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Completed

NCT Number: NCT02927925

A Study to Assess the Clinical Efficacy and Safety of Daratumumab in Participants With Relapsed or Refractory Natural Killer/T-Cell Lymphoma (NKTCL), Nasal Type

The purpose of this study is to assess the clinical efficacy and safety of daratumumab in relapsed or refractory natural killer/T-cell lymphomas (NKTCL).

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Beijing Cancer Hospital, Beijing, China

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Documented as histologically confirmed extranodal natural killer/T-cell lymphomas (NK/T)-cell lymphoma, nasal type according to the World Health Organization (WHO) classification and the pathology report will be verified by the Sponsor
  • Failed at least 1 line of chemotherapy and who, according to treating physician or investigator, is not candidate to receive other treatment modalities
  • At least 1 measurable site of disease
  • Eastern Cooperative Oncology Group (ECOG) performance status score of 0, 1 or 2 and life expectancy greater than or equal to (>=) 3 months

Exclusion criteria

  • Received daratumumab or other antiCD38 therapies previously
  • Previous allogenic stem cell transplant or autologous stem cell transplantation within 12 weeks before the first administration of the study drug
  • Clinical symptoms of central nervous system involvement
  • Known chronic obstructive pulmonary disease, known moderate or severe persistent asthma within the past 2 years, or uncontrolled asthma of any classification
  • Clinically significant cardiac disease, including:Myocardial infarction within 6 months before the first study agent administration, or unstable or uncontrolled disease/condition related to or affecting cardiac function (eg, unstable angina, congestive heart failure, New York Heart Association Class III-IV); Uncontrolled cardiac arrhythmia (Common Terminology Criteria for Adverse Events [CTCAE] [most recent version] Grade 3 or higher) or clinically significant ECG abnormalities; Screening 12-lead ECG showing a baseline QT interval as corrected QTc >470 msec
  • Seropositive for human immunodeficiency virus
  • Seropositive for hepatitis B or hepatitis C
  • Abnormal laboratory values according to protocol defined parameters at screening

Treatment and study plan

Daratumumab

Drug

Participants will receive daratumumab 16 mg/kg as intravenous infusion.

Primary outcomes

  1. Percentage of Participants With Overall Response

    Time frame: Up to 2 years and 11 months

    Overall response was defined as the percentage of participants who achieved complete response (CR) or partial response (PR) per Revised Criteria for Response Assessment of Hodgkin and non-Hodgkin lymphoma: LUGANO classification based on blinded independent central review (BICR). As per Revised Response Criteria for Malignant Lymphoma, Lymph node measurements were taken from Computed Tomography (CT), CT portion of the Positron Emission Tomography/Computed Tomography (PET/CT), where applicable. CR: complete disappearance of all evidence of disease; PR as a greater than (>) 50 percent (%) decrease in the sum of the products of the maximal perpendicular diameters of measured lesions (SPD) and no new sites.

Secondary outcomes

  1. Percentage of Participants With Complete Response (CR)

    Time frame: Up to 2 years and 11 months

    CR was defined as the percentage of participants who achieved CR as per Revised Criteria for Response Assessment of Hodgkin and non-Hodgkin lymphoma: LUGANO classification based on BICR. CR was a complete disappearance of all evidence of disease.

  2. Progression Free Survival (PFS)

    Time frame: Up to 2 years and 11 months

    PFS was defined as the duration from the date of the first daratumumab dose to the date of progression/relapse or death, whichever came first. Progressive disease (PD) was defined as any new lesion greater than (>) 1.5 centimeter (cm) in any axis or greater than or equal to (>=) 50 percent (%) increase in previously involved sites.

  3. Duration of Response (DoR)

    Time frame: Up to 2 years and 11 months

    DoR was defined as duration from the date of the initial documentation of a response to the date of first documented evidence of progressive disease (PD) (or relapse for participants who experienced CR). PD was defined as any new lesion >1.5 cm in any axis or >= 50% increase in previously involved sites.

  4. Time to Response

    Time frame: Up to 2 years and 11 months

    Time to response was defined as the duration from the date of the first dose of daratumumab to the earliest date that a response (CR/PR based on BICR) is first documented. CR was defined as complete disappearance of all evidence of disease; PR as a greater than (>) 50 percent (%) decrease in the sum of the products of the maximal perpendicular diameters of measured lesions (SPD) and no new sites.

  5. Overall Survival (OS)

    Time frame: Up to 2 years and 11 months

    OS was defined as the duration from the date of the first daratumumab dose to the date of death.

  6. Number of Participants With Treatment Emergent Adverse Events (TEAE) as a Measure of Safety and Tolerability

    Time frame: Up to 2 years and 11 months

    An adverse event (AE) is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. TEAE were defined as AEs with onset during the treatment period or that are a consequence of a pre-existing condition that has worsened since baseline.

  7. Number of Participants With Clinically Significant Change in Vital Signs

    Time frame: Up to 2 years and 11 months

    Number of participants with clinically significant change in vital signs (blood pressure, temperature, pulse rate, and weight) was reported.

  8. Number of Participants With Clinically Significant Electrocardiogram (ECG) Abnormalities

    Time frame: Up to 2 years and 11 months

    Number of participants with clinically significant ECG abnormalities were reported.

  9. Number of Participants With Clinically Significant Change in Physical Finding

    Time frame: Up to 2 years and 11 months

    Number of participants with clinically significant change in physical finding was reported.

  10. Number of Participants With Clinically Significant Change in Laboratory Parameters

    Time frame: Up to 2 years and 11 months

    Number of participants with clinically significant change in hematology (WBC, hemoglobin, platelets, neutrophils, and lymphocytes) and biochemistry (alanine transaminase [ALT], aspartate transaminase [AST], sodium, potassium, bilirubin, alkaline phosphatase, calcium laboratory parameters were reported.

Sponsors and collaborators

Lead sponsor

Janssen Research & Development, LLC

Industry

Registry information

Official study title

An Open Label, Phase 2 Study to Assess the Clinical Efficacy and Safety of Daratumumab in Patients With Relapsed or Refractory Natural Killer/T-Cell Lymphoma, Nasal Type

Important dates

Study start
2017
Primary completion
2020
Study completion
2020
First posted
Oct 7, 2016
Registry last updated
Jan 14, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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