Clinical Trial of Brentuximab Vedotin in Classical Hodgkin Lymphoma

2023-503387-16-00 Protocol SGN35-027 Therapeutic exploratory (Phase II) Ended

Start 13 Jul 2021 · End 24 Aug 2024 · Status Ended · 4 EU/EEA countries · 9 sites · Protocol SGN35-027

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ended
Participants planned 255
Countries 4
Sites 9

Classical Hodgkin Lymphoma

Parts C: To assess the complete response (CR) rate at EOT with AN+AD in subjects with previously untreated cHL

Key facts

Sponsor
Seagen Inc.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
13 Jul 2021 → 24 Aug 2024
Decision date (initial)
2023-10-23
Transition trial
Yes
Low-intervention
No
Rare-disease indication
Yes
Vulnerable population
No

External identifiers

EU CT number
2023-503387-16-00
EudraCT number
2020-004027-17

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Safety

Parts C: To assess the complete response (CR) rate at EOT with AN+AD in subjects with previously untreated cHL

Conditions and MedDRA coding

Classical Hodgkin Lymphoma

VersionLevelCodeTermSystem organ class
20.1 LLT 10080208 Classical Hodgkin lymphoma 10029104

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. Treatment-naïve, cHL subjects: Subjects enrolling in Part C of the study must have Ann Arbor Stage I or II cHL without bulky mediastinal disease
  2. Histologically confirmed cHL according to the current World Health Organization Classification
  3. Bidimensional measurable disease as documented by PET/CT or CT imaging
  4. Age 12 years or older in the United States. For regions outside of the United States, subjects must be age 18 years or older
  5. An Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2

Exclusion criteria 17

  1. Nodular lymphocyte predominant HL
  2. History of another malignancy within 3 years before the first dose of study drug or any evidence of residual disease from a previously diagnosed malignancy. Exceptions are malignancies with a negligible risk of metastasis or death. Subjects with nonmelanoma skin cancer, localized prostate cancer, or carcinoma in situ of any type are not excluded if they have undergone complete resection
  3. Prior immunosuppressive chemotherapy, therapeutic radiation, or any immunotherapy within 4 weeks of first study drug dose.
  4. Prior treatment with an anti-PD-1, anti-PD-L1, anti-PD-L2, or anti-CTLA-4 antibody, or any other antibody or drug specifically targeting Tcell co-stimulation or checkpoint pathways
  5. Active cerebral/meningeal disease related to the underlying malignancy.
  6. Any active Grade 3 or higher (per the National Cancer Institute's Common Terminology Criteria for Adverse Events [NCI CTCAE] Version 4.03) viral, bacterial, or fungal infection within 2 weeks prior to the first dose of study drug
  7. Current therapy with other systemic anti-neoplastic or investigational agents
  8. Planned consolidative radiotherapy during the study treatment period (Parts B and C only)
  9. Active interstitial lung disease that is symptomatic or may interfere with the detection or management of suspected drug-related pulmonary toxicity (Parts B and C only)
  10. Grade 3 or higher pulmonary disease unrelated to underlying malignancy
  11. Idiopathic interstitial pneumonia or diffusing capacity of the lung for carbon monoxide <50% predicted
  12. Documented history of a cerebral vascular event within 6 months prior to their first dose of brentuximab vedotin
  13. Subjects with Child-Pugh B or C hepatic impairment
  14. Grade 2 or higher peripheral sensory or motor neuropathy at baseline
  15. Subjects with acute or chronic graft-versus-host-disease (GvHD) or receiving immunosuppressive therapy as treatment for or prophylaxis agent against GvHD
  16. Previous treatment with brentuximab vedotin
  17. Subjects who are pregnant or breastfeeding

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. CR rate at EOT

Secondary endpoints 6

  1. Incidence, severity, seriousness, and relatedness of AEs; incidence and severity of lab abnormalities
  2. Estimate the ORR
  3. DOR
  4. DOCR
  5. EFS
  6. PFS

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 4

ADCETRIS 50 mg powder for concentrate for solution for infusion

PRD2487300 · Product

Active substance
Brentuximab Vedotin
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS ADMINISTRATION
Max daily dose
1.2 mg/Kg milligram(s)/kilogram
Max total dose
120 mg milligram(s)
Max treatment duration
10 Month(s)
Authorisation status
Authorised
ATC code
L01XC12 — -
Marketing authorisation
EU/1/12/794/001
MA holder
TAKEDA PHARMA A/S
MA country
Iceland
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/08/596
Modified vs. Marketing Authorisation
No

DOXORUBICINE ACCORD 2 mg/ml, solution pour perfusion

PRD379817 · Product

Active substance
Doxorubicin Hydrochloride
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
90 mg/m2 milligram(s)/sq. meter
Max total dose
360 mg/m2 milligram(s)/sq. meter
Max treatment duration
4 Month(s)
Authorisation status
Authorised
ATC code
L01DB01 — DOXORUBICIN
Marketing authorisation
34009 577 053 0 5
MA holder
ACCORD HEALTHCARE FRANCE SAS
MA country
France
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Dacarbazine Lipomed 500 mg powder for solution for infusion

PRD5904474 · Product

Active substance
Dacarbazine
Substance synonyms
DIC, DACARBAZINUM
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Max daily dose
850 mg/m2 milligram(s)/sq. meter
Max total dose
10200 mg/m2 milligram(s)/square meter
Max treatment duration
4 Month(s)
Authorisation status
Authorised
ATC code
L01AX04 — DACARBAZINE
Marketing authorisation
PA1760/001/002
MA holder
LIPOMED GMBH
MA country
Ireland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

OPDIVO 10 mg/mL concentrate for solution for infusion.

PRD2941372 · Product

Active substance
Nivolumab
Substance synonyms
BMS936558, ABP 206
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
10 mg/ml milligram(s)/millilitre
Max total dose
240 mg milligram(s)
Max treatment duration
4 Month(s)
Authorisation status
Authorised
ATC code
L01FF01 — -
Marketing authorisation
EU/1/15/1014/001
MA holder
BRISTOL-MYERS SQUIBB PHARMA EEIG
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Seagen Inc.

Sponsor organisation
Seagen Inc.
Address
21823 30th Drive Southeast
City
Bothell
Postcode
98021-3907
Country
United States

Scientific contact point

Organisation
Seagen Inc.
Contact name
Francisco Beca

Public contact point

Organisation
Seagen Inc.
Contact name
Seagen Clinical Trial Information

Third parties 7

OrganisationCity, countryDuties
Medidata Solutions Inc.
ORG-100016256
New York, United States Other
Q Squared Solutions LLC
ORG-100043195
Durham, United States Other
Icon Laboratories Inc.
ORG-100037135
Farmingdale, United States Other, Laboratory analysis
CellCarta
ORG-100039881
Antwerp, Belgium Other
Neogenomics Laboratories Inc.
ORG-100041804
Aliso Viejo, United States Other
Navigate Biopharma Services Inc.
ORG-100032721
Carlsbad, United States Other
Almac Clinical Services LLC
ORG-100041692
Souderton, United States Other

Locations

4 EU/EEA countries · 9 investigational sites

By country

CountryMS statusPlanned subjectsSites
Czechia Ended 1 1
Italy Ended 4 1
Poland Ended 4 1
Spain Ended 13 6
Rest of world
Canada, Australia, United States
233

Investigational sites

Czechia

1 site · Ended
Fakultni Nemocnice Kralovske Vinohrady
Interni hematologicka klinika, Srobarova 1150/50, Vinohrady, Prague 10

Italy

1 site · Ended
Azienda Socio Sanitaria Territoriale Degli Spedali Civili Di Brescia
Divisione di Ematologia, Piazzale Spedali Civili 1, 25123, Brescia

Poland

1 site · Ended
Pratia S.A.
n/a, Ul. Tadeusza Rejtana 2, 30-510, Cracow

Spain

6 sites · Ended
Institut Catala D'oncologia
Hematology Department Lymphoma Unit, Avinguda De La Gran Via De L'hospitalet 199-203, 08908, L'hospitalet De Llobregat
Hospital Universitari Vall D Hebron
Oncology Service, Edificio Materno-Infantil, Passeig De La Vall D'hebron 119-129, Barcelona
Hospital Universitario 12 De Octubre
Deptamento de Hematologia, Bloque D, Avenida De Cordoba Sn, Madrid
Hospital Universitario De Salamanca
Unidad de Ensayos Clinicos de Hematologia, Paseo De San Vicente 58-182, 37007, Salamanca
Hospital Del Mar
Servei h'Hematologia Clinica, Passeig Maritim De La Barceloneta 25-29, 08003, Barcelona
Hospital Universitario Fundacion Jimenez Diaz
Servicio de Hamatologia, Avenida De Los Reyes Catolicos 2, 28040, Madrid

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Czechia 2022-03-11 2022-04-19 2022-05-24
Italy 2021-10-14 2021-10-27 2022-05-12
Poland 2022-01-25 2022-04-26 2022-05-27
Spain 2021-07-13 2021-09-03 2022-04-29

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Summary of results Art. 37(4) CTR

TitleSubmission dateStatusType
SGN35-027_2023-503387-16-00_Summary of results
SUM-71360
2025-02-18T16:43:00 Submitted Summary of Results

Layperson summary Annex V

TitleSubmission dateStatusType
SGN35-027_2023-503387-16-00_Lay-person summary of results 2025-02-18T16:41:41 Submitted Laypersons Summary of Results

Documents 7 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Laypersons summary of results (for publication) C5691002 Plain Language Study Results Summary Phase 2-4 1
Laypersons summary of results (for publication) C5691002 Plain Language Study Results Summary-cze 1
Laypersons summary of results (for publication) C5691002 Plain Language Study Results Summary-ita 1
Laypersons summary of results (for publication) C5691002 Plain Language Study Results Summary-pol 1
Laypersons summary of results (for publication) C5691002 Plain Language Study Results Summary-spa 1
Summary of results (for publication) C5691002 Public Disclosure Synopsis 1
Summary of results (for publication) CTIS_Cover Letter_C5601002 1

Application history

3 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-08-25 Acceptable
2023-10-09
2023-10-10
2 SUBSEQUENT ADDITION OF MSC APP-2 2023-12-07 Poland 2024-01-16
3 SUBSTANTIAL MODIFICATION SM-1 2024-03-28 Poland Acceptable
2024-06-03
2024-06-05