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出境医 / 临床实验 / A Safety and Preliminary Efficacy Study of CC-99282, Alone and in Combination With Rituximab in Subjects With Relapsed or Refractory Non-hodgkin Lymphomas (R/R NHL)

A Safety and Preliminary Efficacy Study of CC-99282, Alone and in Combination With Rituximab in Subjects With Relapsed or Refractory Non-hodgkin Lymphomas (R/R NHL)

Study Description
Brief Summary:
CC-99282-NHL-001 study is a Phase I dose escalation and expansion clinical study of CC-99282 administered alone and in combination with rituximab in subjects with relapsed or refractory non-hodgkin Lymphomas (R/R NHL).

Condition or disease Intervention/treatment Phase
Lymphoma, Non-Hodgkin Drug: CC-99282 Drug: rituximab Phase 1

Detailed Description:

Subjects with R/R NHL who have failed at least 2 lines of therapy (or have received at least one prior line of standard therapy and are not eligible for any other therapy).

The dose escalation will evaluate the safety and tolerability of escalating doses of CC-99282 in R/R DLBCL and/or R/R FL subjects to determine the MTD of CC-99282 as monotherapy.

The dose expansion will further evaluate the safety and preliminary efficacy of single agent CC-99282 administered at or below MTD in subjects with R/R DLBCL and NHL. Part B will also evaluate the safety and preliminary efficacy of CC-99282 in combination with rituximab in subjects with R/R DLBCL and R/R FL.

Study Design
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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 100 participants
Allocation: N/A
Intervention Model: Sequential Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Phase I, Multi-center, Open-label Study to Assess the Safety, Pharmacokinetics, and Preliminary Efficacy of an Orally Available Small Molecule, CC-99282, Alone and in Combination With Anti-Lymphoma Agents in Subjects With Relapsed OR Refractory Non-Hodgkin Lymphomas (R/R NHL).
Actual Study Start Date : May 20, 2019
Estimated Primary Completion Date : June 11, 2023
Estimated Study Completion Date : May 13, 2024
Arms and Interventions
Arm Intervention/treatment
Experimental: Administration of CC-99282
Escalating doses of CC-99282 administered orally once daily on intermittent schedules up to 2 years.
Drug: CC-99282
CC-99282

Experimental: CC-99282 + rituximab
CC-99282 administered orally once daily on intermittent schedule with rituximab intravenously (IV) 375 mg/m2 weekly in Cycle 1, every 28 days in C2-6, then every 8 weeks through 2 years.
Drug: CC-99282
CC-99282

Drug: rituximab
rituximab

Outcome Measures
Primary Outcome Measures :
  1. Dose Limiting Toxicity (DLT) [ Time Frame: up to 28 days in Cycle 1 ]
    Number of subjects with a DLT

  2. Maximum tolerated dose (MTD) [ Time Frame: up to 28 days in cycle 1 ]
    The highest dose of CC-99282 associated with acceptable safety and tolerability

  3. Adverse Events (AEs) [ Time Frame: From the time of consent at screening until 28 days after the subject discontinued study treatment (up to 2 years) ]
    Type, frequency, seriousness, severity and relationship of AEs to CC-99282 and rituximab; changes from baseline in clinically-relevant physical findings, vital signs, selected analytes, ECGs, LVEF and ECOG


Secondary Outcome Measures :
  1. Pharmacokinetics - Cmax [ Time Frame: Cycle 1 to Cycle 4 Day 15 (each cycle is 28 days) ]
    Maximum observed plasma concentration

  2. Pharmacokinetics - AUC [ Time Frame: Cycle 1 to Cycle 4 Day 15 (each cycle is 28 days) ]
    Area under the plasma concentration-time curve

  3. Pharmacokinetics - Tmax [ Time Frame: Cycle 1 to Cycle 4 Day 15 (each cycle is 28 days) ]
    Time to Cmax

  4. Pharmacokinetics - t1/2 [ Time Frame: Cycle 1 to Cycle 4 Day 15 (each cycle is 28 days) ]
    Terminal-phase elimination half-life

  5. Pharmacokinetics - CL/F [ Time Frame: Cycle 1 to Cycle 4 Day 15 (each cycle is 28 days) ]
    Apparent total clearance of the drug from plasma after oral administration

  6. Pharmacokinetics - V/F [ Time Frame: Cycle 1 to Cycle 4 Day 15 (each cycle is 28 days) ]
    Apparent volume of distribution during terminal phase after non-intravenous administration

  7. Objective response rate (ORR) [ Time Frame: up to approximately 3 years ]
    Sum of partial response (PR) plus complete response (CR) determined by the Lugano Classification for NHL and by the modified International PCNSL collaborative Group (IPCG) criteria

  8. Time to response (TTR) [ Time Frame: up to approximately 3 years ]
    Time from first dose of CC-99282 to the first documentation of response ≥ PR

  9. Duration of response (DoR) [ Time Frame: up to approximately 3 years ]
    Time from first documentation of response (≥ PR) to the first documentation of PD or death

  10. Progression free survival [ Time Frame: up to approximately 3 years ]
    Time from first dose of CC-99282 to the first occurrence of disease progression or death from any cause

  11. Overall survival [ Time Frame: up to approximately 3 years ]
    Time from first dose of CC-99282 to death from 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. Subject is ≥18 years of age at the time of signing the informed consent form (ICF).
  2. Subject has a history of NHL with relapsed or refractory disease
  3. Subject has an Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1 or 2.
  4. Subjects must have the following laboratory values:

    1. Absolute neutrophil count (ANC) ≥ 1.5 x 109/L without growth factor support for 7 days (14 days if pegfilgastrim)
    2. Hemoglobin (Hgb) ≥ 8 g/dL
    3. Platelets (plt) ≥ 75 x 109/L without transfusion for 7 days
    4. Serum bilirubin ≤ 1.5 x ULN (upper limit of normal).
    5. AST/SGOT and ALT/SGPT ≤ 2.5X ULN
    6. Estimated serum creatinine clearance of ≥ 60 mL/min using the Cockcroft-Gault equation.
  5. Agree to follow the CC-99282 Pregnancy Prevention Plan (PPP)

Exclusion Criteria:

The presence of any of the following will exclude a subject from enrollment:

  1. Subject has life expectancy ≤ 2 months.
  2. Subject has received prior systemic anti-cancer treatment (approved or investigational) ≤ 5 half-lives or 4 weeks prior to starting CC-99282, whichever is shorter.
  3. Subject has symptomatic CNS involvement of disease (does not apply to PCNSL subjects in Part B).
  4. Persistent diarrhea or malabsorption≥ Grade 2 , despite medical management
  5. Subject is on chronic systemic immunosuppressive therapy or corticosteroids (eg, prednisone or equivalent not to exceed 10 mg per day within the last 14 days) or subjects with clinically significant graft-versus-host disease (GVHD).
  6. Subject had prior autologous SCT ≤ 3 months prior to starting CC 99282. If subject had prior autologous SCT > 3 months prior to the start of CC-99282, any treatment-related toxicity is unresolved (grade > 1).
  7. Subject had prior allogeneic SCT with either standard or reduced intensity conditioning ≤ 6 months prior to starting CC-99282. If subject had prior allogenic SCT > 6 months prior to the start of CC-99282, any treatment-related toxicity is unresolved (grade > 1).
  8. Impaired cardiac function or clinically significant cardiac disease
Contacts and Locations

Contacts
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Contact: Associate Director Clinical Trial Disclosure 1-888-260-1599 clinicaltrialdisclosure@celgene.com

Locations
Show Show 31 study locations
Sponsors and Collaborators
Celgene
Investigators
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Study Director: Poliana Patah, MD, PhD Bristol-Myers Squibb
Tracking Information
First Submitted Date  ICMJE April 16, 2019
First Posted Date  ICMJE April 29, 2019
Last Update Posted Date June 10, 2021
Actual Study Start Date  ICMJE May 20, 2019
Estimated Primary Completion Date June 11, 2023   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: April 25, 2019)
  • Dose Limiting Toxicity (DLT) [ Time Frame: up to 28 days in Cycle 1 ]
    Number of subjects with a DLT
  • Maximum tolerated dose (MTD) [ Time Frame: up to 28 days in cycle 1 ]
    The highest dose of CC-99282 associated with acceptable safety and tolerability
  • Adverse Events (AEs) [ Time Frame: From the time of consent at screening until 28 days after the subject discontinued study treatment (up to 2 years) ]
    Type, frequency, seriousness, severity and relationship of AEs to CC-99282 and rituximab; changes from baseline in clinically-relevant physical findings, vital signs, selected analytes, ECGs, LVEF and ECOG
Original Primary Outcome Measures  ICMJE Same as current
Change History
Current Secondary Outcome Measures  ICMJE
 (submitted: April 25, 2019)
  • Pharmacokinetics - Cmax [ Time Frame: Cycle 1 to Cycle 4 Day 15 (each cycle is 28 days) ]
    Maximum observed plasma concentration
  • Pharmacokinetics - AUC [ Time Frame: Cycle 1 to Cycle 4 Day 15 (each cycle is 28 days) ]
    Area under the plasma concentration-time curve
  • Pharmacokinetics - Tmax [ Time Frame: Cycle 1 to Cycle 4 Day 15 (each cycle is 28 days) ]
    Time to Cmax
  • Pharmacokinetics - t1/2 [ Time Frame: Cycle 1 to Cycle 4 Day 15 (each cycle is 28 days) ]
    Terminal-phase elimination half-life
  • Pharmacokinetics - CL/F [ Time Frame: Cycle 1 to Cycle 4 Day 15 (each cycle is 28 days) ]
    Apparent total clearance of the drug from plasma after oral administration
  • Pharmacokinetics - V/F [ Time Frame: Cycle 1 to Cycle 4 Day 15 (each cycle is 28 days) ]
    Apparent volume of distribution during terminal phase after non-intravenous administration
  • Objective response rate (ORR) [ Time Frame: up to approximately 3 years ]
    Sum of partial response (PR) plus complete response (CR) determined by the Lugano Classification for NHL and by the modified International PCNSL collaborative Group (IPCG) criteria
  • Time to response (TTR) [ Time Frame: up to approximately 3 years ]
    Time from first dose of CC-99282 to the first documentation of response ≥ PR
  • Duration of response (DoR) [ Time Frame: up to approximately 3 years ]
    Time from first documentation of response (≥ PR) to the first documentation of PD or death
  • Progression free survival [ Time Frame: up to approximately 3 years ]
    Time from first dose of CC-99282 to the first occurrence of disease progression or death from any cause
  • Overall survival [ Time Frame: up to approximately 3 years ]
    Time from first dose of CC-99282 to death from any cause
Original Secondary Outcome Measures  ICMJE Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE A Safety and Preliminary Efficacy Study of CC-99282, Alone and in Combination With Rituximab in Subjects With Relapsed or Refractory Non-hodgkin Lymphomas (R/R NHL)
Official Title  ICMJE A Phase I, Multi-center, Open-label Study to Assess the Safety, Pharmacokinetics, and Preliminary Efficacy of an Orally Available Small Molecule, CC-99282, Alone and in Combination With Anti-Lymphoma Agents in Subjects With Relapsed OR Refractory Non-Hodgkin Lymphomas (R/R NHL).
Brief Summary CC-99282-NHL-001 study is a Phase I dose escalation and expansion clinical study of CC-99282 administered alone and in combination with rituximab in subjects with relapsed or refractory non-hodgkin Lymphomas (R/R NHL).
Detailed Description

Subjects with R/R NHL who have failed at least 2 lines of therapy (or have received at least one prior line of standard therapy and are not eligible for any other therapy).

The dose escalation will evaluate the safety and tolerability of escalating doses of CC-99282 in R/R DLBCL and/or R/R FL subjects to determine the MTD of CC-99282 as monotherapy.

The dose expansion will further evaluate the safety and preliminary efficacy of single agent CC-99282 administered at or below MTD in subjects with R/R DLBCL and NHL. Part B will also evaluate the safety and preliminary efficacy of CC-99282 in combination with rituximab in subjects with R/R DLBCL and R/R FL.

Study Type  ICMJE Interventional
Study Phase  ICMJE Phase 1
Study Design  ICMJE Allocation: N/A
Intervention Model: Sequential Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Condition  ICMJE Lymphoma, Non-Hodgkin
Intervention  ICMJE
  • Drug: CC-99282
    CC-99282
  • Drug: rituximab
    rituximab
Study Arms  ICMJE
  • Experimental: Administration of CC-99282
    Escalating doses of CC-99282 administered orally once daily on intermittent schedules up to 2 years.
    Intervention: Drug: CC-99282
  • Experimental: CC-99282 + rituximab
    CC-99282 administered orally once daily on intermittent schedule with rituximab intravenously (IV) 375 mg/m2 weekly in Cycle 1, every 28 days in C2-6, then every 8 weeks through 2 years.
    Interventions:
    • Drug: CC-99282
    • Drug: rituximab
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: April 25, 2019)
100
Original Estimated Enrollment  ICMJE Same as current
Estimated Study Completion Date  ICMJE May 13, 2024
Estimated Primary Completion Date June 11, 2023   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

  1. Subject is ≥18 years of age at the time of signing the informed consent form (ICF).
  2. Subject has a history of NHL with relapsed or refractory disease
  3. Subject has an Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1 or 2.
  4. Subjects must have the following laboratory values:

    1. Absolute neutrophil count (ANC) ≥ 1.5 x 109/L without growth factor support for 7 days (14 days if pegfilgastrim)
    2. Hemoglobin (Hgb) ≥ 8 g/dL
    3. Platelets (plt) ≥ 75 x 109/L without transfusion for 7 days
    4. Serum bilirubin ≤ 1.5 x ULN (upper limit of normal).
    5. AST/SGOT and ALT/SGPT ≤ 2.5X ULN
    6. Estimated serum creatinine clearance of ≥ 60 mL/min using the Cockcroft-Gault equation.
  5. Agree to follow the CC-99282 Pregnancy Prevention Plan (PPP)

Exclusion Criteria:

The presence of any of the following will exclude a subject from enrollment:

  1. Subject has life expectancy ≤ 2 months.
  2. Subject has received prior systemic anti-cancer treatment (approved or investigational) ≤ 5 half-lives or 4 weeks prior to starting CC-99282, whichever is shorter.
  3. Subject has symptomatic CNS involvement of disease (does not apply to PCNSL subjects in Part B).
  4. Persistent diarrhea or malabsorption≥ Grade 2 , despite medical management
  5. Subject is on chronic systemic immunosuppressive therapy or corticosteroids (eg, prednisone or equivalent not to exceed 10 mg per day within the last 14 days) or subjects with clinically significant graft-versus-host disease (GVHD).
  6. Subject had prior autologous SCT ≤ 3 months prior to starting CC 99282. If subject had prior autologous SCT > 3 months prior to the start of CC-99282, any treatment-related toxicity is unresolved (grade > 1).
  7. Subject had prior allogeneic SCT with either standard or reduced intensity conditioning ≤ 6 months prior to starting CC-99282. If subject had prior allogenic SCT > 6 months prior to the start of CC-99282, any treatment-related toxicity is unresolved (grade > 1).
  8. Impaired cardiac function or clinically significant cardiac disease
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: Associate Director Clinical Trial Disclosure 1-888-260-1599 clinicaltrialdisclosure@celgene.com
Listed Location Countries  ICMJE Austria,   Belgium,   Canada,   Denmark,   France,   Italy,   Spain,   United Kingdom,   United States
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT03930953
Other Study ID Numbers  ICMJE CC-99282-NHL-001
U1111-1224-5399 ( Registry Identifier: WHO )
2018-003235-29 ( EudraCT Number )
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement  ICMJE
Plan to Share IPD: Yes
Plan Description:

Information relating to our policy on data sharing and the process for requesting data can be found at the following link:

https://www.celgene.com/research-development/clinical-trials/clinical-trials-data-sharing/

Supporting Materials: Study Protocol
Supporting Materials: Statistical Analysis Plan (SAP)
Supporting Materials: Informed Consent Form (ICF)
Supporting Materials: Clinical Study Report (CSR)
Supporting Materials: Analytic Code
Time Frame: See Plan Description
Access Criteria: See Plan Description
URL: https://www.celgene.com/research-development/clinical-trials/clinical-trials-data-sharing/
Responsible Party Celgene
Study Sponsor  ICMJE Celgene
Collaborators  ICMJE Not Provided
Investigators  ICMJE
Study Director: Poliana Patah, MD, PhD Bristol-Myers Squibb
PRS Account Celgene
Verification Date June 2021

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

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