A Phase 1b, Open Label, Global, Multicenter, Dose Determination, Randomized Dose Expansion Study to Determine the Maximum Tolerated Dose, Assess the Safety and Tolerability, Pharmacokinetics and Preliminary Efficacy of Iberdomide (CC-220) in Combination With R-CHOP-21 and CC-99282 in Combination With R-CHOP-21 for Subjects With Previously Untreated Aggressive B-cell Lymphoma

Who is this study for? Patients with previously untreated, aggressive B-cell lymphoma
Status: Recruiting
Location: See all (34) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1
SUMMARY

This is a Phase 1b study consisting of 2 parts: a dose escalation (Part 1) of CC-220 or CC-99282 added to the standard R-CHOP-21 regimen for first-line treatment of a-BCL. The dose escalation (Part 1) will consist of 2 parallel arms in combination with Rituximab, Cyclophosphamide, Doxorubicin, Vincristine, and Prednisone (R-CHOP-21); CC-220 and R-CHOP-21 or CC-99282 and R-CHOP-21. Part 1 will be followed by a randomized dose expansion (Part 2) with CC-220 and/or CC-99282 at the Recommended Phase 2 Dose (RP2D) in combination with R-CHOP-21. A polatuzumab-R-CHP regimen in combination with CC-220 or CC-99282 will be explored with the addition of a new cohort only after the RP2D for the CC-220 and/or CC-99282 and R-CHOP-21 combination has been defined.

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

• Participants must satisfy the following criteria to be enrolled in the study:

‣ Is ≥ 18 years of age at the time of signing the informed consent form (ICF).

⁃ Participant has histologically confirmed (per local evaluation) diagnosis of de novo, previously untreated, a-BCL according to 2016 WHO classification.

⁃ Participant has International Prognostic Index (IPI) score 0-5 in Part 1 and IPI 2-5 in Part 2. For the CELMoD and polatuzumab-R-CHP cohort, the subject must also have IPI score 0 to 5 in Part 2A and IPI 2 to 5 in Part 2B.

⁃ Participants must have measurable disease defined by at least one FDG-avid lesion for FDG-avid subtype and one bi-dimensionally measurable (\> 1.5 cm in longest diameter) disease by computed tomography (CT) or magnetic resonance imaging (MRI), as defined by the Lugano classification (Cheson, 2014).

⁃ Participant has an Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2.

⁃ Participants must have the following laboratory values:

• Absolute neutrophil count (ANC) ≥ 1.5 x 109/L or ≥ 1.0 x 109/L in case of documented bone marrow involvement (\> 50% or tumor cells), without growth factor support for 7 days (14 days if peg-G-CSF)

∙ Hemoglobin (Hb) ≥ 8 g/dL

∙ Platelets (PLT) ≥ 75 x 109/L or ≥ 50 x 109/L in case of documented bone marrow involvement (\>50% or tumor cells), without transfusion for 7 days

∙ Aspartate aminotransferase / serum glutamic oxaloacetic transaminase (AST/SGOT) and alanine aminotransferase / serum glutamate pyruvic transaminase (ALT/SGPT) ≤ 2.5 x upper limit of normal (ULN). In the case of documented liver involvement by lymphoma, ALT/SGPT and AST/SGOT must be ≤ 5.0 x ULN.

∙ Serum total bilirubin ≤ 2.0 mg/dL except in cases of Gilbert's syndrome, then ≤ 5.0 mg/dl. Subjects receiving polatuzumab vedotin must have serum total bilirubin \< 1.5 × ULN (26 μmol/L) (corresponding to mild degree as per National Cancer Institute Organ Dysfunction Working Group \[NCI ODWG\] criteria) except in cases of Gilbert's syndrome, then ≤ 3.0 mg/dl (51 μmol/L).

∙ Estimated serum creatinine clearance (CrCl) of ≥ 50 mL/min using the modification of diet in renal disease (MDRD) formula.

⁃ All participants must:

• Have an understanding that the study drug could have a potential teratogenic risk.

∙ Agree to follow all requirements defined in the Pregnancy Prevention Program for CC-220 or CC-99282 Pregnancy Prevention Plan for Participants in Clinical trials.

⁃ Females of childbearing potential (FCBP) must:

‣ a. Have two negative pregnancy tests as verified by the investigator prior to starting study therapy.

⁃ Male participants must:

• Practice true abstinence or agree to use a condom during sexual contact with a pregnant female or a female of childbearing potential while participating in the study.

Locations
United States
Arizona
Mayo Clinic - Arizona
RECRUITING
Scottsdale
Florida
Mayo Clinic - Jacksonville
WITHDRAWN
Jacksonville
Mayo Clinic Jacksonville - PPDS
RECRUITING
Jacksonville
Kansas
University Of Kansas Medical Center
RECRUITING
Kansas City
Minnesota
Mayo Clinic - Rochester
RECRUITING
Rochester
Nebraska
University of Nebraska - Fred and Pamela Buffet Center
RECRUITING
Omaha
New York
Roswell Park Cancer Institute
WITHDRAWN
Buffalo
Texas
MD Anderson Cancer Center
RECRUITING
Houston
Other Locations
Australia
Local Institution - 501
COMPLETED
Adelaide
Local Institution - 503
COMPLETED
Perth
Local Institution - 502
WITHDRAWN
Waratah
Greece
Attikon University General Hospital
RECRUITING
Athens
Evangelismos General Hospital of Athens
RECRUITING
Athens
General Hospital of Athens Laiko
RECRUITING
Athens
Local Institution - 703
WITHDRAWN
Pátrai
Georgios Papanikolaou General Hospital of Thessaloniki
RECRUITING
Thessaloniki
Poland
Uniwersyteckie Centrum Kliniczne
RECRUITING
Gdansk
MCM Krakow - PRATIA - PPDS
RECRUITING
Krakow
Centrum Medyczne Pratia Poznan
RECRUITING
Poznan
Local Institution - 0706
WITHDRAWN
Poznan
Local Institution - UNK0706
WITHDRAWN
Poznan
SP ZOZ Szpital Uniwersytecki w Krakowie
RECRUITING
Słomniki
Local Institution - 602
RECRUITING
Warsaw
Local Institution - 604
COMPLETED
Wroclaw
Republic of Korea
Local Institution - 300
COMPLETED
Seoul
Local Institution - 301
COMPLETED
Seoul
Local Institution - 302
COMPLETED
Seoul
Spain
Hospital Universitari Germans Trias i Pujol ICO Badalona
RECRUITING
Barcelona
Local Institution - 204
WITHDRAWN
Madrid
H. Virgen de la Victoria
RECRUITING
Málaga
Hospital Universitario de Salamanca - Complejo Asistencial Universitario de Salamanca
RECRUITING
Salamanca
Taiwan
Local Institution - 403
RECRUITING
Taichung
Taichung Veterans General Hospital
RECRUITING
Taichung
National Taiwan University Hospital
RECRUITING
Taipei
Contact Information
Primary
BMS Study Connect Contact Center www.BMSStudyConnect.com
Clinical.Trials@bms.com
855-907-3286
Backup
First line of the email MUST contain the NCT # and Site #.
Time Frame
Start Date: 2021-09-15
Estimated Completion Date: 2028-12-01
Participants
Target number of participants: 174
Treatments
Experimental: Administration of CC-220 with R-CHOP-21
CC-220 to be administered orally in combination with Rituximab, Cyclophosphamide, Doxorubicin, Vincristine and Prednisone (R-CHOP-21) for 6 cycles of treatment
Experimental: Administration of CC-99282 with R-CHOP-21
CC-99282 to be administered orally in combination with Rituximab, Cyclophosphamide, Doxorubicin, Vincristine and Prednisone (R-CHOP-21) for 6 cycles of treatment
Experimental: Administration of CC-220 with polatuzumab-R-CHP
CC-220 to be administered orally in combination with Polatuzumab vedotin, Rituximab, Cyclophosphamide, Doxorubicin, and Prednisone (polatuzumab-R-CHP) for 6 cycles of treatment
Experimental: Administration of CC-99282 with polatuzumab-R-CHP
CC-99282 to be administered orally in combination with Polatuzumab vedotin, Rituximab, Cyclophosphamide, Doxorubicin, and Prednisone (polatuzumab-R-CHP) for 6 cycles of treatment
Related Therapeutic Areas
Sponsors
Leads: Celgene

This content was sourced from clinicaltrials.gov

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