Symphony-1: A Phase 1b/3 Double-Blind, Randomized, Active-Controlled, 3-Stage, Biomarker Adaptive Study Of Tazemetostat Or Placebo In Combination With Lenalidomide Plus Rituximab In Subjects With Relapsed/Refractory Follicular Lymphoma

Who is this study for? Patients with Follicular Lymphoma
What treatments are being studied? Tazemetostat
Status: Recruiting
Location: See all (222) locations...
Intervention Type: Combination product, Drug
Study Type: Interventional
Study Phase: Phase 3
SUMMARY

The participants of this study would have relapsed/refractory follicular lymphoma. Follicular lymphoma is a type of blood cancer. It is referred to as 'relapsed' when the disease has come back after a period of improvement after that follows a treatment regimen and 'refractory' when treatment no longer works. Stage 1 of this trial will study the safety and the level that adverse effects of each of the study drug combinations can be tolerated (known as tolerability). It is also designed to establish a recommended study drug dosage for stage 2 and 3. Stage 1 of the study is completed. Stages 2 and 3 will evaluate and compare how long participants live without their disease getting worse when receiving the study drug in combination with other drug treatment versus the placebo (dummy drug) in combination with other drug treatment.

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

• Have voluntarily agreed to provide written informed consent and demonstrated willingness and ability to comply with all aspects of the protocol.

• Males or females are ≥18 years of age at the time of providing voluntary written informed consent.

• Life expectancy ≥3 months before enrollment.

• Meet requirement for hepatitis and human immunodeficiency virus (HIV) infection as follows

‣ Negative serologic or polymerase chain reaction (PCR) test results for acute or chronic hepatitis B virus (HBV) infection Note: Participants whose HBV infection status could not be determined by serologic test results have to be negative for HBV-DNA by PCR to be eligible for study participation. Participants seropositive for HBV with undetectable HBV DNA by PCR are permitted with appropriate antiviral prophylaxis.

⁃ Negative test results for hepatitis C virus (HCV) Note: Participants who are positive for HCV antibody must be negative for HCV RNA by PCR to be eligible for study participation

⁃ If HIV positive, HIV infection is controlled

• Have histologically confirmed FL, Grades 1 to 3A.

• Must have been previously treated with at least 1 prior systemic chemotherapy, immunotherapy, or chemoimmunotherapy:

• a. Systemic therapy includes treatments such as:

• i. Rituximab monotherapy

• ii. Chemotherapy given with or without rituximab

• iii. Radioimmunoconjugates such as 90Y-ibritumomab tiuxetan and 131I-tositumomab.

• b. Systemic therapy does not include, for example:

• i. Local involved field radiotherapy for limited-stage disease

• ii. Helicobacter pylori eradication

• c. Prior investigational therapies will be allowed provided the subject has received at least 1 prior systemic therapy as discussed in Inclusion Criterion #6a.

• d. Prior autologous/allogeneic hematopoietic stem cell transplant (HSCT) will be allowed.

• e. Prior chimeric antigen receptor T-cell therapy (CAR T) will be allowed.

• Must have documented relapsed, refractory, or PD after treatment with systemic therapy (refractory defined as less than PR or disease progression \<6 months after last dose).

• Have measurable disease as defined by the Lugano Classification (Cheson, 2014; Appendix 5).

• Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2.

⁃ Within 7 days prior to randomization, all clinically significant toxicity related to a prior anticancer treatment (ie, chemotherapy, immunotherapy, and/or radiotherapy must have either resolved to Grade 1 per NCI CTCAE Version 5.0 OR are clinically stable and no longer clinically significant.

⁃ Have provided sufficient tumor tissue block or unstained slides for EZH2 mutation testing in all subjects to allow for stratification

⁃ a. If EZH2 mutation status is known from site-specific testing, subjects can be enrolled. Tumor tissue will be required for confirmatory testing of EZH2 status at study-specific laboratories. If the archival tumor sample was collected more than 24 months prior to the anticipated administration of the first dose (cycle 1 day 1), then a fresh biopsy must be provided. Fresh tumor biopsy is appropriate except for procedures deemed to result in unacceptable risk because of the anatomical location including brain, lung/mediastinum, pancreas, or endoscopic procedures extending beyond the esophagus, stomach, or bowel. Archival tumor biopsy sections mounted on slides are also acceptable.

⁃ NOTE: Confirmatory testing will also be performed for Stage 1, if local EZH2 testing is conducted, unless there is insufficient tumor tissue to perform testing after discussion with the Sponsor's or Designee Medical Monitor.

⁃ Time between prior anticancer therapy and first dose of tazemetostat as follows:

• Cytotoxic chemotherapy - At least 21 days.

∙ Noncytotoxic chemotherapy (eg, small molecule inhibitor) - At least 14 days.

∙ Nitrosoureas - At least 6 weeks.

∙ Monoclonal and/or bispecific antibodies or CAR T - At least 28 days.

∙ Radiotherapy - At least 6 weeks from prior radioisotope therapy; at least 12 weeks from 50% pelvic or total body irradiation.

⁃ Adequate renal function defined as calculated creatinine clearance ≥30 mL/minute per the Cockcroft and Gault formula.

⁃ Adequate bone marrow function:

⁃ a. Absolute neutrophil count (ANC) ≥1000/mm3 (≥1.0 × 10\^9/L) if no lymphoma infiltration of bone marrow OR ANC ≥750/mm3 (≥75 × 10\^9/L) with bone marrow infiltration

‣ Without growth factor support (filgrastim or pegfilgrastim) for at least 14 days.

∙ b. Platelets ≥75,000/mm3 (≥75 × 10\^9/L)

‣ Evaluated at least 7 days after last platelet transfusion.

∙ c. Hemoglobin ≥9.0 g/dL

‣ May receive transfusion

⁃ Adequate liver function:

• Total bilirubin ≤1.5 × the upper limit of normal (ULN) except for unconjugated hyperbilirubinemia of Gilbert's syndrome.

∙ Alkaline phosphatase (ALP) (in the absence of bone disease), alanine aminotransferase (ALT), and aspartate aminotransferase (AST) ≤3 × ULN (≤5 × ULN if subject has liver infilration).

⁃ International normalized ratio (INR) ≤1.5 × ULN and activated partial thromboplastin time (aPTT) ≤1.5 × ULN (unless on warfarin, then INR ≤3.0). In subjects with thromboembolism risk, prophylactic anticoagulation, or antiplatelet therapy at investigator discretion is recommended.

⁃ Females of childbearing potential (FCBP) must have a negative urine or serum pregnancy tests (beta-human chorionic gonadotropin \[β-hCG\] tests with a minimum sensitivity of 25 mIU/mL or equivalent units of β-hCG) at screening within 10 to 14 days prior to first dose of study drug. The subject may not receive study drug until the study doctor has verified that the results of pregnancy tests are negative. All females will be considered to be of childbearing potential unless they are naturally postmenopausal (at least 24 months consecutively amenorrhoeic \[amenorrhea following cancer therapy does not rule out childbearing potential\] and without other known or suspected cause) or have been sterilized surgically (ie, total hysterectomy and/or bilateral oophorectomy, with surgery completed at least 1 month before dosing).

⁃ Females of childbearing potential (FCBP) enrolled must either practice complete abstinence or agree to use two reliable methods of contraception simultaneously. This includes ONE highly effective method of contraception and ONE additional effective contraceptive method. Contraception must begin at least 28 days prior to first dose of study drug, continue during study treatment (including during dose interruptions), and for 12 months after study drug discontinuation. Female subjects must also refrain from breastfeeding for 12 months following last dose of study drug. If the below contraception methods are not appropriate for the FCBP, she must be referred to a qualified contraception provider to determine the medically effective contraception method appropriate for the subject. The following are examples of highly effective and additional effective methods of contraception:

⁃ Examples of highly effective methods:

‣ Intrauterine device (IUD)

‣ Hormonal (ovulation inhibitory combined \[estrogen and progesterone\] birth control pills or intravaginal/transdermal system, injections, implants, levonorgestrel-releasing intrauterine system \[IUS\], medroxyprogesterone acetate depot injections, ovulation inhibitory progesterone-only pills \[e.g. desogestrel\]) NOTE: There is a potential for tazemetostat interference with hormonal contraception methods due to enzymatic induction.

‣ Bilateral tubal ligation

‣ Partner's vasectomy (if medically confirmed \[azoospermia\] and sole sexual partner).

⁃ Examples of additional effective methods:

‣ Male latex or synthetic condom,

‣ Diaphragm,

‣ Cervical Cap

⁃ NOTE: Female subjects of childbearing potential exempt from these contraception requirements are subjects who practice complete abstinence from heterosexual sexual contact. True abstinence is acceptable when this is in line with the preferred and usual lifestyle of the subject. Periodic abstinence (eg, calendar, ovulation, symptothermal, or post ovulation methods) and withdrawal are not acceptable methods of contraception.

⁃ All study participants enrolled must be registered into the applicable pregnancy prevention program (e.g. REVLIMID REMS in the US, Pregnancy Prevention Programme \[PPP\] in Europe, RevAid in Canada) for lenalidomide to be administered and be willing and able to comply with the requirements of the applicable program as appropriate for the country in which the drug is being used.

⁃ a. Female subjects of childbearing potential (FCBP) must adhere to the scheduled pregnancy testing as required in theapplicable pregnancy prevention program. During study treatment, FCBP must agree to have pregnancy testing weekly for the first 28 days of study participation and then every 28 days for FCBP with regular or no menstrual cycles OR every 14 days for FCBP with irregular menstrual cycles. FCBP must also have a pregnancy test at end of lenalidomide treatment, at days 14 and 28 following the last dose of lenalidomide and at overall treatment discontinuation (at the End-of-Treatment/30-day safety Follow-up visit). Female subjects exempt from this requirement are subjects who have been naturally postmenopausal for at least 24 consecutive months OR have had a total hysterectomy and/or bilateral oophorectomy.

⁃ Male subjects must either practice complete abstinence or agree to use a latex or synthetic condom, even with a successful vasectomy (medically confirmed azoospermia), during sexual contact with a pregnant female or FCBP from first dose of study drug, during study treatment (including during dose interruptions), and for 3 months after study drug discontinuation.

⁃ NOTE: Male subjects must not donate semen or sperm from first dose of study drug, during study treatment (including during dose interruptions), and for 3 months after study drug discontinuation.

Locations
United States
Alabama
Southern Cancer Center
RECRUITING
Mobile
Arizona
Arizona Oncology Associates - Tuscon-Rusadill Road
RECRUITING
Tucson
California
TOI - Clinical Research
RECRUITING
Cerritos
UCSF Fresno
RECRUITING
Clovis
UC San Diego Health Sciences
RECRUITING
La Jolla
UCLA Clinical Research Unit Hematology/Oncology
RECRUITING
Santa Monica
Colorado
Rocky Mountain Cancer Centers (RMCC) - Boulder
RECRUITING
Boulder
St. Mary's Hospital and Regional Medical Center - St. Mary's
RECRUITING
Grand Junction
SCL Health Lutheran Medical Center
WITHDRAWN
Greeley
Florida
Cancer Specialists of North Florida
RECRUITING
Fleming Island
Florida Cancer Specialists & Research Institute (FCS) - Fort Myers Cancer Center
TERMINATED
Fort Myers
Mayo Clinic
RECRUITING
Jacksonville
Mayo Clinic - Cancer Clinical Research Office
WITHDRAWN
Jacksonville
Miami Cancer Institute
WITHDRAWN
Miami
Florida Cancer Affiliates/Ocala Oncology - Clinic
RECRUITING
Ocala
BRCR Medical Center, INC
RECRUITING
Plantation
Florida Cancer Specialists
RECRUITING
St. Petersburg
Florida Cancer Specialists - Panhandle
RECRUITING
Tallahassee
H Lee Moffitt Cancer Center and Research Institute I
RECRUITING
Tampa
Florida Cancer Specialists & Research Institute (FCS) - Atlantis
RECRUITING
West Palm Beach
Hawaii
Kaiser Permanente Hawaii Moanalua Medical Center
WITHDRAWN
Honolulu
Iowa
June E. Nylen Cancer Center
WITHDRAWN
Sioux City
Illinois
University of Chicago
RECRUITING
Chicago
Illinois Cancer Specialists
RECRUITING
Niles
Kansas
The University of Kansas Cancer Center
WITHDRAWN
Overland Park
Massachusetts
Mass General Cancer Center at Newton-Wellesley
WITHDRAWN
Newton
Maryland
University of Maryland
WITHDRAWN
Baltimore
The office of Frederick P. Smith, MD, P.C.
WITHDRAWN
Chevy Chase
Michigan
University of Michigan Comprehensive Cancer Center
RECRUITING
Ann Arbor
St. Joseph Mercy Hospital
RECRUITING
Ypsilanti
Minnesota
Mayo Clinic - Rochester
RECRUITING
Rochester
Missouri
Saint Louis University Cancer Center
WITHDRAWN
St Louis
North Carolina
Messino Cancer Center
RECRUITING
Asheville
Levine Cancer Institute - Concord
RECRUITING
Concord
FirstHealth of the Carolinas
RECRUITING
Pinehurst
Nebraska
University Of Nebraska Medical Center
RECRUITING
Omaha
New Jersey
Astera Cancer Care
RECRUITING
East Brunswick
Astera Cancer Center
RECRUITING
East Brunswick
Regional Cancer Care Associates-Freehold
RECRUITING
Freehold
Hackensack University Medical John Theurer Cancer Center
WITHDRAWN
Hackensack
Regional Cancer Care Associates LLC - Howell
WITHDRAWN
Howell Township
Regional Cancer Care Associates LLC - Little Silver
RECRUITING
Little Silver
New Mexico
New Mexico Cancer Care Alliance
RECRUITING
Albuquerque
New York
New York Oncology Hematology, P.C.
WITHDRAWN
Albany
Northwell Health/Monter Cancer Center
WITHDRAWN
Lake Success
Columbia U - Herbert Irving Comprehensive Cancer Center
RECRUITING
New York
Memorial Sloan-Kettering Cancer Center
RECRUITING
New York
Weill Cornell Medicine-New York Presbyterian Hospital
RECRUITING
New York
Hematology Oncology Associates of Rockland, P.C.
RECRUITING
Nyack
Ohio
Gabrail Cancer Center Research
RECRUITING
Canton
Oncology Hematology Care (OHC), Inc. - Kenwood Office
RECRUITING
Cincinnati
Oregon
Willamette Valley Cancer Institute and Research Center - Oncology
RECRUITING
Eugene
Pennsylvania
University of Pittsburgh Medical Center - Oncology
WITHDRAWN
Pittsburgh
Western Pennsylvania Hospital Hematology & Cellular Therapy
RECRUITING
Pittsburgh
Tennessee
Tennessee Oncology, PLLC
WITHDRAWN
Chattanooga
University of Tennessee Medical Center - Cancer Institute
WITHDRAWN
Knoxville
Sarah Cannon Research Institute
RECRUITING
Nashville
Texas
Texas Oncology - Amarillo
RECRUITING
Amarillo
Texas Oncology-Austin Midtown
RECRUITING
Austin
Texas Oncology - Medical City Dallas Pediatric Hematology
RECRUITING
Dallas
Texas Oncology-Baylor Charles A. Sammons Cancer Center
RECRUITING
Dallas
Millennium Physicians - Oncology
RECRUITING
Houston
The University of Texas MD Anderson Cancer Center
RECRUITING
Houston
Texas Oncology
RECRUITING
Plano
Mays Cancer Center
RECRUITING
San Antonio
USO Texas Oncology - Tyler
RECRUITING
Tyler
UT Health East Texas HOPE Cancer Center - Tyler
RECRUITING
Tyler
Texas Oncology- Weslaco
RECRUITING
Weslaco
Utah
Huntsman Cancer Institute; The University of Utah
RECRUITING
Salt Lake City
Utah Cancer Specialists/ IHO Corp
RECRUITING
Salt Lake City
Virginia
Peninsula Cancer Institute
WITHDRAWN
Chesapeake
Virginia Cancer Specialists
RECRUITING
Gainesville
Oncology and Hematology Associates of Southwest Virginia Inc.
RECRUITING
Roanoke
Washington
MC Rockwood Cancer Bl Specialty Ctr - North
WITHDRAWN
Spokane
Yakima Valley Memorial Hospital - North Star Lodge Cancer Center
WITHDRAWN
Yakima
West Virginia
Wheeling Hospital
RECRUITING
Wheeling
Other Locations
Australia
GenesisCare - St Andrew's
RECRUITING
Adelaide
Royal Adelaide Hospital
RECRUITING
Adelaide
Flinders Medical Centre
RECRUITING
Bedford Park
Monash Health
RECRUITING
Clayton
Peninsula Health - Frankston
RECRUITING
Frankston
Barwon Health, University Hospital Geelong
RECRUITING
Geelong
Royal Hobart Hospital
RECRUITING
Hobart
Hollywood Private Hospital
RECRUITING
Nedlands
Gold Coast University Hosptial
RECRUITING
Southport
Belgium
Universitair Ziekenhuis Gent
RECRUITING
Ghent
UZ Leuven - Campus Gasthuisberg
RECRUITING
Leuven
CHU Dinant Godinne UCL Namur
WITHDRAWN
Yvoir
Brazil
Hospital Santa Cruz
RECRUITING
Curitiba
HC-UFG - Hospital das CLINICAS da Universidade Federal de Go
RECRUITING
Goiânia
Association Hospital de Caridade de Iju
RECRUITING
Ijuí
Liga Norte Riograndense Contra o Cancer
RECRUITING
Natal
Hospital de Clinicas de Porto Alegre - Centro de Pesquisa Clinica
RECRUITING
Porto Alegre
Instituto D'Or de Pesquisa e Ensino- Recife
RECRUITING
Recife
Instituto de Psiquiatria - UFRJ
RECRUITING
Rio De Janeiro
Instituto Nacional de Câncer - INCA
RECRUITING
Rio De Janeiro
Instituto de Oncologia e Hematologia - HEMOMED
RECRUITING
São Paulo
Irmandade Santa Casa de Misericordia de Sao Paulo
RECRUITING
São Paulo
Canada
Centre Hospitalier de l'Universite de Montreal (CHUM)
RECRUITING
Montreal
Sir Mortimer B Davis/Jewish General Hospital
RECRUITING
Montreal
Sunnybrook Health Sciences Centre Odette Cancer Centre
RECRUITING
Ottawa
University Health Network Princess Margaret Hospital
RECRUITING
Toronto
China
Peking University Third Hospital
RECRUITING
Beijing
The First Bethune Hospital of Jilin University
RECRUITING
Changchun
Hunan Cancer Hospital
RECRUITING
Changsha
Fujian Medical University Union Hospital
RECRUITING
Fuzhou
The Affiliated Hospital of Guizhou Medical University
RECRUITING
Guiyang
Tongji Hospital of Tongji Medical College of HUST
RECRUITING
Hangzhou
Jiangxi Cancer Hospital
RECRUITING
Nanchang
The Affiliated Hospital of Qingdao University
RECRUITING
Qingdao
Shandong Cancer Hospital
RECRUITING
Shandong
Ruijin Hospital, Shanghai Jiaotong University School of Medicine
RECRUITING
Shanghai
Tongji Hospital of Tongji University
RECRUITING
Shanghai
The Fourth Hospital of Hebei Medical University
RECRUITING
Shijiazhuang
Sichuan Provincial People's Hospital
RECRUITING
Sichuan
Shanxi Bethune Hospital
RECRUITING
Taiyuan
Tianjin Medical University Cancer Institute & Hospital
RECRUITING
Tianjin
The First Affiliated Hospital of Xiamen University
RECRUITING
Xiamen
The Second Affiliated Hospital Zhejiang University School of Medicine
RECRUITING
Zhejiang
Henan Cancer Hospital
RECRUITING
Zhengzhou
Henan Provincial People's Hospital
RECRUITING
Zhengzhou
France
Centre Hospitalier Universitaire D'Angers - Hématologie Clinique
RECRUITING
Angers
CHRU de Besançon- Hopital Jean Minjoz
RECRUITING
Besançon
Institut Bergonie
RECRUITING
Bordeaux
CHRU Brest Hôp Morvan
RECRUITING
Brest
CHU Caen
WITHDRAWN
Caen
CHU de Clermont-Ferrand, site Estaing
RECRUITING
Clermont-ferrand
Hopital Henri Mondor - Hemopathies Lymphoides
RECRUITING
Créteil
CHU de Grenoble - Hopital Albe
RECRUITING
La Tronche
Centre Hospitalier Le Mans
RECRUITING
Le Mans
Centre Hospitalier Docteur Schaffner
RECRUITING
Lens
CHRU de Lille Hop Claude Huriez
RECRUITING
Lille
CHU de Limoges Dupuytren
RECRUITING
Limoges
Centre Hosp Mulh Hop Emile Muller
RECRUITING
Mulhouse
CHU de Nantes - Hematologie
RECRUITING
Nantes
L'Hôpital Privé Confluent
RECRUITING
Nantes
L'hôpital Privé du Concluent
RECRUITING
Nantes
Hopital Saint Louis
RECRUITING
Paris
Centre Hospitalier - Hôpital de jour d'Hématologie
RECRUITING
Périgueux
Centre Hospitalier Universitaire de Bordeaux-Hopital du Haut Leveque
RECRUITING
Pessac
Centre Hospitalier Universitaire de Poitiers
RECRUITING
Poitiers
Centre Henri Becquerel
RECRUITING
Rouen
CHU de Nancy Brabois
RECRUITING
Vandœuvre-lès-nancy
Centre Hospitalier Bretagne Atlantique
RECRUITING
Vannes
Institut Gustave Roussy
RECRUITING
Villejuif
Germany
Vivantes Klinikum am Urban Hämatologie und Onkologie
RECRUITING
Berlin
Universitaetsklinikum Bonn AöR
RECRUITING
Bonn
Städt. Krankenhaus Kiel
RECRUITING
Kiel
University Medical Center Schleswig Holstein
RECRUITING
Kiel
Universitätsmedizin Mainz
RECRUITING
Mainz
Kliniken Maria Hilf GmbH
RECRUITING
Mönchengladbach
Klinikum Der Universität München AöR
RECRUITING
München
Klinikum rechts der Isar der Technischen Universitat Muenche
WITHDRAWN
München
Diakoneo Diak Schwaebisch Hall gGmbH
RECRUITING
Schwäbisch Hall
Hungary
Del-pesti Centrumkorhaz Orszagos Hematologiai és Infektologiai Intezet
WITHDRAWN
Budapest
Országos Onkológiai Intézet
RECRUITING
Budapest
Semmelweis Egyetem Általános Orvostudományi Kar
RECRUITING
Budapest
Debreceni Egyetem Klinikai Központ
RECRUITING
Debrecen
Italy
ASST Spedali Civili di Brescia
RECRUITING
Brescia
PO Garibaldi-Nesima, ARNAS Garibaldi
RECRUITING
Catania
AOU Careggi
RECRUITING
Florence
Ospedale Vito Fazzi, ASL Lecce
RECRUITING
Lecce
Istituto Romagnolo per lo Studio dei Tumori (IRST) Dino Amadori IRCCS
RECRUITING
Meldola
IEO - Istituto Europeo di Oncologia, IRCCS
RECRUITING
Milan
Ospedale Maggiore Policlinico, Fondazione IRCCS Ca' Granda
RECRUITING
Milan
Ospedale Niguarda, ASST Grande Ospedale Metropolitano Niguarda
RECRUITING
Milan
Ospedale San Gerardo, ASST di Monza
RECRUITING
Monza
AOU Federico II
RECRUITING
Napoli
Ospedale Civile S.Spirito, PO di Pescara, AUSL Pescara
RECRUITING
Pescara
Ospedale Infermi di Rimini, AUSL Rimini, Distretto di Rimini, Presidio di Rimini, Santarcangelo di Romagna e Novafeltria
RECRUITING
Rimini
Catholic University Of Sacred Heart
RECRUITING
Roma
PU Campus Bio-Medico di Roma
RECRUITING
Roma
Regina Elena, Istituto Nazionale dei Tumori , IFO, IRCCS
RECRUITING
Roma
Azienda Ospedaliera Santa Maria di Terni
RECRUITING
Terni
Azienda Ospedaliera Ordine Mauriziano di Torino, Ospedale Umberto I di Torino
RECRUITING
Torino
Ospedale S.Giacomo Apostolo, PO Castelfranco Veneto, AULSS 2 Marca Trevigiana
RECRUITING
Treviso
Azienda Sanitaria Universitaria Giuliano Isontina (ASU GI), Ospedale Maggiore
RECRUITING
Trieste
Poland
Pratia Onkologia Katowice
RECRUITING
Katowice
Pratia MCM Krakow
RECRUITING
Krakow
Centrum Medyczne Pratia Poznan
RECRUITING
Skórzewo
Wojewodzki Szpital Specjalistyczny im. Janusza Korczaka w Slupsku Sp. z o.o.
WITHDRAWN
Słupsk
MICS Centrum Medyczne Torun
RECRUITING
Torun
MTZ Clinical Research powered by Pratia
RECRUITING
Warsaw
Narodowy Instytut Onkologii im. Marii Skłodowskiej-Curie - Państwowy Instytut Badawczy
RECRUITING
Warsaw
Uniwersytecki Szpital Kliniczny im. J. Mikulicza-Radeckiego we Wroclawiu
RECRUITING
Wroclaw
Republic of Korea
Pusan National University Hospital
RECRUITING
Busan
Gachon University Gil Medical Center
RECRUITING
Incheon
Samsung Medical Center
RECRUITING
Seoul
Seoul National University Hospital
RECRUITING
Seoul
Severance Hospital, Yonsei University Health System
RECRUITING
Seoul
The Catholic University of Korea, Seoul St. Mary's Hospital
RECRUITING
Seoul
Ajou University Hospital
RECRUITING
Suwon
Singapore
National Cancer Center Singapore
RECRUITING
Singapore
Tan Tock Seng Hospital
RECRUITING
Singapore
Spain
Hospital Del Mar
RECRUITING
Barcelona
Hospital Universitari Vall d'Hebrón
RECRUITING
Barcelona
Hospital Virgen de la Arrixaca
RECRUITING
El Palmar
Clínica Universidad de Navarra
RECRUITING
Madrid
Hospital Univ. Infanta Leonor
RECRUITING
Madrid
Hospital Universitario La Paz
RECRUITING
Madrid
Hospital Costa del Sol
RECRUITING
Marbella
C.H. de Navarra
RECRUITING
Pamplona
Hospital Universitario de Salamanca
RECRUITING
Salamanca
Hospital Universitario Nuestra Señora de Valme
RECRUITING
Seville
Hospital Universitario Virgen De La Macarena
RECRUITING
Seville
Taiwan
Buddihist Tzu Chi Medical Foundation- Hualien Tzu Chi Hospital
RECRUITING
Hualien City
Chang Gung Medical Foundation - Kaohsiung Chang Gung Memorial Hospital - Hemato-Oncology
RECRUITING
Kaohsiung City
Taichung Veterans General Hospital
RECRUITING
Taichung
National Cheng Kung University Hospital
RECRUITING
Tainan City
National Taiwan University Hospital
RECRUITING
Taipei
Turkey
Ankara University Medical Faculty - Hematology
RECRUITING
Ankara
Dr Abdurrahman Yurtaslan Ankara Oncology Training and Research
RECRUITING
Ankara
Gazi University Medical Faculty
RECRUITING
Ankara
Medipol Bagcilar Mega Hospital
RECRUITING
Istanbul
Ondokuz Mayis University Medical Faculty - Hematology
RECRUITING
Samsun
United Kingdom
The Clatterbridge Cancer Centre NHS Foundation Trust - Clatterbridge Cancer Centre
RECRUITING
Bebington
Royal Cornwall Hospitals NHS Trust - Royal Cornwall Hospital
RECRUITING
Cornwell
Western General Hospital - Haematology
RECRUITING
Edinburgh
Beatson West of Scotland Cancer Centre
RECRUITING
Glasgow
Imperial College Healthcare NHS Trust - Hammersmith Hospital
RECRUITING
London
St Bartholomew's Hospital Barts Health NHS Trust
RECRUITING
London
Northwick Park Hospital Middlesex, United Kindgom, HA1 3UJ
RECRUITING
Middlesex
Contact Information
Primary
Ipsen Clinical Study Enquiries
clinical.trials@ipsen.com
See e mail
Time Frame
Start Date: 2020-06-11
Estimated Completion Date: 2029-03-01
Participants
Target number of participants: 612
Treatments
Experimental: Tazemetostat + R2 arm
Stage 1 (Phase 1b): This phase is now completed.~* Tazemetostat was escalated from a starting dose of 400 mg PO twice daily to 600 mg PO twice daily to 800 mg PO twice daily in 28-day cycles.~* Rituximab 375 mg/m2 IV on days 1, 8, 15, and 22 of cycle 1; then on day 1 of cycles 2 to 5.~* Lenalidomide 20 mg or 10 mg (if creatinine clearance ≥60 mL/minute or \<60 mL/minute), administred PO QD on days 1 to 21 for 12 cycles.~Stage 2:~* Tazemetostat 800 mg administered PO twice daily in continuous 28-day cycles.~* Rituximab 375 mg/m2 IV on days 1, 8, 15, and 22 of cycle 1; then on day 1 of cycles 2 to 5.~* Lenalidomide 20 mg or 10 mg (if creatinine clearance ≥60 mL/minute or \<60 mL/minute), PO QD on days 1 to 21 for 12 cycles.~Maintenance Therapy (Stages 1 and 2):~Tazemetostat will be administered as monotherapy at an 800 mg twice daily dose for up to 2 years after the initial 12 months of combination therapy.
Placebo_comparator: Placebo + R2 Arm
Stage 2:~* Placebo administered PO twice daily in continuous 28-day cycles.~* Rituximab 375 mg/m2 IV on days 1, 8, 15, and 22 of cycle 1; then on day 1 of cycles 2 to 5.~* Lenalidomide 20 mg or 10 mg (if creatinine clearance ≥60 mL/minute or \<60 mL/minute), administered PO QD on days 1 to 21 for 12 cycles.~Maintenance Therapy (Stage 2):~Placebo will be administered as monotherapy twice daily dose for up to 2 years after the initial 12 months of combination therapy. During maintenance, placebo will be continued until disease progression or unacceptable toxicity, or participant withdraws consent.
Sponsors
Leads: Epizyme, Inc.

This content was sourced from clinicaltrials.gov

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