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The purpose of this phase 1b/2 study is to evaluate the safety, tolerability, and antitumor activity of HDM2005 in combination with standard of care in participants with diffuse large B-cell lymphoma. This study will include two arms: Cohort A (HDM2005 + R-GemOx) will enroll participants with relapsed/refractory DLBCL. Cohort B (HDM2005 + R-CHP) will enroll participants with untreated DLBCL. The study will consist of two parts: dose-escalation part and dose-expansion part.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Participants with r/r DLBCL (Cohort A) | Experimental | Participants with r/r DLBCL will receive a dose of HDM2005 (1.8 mg/kg or 2.0 mg/kg, on Day 2 Cycle 1 and Day 1 Cycle 2 to 6-8) plus 1000 mg/ m^2 gemcitabine (on Day 2 Cycle 1 and Day 1 Cycle 2 to 6-8), 100 mg/ m^2 oxaliplatin, and 375 mg/m^2 rituximab or rituximab biosimilar administered by intravenous (IV) infusion on Day 1 of each 3-week cycle for up to 6-8 cycles. |
|
| Participants with untreated DLBCL (Cohort B) | Experimental | Participants with untreated DLBCL will receive a dose of HDM2005 (1.8 mg/kg or 2.0 mg/kg, on Day 2 Cycle 1 and Day 1 Cycle 2 to 6) plus 750 mg/m^2 cyclophosphamide (on Day 2 Cycle 1 and Day 1 Cycle 2 to 6), 50 mg/m^2 doxorubicin (on Day 2 Cycle 1 and Day 1 Cycle 2 to 6), and 375 mg/m^2 rituximab or rituximab biosimilar administered by intravenous (IV) infusion on Day 1 and 2 Cycle 1 and Day 1 Cycle 2 to 6 of each 3-week cycle for up to 6 cycles. Participants will also receive 100 mg prednisone or prednisolone via oral tablet per day during Days 1-5 of each 3-week cycle for up to 6 cycles. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| HDM2005 | Drug | HDM2005 will be administered as an intravenous injection. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants who experience dose-limiting toxicities (DLTs) in dose-escalation part | The CTCAE, Version 5.0 will be used to grade the severity of AEs in this study. DLTs will be reported for dose-escalation part of this study. | Up to ~3 weeks |
| Number of participants who experience adverse events (AEs), serious adverse events (SAEs) and adverse events of special interest (AESIs) in dose-escalation part | Incidence and grading of adverse events (AEs), serious adverse events (SAEs), and adverse events of special interest (AESIs) (based on the National Cancer Institute's Common Terminology Criteria for Adverse Events [CTCAE] version 5.0). Incidence of treatment interruption and dose adjustment due to AEs and changes in laboratory tests, vital signs, physical examination, electrocardiogram (ECG), and Eastern Cooperative Oncology Group (ECOG) performance status score. | Up to ~54 months |
| Complete response (CR) rate in dose-expansion part | CR rate is defined as the percentage of participants who achieve a complete response (CR) per Lugano criteria, as determined by the investigator | Up to ~30 months |
| RP2D of HDM2005 | Recommended phase 2 dose of HDM2005 in combination with SoC in patients with r/r DLBCL and untreated DLBCL | Up to ~30 months |
| Measure | Description | Time Frame |
|---|---|---|
| Plasma concentration of HDM2005, total antibody and monomethyl auristatin E (MMAE) | Plasma concentration of HDM2005, total antibody and MMAE will be reported for each dose level | Up to ~30 months |
| Number of participants positive for anti-drug antibodies (ADA) |
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Inclusion Criteria:
Male or female aged 18-75 years.
Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
Life expectancy >12 weeks.
Histologically confirmed diffuse large B-cell lymphoma (DLBCL).
a. Cohort B: International Prognostic Index (IPI) score of 2-5.
Prior treatment:
At least one bi-dimensionally measurable (≥1.5 cm) nodal lesion, or one bi-dimensionally measurable (≥1 cm) extranodal lesion, as measured on computed tomography (CT) scan.
Adequate organ system and hematologic function as defined in protocol.
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Meiping Kong | Contact | +8613735478976 | cxykongmeiping@eastchinapharm.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Peking University Cancer Hospital | Recruiting | Beijing | Beijing Municipality | 100142 | China | |
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| Rituximab or Rituximab biosimilar | Drug | Rituximab or Rituximab biosimilar will be administered as an intravenous injection. |
|
| Gemcitabine | Drug | Gemcitabine will be administered as an intravenous injection. |
|
| Oxaliplatin | Drug | Oxaliplatin will be administered as an intravenous injection. |
|
| Cyclophosphamide | Drug | Cyclophosphamide will be administered as an intravenous injection. |
|
| Doxorubicin | Drug | Doxorubicin will be administered as an intravenous injection. |
|
| Prednisone | Drug | Prednisone will be administered orally. |
|
Number of participants with positive ADA will be assessed |
| Up to ~30 months |
| Number of participants who experience adverse events (AEs), serious adverse events (SAEs) and adverse events of special interest (AESIs) in dose-expansion part | Incidence and grading of adverse events (AEs), serious adverse events (SAEs), and adverse events of special interest (AESIs) (based on the National Cancer Institute's Common Terminology Criteria for Adverse Events [CTCAE] version 5.0). Incidence of treatment interruption and dose adjustment due to AEs and changes in laboratory tests, vital signs, physical examination, electrocardiogram (ECG), and Eastern Cooperative Oncology Group (ECOG) performance status score. | Up to ~54 months |
| Objective response rate (ORR) | ORR is defined as the percentage of participants who achieve a complete response (CR) or partial response (PR) per Lugano criteria as determined by the investigator | Up to ~30 months |
| Progression-free survival (PFS) | PFS is defined as the interval from the start of study therapy to the earlier of the first documentation of disease progression/relapse or death from any cause, whichever occurs first as determined by the investigator | Up to ~54 months |
| Duration of response (DOR) | DOR is defined as the interval from the first documentation of CR or PR until disease progression or death due to any cause, whichever occurs first | Up to ~54 months |
| Time to response (TTR) | TTR is defined as the interval from the start of study therapy to the first documentation of CR or PR | Up to ~54 months |
| Time to progression (TTP) | TTP is defined as the interval from the start of study therapy to the earlier of the first documentation of disease progression as determined by the investigator | Up to ~54 months |
| Overall survival (OS) | OS is defined as the time from randomization to death due to any cause | Up to ~54 months |
| Fujian Cancer Hospital |
| Not yet recruiting |
| Fuzhou |
| Fujian |
| 350000 |
| China |
| Sun Yat-sen University Cancer Center | Not yet recruiting | Guangzhou | Guangdong | 510050 | China |
| The Affiliated Tumor Hospital of Guangxi Medical University | Not yet recruiting | Nanning | Guangxi | 530021 | China |
| Affiliated Tumor Hospital of Harbin Medical University | Not yet recruiting | Harbin | Heilongjiang | 150081 | China |
| The First Affiliated Hospital of Zhengzhou University | Not yet recruiting | Zhengzhou | Henan | 450000 | China |
| Henan Cancer Hospital | Not yet recruiting | Zhengzhou | Henan | 450008 | China |
| Union Hospital, Tongji Medical College, Huazhong University of Science and Technology | Not yet recruiting | Wuhan | Hubei | 430022 | China |
| Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology | Not yet recruiting | Wuhan | Hubei | 430030 | China |
| HunanCancer Hospital | Not yet recruiting | Changsha | Hunan | 410023 | China |
| Second Affiliated Hospital of Soochow University | Not yet recruiting | Suzhou | Jiangsu | 215005 | China |
| The First Affiliated Hospital Of Nanchang University | Not yet recruiting | Nanchang | Jiangxi | 330000 | China |
| The first hospital of Jilin University | Not yet recruiting | Changchun | Jilin | 130021 | China |
| Shengjing Hospital Affiliated to China Medical University | Not yet recruiting | Shenyang | Liaoning | 110004 | China |
| The First Affiliated Hospital of Xi'an Jiaotong University | Not yet recruiting | Xi'an | Shaanxi | 710061 | China |
| Cancer Hospital of Shandong First Medical University (Shandong Cancer Institute,Shandong Cancer Hospital) | Not yet recruiting | Jinan | Shandong | 250117 | China |
| Shanxi Cancer Hospital | Not yet recruiting | Taiyuan | Shanxi | 030013 | China |
| West China Hospital,Sichuan University | Not yet recruiting | Chengdu | Sichuan | 610041 | China |
| The Second Affiliated Hospital of Kunming Medical UniversityThe Second Affiliated Hospital of Kunming Medical University | Active, not recruiting | Kunming | Yunnan | 650033 | China |
| Yunnan Cancer Hospital | Not yet recruiting | Kunming | Yunnan | 650118 | China |
| The First Affiliated Hospital, Zhejiang University School of Medicine | Not yet recruiting | Hangzhou | Zhejiang | 310003 | China |
| ID | Term |
|---|---|
| D016403 | Lymphoma, Large B-Cell, Diffuse |
| ID | Term |
|---|---|
| D016393 | Lymphoma, B-Cell |
| D008228 | Lymphoma, Non-Hodgkin |
| 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 |
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| ID | Term |
|---|---|
| D000069283 | Rituximab |
| D000093542 | Gemcitabine |
| D000077150 | Oxaliplatin |
| D003520 | Cyclophosphamide |
| D004317 | Doxorubicin |
| D011241 | Prednisone |
| ID | Term |
|---|---|
| D058846 | Antibodies, Monoclonal, Murine-Derived |
| D000911 | Antibodies, Monoclonal |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
| D007162 | Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |
| D006571 | Heterocyclic Compounds |
| D003841 | Deoxycytidine |
| D003562 | Cytidine |
| D011741 | Pyrimidine Nucleosides |
| D011743 | Pyrimidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D056831 | Coordination Complexes |
| D009930 | Organic Chemicals |
| D010752 | Phosphoramide Mustards |
| D009588 | Nitrogen Mustard Compounds |
| D009150 | Mustard Compounds |
| D006846 | Hydrocarbons, Halogenated |
| D006838 | Hydrocarbons |
| D063088 | Phosphoramides |
| D009943 | Organophosphorus Compounds |
| D003630 | Daunorubicin |
| D018943 | Anthracyclines |
| D009279 | Naphthacenes |
| D011084 | Polycyclic Aromatic Hydrocarbons |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D011083 | Polycyclic Compounds |
| D000617 | Aminoglycosides |
| D006027 | Glycosides |
| D002241 | Carbohydrates |
| D011244 | Pregnadienediols |
| D011245 | Pregnadienes |
| D011278 | Pregnanes |
| D013256 | Steroids |
| D000072473 | Fused-Ring Compounds |
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