A Study Evaluating the Safety, Efficacy and Pharmacokinetics of Venetoclax Combined With Chemotherapy in Participants With B-Cell Non-Hodgkin's Lymphoma (NHL) and DLBCL

Last updated: May 26, 2020
Sponsor: Hoffmann-La Roche
Overall Status: Completed

Phase

1/2

Condition

Lymphoma, B-cell

Lymphoma

Treatment

N/A

Clinical Study ID

NCT02055820
GO27878
2013-003749-40
  • Ages > 18
  • All Genders

Study Summary

This is a multicenter, open-label, dose-finding study of venetoclax administered orally in combination with rituximab (R) or obinutuzumab (G) and standard doses of cyclophosphamide, doxorubicin, vincristine and oral prednisone (CHOP) in participants with Non-Hodgkin's Lymphoma (NHL). The study consisted of 2 stages: a dose-finding Phase Ib stage and a Phase II expansion stage. In the Phase I portion of the study, participants were randomized to one of 2 treatment arms venetoclax in combination with R-CHOP (Arm A) and venetoclax in combination with G-CHOP (Arm B) and explored the doses of venetoclax in combination with R-CHOP and G-CHOP. The maximum tolerated dose (MTD) of venetoclax in combination with R-CHOP and G-CHOP was determined during the dose-finding stage. For the Phase II portion of the study, the venetoclax dose for venetoclax + R-CHOP was on a non-continuous dosing schedule as determined by the Phase Ib portion of the study based on safety and tolerability observed in participants treated in the dose escalation portion of the study. On 17 July 2016, Roche/Genentech as the sponsor of Study BO21005 (Goya study), a Phase III study that evaluated G CHOP versus R-CHOP in 1L DLBCL, informed through a press release that the primary endpoint of investigator-assessed PFS was not met. Given these results, Arm B (venetoclax + G-CHOP) was not expanded in Phase II in patients who are first-line with DLBCL.

Eligibility Criteria

Inclusion

Inclusion Criteria: General Inclusion Criteria:

  • At least one bi-dimensionally measurable lymphoma lesion on CT scan defined as > 1.5cm in its longest dimension, which is also FDG avid by screening PET scan.

  • Confirmed availability of archival or freshly biopsied tumor tissue prior to studyenrollment

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

  • Adequate hematologic function

  • For female participants of childbearing potential, agreement to use highly effectiveforms of contraception Dose-Escalation Portion of the Study:

  • Participants must have histologically confirmed B‑cell NHL, except MCL or SLL

  • Participants must have never received previous R-CHOP treatment

  • Any relapsed/refractory participants that are enrolled during the dose escalationshould have received only a single previous treatment regimen Expansion Portion of the Study:

  • Participants must have previously untreated CD20‑positive DLBCL and IPI score must be 2-5

Exclusion

Exclusion Criteria: General Exclusion Criteria:

  • History of severe allergic or anaphylactic reactions to humanized or murine monoclonalantibodies or known sensitivity or allergy to murine products

  • Contraindication to receive any of the individual components of CHOP, rituximab orobinutuzumab

  • Prior anthracycline therapy

  • Participants with ongoing corticosteroid use >30 mg per day of prednisone orequivalent

  • CNS lymphoma or primary mediastinal DLBCL

  • Vaccination with live vaccines within 28 days prior to randomization

  • Chemotherapy or other investigational therapy within 28 days prior to the start ofCycle 1

  • History of other malignancy that could affect compliance with the protocol orinterpretation of results

  • Evidence of significant, uncontrolled concomitant disease

  • Significant cardiovascular disease or significant pulmonary disease

  • Left ventricular ejection fraction less than (<) 50% as defined by multiple-gatedacquisition (MUGA)

  • Known active bacterial, viral, fungal, mycobacterial, parasitic, or other infection (excluding fungal infections of nail beds) at study enrollment, or any major episodeof infection requiring treatment with IV antibiotics or hospitalization (relating tothe completion of the course of antibiotics) within 4 weeks prior to Cycle 1 Day 1

  • Received the following agents within 7 days prior to the first dose of venetoclax:steroid therapy for anti-neoplastic intent; strong and moderate cytochrome P450 (CYP) 3A4 inhibitors or inducers; grapefruit/grapefruit products, seville oranges or starfruit within 3 days prior to the first dose of venetoclax

  • Clinically significant history of liver disease, including viral or other hepatitis,current alcohol abuse, or cirrhosis

  • Recent major surgery

  • Women who are pregnant or lactating Dose-Escalation Portion of the Study:

  • Participants with confirmed mantle cell lymphoma (MCL) or small lymphocytic lymphoma (SLL) Expansion Portion of the Study:

  • Participants with transformed lymphoma (participants with discordant bone marrowinvolvement (i.e., low grade histology in bone marrow) may be considered afterdiscussion with the Medical Monitor)

  • Prior therapy for NHL

Study Design

Total Participants: 267
Study Start date:
November 17, 2013
Estimated Completion Date:
June 28, 2019

Connect with a study center

  • Concord Repatriation General Hospital

    Concord, New South Wales 2139
    Australia

    Site Not Available

  • Princess Alexandra Hospital

    Woolloongabba, Queensland 4102
    Australia

    Site Not Available

  • empty

    East Melbourne, Victoria 3002
    Australia

    Site Not Available

  • Peter MacCallum Cancer Centre-East Melbourne

    Melbourne, Victoria 3000
    Australia

    Site Not Available

  • Royal Melbourne Hospital

    Parkville, Victoria 3050
    Australia

    Site Not Available

  • LKH - Universitätsklinikum der PMU Salzburg

    Salzburg, 5020
    Austria

    Site Not Available

  • Medizinische Universität Wien

    Wien, 1090
    Austria

    Site Not Available

  • Cross Cancer Institute

    Edmonton, Alberta T6G 1Z2
    Canada

    Site Not Available

  • BC Cancer Agency, CSI

    Kelowna, British Columbia V1Y 5L3
    Canada

    Site Not Available

  • BC Cancer Agency Vancouver Centre - PARENT; BC Cancer Agency

    Vancouver, British Columbia V5Z 4E6
    Canada

    Site Not Available

  • Jewish General Hospital; Research Unit

    Montréal, Quebec H3T 1E2
    Canada

    Site Not Available

  • CHU de Quebec - Hôpital de l' Enfant Jésus

    Quebec, G1J 1Z4
    Canada

    Site Not Available

  • empty

    Praha, 128 08
    Czech Republic

    Site Not Available

  • Fakultni nemocnice Brno

    Brno, 613 00
    Czechia

    Site Not Available

  • Fakultni nemocnice Hradec Kralove

    Hradec Kralove, 500 05
    Czechia

    Site Not Available

  • Fakultni nemocnice Ostrava

    Ostrava - Poruba, 708 52
    Czechia

    Site Not Available

  • Vseobecna Fakultni Nemocnice v Praze, I. Interni Klinika - Klinika Hematoonkologie VFN a 1. LF UK

    Praha 2, 128 08
    Czechia

    Site Not Available

  • Hopital Henri Mondor, Unite Hemopathies lymphoides

    Creteil, 94010
    France

    Site Not Available

  • Centre Hospitalier Départemental Les Oudairies

    La Roche sur Yon, 85025
    France

    Site Not Available

  • Clinique Victor Hugo; Pharmacie

    Le Mans, 72015
    France

    Site Not Available

  • empty

    Le Mans Cedex 02, 72015
    France

    Site Not Available

  • Hopital Claude Huriez - CHU Lille

    Lille, 59037
    France

    Site Not Available

  • Hopital Saint Eloi

    Montpellier, 34295
    France

    Site Not Available

  • CHU Nantes - Hôtel Dieu; Service Assistance Medicale à la Procreation

    Nantes, 44093
    France

    Site Not Available

  • empty

    Nimes, 30029
    France

    Site Not Available

  • Hôpital Saint-Louis

    Paris, 75475
    France

    Site Not Available

  • empty

    Pierre Benite, 69495
    France

    Site Not Available

  • Centre Hospitalier Lyon Sud

    Pierre-Benite, 69495
    France

    Site Not Available

  • CHU Rennes - Hopital Pontchaillou

    Rennes cedex 09, 35033
    France

    Site Not Available

  • Centre Henri Becquerel; Hematologie

    Rouen, 76038
    France

    Site Not Available

  • CHU Tours - Hôpital Bretonneau

    Tours, 37044
    France

    Site Not Available

  • Hôpital de Brabois Adultes

    Vandoeuvre-les-nancy, 54511
    France

    Site Not Available

  • empty

    Freiburg, 79106
    Germany

    Site Not Available

  • empty

    Homburg/Saar, 66424
    Germany

    Site Not Available

  • empty

    Koeln, 50937
    Germany

    Site Not Available

  • empty

    Ulm, 89081
    Germany

    Site Not Available

  • Orszagos Onkologiai Intezet

    Budapest, 1122
    Hungary

    Site Not Available

  • Semmelweis Egyetem

    Budapest, 1083
    Hungary

    Site Not Available

  • Debreceni Egyetem; Belgyogyaszati Klinika Hematologiai Tanszek

    Debrecen, 4032
    Hungary

    Site Not Available

  • Istituto Nazionale per lo Studio e la Cura dei Tumori Fondazione G. Pascale

    Napoli, Campania 80131
    Italy

    Site Not Available

  • empty

    Bologna, Emilia-Romagna 40138
    Italy

    Site Not Available

  • Azienda Ospedaliera Universitaria Policlinico Tor Vergata

    Roma, Lazio 00133
    Italy

    Site Not Available

  • Azienda Ospedaliero Universitaria San Martino

    Genova, Liguria 16132
    Italy

    Site Not Available

  • Azienda Ospedaliera Città della Salute e della Scienza di Torino

    Torino, Piemonte 10126
    Italy

    Site Not Available

  • Azienda Ospedaliera Vincenzo Cervello

    Palermo, Sicilia 90127
    Italy

    Site Not Available

  • Azienda Ospedaliero Universitaria Pisana; U.O. Farmaceutica

    Pisa, Toscana 56100
    Italy

    Site Not Available

  • Amsterdam UMC Location VUMC

    Amsterdam, 1081 HV
    Netherlands

    Site Not Available

  • Erasmus Medisch Centrum

    Rotterdam, 3015 GD
    Netherlands

    Site Not Available

  • UMC Utrecht

    Utrecht, 3508 GA
    Netherlands

    Site Not Available

  • empty

    L'Hospitalet de Llobregat, Barcelona 08907
    Spain

    Site Not Available

  • Hospital Universitari Vall d'Hebron

    Barcelona, 08035
    Spain

    Site Not Available

  • Hospital del Mar

    Barcelona, 08003
    Spain

    Site Not Available

  • ICO l´Hospitalet - Hospital Duran i Reynals; Hematology

    Barcelona, 08907
    Spain

    Site Not Available

  • Hospital Universitario La Paz

    Madrid, 280146
    Spain

    Site Not Available

  • Hospital Universitario Ramon y Cajal

    Madrid, 28034
    Spain

    Site Not Available

  • Hospital Universitario de Salamanca

    Salamanca, 37007
    Spain

    Site Not Available

  • empty

    Huntsville, Alabama 35805
    United States

    Site Not Available

  • St. Jude Heritage Healthcare

    Fullerton, California 92835
    United States

    Site Not Available

  • Marin Cancer Care Inc

    Greenbrae, California 94904
    United States

    Site Not Available

  • UCLA Jonsson Comprehensive Cancer Center

    Los Angeles, California 90095
    United States

    Site Not Available

  • empty

    Northridge, California 91325
    United States

    Site Not Available

  • Torrance Health Association

    Redondo Beach, California 90277
    United States

    Site Not Available

  • Central Coast Medical Oncology

    San Luis Obispo, California 93454
    United States

    Site Not Available

  • Central Coast Medical Oncology

    Santa Maria, California 93454
    United States

    Site Not Available

  • Rocky Mountain Cancer Centers, LLP

    Aurora, Colorado 80012
    United States

    Site Not Available

  • Rocky Mountain Cancer Centers, LLP

    Denver, Colorado 80218
    United States

    Site Not Available

  • Memorial Cancer Institute

    Hollywood, Florida 33021
    United States

    Site Not Available

  • The West Clinici

    Saint Louis, Missouri 63129
    United States

    Site Not Available

  • empty

    St. Louis, Missouri 63129
    United States

    Site Not Available

  • Hackensack University Medical Center; WFAN - Imus Pediatric Center

    Hackensack, New Jersey 07601
    United States

    Site Not Available

  • San Juan Oncology Associates

    Farmington, New Mexico 87401
    United States

    Site Not Available

  • Memorial Sloan-Kettering Cancer Center

    New York, New York 10065
    United States

    Site Not Available

  • Uni of Rochester Medical Center; Wilmot Cancer Center, Pharmacy Department

    Rochester, New York 14642
    United States

    Site Not Available

  • Mid Ohio Oncology Hematology;ZangMeister Center (West)

    Columbus, Ohio 43213
    United States

    Site Not Available

  • Oncology Hematology Care, Inc.

    Hamilton, Ohio 45103
    United States

    Site Not Available

  • empty

    Middletown, Ohio 45042
    United States

    Site Not Available

  • University of Pennsylvania; School of Medicine

    Philadelphia, Pennsylvania 19104
    United States

    Site Not Available

  • Tennessee Oncology

    Nashville, Tennessee 37203
    United States

    Site Not Available

  • Rocky Mountain Cancer Centers, LLP

    Irving, Texas 75063
    United States

    Site Not Available

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