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出境医 / 临床实验 / A Study of Evaluating the Safety and Efficacy of ATG-010 in Relapsed/Refractory Diffuse Large B-Cell Lymphoma (SEARCH)

A Study of Evaluating the Safety and Efficacy of ATG-010 in Relapsed/Refractory Diffuse Large B-Cell Lymphoma (SEARCH)

Study Description
Brief Summary:
This is an open-label, single arm, and registered study of ATG-010 in Patients with Relapsed/Refractory Diffuse Large B-Cell Lymphoma.

Condition or disease Intervention/treatment Phase
Relapsed/Refractory Diffuse Large B-Cell Lymphoma (DLBCL) Drug: ATG-010 60 mg, orally, twice weekly, each 4 week (28-day) a cycle Phase 2

Detailed Description:
This is an open-label, single arm, and registered study. About 60 patients with relapsed/refractory DLBCL plan to be enrolled in about 10 study sites of the study. It is planned that at least 50% (~30 patients) will have the GCB subtype of DLBCL. Enrolled patients will be treated with a fixed dose, 60 mg of ATG-010, orally, twice weekly, each 4 week (28-day) a cycle. Patients should remain on the study treatment of ATG-010, until either PD or occurrence of unacceptable toxicity.
Study Design
Layout table for study information
Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 60 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: An Open-label and Single Arm Study of ATG-010 in Patients With Relapsed/Refractory Diffuse Large B-Cell Lymphoma (DLBCL)
Actual Study Start Date : April 9, 2020
Estimated Primary Completion Date : June 2021
Estimated Study Completion Date : December 2021
Arms and Interventions
Arm Intervention/treatment
Experimental: ATG-010
Enrolled patients will be treated with a fixed dose, 60 mg of ATG-010.
Drug: ATG-010 60 mg, orally, twice weekly, each 4 week (28-day) a cycle
Enrolled patients will be treated with a fixed dose, 60 mg of ATG-010, orally, twice weekly, each 4 week (28-day) a cycle.
Other Name: Selinexor

Outcome Measures
Primary Outcome Measures :
  1. ORR [ Time Frame: 18 months ]
    Percentage of subjects with PR, or CR


Secondary Outcome Measures :
  1. DOR [ Time Frame: 18 months ]
    Duration of time from first occurrence of CR or PR until the first date that disease progression is objectively documented

  2. DCR [ Time Frame: 18 months ]
    Proportion of patients who achieve CR, PR, or SD for a minimum of 4 weeks, following the first dose of study drug (i.e., CR+PR+SD)

  3. OS [ Time Frame: 18 months ]
    Duration of time from the first dose of study drug until death due to any cause

  4. PFS [ Time Frame: 18 months ]
    Duration of time from the first dose of study drug until progression or death due to any cause


Eligibility Criteria
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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. The patient must provide informed consent form (ICF) prior to the first screening procedure.
  2. Age ≥18 years.
  3. ECOG performance status of ≤ 2.
  4. Patients should have estimated life expectancy of >3 months at study entry.
  5. Previously treated, pathologically confirmed de novo DLBCL, or DLBCL transformed from previously diagnosed indolent lymphoma (e.g., follicular lymphoma).
  6. Patients must have received at least 2 but no more than 5 previous systemic regimens for the treatment of their de novo or transformed DLBCL.
  7. Documented clinical or radiographic evidence of progressive DLBCL prior to dosing.
  8. Patients must have measurable disease per the revised criteria for response assessment of lymphoma (Cheson, 2014). Lymph nodes should be considered abnormal if the long axis is > 1.5 cm, regardless of the short axis. If a lymph node has a long axis of 1.1 to 1.5 cm, it should only be considered abnormal if its short axis is > 1.0. Lymph nodes ≤ 1.0 by ≤ 1.0 will not be considered abnormal for relapse or PD.
  9. Patients must not be eligible for high-dose chemotherapy with autologous stem cell transplantation rescue.

Exclusion Criteria:

  1. Patients who are pregnant or lactating.
  2. DLBCL with mucosa-associated lymphoid tissue (MALT) lymphoma, composite lymphoma (Hodgkin's lymphoma +NHL), or DLBCL transformed from diseases other than indolent NHL or Richter's.
  3. Primary mediastinal (thymic) large B-cell lymphoma.
  4. Known central nervous system lymphoma or meningeal involvement.
  5. Patients whose most recent systemic anticancer therapy include radiation, chemotherapy, immunotherapy, radio-immunotherapy, or any other anticancer therapy other than glucocorticoids < 6 weeks prior to first dose of study drug.
  6. Patients who have not recovered to Grade ≤ 1 clinically significant adverse events, or to their baseline, from their most recent systemic anti-DLBCL therapy.
  7. Patients with active graft-versus-host disease after allogeneic stem cell transplantation. At least 4 months must have elapsed since completion of allogeneic stem cell transplantation.
  8. Major surgery within 2 weeks of first dose of study treatment of ATG-010.
  9. Any life-threatening illness, medical condition or organ system dysfunction which, in the Investigator's opinion, could compromise the patient's safety.
  10. Unstable cardiovascular function:

    1. Symptomatic ischemia, or
    2. Uncontrolled clinically significant conduction abnormalities (i.e., ventricular tachycardia on anti-arrhythmia are excluded; First degree atrioventricular block or asymptomatic left anterior fascicular block /right bundle branch block will not be excluded), or
    3. Congestive heart failure of New York Heart Association Class ≥3, or
    4. Myocardial infarction within 3 months.
  11. Uncontrolled (i.e., clinically unstable) infection requiring parenteral antibiotics, antivirals, or antifungals within 1 week prior to first dose; however, prophylactic use of these agents is acceptable even if parenteral.
  12. Active hepatitis B virus or hepatitis C virus infection.
  13. Known human immunodeficiency virus infection.
  14. Patients unable to swallow tablets, patients with malabsorption syndrome, or any other gastrointestinal disease or gastrointestinal dysfunction that could interfere with absorption of study treatment of ATG-010.
Contacts and Locations

Contacts
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Contact: Jasmine Sun, MD 13701803117 jasmine.sun@antengene.com
Contact: Stacey Chen, MD stacey.chen@antengene.com

Locations
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China, Beijing
Beijing Cancer Hospital Recruiting
Beijing, Beijing, China, 100142
Contact: Yuqin Song, PhD         
Principal Investigator: Yuqin Song, PhD         
Peking University Third Hospital Recruiting
Beijing, Beijing, China, 100191
Contact: Hongmei Jing, PhD         
Principal Investigator: Hongmei Jing, PhD         
China, Guangdong
Sun Yat-Sen University Cancer Center Recruiting
Guangzhou, Guangdong, China, 510060
Contact: Qingqing Cai, PhD         
Principal Investigator: Qingqing Cai, PhD         
China, Heilongjiang
Harbin Medical University Cancer Hospital Recruiting
Harbin, Heilongjiang, China, 150081
Contact: Qingyuan Zhang, PhD         
Principal Investigator: Qingyuan Zhang, PhD         
China, Henan
Henan Cancer Hospital Recruiting
Zhengzhou, Henan, China, 450003
Contact: Yongping Song, PhD         
Principal Investigator: Yongping Song, PhD         
China, Hubei
Wuhan Union Hospital Recruiting
Wuhan, Hubei, China, 430022
Contact: Liling Zhang, PhD         
Principal Investigator: Liling Zhang, PhD         
China, Hunan
Hunan Cancer Hospital Not yet recruiting
Changsha, Hunan, China, 410013
Contact: Hui Zhou, PhD         
Principal Investigator: Hui Zhou, PhD         
China, Jiangsu
The First Affilate Hospital with Nanjing Medical University Not yet recruiting
Nanjing, Jiangsu, China, 210029
Contact: Huayuan Zhu, PhD         
Principal Investigator: Huayuan Zhu, PhD         
China, Jilin
The First Bethune Hospital of Jilin University Not yet recruiting
Chang chun, Jilin, China, 130021
Contact: Sujun Gao, PhD         
Principal Investigator: Sujun Gao, PhD         
China, Liaoning
The Second Hospital of Dalian Medical University Recruiting
Dalian, Liaoning, China, 116027
Contact: Yang Zhang, PhD         
Principal Investigator: Yang Zhang, PhD         
China, Shanghai
Fudan University Shanghai Cancer Center Not yet recruiting
Shanghai, Shanghai, China, 200032
Contact: Junning Cao, PhD         
Principal Investigator: Junning Cao, PhD         
China, Sichuan
West China Hospital of Sichuan University Recruiting
Chengdu, Sichuan, China, 610041
Contact: Liqun Zou, PhD         
Principal Investigator: Liqun Zou, PhD         
China, Tianjin
Tianjin blood research institute Not yet recruiting
Tianjin, Tianjin, China, 300052
Contact: Tingyu Wang, PhD         
Principal Investigator: Tingyu Wang, PhD         
Tianjin Medical University Cancer Institute & Hospital Recruiting
Tianjin, Tianjin, China, 300060
Contact: Lanfang Li, PhD         
Principal Investigator: Lanfang Li, PhD         
China, Zhejiang
Cancer Hospital of the University of the Chinese Academy of Sciences Recruiting
Hangzhou, Zhejiang, China, 310022
Contact: Haiyan Yang, PhD         
Principal Investigator: Haiyan Yang, PhD         
Sponsors and Collaborators
Antengene Corporation
Investigators
Layout table for investigator information
Study Director: shan bing, MD Medical Monitor
Tracking Information
First Submitted Date  ICMJE June 18, 2019
First Posted Date  ICMJE June 20, 2019
Last Update Posted Date May 28, 2021
Actual Study Start Date  ICMJE April 9, 2020
Estimated Primary Completion Date June 2021   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: July 16, 2019)
ORR [ Time Frame: 18 months ]
Percentage of subjects with PR, or CR
Original Primary Outcome Measures  ICMJE
 (submitted: June 18, 2019)
ORR [ Time Frame: 18 months ]
To evaluate the efficacy of ATG-010 in level of overall response rate (ORR) with relapsed/refractory DLBCL patients who have at least 2 but no more than 5 previous systemic regimens
Change History
Current Secondary Outcome Measures  ICMJE
 (submitted: July 16, 2019)
  • DOR [ Time Frame: 18 months ]
    Duration of time from first occurrence of CR or PR until the first date that disease progression is objectively documented
  • DCR [ Time Frame: 18 months ]
    Proportion of patients who achieve CR, PR, or SD for a minimum of 4 weeks, following the first dose of study drug (i.e., CR+PR+SD)
  • OS [ Time Frame: 18 months ]
    Duration of time from the first dose of study drug until death due to any cause
  • PFS [ Time Frame: 18 months ]
    Duration of time from the first dose of study drug until progression or death due to any cause
Original Secondary Outcome Measures  ICMJE
 (submitted: June 18, 2019)
  • DOR [ Time Frame: 18 months ]
    To determine the duration of response (DOR)
  • DCR [ Time Frame: 18 months ]
    To determine the disease control rate (DCR)
  • OS [ Time Frame: 18 months ]
    To determine the median overall survival (OS)
  • PFS [ Time Frame: 18 months ]
    To determine the median progression-free survival (PFS)
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE A Study of Evaluating the Safety and Efficacy of ATG-010 in Relapsed/Refractory Diffuse Large B-Cell Lymphoma
Official Title  ICMJE An Open-label and Single Arm Study of ATG-010 in Patients With Relapsed/Refractory Diffuse Large B-Cell Lymphoma (DLBCL)
Brief Summary This is an open-label, single arm, and registered study of ATG-010 in Patients with Relapsed/Refractory Diffuse Large B-Cell Lymphoma.
Detailed Description This is an open-label, single arm, and registered study. About 60 patients with relapsed/refractory DLBCL plan to be enrolled in about 10 study sites of the study. It is planned that at least 50% (~30 patients) will have the GCB subtype of DLBCL. Enrolled patients will be treated with a fixed dose, 60 mg of ATG-010, orally, twice weekly, each 4 week (28-day) a cycle. Patients should remain on the study treatment of ATG-010, until either PD or occurrence of unacceptable toxicity.
Study Type  ICMJE Interventional
Study Phase  ICMJE Phase 2
Study Design  ICMJE Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Condition  ICMJE Relapsed/Refractory Diffuse Large B-Cell Lymphoma (DLBCL)
Intervention  ICMJE Drug: ATG-010 60 mg, orally, twice weekly, each 4 week (28-day) a cycle
Enrolled patients will be treated with a fixed dose, 60 mg of ATG-010, orally, twice weekly, each 4 week (28-day) a cycle.
Other Name: Selinexor
Study Arms  ICMJE Experimental: ATG-010
Enrolled patients will be treated with a fixed dose, 60 mg of ATG-010.
Intervention: Drug: ATG-010 60 mg, orally, twice weekly, each 4 week (28-day) a cycle
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Recruiting
Estimated Enrollment  ICMJE
 (submitted: June 18, 2019)
60
Original Estimated Enrollment  ICMJE Same as current
Estimated Study Completion Date  ICMJE December 2021
Estimated Primary Completion Date June 2021   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

  1. The patient must provide informed consent form (ICF) prior to the first screening procedure.
  2. Age ≥18 years.
  3. ECOG performance status of ≤ 2.
  4. Patients should have estimated life expectancy of >3 months at study entry.
  5. Previously treated, pathologically confirmed de novo DLBCL, or DLBCL transformed from previously diagnosed indolent lymphoma (e.g., follicular lymphoma).
  6. Patients must have received at least 2 but no more than 5 previous systemic regimens for the treatment of their de novo or transformed DLBCL.
  7. Documented clinical or radiographic evidence of progressive DLBCL prior to dosing.
  8. Patients must have measurable disease per the revised criteria for response assessment of lymphoma (Cheson, 2014). Lymph nodes should be considered abnormal if the long axis is > 1.5 cm, regardless of the short axis. If a lymph node has a long axis of 1.1 to 1.5 cm, it should only be considered abnormal if its short axis is > 1.0. Lymph nodes ≤ 1.0 by ≤ 1.0 will not be considered abnormal for relapse or PD.
  9. Patients must not be eligible for high-dose chemotherapy with autologous stem cell transplantation rescue.

Exclusion Criteria:

  1. Patients who are pregnant or lactating.
  2. DLBCL with mucosa-associated lymphoid tissue (MALT) lymphoma, composite lymphoma (Hodgkin's lymphoma +NHL), or DLBCL transformed from diseases other than indolent NHL or Richter's.
  3. Primary mediastinal (thymic) large B-cell lymphoma.
  4. Known central nervous system lymphoma or meningeal involvement.
  5. Patients whose most recent systemic anticancer therapy include radiation, chemotherapy, immunotherapy, radio-immunotherapy, or any other anticancer therapy other than glucocorticoids < 6 weeks prior to first dose of study drug.
  6. Patients who have not recovered to Grade ≤ 1 clinically significant adverse events, or to their baseline, from their most recent systemic anti-DLBCL therapy.
  7. Patients with active graft-versus-host disease after allogeneic stem cell transplantation. At least 4 months must have elapsed since completion of allogeneic stem cell transplantation.
  8. Major surgery within 2 weeks of first dose of study treatment of ATG-010.
  9. Any life-threatening illness, medical condition or organ system dysfunction which, in the Investigator's opinion, could compromise the patient's safety.
  10. Unstable cardiovascular function:

    1. Symptomatic ischemia, or
    2. Uncontrolled clinically significant conduction abnormalities (i.e., ventricular tachycardia on anti-arrhythmia are excluded; First degree atrioventricular block or asymptomatic left anterior fascicular block /right bundle branch block will not be excluded), or
    3. Congestive heart failure of New York Heart Association Class ≥3, or
    4. Myocardial infarction within 3 months.
  11. Uncontrolled (i.e., clinically unstable) infection requiring parenteral antibiotics, antivirals, or antifungals within 1 week prior to first dose; however, prophylactic use of these agents is acceptable even if parenteral.
  12. Active hepatitis B virus or hepatitis C virus infection.
  13. Known human immunodeficiency virus infection.
  14. Patients unable to swallow tablets, patients with malabsorption syndrome, or any other gastrointestinal disease or gastrointestinal dysfunction that could interfere with absorption of study treatment of ATG-010.
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 18 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers  ICMJE No
Contacts  ICMJE
Contact: Jasmine Sun, MD 13701803117 jasmine.sun@antengene.com
Contact: Stacey Chen, MD stacey.chen@antengene.com
Listed Location Countries  ICMJE China
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT03992339
Other Study ID Numbers  ICMJE ATG-010-DLBCL-001
Has Data Monitoring Committee Not Provided
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement  ICMJE Not Provided
Responsible Party Antengene Corporation
Study Sponsor  ICMJE Antengene Corporation
Collaborators  ICMJE Not Provided
Investigators  ICMJE
Study Director: shan bing, MD Medical Monitor
PRS Account Antengene Corporation
Verification Date May 2021

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP

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