Study of Valemetostat Tosylate as a Single Agent in Patients With Relapse/Refractory B-cell Lymphoma

  • End date
    Jun 27, 2024
  • participants needed
  • sponsor
    The Lymphoma Academic Research Organisation
Updated on 27 June 2021
renal function
monoclonal antibodies
measurable disease
colony stimulating factor
neutrophil count
follicular lymphoma
cancer chemotherapy
diffuse large b-cell lymphoma
mantle cell lymphoma
marginal zone lymphoma
large b-cell lymphoma
high grade b-cell lymphoma
high grade lymphoma
anti-cd20 monoclonal antibody
btk inhibitor


This is a multicenter, prospective, single arm, non-randomized, open-label, phase 2 clinical study to evaluate safety and efficacy of valemetostat tosylate (DS-3201b) in patients with relapsed or refractory B cell lymphoma with 6 cohorts of patients including 2 biology-driven cohorts. Up to 141 patients will be enrolled in 6 different cohorts (40 patients with aggressive B-cell lymphoma, 41 with follicular lymphoma (FL), 20 with Mantle Cell Lymphoma (MCL) and 20 with other indolent lymphomas, and 20 patients with Hodgkin lymphoma (HL)). FL patients with EZH2 mutant (gain of function mutations) will be enrolled in the cohort 2bis. At least 8 aggressive B-cell lymphoma patients with EZH2 mutant will be enrolled in the cohort 1. The primary endpoint is the overall response rate (ORR) determined by investigator assessment.


Each cycle consists of 28 days. Valemetostat tosylate (DS-3201b) is given continuously at 200 mg once daily (QD). The total duration is expected to be approximately 3 years, assuming an expected enrollment duration of 2 years and a minimum duration of valemetostat tosylate (DS- 3201b) administration of 12 cycles of 28 days for the last enrolled patient.

Condition Lymphoma, B-Cell, b cell lymphomas, b-cell lymphomas, B-Cell Lymphoma, b cell lymphoma
Treatment Valemetostat Tosylate
Clinical Study IdentifierNCT04842877
SponsorThe Lymphoma Academic Research Organisation
Last Modified on27 June 2021


Yes No Not Sure

Inclusion Criteria

- Participants with confirmed histological diagnosis of B-cell non-Hodgkin's
lymphoma of aggressive B-cell lymphoma (diffuse large B-cell lymphoma-not
otherwise specified, primary mediastinal B-cell lymphoma, high grade B-cell
lymphoma-not otherwise specified and high grade B-cell lymphoma with MYC and
BCL2 and/or BCL6 rearrangement, transformed indolent lymphoma and grade 3b
follicular lymphoma), FL (grade 1, 2, 3a), MCL, MZL or other indolent lymphoma
(Waldenstrm macroglobulinemia), or HL according to the World Health
Organization (WHO) 2016 classification of hematopoietic and lymphoid tissue
\. Participant who had progressive disease (PD) or did not have a response
(CR or PR) in previous systemic therapy, or relapsed or progressed after
previous systemic therapy 3. Participant who has measurable disease by the
Lugano criteria (ie longest diameter of a nodal site > 1.5cm and/or longest
diameter of an extranodal site > 1.0 cm) 4. Participant who had previous
standard therapy with at least: (note: patients having received prior CAR-T
therapy can be enrolled)
For aggressive B-cell lymphoma : 1 prior line of therapy (in transformed indolent lymphoma patient must have received at least one line of treatment containing an anthracycline-based regimen before of after transformation) containing an anti-CD20 antibody and an anthracycline (unless anthracycline-based therapy is contraindicated) and if patient is considered unable to benefit from intensification treatment with autologous stem cell transplant (ASCT) as defined by at least one of the following
Relapsed following, or refractory to, previous ASCT
Ineligible for intensification treatment due to age or significant comorbidity
Ineligible for intensification treatment due to failure to mobilize an acceptable number of hematopoietic stem cells
Refused intensification treatment and/or ASCT
For FL, MZL and other indolent non-Hodgkin's lymphoma (NHL): 2 prior lines of systemic therapy with at least one anti-CD20 monoclonal antibody. Local involved field radiotherapy for limited stage disease is not considered as a previous line. Subjects with prior ASCT may be included. Note: for Splenic Marginal Zone Lymphoma (SMZL), splenectomy is considered as one line; for Extranodal Marginal Zone Lymphoma (ENMZL), Helicobacter pylori eradication is not considered as a previous line
For MCL: 2 prior lines including at least one immunochemotherapy and one BTK inhibitor
For HL: 3 prior lines including at least one line with anthracycline-based chemotherapy (unless anthracycline-based therapy is contraindicated), one line containing brentuximab-vedotin and one line containing an anti-PD1 or anti-PDL1 antibody and must be considered unable to benefit from intensification treatment with autologous stem cell transplant (ASCT) as defined by at least one of the following
Relapsed following, or refractory to, previous ASCT
Did not achieve at least a partial response to a standard salvage regimen
Ineligible for intensification treatment due to age or significant comorbidity
Ineligible for intensification treatment due to failure to mobilize an acceptable number of hematopoietic stem cells
Refused intensification treatment and/or ASCT 5. Participant with Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2 6. Adequate renal function defined as calculated creatinine clearance 40 mL/min per the Cockcroft and Gault formula 7. Adequate bone marrow function
Absolute neutrophil count (ANC) > 1000/mm3 ( 1 109/L) without growth factor support (G-CSF) for at least 7 days
Platelets 75,000/mm3 ( 75 109/L) evaluated after at least 7 days since last platelet transfusion
Hemoglobin > 8.0 g/dL evaluated after at least 7 days since last transfusion 8. Adequate liver function
Total bilirubin < 1.5 the upper limit of normal (ULN) except for unconjugated hyperbilirubinemia due to 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 involvement due to lymphoma) 9. Adequate tissue (surgical excision is recommended) for central pathology review and biological characterisation 10. Patient being successfully tested for EZH2 mutation status at study specific laboratories (for cohort 1, 2 and 2bis) 11. Subjects with a history of hepatitis B or C are eligible on the condition that subjects have adequate liver function and are hepatitis B surface antigen negative and have undetectable serum hepatitis B virus (HBV) DNA and hepatitis C virus (HCV) RNA, respectively
Females of childbearing potential must agree to use an highly effective birth control methods (defined in 13.6.1) during the following time periods related to this study: 1) for at least 28 days before starting study drug; 2) while participating in the study; 3) dose interruptions; and 4) for at least 3 months after discontinuation of study treatment 13. Males with partners of childbearing potential must agree to use highly effective birth control methods during the study and 3 months after last treatment administration 14. Male and female participant 18 years of age at the time of informed consent 15. Patient covered by any social security system (France) 16. Patient who understands and speaks one of the country official language 17. Participant who has provided written consent to participate in the study

Exclusion Criteria

Participant with prior exposure to EZH2 inhibitor
Participant with active lymphomatous involvement of the central nervous system (CNS) at screening
Any prior treatment-related (ie, chemotherapy, immunotherapy, radiotherapy), clinically significant toxicities have not resolved to Grade 1 per CTCAE version 5.0, or prior treatment-related toxicities are clinically unstable and clinically significant at time of enrollment
Major surgery within 4 weeks before the first dose of study drug
Inability to take oral medication, or malabsorption syndrome or any other uncontrolled gastrointestinal condition (eg, nausea, diarrhea, or vomiting) that might impair the bioavailability of the drug
Subjects currently taking medications that are known moderate or strong CYP3A inducers
If currently used, these medications need to be discontinued at least 14 days prior to study drug administration; replacement by alternative medications that are not moderate or strong CYP3A inducers can be considered according to medical need
Vaccinated with live, attenuated vaccines within 6 months of enrollment (except COVID vaccine)
Use of any standard or experimental anti-cancer drug therapy within 4 weeks or a minimum of 3 half lives of the drug, whatever the shortest prior to first administration of study drug
History of CAR T-cells therapy within 30 days prior to the first dose of study drug
History of autologous or allogeneic hematopoietic cell transplantation (HCT) within 90 days prior to the first dose of study drug
Patients taking corticosteroids within 2 weeks prior to first administration of study drug, unless administered at a cumulated dose equivalent of prednisone to 10mg /day (within these 2 weeks)
Participant with significant cardiovascular impairment: history of congestive heart failure greater than New York Heart Association (NYHA) Class II, uncontrolled arterial hypertension, unstable angina, myocardial infarction, or stroke within 6 months of the first dose of study drug; or cardiac ventricular arrhythmia
Subjects with malignancies other than B cell lymphomas except subjects who have been disease-free for 2 years (subjects with a history of a completely resected non-melanoma skin cancer or successfully treated in situ carcinoma are eligible)
Positive serology of human immunodeficiency virus (HIV)
Participant with prolongation of corrected QT interval using Fridericia's formula (QTcF) to > 470 milliseconds (msec) (obtained on average of 3 ECGs)
Participant with venous thrombosis or pulmonary embolism not treated
Participant with complications of hepatic cirrhosis, interstitial pneumonia, or pulmonary fibrosis
Participant with active infection requiring systemic therapy
Woman who are pregnant (positive serum pregnancy test at screening) or breastfeeding
Participant who were deemed as inappropriate to participate in the study by the investigator or coinvestigator
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