Clinical trial • Phase III • Oncology

TAFASITAMAB for Follicular lymphoma | Marginal zone lymphoma

Phase III trial of TAFASITAMAB for Follicular lymphoma | Marginal zone lymphoma.

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Follicular lymphoma | Marginal zone lymphoma
Trial Stage
Phase III
Drug Modality
Small molecule | Monoclonal antibody
Orphan Drug
Yes

Key dates

Initial CTIS Submission Date
16-11-2023
First CTIS Authorization Date
15-01-2024

Trial design

Randomised, two arms: group a (intervention) receives tafasitamab 12 mg/kg iv (28-day cycle: cycles 1-3 days 1,8,15,22; cycles 4-12 days 1 and 15) + rituximab (including biosimilars) 375 mg/m2 iv (cycle 1 days 1,8,15,22; cycles 2-5 day 1) + lenalidomide 20 mg po once daily (28-day cycle, cycles 1-12 days 1-21). group b (comparator/placebo) receives tafasitamab placebo (0.9% saline iv) with same schedule + rituximab 375 mg/m2 iv with same schedule + lenalidomide 20 mg po once daily (cycles 1-12 days 1-21).-controlled Phase III trial.

Randomised
Yes
Comparator
Two arms: Group A (intervention) receives Tafasitamab 12 mg/kg IV (28-day cycle: Cycles 1-3 Days 1,8,15,22; Cycles 4-12 Days 1 and 15) + Rituximab (including biosimilars) 375 mg/m2 IV (Cycle 1 Days 1,8,15,22; Cycles 2-5 Day 1) + Lenalidomide 20 mg PO once daily (28-day cycle, Cycles 1-12 Days 1-21). Group B (comparator/placebo) receives Tafasitamab placebo (0.9% saline IV) with same schedule + Rituximab 375 mg/m2 IV with same schedule + Lenalidomide 20 mg PO once daily (Cycles 1-12 Days 1-21).
Target Sample Size
309

Stratification factors

  • disease (FL versus MZL)

Eligibility

Recruits 309 Vulnerable population flag selected (isVulnerablePopulationSelected: true). Informed consent is documented via subject information and informed consent forms (L1 SIS and ICF) and country-specific ICF materials; a dedicated "Pregnant Partner" information document is available. Participants must be ≥18 years and provide their own consent. No explicit text about assent or additional consent procedures for minors is present (minors are excluded by inclusion criteria)..

Pregnancy Exclusion
1. Women who are pregnant or breastfeeding.
Vulnerable Population
Vulnerable population flag selected (isVulnerablePopulationSelected: true). Informed consent is documented via subject information and informed consent forms (L1 SIS and ICF) and country-specific ICF materials; a dedicated "Pregnant Partner" information document is available. Participants must be ≥18 years and provide their own consent. No explicit text about assent or additional consent procedures for minors is present (minors are excluded by inclusion criteria).

Inclusion criteria

  • {"criterion_text":"- 1. Male and female participants at least 18 years of age who have a histologically confirmed Grade 1, 2 or 3a FL or histologically confirmed nodal MZL, splenic MZL, or extranodal MZL"}
  • {"criterion_text":"- 2. Must have been previously treated with at least 1 prior systemic anti-CD20 immunotherapy or chemo-immunotherapy. This includes treatments such as rituximab monotherapy or chemotherapy plus immunotherapy with rituximab or obinutuzumab, with or without maintenance."}
  • {"criterion_text":"- 3. Must have documented relapsed, refractory, or progressive disease (PD) after treatment with systemic therapy a. Relapsed lymphoma: relapsed after initial response of CR or PR ≥ 6 months after prior therapy. b. Refractory lymphoma: achieved less than PR to the last treatment or achieved a CR or PR that lasted less than 6 months. c. Progressive lymphoma: PD after initial response of SD to prior therapy. Please refer to section 5.1 of the protocol for the full list of inclusion criteria."}

Exclusion criteria

  • {"criterion_text":"- 1. Women who are pregnant or breastfeeding."}
  • {"criterion_text":"- 2. History of or current histology other than FL and MZL or clinical evidence of transformed lymphoma by investigator (INV) assessment."}
  • {"criterion_text":"- 3. History of radiation therapy to ≥ 25% of the BM for other diseases."}
  • {"criterion_text":"- 4. Active systemic infection."}
  • {"criterion_text":"- 5. Participants in a severely immunocompromised state."}
  • {"criterion_text":"- 6. Known CNS lymphoma involvement. Please refer to section 5.2 of the protocol for the full list of exclusion criteria."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- PFS by investigator (INV) assessment in the FL population, using Lugano 2014 criteria (Cheson et al 2014). PFS is defined as the time from randomization to first documented disease progression, or death from any cause, whichever occurs first.","definition_or_measurement_approach":"PFS assessed by investigator (INV) using Lugano 2014 criteria; PFS defined as time from randomization to first documented disease progression or death from any cause."}

Secondary endpoints

  • {"endpoint_text":"- * PFS by INV assessment in the overall population (FL and MZL populations). * PET-CR rate by INV in the FDG-avid FL population, defined as a complete metabolic response at any time after start of treatment. *OS in the FL population.","definition_or_measurement_approach":"PFS by INV in overall population; PET-CR rate by INV in FDG-avid FL defined as complete metabolic response at any time after treatment start; OS = overall survival in FL population."}

Recruitment

Registry Or Advocacy Recruitment
True, PAG (Patient Advocacy Group)
Digital Remote Recruitment
True, digital methods explicitly mentioned include eNewsletter content, social media ads, web banner ads and digital patient brochures; country-specific digital assets exist (e.g., DK, NL, IE, SE, FI, CZ, IT, PL, FR).
Planned Sample Size
309
Recruitment Window Months
96
Consent Approach
Informed consent obtained using subject information and informed consent form (L1 SIS and ICF) documents. Participants must be ≥18 and provide their own consent. Country-specific ICFs/subject information materials are provided (multiple country versions documented). Additional ICF addenda exist for pregnant partner information, optional tissue biopsy and genomic testing. No text about assent for minors (minors excluded).

Methods

  • eNewsletter content — electronic newsletter materials prepared for recruitment (documents titled 'eNewsletter content'). Target audience: patients and HCPs as appropriate; country-specific versions available.
  • Social media ads — recruitment via social media advertising (documents titled 'social media ads'). Target audience: potential patient population/public; country-specific versions available.
  • Web banner ads — online banner advertisements (documents titled 'web banner ad' / 'Web banner'). Target audience: general public/patients; country-specific versions available.
  • Patient brochure and Patient FAQ brochure — printed/digital brochures for patients explaining the study (documents titled 'patient brochure', 'patient FAQ brochure'). Target audience: patients; country-specific translations available.
  • PAG study fact sheet / PAG to patient letter — materials for Patient Advocacy Groups (PAG) and letters routed via PAGs to patients. Target audience: patient advocacy groups and patients; country-specific versions available.
  • Dr-to-Dr letters and GP letters — recruitment outreach to physicians/GPs via letters to inform about the study (documents titled 'dr to dr letter', 'GP Letter'). Target audience: referring physicians and site clinicians; country-specific versions available.
  • Chart review checklist — site-based retrospective chart review tools to identify eligible patients (document titled 'chart review checklist'). Target audience: site clinicians/site staff.
  • Site staff welcome letter / site staff materials / toolkit sheet — materials to engage and inform site staff to support recruitment (documents titled 'site staff welcome letter', 'toolkit sheet'). Target audience: site staff and study coordinators.
  • Trial card / trial card pocket size / visit reminder card — pocket cards and reminder cards for participants (documents titled 'trial card', 'Visit Reminder Card'). Target audience: enrolled participants.
  • Dosing diary Lenalidomide / Participant diaries — tools for participants to record dosing (document titled 'Dosing Diary Lenalidomide'). Target audience: participants to support adherence and safety reporting.
  • Patient Emergency Card / Participant emergency card — cards for participants for emergency contact and study ID (documents titled 'Patient Emergency Card'). Target audience: participants.

Geography

Total Number Of Participants
309

Sponsor

Primary sponsor

Full Name
Incyte Corp.
Organisation Type
Pharmaceutical company
Country Of Registered Address
United States

Contract research organisations

Name
Syneos Health Hellas Single Member S.A.
Responsibilities
Operational/sponsor support (sponsorDuties codes: [1,12,5])
Name
Syneos Health Netherlands B.V.
Responsibilities
Operational/sponsor support (sponsorDuties codes: [1,12,2,5,6,7])
Name
Icon Development Solutions LLC
Responsibilities
ADA samples analysis / operational support
Name
Bioclinica Inc.
Responsibilities
Medical image analysis/review
Name
IQVIA Laboratories Limited
Responsibilities
Clinical trial information / laboratory support (sponsorDuties code: 4)

Third parties

  • {"country":"Greece","full_name":"Syneos Health Hellas Single Member S.A.","duties_or_roles":"sponsorDuties codes: [1, 12, 5]","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Neogenomics Laboratories Inc. (San Diego)","duties_or_roles":"Lymphoid NGS testing","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United States","full_name":"Neogenomics Laboratories Inc. (Houston)","duties_or_roles":"Extract and IgH clonality/MRD NGS testing","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United States","full_name":"Suvoda LLC","duties_or_roles":"sponsorDuties code: 3","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Bioclinica Inc.","duties_or_roles":"Medical image analysis/ review - X-ray, MRI, ultrasound, etc.","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United States","full_name":"Neogenomics Laboratories Inc. (Aliso Viejo)","duties_or_roles":"MRD (minimal residual disease) analysis","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United Kingdom","full_name":"Iqvia Laboratories Limited","duties_or_roles":"sponsorDuties code: 4","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"Germany","full_name":"Universitaetsklinikum Schleswig-Holstein","duties_or_roles":"Ship to Address (For Aliq B)","organisation_type":"Hospital/Clinic/Other health care facility"}
  • {"country":"United States","full_name":"Icon Development Solutions LLC","duties_or_roles":"ADA samples analysis","organisation_type":"Pharmaceutical company"}
  • {"country":"Netherlands","full_name":"Syneos Health Netherlands B.V.","duties_or_roles":"sponsorDuties codes: [1,12,2,5,6,7]","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"Inivata Limited","duties_or_roles":"Cryopreservation","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Massive Bio Inc.","duties_or_roles":"Patients' recruitment support","organisation_type":"Pharmaceutical company"}
  • {"country":"France","full_name":"Eurofins Adme Bioanalyses","duties_or_roles":"Pharmacokinetics","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
MINJUVI 200 mg powder for concentrate for solution for infusion
Active Substance
TAFASITAMAB
Modality
Monoclonal antibody
Routes Of Administration
Intravenous infusion
Route
Intravenous
Authorisation Status
Authorised (marketing authorisation number EU/1/21/1570/001 listed)
Orphan Designation
Yes
Starting Dose
12 mg/kg IV (as per arm schedule)
Frequency
28-day cycle; Cycles 1-3 Days 1, 8, 15, 22; Cycles 4-12 Days 1 and 15
Maximum Dose
12 mg/kg (maxDailyDoseAmount field: 12 mg/kg)
Investigational Product Name
Revlimid / Zelvina (lenalidomide hard capsules, multiple strengths listed)
Active Substance
LENALIDOMIDE
Modality
Small molecule
Routes Of Administration
Oral
Route
Oral
Authorisation Status
Authorised (multiple marketing authorisations listed for Revlimid/Zelvina)
Starting Dose
20 mg PO once daily (Cycles 1-12 Days 1-21)
Dose Levels
5 mg, 10 mg, 15 mg, 20 mg (product strengths listed)
Frequency
Once daily (Days 1-21 of 28-day cycle, Cycles 1-12)
Maximum Dose
20 mg (maxDailyDoseAmount field: 20 mg)
Investigational Product Name
Truxima 100 mg concentrate for solution for infusion
Active Substance
RITUXIMAB
Modality
Monoclonal antibody
Routes Of Administration
Intravenous infusion
Route
Intravenous
Authorisation Status
Authorised (marketing authorisation EU/1/16/1167/002 listed)
Starting Dose
375 mg/m2 IV (Cycle 1 Days 1, 8, 15, 22; Cycles 2-5 Day 1)
Frequency
Per rituximab schedule: Cycle 1 multiple weekly doses then Day 1 for Cycles 2-5
Maximum Dose
375 mg/m2 (maxDailyDoseAmount field: 375 mg/m2)
Investigational Product Name
0.9% saline solution for infusion (placebo)
Modality
Other
Routes Of Administration
Intravenous infusion (placebo)
Route
Intravenous
Frequency
As tafasitamab placebo schedule (matching tafasitamab dosing schedule)
Combination Treatment
Yes

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