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A Study Comparing the Efficacy and Safety of Polatuzumab Vedotin With Rituximab-Cyclophosphamide, Doxorubicin, and Prednisone (R-CHP) Versus Rituximab-Cyclophosphamide, Doxorubicin, Vincristine, and Prednisone (R-CHOP) in Participants With Diffuse Large B-Cell Lymphoma

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About the study

This Phase III, randomized, double-blind, placebo-controlled study will compare the efficacy, safety, and pharmacokinetics of polatuzumab vedotin plus R-CHP versus R-CHOP in participants with previously untreated diffuse large B-cell lymphoma (DLBCL).
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Who can take part

You may be eligible to participate in the study if you meet the following criteria:

INCLUSION CRITERIA

Inclusion Criteria:


  1. Previously untreated participants with cluster of differentiation 20 (CD20)-positive DLBCL, including one of the following diagnoses by 2016 World Health Organization (WHO) classification of lymphoid neoplasms: DLBCL, not otherwise specified (NOS) including germinal center B-cell type, activated B-cell type; T-cell/histiocyte-rich large B-cell lymphoma; Epstein-Barr virus-positive DLBCL, NOS; anaplastic lymphoma kinase (ALK)-positive large B-cell lymphoma; human herpesvirus-8 (HHV8)-positive DLBCL, NOS; High-grade B-cell lymphoma with MYC and B-cell lymphoma 2 (BCL2) and/or B-cell lymphoma 6 (BCL6) rearrangements (double-hit or triple-hit lymphoma); High-grade B-cell lymphoma, NOS
  2. Availability of archival or freshly collected tumor tissue before study enrolment
  3. International Prognostic Index (IPI) score of 2-5
  4. Eastern Cooperative Oncology Group (ECOG) Performance Status of 0, 1, or 2
  5. Life expectancy greater than or equal to (>/=)12 months
  6. Left ventricular ejection fraction (LVEF) >/= 50 percent (%) on cardiac multiple-gated acquisition (MUGA) scan or cardiac echocardiogram (ECHO)
  7. Adequate hematologic function
  8. Female participants: Agreement to remain abstinent (refrain from heterosexual intercourse) or use contraceptive methods and refrain from donating eggs.
  9. Male participants: agreement to remain abstinent (refrain from heterosexual intercourse) or use a condom and agreement to refrain from donating sperm.

EXCLUSION CRITERIA

Exclusion Criteria:


  1. History of severe allergic or anaphylactic reactions to humanized or murine monoclonal antibodies or known sensitivity or allergy to murine products
  2. Contraindication to any of the individual components of CHOP, including prior receipt of anthracyclines
  3. Prior organ transplantation
  4. Current Grade greater than (>) 1 peripheral neuropathy by clinical examination
  5. Demyelinating form of Charcot-Marie-Tooth disease
  6. History of indolent lymphoma
  7. History of follicular lymphoma grade 3B
  8. B-cell lymphoma, unclassifiable, with features intermediate between DLBCL and classical Hodgkin lymphoma (grey-zone lymphoma)
  9. Primary mediastinal (thymic) large B-cell lymphoma
  10. Burkitt lymphoma
  11. Prior treatment with cytotoxic drugs within 5 years of screening for any condition (example [e.g.], cancer, rheumatoid arthritis) or prior use of any anti-CD20 antibody
  12. Prior use of any monoclonal antibody within 3 months of the start of Cycle 1
  13. Prior therapy for DLBCL, with the exception of nodal biopsy
  14. Corticosteroid use >30 mg/day of prednisone or equivalent, for purposes other than lymphoma symptom control
  15. Participants with central nervous system (CNS) lymphoma (primary or secondary involvement), primary effusion DLBCL, and primary cutaneous DLBCL
  16. Vaccination with live vaccines within 28 days prior to the start of Cycle 1
  17. Any investigational therapy within 28 days prior to the start of Cycle 1
  18. History of other malignancy that could affect compliance with the protocol or interpretation of results
  19. Evidence of significant, uncontrolled, concomitant diseases that could affect compliance with the protocol or interpretation of results, including significant cardiovascular disease or pulmonary disease
  20. Recent major surgery (within 4 weeks prior to the start of Cycle 1), other than for diagnosis
  21. History or presence of an abnormal electrocardiogram (ECG) that is clinically significant in the investigator's opinion, including complete left bundle branch block, second- or third-degree heart block, or evidence of prior myocardial infarction
  22. Known active bacterial, viral, fungal, mycobacterial, parasitic, or other infection (excluding fungal infections of nail beds) at study enrollment or significant infections within 2 weeks before the start of Cycle 1
  23. Clinically significant liver disease, including active viral or other hepatitis, current alcohol abuse, or cirrhosis
  24. Prior radiotherapy to the mediastinal/pericardial region
  25. Participants with suspected active or latent tuberculosis
  26. Positive test results for chronic hepatitis B and hepatitis C infection
  27. Known history of human immunodeficiency virus (HIV) seropositive status
  28. Positive results for the human T-lymphotrophic 1 virus (HTLV-1)
  29. Participants with a history of progressive multifocal leukoencephalopathy

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Study Locations

Enter your ZIP code/Postal code/PIN code to locate study sites near you:

How to Apply


Contact the study center to learn if this study is a good match for you.

Study’s details


Contition

Diffuse Large B-Cell Lymphoma

Age (in years)

18 - 80

Phase

Phase 3

Participants needed

1000

Est. Completion Date

Jun 30, 2024

Treatment type

Interventional


Sponsor

Hoffmann-La Roche

ClinicalTrials.gov identifier

NCT03274492

Study number

GO39942

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