A Study to Compare How Well Odronextamab Combined With Chemotherapy Works and How Safe it is Against Rituximab Combined With Chemotherapy, in Patients With Previously Untreated Diffuse Large B-cell Lymphoma

a study on Diffuse Large B-Cell Lymphoma Lymphoma Non-Hodgkin Lymphoma

Summary

Eligibility
for people ages 18 years and up (full criteria)
Location
at UC Davis UC Irvine UCLA
Dates
study started
completion around
Principal Investigator
by Sven de Vos, MD, PhD (ucla)
Headshot of Sven de Vos
Sven de Vos

Description

Summary

This study is researching an experimental drug called odronextamab, referred to as study drug, when used in combination with chemotherapy. The study is focused on patients with diffuse large B-cell lymphoma (DLBCL) that have not been treated before (called "previously untreated"). Patients with DLBCL that have come back after treatment (called "relapsed"), or have not responded to treatment (called "refractory"), can also participate in this study.

This study will be made up of Part 1A, Part 1B, and Part 2.The aim of Part 1A and Part 1B of the study is to see how safe and tolerable the study drug in combination with chemotherapy is and to determine the dose and schedule of the study drug to be combined with chemotherapy in Part 2 of the study.

The aim of Part 2 of the study is to see how effective the combination of the study drug with chemotherapy is in comparison with the combination of rituximab (the comparator drug), and chemotherapy, the current standard of care treatment approved for DLBCL. Standard of care means the usual medication expected and used when receiving treatment for a condition.

The study is looking at several other research questions, including:

  • What side effects may happen from taking the study drug when combined with chemotherapy
  • How much study drug is in the blood at different times
  • Whether the body makes antibodies against the study drug (which could make the study drug less effective or could lead to side effects)
  • The impact from the study drug on quality of life and ability to complete routine daily activities

Official Title

A Phase 3, Open Label, Randomized Study Comparing the Efficacy and Safety of Odronextamab (REGN1979), an Anti-CD20 × Anti-CD3 Bispecific Antibody, in Combination With CHOP (ODRO-CHOP) Versus Rituximab in Combination With CHOP (R-CHOP) in Previously Untreated Participants With Diffuse Large B-cell Lymphoma (DLBCL) (OLYMPIA-3)

Keywords

Diffuse Large B-cell Lymphoma (DLBCL), Non-Hodgkin lymphomas (NHL), B-cell non-Hodgkin lymphomas (B-NHL), Diffuse Large B-cell Lymphoma, Odronextamab, Anti-CD20 × anti-CD3 bispecific antibody, Lymphoma, B-Cell Lymphoma, Lymphoma, Large B-Cell, Diffuse, Prednisone, Prednisolone, Cyclophosphamide, Rituximab, Doxorubicin, Vincristine, Prednisone/Prednisolone, Odronextamab + CHOP, Rituximab + CHOP

Eligibility

You can join if…

Open to people ages 18 years and up

  1. Previously untreated participants for lymphoma with documented cluster of differentiation 20+ (CD20+) DLBCL, as described in the protocol OR relapsed or refractory DLBCL, for whom next available standard of care therapy is not available or deemed ineligible according to the investigator (Part 1A only)
  2. Measurable disease with at least one nodal lesion or at least one extranodal lesion, as described in the protocol
  3. Eastern Cooperative Oncology Group (ECOG) performance status ≤2
  4. Life expectancy ≥ 12 months
  5. International Prognostic Index (IPI) of 3 to 5 (part 1 only) and ≥2 (part 2) for untreated DLBCL only;
  6. Adequate hematologic and organ function, as defined in the protocol.

You CAN'T join if...

  1. Primary central nervous system (CNS) lymphoma or known involvement by non-primary CNS NHL and history or current relevant CNS pathology
  2. Another active malignancy, significant active disease or medical condition, as described in the protocol
  3. Peripheral neuropathy Grade ≥3
  4. Treatment with any systemic anti-lymphoma therapy, except for participants with relapsed/refractory (R/R) DLBCL and participants with DLBCL transformed from an indolent follicular lymphoma after treatment with systemic anti-lymphoma therapy.
  5. Any other therapy or investigational treatment within 28 days or 5 half-lives of the drug, whichever is shorter, prior to the start of study treatment
  6. Recent major surgery, prior organ transplantation, or standard radiotherapy, as described in the protocol
  7. Allergy/hypersensitivity to study drugs, as described in the protocol
  8. Infections such as any active infection (bacterial, viral, fungal, mycobacterial, parasitic or other), active Coronavirus disease (COVID-19) infection, uncontrolled infection with human immunodeficiency virus (HIV), hepatitis B virus (HBV), or hepatitis C virus (HCV), Cytomegalovirus (CMV) infection, as described in the protocol.

Note: Other protocol-defined Inclusion/ Exclusion criteria apply

Locations

  • David Geffen School of Medicine at UCLA accepting new patients
    Los Angeles California 90095 United States
  • University of California Irvine Medical Center accepting new patients
    Orange California 92868 United States
  • University of California (UC) Davis accepting new patients
    Sacramento California 95817-2229 United States

Lead Scientist at University of California Health

  • Sven de Vos, MD, PhD (ucla)
    HS Clinical Professor, Medicine. Authored (or co-authored) 10 research publications

Details

Status
accepting new patients
Start Date
Completion Date
(estimated)
Sponsor
Regeneron Pharmaceuticals
ID
NCT06091865
Phase
Phase 3 research study
Study Type
Interventional
Participants
Expecting 904 study participants
Last Updated