Efficacy and Safety Study of Second-Line Prolgolimab Monotherapy or in Combination With Bendamustine for Relapsed/Refractory Classical Hodgkin Lymphoma

Status: Recruiting
Location: See all (2) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 2
SUMMARY

Prolgolimab is an anti-PD-1 inhibitor that has previously been shown to be effective and safe for the treatment of patients with melanoma. Given the mechanism of action, it is expected to be effective in patients with classical Hodgkin lymphoma (cHL). The use of PD-1 inhibitors in 2nd line treatment, as part of PET-adapted monotherapy/combination therapy, has already demonstrated a favorable toxicity profile, as well as a high efficacy, which may lead to increased survival of patients with r/r cHL. It has been demonstrated that long-term disease remission can be achieved after PD-1 inhibitor therapy, even in a group of heavily pretreated patients with relapsed/refractory cHL. The use of prolgolimab as part of PET-adapted therapy strategy in this study may allow to achieve a prolonged remission in patients with cHL who are highly sensitive to immunotherapy while omitting the autologous stem cell transplantation.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 70
Healthy Volunteers: f
View:

• Patients with a histologically verified diagnosis of cHL, refractory or relapsed after the first line of therapy

• Age 18-70 y

• Ejection fraction not less than 50%

• No severe concurrent illness

• 0-2 ECOG status

• Use of highly effective contraceptive methods from the moment of signing the informed consent form, throughout the study and within 6 months after receiving the last dose of the drug.

Locations
Other Locations
Russian Federation
N.N. Petrov National Medical Research Center of Oncology
RECRUITING
Saint Petersburg
St. Petersburg State Pavlov Medical University
RECRUITING
Saint Petersburg
Contact Information
Primary
Kirill Lepik, MD, PhD
lepikkv@gmail.com
+78123386265
Backup
Liudmila Fedorova, MD
md.FedorovaL@gmail.com
+78123386265
Time Frame
Start Date: 2023-04-19
Estimated Completion Date: 2025-03-10
Participants
Target number of participants: 30
Treatments
Experimental: Main arm
Patients receive 6 cycles of prolgolimab monotherapy with subsequent assessment of response by PET/CT using Lugano and LYRIC criteria. Patients with complete response continue prolgolimab therapy for up to 24 cycles. Patients are switched to combination therapy with prolgolimab and chemotherapy (bendamustine) if the complete response is not achieved after 6 cycles of therapy or in case of relapse during prolgolimab monotherapy.~Patients without complete response after 6 cycles of prolgolimab monotherapy or with relapse during monotherapy will receive 3 cycles of combination therapy with prolgolimab and bendamustine every 28 days. Collection of hematopoietic stem cells is performed at any stage of combination therapy. Response evaluation after 3 cycles of combination therapy is performed by PET/CT using Lugano and LYRIC criteria. Autologous stem cell transplantation is conducted in patients who achieve complete or partial response.
Sponsors
Collaborators: N.N. Petrov National Medical Research Center of Oncology
Leads: St. Petersburg State Pavlov Medical University

This content was sourced from clinicaltrials.gov

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