologii
Department Name
Hematology
Principal Investigator Name
Ewa Lech-Maranda
Principal Investigator Email
ewamaranda@wp.pl
Contact Person Name
Ewa Lech-Maranda
Contact Person Email
ewamaranda@wp.pl
Site Name
Uniwersytecki Szpital Kliniczny Im. Jana Mikulicza-Radeckiego We Wroclawiu
Department Name
Klinika Hematologii, Terapii Komorkowych i Chorob Wewnetrznych
Principal Investigator Name
Tomasz Wrobel
Principal Investigator Email
tomasz_wrobel@wp.pl
Contact Person Name
Tomasz Wrobel
Contact Person Email
tomasz_wrobel@wp.pl
Site Name
Szpitale Pomorskie Sp. z o.o.
Department Name
Oddzial Hematologii i Transplantologii Szpiku
Principal Investigator Name
Adam Franciszek Witkowski
Principal Investigator Email
adam.wit12@gmail.com
Contact Person Name
Adam Franciszek Witkowski
Contact Person Email
adam.wit12@gmail.com

France

Earliest CTIS Part Ii Submission Date
28-05-2024
Latest Decision Or Authorization Date
30-10-2025
Processing Time Days
520
Number Of Sites
9
Number Of Participants
45

Sites

Site Name
Assistance Publique Hopitaux De Paris
Department Name
Clinical hematology
Principal Investigator Name
Corinne Haioun
Principal Investigator Email
corinne.haioun@aphp.fr
Contact Person Name
Corinne Haioun
Contact Person Email
corinne.haioun@aphp.fr
Site Name
Hopital Universitaire Pitie Salpetriere
Department Name
Clinical Hematology
Principal Investigator Name
Sylvain Choquet
Principal Investigator Email
sylvain.choquet@psl.aphp.fr
Contact Person Name
Sylvain Choquet
Contact Person Email
sylvain.choquet@psl.aphp.fr
Site Name
Centre Hospitalier Universitaire De Caen Normandie
Department Name
Clinical hematology
Principal Investigator Name
Gandhi Damaj
Principal Investigator Email
damaj-gl@chu-caen.fr
Contact Person Name
Gandhi Damaj
Contact Person Email
damaj-gl@chu-caen.fr
Site Name
Hospital Hotel Dieu
Department Name
Clinical hematology
Principal Investigator Name
Benoit Tessoulin
Principal Investigator Email
benoit.tessoulin@chu-nantes.fr
Contact Person Name
Benoit Tessoulin
Contact Person Email
benoit.tessoulin@chu-nantes.fr
Site Name
Hopital Saint Louis
Department Name
Hemato-oncology
Principal Investigator Name
Catherine Thieblemont
Principal Investigator Email
catherine.thieblemont@aphp.fr
Contact Person Name
Catherine Thieblemont
Contact Person Email
catherine.thieblemont@aphp.fr
Site Name
Hospices Civils De Lyon
Department Name
Clinical hematology
Principal Investigator Name
Emmanuel Bachy
Principal Investigator Email
emmanuel.bachy@chu-lyon.fr
Contact Person Name
Emmanuel Bachy
Contact Person Email
emmanuel.bachy@chu-lyon.fr
Site Name
Centre Hospitalier Universitaire De Lille
Department Name
Clinical hematology
Principal Investigator Name
Franck Morschhauser
Principal Investigator Email
franck.morschhauser@chru-lille.fr
Contact Person Name
Franck Morschhauser
Site Name
Centre Hospitalier Universitaire De Poitiers
Department Name
Clinical hematology
Principal Investigator Name
Vincent Delwail
Principal Investigator Email
vincent.delwail@chu-poitiers.fr
Contact Person Name
Vincent Delwail
Site Name
Centre Hospitalier Universitaire De Bordeaux
Department Name
Clinical hematology
Principal Investigator Name
Kamal Krimo Bouabdallah
Principal Investigator Email
Krimo.bouabdallah@chu-bordeaux.fr
Contact Person Name
Kamal Krimo Bouabdallah

Italy

Earliest CTIS Part Ii Submission Date
29-05-2024
Latest Decision Or Authorization Date
30-10-2025
Processing Time Days
519
Number Of Sites
9
Number Of Participants
25

Sites

Site Name
Azienda Ulss 3 Serenissima
Department Name
Hematology and bone marrow transplantation
Principal Investigator Name
Cristina Skert
Principal Investigator Email
cristina.skert@aulss3.veneto.it
Contact Person Name
Cristina Skert
Site Name
ASST Grande Ospedale Metropolitano Niguarda
Department Name
Clinical hematology
Principal Investigator Name
Vittorio Ruggero Zilioli
Contact Person Name
Vittorio Ruggero Zilioli
Site Name
Azienda Ospedaliero-Universitaria Maggiore Della Carita
Department Name
Clinical hematology
Principal Investigator Name
Gianluca Gaidano
Principal Investigator Email
gianluca.gaidano@med.uniupo.it
Contact Person Name
Gianluca Gaidano
Contact Person Email
gianluca.gaidano@med.uniupo.it
Site Name
Azienda Ospediera Ospedale Di Circolo E Fondazione Macchi
Department Name
Clinical hematology
Principal Investigator Name
Marco Brociner
Principal Investigator Email
marco.brociner@asst-settelaghi.it
Contact Person Name
Marco Brociner
Site Name
Azienda Unita Sanitaria Locale Della Romagna
Department Name
Onco-hematology
Principal Investigator Name
Monica Tani
Principal Investigator Email
monicatani22@gmail.com
Contact Person Name
Monica Tani
Contact Person Email
monicatani22@gmail.com
Site Name
Hospital Santa Maria Della Misericordia
Department Name
Hematology and bone marrow transplantation
Principal Investigator Name
Leonardo Flenghi
Principal Investigator Email
flenghi@yahoo.it
Contact Person Name
Leonardo Flenghi
Contact Person Email
flenghi@yahoo.it
Site Name
Azienda USL IRCCS Di Reggio Emilia
Department Name
Clinical hematology
Principal Investigator Name
Stefano Luminari
Principal Investigator Email
stefano.luminari@ausl.re.it
Contact Person Name
Stefano Luminari
Contact Person Email
stefano.luminari@ausl.re.it
Site Name
Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico
Department Name
Clinical hematology
Principal Investigator Name
Francesca Gaia Rossi
Principal Investigator Email
francescagaia.rossi@policlinico.mi.it
Contact Person Name
Francesca Gaia Rossi
Site Name
Alma Mater Studiorum Universita Di Bologna
Department Name
Clinical hematology
Principal Investigator Name
Pier Luigi Zinzani
Principal Investigator Email
pierluigi.zinzani@unibo.it
Contact Person Name
Pier Luigi Zinzani
Contact Person Email
pierluigi.zinzani@unibo.it

Germany

Earliest CTIS Part Ii Submission Date
30-05-2024
Latest Decision Or Authorization Date
29-10-2025
Processing Time Days
517
Number Of Sites
2
Number Of Participants
5

Sites

Site Name
Universitaetsklinikum Halle (Saale) AöR
Department Name
Hematology oncology and hemostaseology
Principal Investigator Name
Thomas Weber
Principal Investigator Email
thomas.weber@uk-halle.de
Contact Person Name
Thomas Weber
Contact Person Email
thomas.weber@uk-halle.de
Site Name
Kliniken Ostalb gemeinnuetzige kommunale Anstalt des oeffentlichen Rechts
Department Name
Hematology and oncology
Principal Investigator Name
Holger Hebart
Principal Investigator Email
holger.hebart@kliniken-ostalb.de
Contact Person Name
Holger Hebart

Spain

Earliest CTIS Part Ii Submission Date
28-05-2024
Latest Decision Or Authorization Date
12-12-2025
Processing Time Days
563
Number Of Sites
11
Number Of Participants
75

Sites

Site Name
Hospital Clinic De Barcelona
Department Name
Hematology
Principal Investigator Name
Eva Giné Soca
Principal Investigator Email
egine@clinic.cat
Contact Person Name
Eva Giné Soca
Contact Person Email
egine@clinic.cat
Site Name
Hospital Universitario Hm Sanchinarro
Department Name
Hematology
Principal Investigator Name
Agustín Peneda Coello
Principal Investigator Email
apenedo@hmhospitales.com
Contact Person Name
Agustín Peneda Coello
Contact Person Email
apenedo@hmhospitales.com
Site Name
Hospital Universitari Vall D Hebron
Department Name
Hematology
Principal Investigator Name
Cecilia Carpio Segura
Principal Investigator Email
cecilia.carpio@vhir.org
Contact Person Name
Cecilia Carpio Segura
Contact Person Email
cecilia.carpio@vhir.org
Site Name
Institut Catala D'oncologia
Department Name
Hematology
Principal Investigator Name
Eva Marie Gonzalez Barca
Principal Investigator Email
smercadal@iconologia.net
Contact Person Name
Eva Marie Gonzalez Barca
Contact Person Email
smercadal@iconologia.net
Site Name
Hospital Universitario Y Politecnico La Fe
Department Name
Hematology
Principal Investigator Name
Rafael Andreu Lapiedra
Principal Investigator Email
andreu_raflap@gva.es
Contact Person Name
Rafael Andreu Lapiedra
Contact Person Email
andreu_raflap@gva.es
Site Name
Hospital De La Santa Creu I Sant Pau
Department Name
Clinical hematology
Principal Investigator Name
Silvana Novelli Canales
Principal Investigator Email
snovelli@santpau.cat
Contact Person Name
Silvana Novelli Canales
Contact Person Email
snovelli@santpau.cat
Site Name
University Hospital Son Espases
Department Name
Clinical hematology
Principal Investigator Name
Antonio Gutierrez Garcia
Principal Investigator Email
antoniom.gutierrez@ssib.es
Contact Person Name
Antonio Gutierrez Garcia
Contact Person Email
antoniom.gutierrez@ssib.es
Site Name
Hospital Universitario Fundacion Jimenez Diaz
Department Name
Hematology
Principal Investigator Name
Sergio Ramos Cillan
Principal Investigator Email
sergio.ramosc@quironsalud.com
Contact Person Name
Sergio Ramos Cillan
Contact Person Email
sergio.ramosc@quironsalud.com
Site Name
Hospital Universitario Quironsalud Madrid
Department Name
Hematology and hemotherapy
Principal Investigator Name
Aranzazu Alonso Alonso
Principal Investigator Email
Aranzazu.Alonso.Alonso@quironsalud.es
Contact Person Name
Aranzazu Alonso Alonso
Site Name
Hospital Universitario 12 De Octubre
Department Name
Hematology
Principal Investigator Name
Ana Jimenez Ubieto
Principal Investigator Email
anitiju@hotmail.com
Contact Person Name
Ana Jimenez Ubieto
Contact Person Email
anitiju@hotmail.com
Site Name
Hospital Universitario De Salamanca
Department Name
Hematology
Principal Investigator Name
Alejandro Martin Garcia-Sancho
Principal Investigator Email
amartingar@usal.es
Contact Person Name
Alejandro Martin Garcia-Sancho
Contact Person Email
amartingar@usal.es

Sponsor

Primary sponsor

Full Name
Regeneron Pharmaceuticals Inc.
Organisation Type
Pharmaceutical company
Country Of Registered Address
United States

Contract research organisations

Name
Syneos Health Inc.
Responsibilities
codes 1,12,15 (Contract Research Organisation),6,7,8

Third parties

  • {"country":"United States","full_name":"Yprime LLC","duties_or_roles":"eCOA, Health outcome reporting/reading center","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Immunologix","duties_or_roles":"code 4","organisation_type":"Health care"}
  • {"country":"Slovakia","full_name":"SanaClis s.r.o.","duties_or_roles":"IMP release, Returns and Destruction","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Perceptive Informatics Inc.","duties_or_roles":"code 3","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Ventana Medical Systems Inc.","duties_or_roles":"code 4","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Syneos Health Inc.","duties_or_roles":"codes 1,12,15 (Contract Research Organisation),6,7,8","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"ICON Medical Imaging","duties_or_roles":"Central Imaging, Reading Center","organisation_type":"Industry"}
  • {"country":"United States","full_name":"IQVIA Laboratories LLC","duties_or_roles":"Reporting, Logistics Management, Specimen storage and management; codes 4,5,6","organisation_type":"Laboratory/Research/Testing facility"}

Investigational products

Investigational Product Name
Odronextamab
Active Substance
ODRONEXTAMAB
Modality
Bispecific antibody
Routes Of Administration
INTRAVENOUS
Route
Intravenous
Authorisation Status
Authorised
Orphan Designation
Yes
Maximum Dose
320 mg

Related trials

Other published trials that may interest you.