A Study of Brentuximab Vedotin in Combination With Cyclophosphamide, Doxorubicin (Hydroxydaunorubicin), Prednisone (CHP) in Chinese Participants With CD30-Positive (CD30+) Peripheral T-Cell Lymphomas (PTCL)
About the study
Who can take part
INCLUSION CRITERIA
Inclusion Criteria:
1. Participants must have newly diagnosed CD30+ PTCL, per the Revised European American Lymphoma 2016 World Health Organization (WHO) classification, by local assessment. Tumor specimen must be submitted before enrollment for subsequent central pathology review to confirm histology (and anaplastic lymphoma kinase (ALK) status, if applicable), and CD30 expression. Eligible histologies include:
- ALK-positive systemic anaplastic large cell lymphoma (sALCL) with an International Prognostic Index (IPI) score of ≥2.
- ALK-negative sALCL.
- PTCL- not otherwise specified (NOS).
- Angioimmunoblastic T-cell lymphoma (AITL).
- Enteropathy associated T-cell lymphoma (EATL).
- Hepatosplenic T-cell lymphoma (HSTCL).
- Eastern Cooperative Oncology Group (ECOG) performance status of less than or equal to 2.
- Fluorodeoxyglucose (FDG)-avid disease by positron emission tomography (PET) imaging and measurable disease with at least 1 bidimensionally measurable lesion (>1.5 cm in its largest dimension) by computed tomography (CT).
- Suitable venous access for the study-required blood sampling, including pharmacokinetic (PK) and immunogenicity sampling.
- Clinical laboratory values as specified below at screening/baseline within 7 days before the first dose of study drug:
- Total bilirubin must be ≤1.5 times the upper limit of normal (ULN) or ≤3 times the ULN for participants with Gilbert's disease or documented hepatic involvement with lymphoma.
- Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) must be ≤3 times the ULN or ≤5 times the ULN for participants with an elevation that can be reasonably ascribed to the presence of metastatic disease in liver.
- Serum creatinine must be <2.0 milligram per deciliter (mg/dL) and/or creatinine clearance or calculated creatinine clearance >40 milliliter (mL)/minute.
- Hemoglobin must be ≥8 grams per deciliter (g/dL). (Red blood cell transfusion is allowed ≥14 days before assessment.)
- Absolute neutrophil count >1.5×10^9/liter (L).
- Platelet count ≥75×10^9/L (unless documented bone marrow involvement with lymphoma).
EXCLUSION CRITERIA
Exclusion Criteria:
- Systemic anticancer therapy, including traditional Chinese medicine with antitumor indication for disease under study before the first dose of study drugs.
- Major surgery within 28 days before the first dose of study drug.
- Known human immunodeficiency virus (HIV)-positive status.
- Known hepatitis B virus (HBV) surface antigen (HBsAg) seropositivity or active hepatitis C virus infection.
- Note: Participants who have positive HBV core antibody and are HBsAg negative can be enrolled, but must have an undetectable HBV viral load.
- Diagnosed or treated for another malignancy within 3 years before the first dose or previously diagnosed with another malignancy and have any evidence of residual disease. Participants with nonmelanoma skin cancer or carcinoma in situ of any type are not excluded if they have undergone complete resection.
- Any of the following cardiovascular conditions or values within 6 months before the first dose of study drug:
- Left-ventricular ejection fraction <45%.
- Myocardial infarction within 6 months of enrollment.
- New York Heart Association Class III or IV heart failure.
- Participants with current diagnosis of primary cutaneous CD30+ T-cell lymphoproliferative disorders and lymphomas. Participants with cutaneous anaplastic large cell lymphoma (ALCL) with extracutaneous tumor spread beyond locoregional lymph nodes are eligible (previous single-agent treatment to address cutaneous and locoregional disease is permissible).
- Participants with mycosis fungoides (MF) [including transformed MF].
- Uncontrolled diabetes mellitus.
- Baseline peripheral neuropathy ≥Grade 2 (National Cancer Institute Common Terminology Criteria for Adverse Events [NCI CTCAE], version 5.0).
- History of progressive multifocal leukoencephalopathy (PML).
- Previous treatment with brentuximab vedotin or CD30 monoclonal antibody.
Study Locations
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How to Apply
Study Details
Contition
Lymphoma
Age
18+
Phase
PHASE2
Participants Needed
52
Est. Completion Date
Dec 31, 2027
Treatment Type
INTERVENTIONAL
Sponsor
Takeda
ClinicalTrials.gov NCT Identifier
NCT05673785
Study Number
C25024
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