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| Name | Class |
|---|---|
| Menarini Group | INDUSTRY |
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The goal of the study is to assess the safety and anti-lymphoma activity of MEN1703 (Dapolsertib hydrochloride) when given as a single-agent or combined with glofitamab to patients with relapsed/refractory (R/R) aggressive B-cell non-Hodgkin lymphoma. The study will be open to groups at the same time:
The study consists of 3 parts, to investigate MEN1703 (Dapolsertib hydrochloride) in combination with glofitamab in patients who are naïve to treatment with an anti-CD3xCD20 bispecific antibody (group 1) or MEN1703 alone in patients who have exhausted all standard treatment options (group 2).
Part 1 (safety run-in) and Part 2 (enrichment): patients who are naïve to treatment with an anti-CD3xCD20 bispecific antibody (group 1) will receive either 150 mg or 125 mg of MEN1703 along with glofitamab. Patients who have exhausted all standard treatment options (group 2) will receive 125 mg of MEN1703 as a single-agent.
Part 3 (optional randomized comparison): Patients who are naïve to treatment with an anti-CD3xCD20 bispecific antibody therapy will be randomized to receive either MEN1703 (Dapolsertib hydrochloride) at a dose selected from part 2 in combination with glofitamab or glofitamab alone.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MEN1703 + glofitamab | Experimental | • Participants who are naïve to treatment with an anti-CD3xCD20 bispecific antibody (group 1) will be given MEN1703 orally at a dose of 150 mg daily for 7 days or 125 mg daily for 14 days, in 21-day cycles for a maximum of 12 cycles, in combination with glofitamab administered as an IV infusion in a step-up dosing schedule starting with 2.5 mg on day 8 of cycle 1, and10 mg on day 15 of cycle 1, and 30 mg on day 1 from cycle 2 onward until disease progression or withdrawal, for a maximum of 12 cycles (parts 1, 2, 3)). All participants will be administered 1,000 mg of obinutuzumab as an IV infusion on cycle 1 day 1. • Participants who have exhausted all standard treatment options (group 2) will receive MEN1703 as a single-agent, at a dose of 125 mg orally every-day for 14 consecutive days in consecutive 21-day treatment cycles, until progressive disease (parts 1 and 2). |
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| Gofitamab | Active Comparator | Participants who are naïve to treatment with an anti-CD3xCD20 bispecific antibody (group 1) will receive glofitamab as a single-agent administered as an IV infusion in a step-up dosing schedule starting with 2.5 mg on day 8 of cycle 1, and10 mg on day 15 of cycle 1, and 30 mg on day 1 from cycle 2 onward until disease progression or withdrawal, for a maximum of 12 cycles (part 3). |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MEN1703 | Drug | MEN1703 (Dapolsertib hydrochloride) is a potent dual inhibitor of proviral integration site for Moloney murine leukemia virus (PIM) kinases and Fms-like tyrosine kinase 3 (FLT3). |
| Measure | Description | Time Frame |
|---|---|---|
| Part 1: Incidence and severity of adverse events (AE) | Assessed as the number and grade of adverse events assessed by CTCAE v5.0 | 12 months |
| Part 2 and Part 3: Complete response (CR) (group 1) | Assessed per Lugano Response Criteria for Malignant Lymphoma | 12 months |
| Part 2 and Part 3: Overall response rate (group 2) | Assessed as the number of patients who achieve a complete response (CR) or partial response (PR), per Lugano Response Criteria, divided by the total number of evaluable patients | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Part 2 and Part 3, Incidence and severity of AE | Assessed as the number and grade of adverse events assessed by CTCAE v5.0 | 12 months |
| Maximum Plasma Concentration (Cmax) | Assessment of the peak plasma concentration (Cmax) |
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Inclusion Criteria:
Exclusion Criteria:
Primary central nervous system (CNS) lymphoma or CNS involvement by lymphoma at screening.
Received anti-cancer treatments, including cytotoxic chemotherapy, radiotherapy, hormonal therapy, biologic, immunotherapy, or investigational drugs within 14 days or 5 half-lives (whichever is shorter) before the first dose of study drug. Prior treatment with CAR-T cell or an anti-CD3xCD20 bispecific antibody therapy (permitted for Group 2 only), requires a wash out period of ≥4 weeks.
Concurrent participation in another therapeutic clinical study.
Ongoing clinically significant toxicity (for example, alopecia is not clinically significant) from any prior anti-cancer therapy that has not resolved to Grade 1 or less prior to the first dose of study drug.
Prior treatment with a PIM inhibitor.
Group 1 only: Any prior therapy with a bispecific antibody targeting CD3 and CD20.
Known risk of allergy to the study drugs, MEN1703 (group 1 and 2) or glofitamab (group 1) or their excipients
Contraindication to all uric acid lowering agents.
Major surgery within 1 month prior to first dose of study drug.
Hematopoietic stem cell transplant within 4 months prior to first dose of study drug.
Requires systemic immune-modulating therapy (regardless of dose) or has confirmed history or current autoimmune disease or other diseases resulting in permanent immunosuppression.
Exposed to live or live attenuated vaccine(s) within 4 weeks prior to signing the informed consent form (ICF).
Evidence of ongoing and uncontrolled systemic bacterial, fungal, or viral infection, except for documented Grade Common Terminology Criteria for Adverse Events (CTCAE) ≤2 infections with evidence of improvement or without evidence of worsening infection.
Known human immunodeficiency virus (HIV) infection
Current active liver disease from any cause
Ongoing drug-induced pneumonitis.
Ongoing inflammatory bowel disease.
Active known second malignancy
Received an agent known to be a sensitive CYP2D6 substrate or a CYP2D6 substrate with a narrow therapeutic range, a strong or moderate CYP2D6 inhibitor, or a BCRP inhibitor within 14 days or 5 half-lives (whichever is shorter), prior to the first dose of study drug.
Cardiac dysfunction is defined as myocardial infarction within 6 months of study entry, New York Heart Association (NYHA) Class III or IV heart failure, uncontrolled dysrhythmias, or poorly controlled angina.
Receiving treatment for active, ongoing thromboembolic event. Note: Does not apply to prophylactic treatment to prevent or avoid reoccurrence of a prior resolved event. To review with Medical Monitor where further risk assessment is needed.
History of serious ventricular arrhythmia (e.g., VT or VF, ≥3 beats in a row), or QT interval corrected for heart rate (QTc) ≥480 ms.
Note: QTc values up to 500 ms will be acceptable where patient's medical history e.g., bundle branch block, is known to cause mild QTc prolongation and the condition is well controlled.
Any disease, syndrome or condition which may significantly affect drug intake via oral route.
Planning to become pregnant or breastfeed during treatment and for 1 month after the last dose of study drug.
Any other prior or current medical condition, intercurrent illness, surgical history, physical or 12-lead electrocardiogram (ECG) findings, laboratory abnormalities, or extenuating circumstance (e.g., alcohol or drug addiction) that, in the investigator's opinion, could jeopardize patient safety or interfere with the objectives of the study.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Head of Clinical Operations | Contact | +48 123140200 | clinicaltrials@ryvu.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre Hospitalier Le Mans | Recruiting | Le Mans | 72037 | France |
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| Glofitamab | Drug | Glofitamab is a bispecific monoclonal antibody that binds bivalently to CD20 expressed on the surface of B-cells and monovalently to CD3 in the T-cell receptor complex expressed on the surface of T-cells. |
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| 12 months |
| Maximum Plasma Concentration (Tmax) | Assessment of the time to peak plasma concentration (Tmax) | 12 months |
| Area Under the Concentration Time-Curve (AUC) | Assessed of the area under the plasma concentration versus time curve (AUC) | 12 months |
| Impact of treatment on patient reported outcomes (PRO) | Assessed as changes in lymphoma symptoms, well-being, and general health status measured according to the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30) consisting of 30 questions that assess five domains of patient functioning (physical, emotional, role, cognitive, and social), three symptom scales (fatigue, nausea and vomiting, and pain), global health status/quality of life (GHS/QoL), and six single items (dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties). All are scored from 0 to 100, with higher scores on the five domains and GHS/QoL being reflective of better health related (HR) QoL, and higher scores on the symptom scales and single items reflective of poor HRQoL. | 12 months |
| Impact of treatment on quality of life (QOL) | Assessed as changes in lymphoma symptoms and health related quality of life (HRQoL) as measured using the 15-item Functional Assessment of Cancer Therapy - Lymphoma (FACT-Lym) including physical, social/family, emotional, and functional well-being and includes a lymphoma-specific subscale. The scale range is 0 to 60, with a higher score reflecting a better HRQoL. | 12 months |
| Overall survival (OS) | Assessed as the time from first treatment to death. | 12 months |
| Progression-free survival (PFS) | Assessed as time from the time from first treatment to the first occurrence of disease progression or death. | 12 months |
| Duration of Response (DoR) | Assessed as the time from first response (CR or PR) to the first occurrence of disease progression or death. | 12 months |
| Duration of Complete Response (DoCR) | Assessed as the time from first complete response (CR) to the first occurrence of disease progression or death. | 12 months |
| Time to response | Assessed as the time from the first treatment to the time of first response (CR or PR). | 12 months |
| Time to next treatment | Assessed as the time from the first treatment to the start date of the first therapy received after the participant has ended study treatment and received subsequent anti-lymphoma therapy. | 12 months |
| CHU de Lille - Hôpital Claude Huriez | Recruiting | Lille | France |
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| CHU de Limoges - CHU Dupuytren | Recruiting | Limoges | 87042 | France |
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| Hospices Civils De Lyon - Hôpital Lyon Sud | Recruiting | Lyon | 69310 | France |
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| CHU Montpellier - Hôpital Saint Eloi | Recruiting | Montpellier | 34490 | France |
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| APHP - Hôpital Pitié-Salpêtrière | Recruiting | Paris | 75651 | France |
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| CHU de Bordeaux - Hôpital Haut-Lévêque | Recruiting | Pessac | 33600 | France |
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| Wojewódzki Szpital Specjalistyczny w Białej Podlaskiej | Recruiting | Biała Podlaska | Poland |
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| IN-VIVO Bydgoszcz Sp. z o.o. | Recruiting | Bydgoszcz | Poland |
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| Klinika Hematologii I Transplantologii Uck | Not yet recruiting | Gdansk | Poland |
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| Szpitale Pomorskie Sp. z o.o. | Recruiting | Gdynia | Poland |
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| Narodowy Instytut Onkologii im. Marii Skłodowskiej Curie, Państwowy Instytut Badawczy | Recruiting | Gliwice | Poland |
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| Pratia Hematologia Sp. z o.o. | Recruiting | Katowice | Poland |
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| Pratia MCM Kraków | Recruiting | Krakow | Poland |
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| SP ZOZ Szpital Uniwersytecki w Krakowie | Not yet recruiting | Krakow | Poland |
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| Szpital Kliniczny Ministerstwa Spraw Wewnętrznych i Administracji z Warmińsko-Mazurskim Centrum Onkologii w Olsztynie | Recruiting | Olsztyn | Poland |
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| Aidport Sp. z o.o. | Recruiting | Skórzewo | Poland |
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| Wojewódzki Szpital Zespolony im. L. Rydygiera w Toruniu | Recruiting | Torun | Poland |
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| Lux Med Onkologia Sp. z o.o. | Recruiting | Warsaw | Poland |
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| Wojskowy Instytut Medyczny - Państwowy Instytut Badawczy | Recruiting | Warsaw | Poland |
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| Hospital Universitari Vall D Hebron | Recruiting | Barcelona | 08035 | Spain |
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| Clinica Universidad De Navarra | Recruiting | Madrid | 28027 | Spain |
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| MD Anderson Cancer Center | Recruiting | Madrid | 28033 | Spain |
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| Hospital Universitario Puerta de Hierro Majadahonda | Not yet recruiting | Madrid | Spain |
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| Hospital Clínico Uni versitario Virgen de la Arrixaca | Not yet recruiting | Murcia | 30120 | Spain |
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| Clinica Universidad De Navarra | Recruiting | Pamplona | 31008 | Spain |
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| Hospital Universitario De Navarra | Recruiting | Pamplona | 31008 | Spain |
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| Hospital Universitario De Salamanca | Recruiting | Salamanca | 37007 | Spain |
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| Hospital Universitario Virgen De La Macarena | Recruiting | Seville | 41009 | Spain |
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| Hospital Universitario Miguel Servet | Not yet recruiting | Zaragoza | Spain |
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| Beatson West of Scotland Cancer Centre | Recruiting | Glasgow | United Kingdom |
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| The Royal Marsden Hospital | Not yet recruiting | London | United Kingdom |
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| The Christie NHS Foundation Trust | Recruiting | Manchester | United Kingdom |
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| Plymouth Hospitals NHS Trust | Recruiting | Plymouth | United Kingdom |
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| The Royal Marsden Hospital | Not yet recruiting | Sutton | United Kingdom |
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| St George's Hospital | Recruiting | Tooting | United Kingdom |
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| ID | Term |
|---|---|
| D008228 | Lymphoma, Non-Hodgkin |
| D012008 | Recurrence |
| D000374 | Aggression |
| ID | Term |
|---|---|
| D008223 | Lymphoma |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D000096762 | Aberrant Motor Behavior in Dementia |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D012919 | Social Behavior |
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| ID | Term |
|---|---|
| C000720108 | glofitamab |
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