Lymphoma, Large B-Cell, DiffusePhase 2NCT00529503
A Randomized Phase IIb Placebo-Controlled Study of R-ICE Chemotherapy With and Without SGN-40 for Patients With DLBCL
A Phase 2 study testing SGN-40, rituximab and etoposide in people with Lymphoma, Large B-Cell, Diffuse and Lymphoma, Non-Hodgkin, run by Seagen Inc. at 66 sites in 10 countries.
Trial summary
This is a randomized trial to estimate the activity of R-ICE plus SGN-40 vs. R-ICE plus placebo in patients with DLBCL. The study will assess safety and tolerability and will measure any additional clinical benefit observed in patients receiving SGN-40. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Lymphoma, Large B-Cell, Diffuse, Lymphoma, Non-Hodgkin
- What is being tested?
- SGN-40, rituximab and etoposide
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 151 participants
- Where
- 66 sitesin 10 countries
- Study dates
- Sep 2007to May 2011
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Confirmed diagnosis of de novo or transformed DLBCL, or follicular grade 3b lymphoma.
- Received at least four cycles of first-line therapy with R-CHOP, or equivalent.
- Best clinical response to first-line therapy of stable disease, partial response, or complete response.
- At least one measureable lesion that is both greater than or equal to 1.5cm by radiographic imaging and by positive FDG-PET scan.
Who cannot join
- Leptomeningeal or central nervous system lymphoma.
- Received any therapy for relapsed or progressive disease except for local radiation, steroids, or rituximab.
- Received a hematopoietic stem cell transplant.
Trial locations and contacts
66 sites in 10 countries.
66 sites in 10 countries
United States24 sites
Winship Cancer Institute, Emory University
Atlanta, Georgia, 30322
University of Alabama at Birmingham
Birmingham, Alabama, 35294-3300
Medical University of South Carolina
Charleston, South Carolina, 29425
Northwestern University
Chicago, Illinois, 60611
Cleveland Clinic Foundation
Cleveland, Ohio, 44195
Ohio State University
Columbus, Ohio, 43210
Baylor Sammons Cancer Center
Dallas, Texas, 75246
San Juan Oncology Associates
Farmington, New Mexico, 87401
University of Texas MD Anderson Cancer Center
Houston, Texas, 77030-4003
Sparrow Regional Cancer Center
Lansing, Michigan, 48912
University of California at Los Angeles
Los Angeles, California, 90095
University of Louisville - James Graham Brown Cancer Center
Louisville, Kentucky, 40202
West Virginia University
Morgantown, West Virginia, 26506-9162
Sarah Cannon Research Institute
Nashville, Tennessee, 37203
St. Luke's Roosevelt Hospital Center
New York, New York, 10019
Christiana Care Health Systems
Newark, Delaware, 19718
MD Anderson Cancer Center, Orlando
Orlando, Florida, 32806
Providence Portland Medical Center
Portland, Oregon, 97213
Mayo Clinic Rochester
Rochester, Minnesota, 55905
Park Nicollet Institute
Saint Louis Park, Minnesota, 55416
Washington University School of Medicine
St Louis, Missouri, 63110
Stanford University Medical Center
Stanford, California, 94305-5821
MultiCare Health System
Tacoma, Washington, 98405
Georgetown University
Washington D.C., District of Columbia, 20007
France9 sites
Centre Hospitalier Andre Mignot
Le Chesnay, 78157
Centre Leon Berard - Centre regional de lutte contre le cancer Rhone-Alpes
Lyon, 69373
Hopital Hotel Dieu
Nantes, 44093
Groupe Hospitalier Necker - Enfants Malades
Paris, 75743
Hopitaux du Haut Leveque
Pessac, 33604
Centre Hospitalier Lyon Sud
Pierre-Bénite, 69485
Centre Henri Becquerel
Rouen, 76038
Hematologie CHU Purpan
Toulouse, 31059
Institut Gustave-Roussy
Villejuif, 94805
Australia6 sites
St. Vincent's Hospital - Sydney
Darlinghurst, New South Wales, 2010
St. Vincent's Hospital, Melbourne
Fitzroy, Victoria, 3065
Gosford & Wyong Hospital
Gosford, New South Wales, 2250
The Royal Brisbane and Women's Hospital
Herston, Queensland, 4029
Royal Perth Hospital
Perth, Western Australia, 6000
Royal North Shore Hospital
St Leonards, New South Wales, 2065
Poland6 sites
Szpital Akademii Medycznej w Gdansku
Gdansk, 80-952
Szpital Uniwersytecki w Krakowie
Krakow, 31-501
Wojewodzki Szpital Specjalistyczny im. M. Kopernika w Lodzi
Lodz, 93-510
Instytut Hematologii i Transfuzjologii
Warsaw, 02-766
Centrum Onkologii Institut im. Marii Sklodowskiej-Curie
Warsaw, 02-781
Samodzielny Publiczny Szpital Kliniczny Nr 1
Wroclaw, 50-367
Spain5 sites
Hospital Clinic i Provincial
Barcelona, 08036
Hospital de la Santa Creu i Sant Paul
Barcelona, 08041
H. Duran y Reynals Institue Catala D'Oncologia
Barcelona
Hospital Ramon y Cajal
Madrid, 28034
Hospital Universitario La Fe
Valencia, 46009
Hungary4 sites
Debreceni Egyetem Orvos - es Egeszsegtudomanyi Centrum
Debrecen, H-4012
Petz Aladar Megyei Oktato Korhaz, IInd Department of Internal Medicine
Győr, H-9024
Kaposi Mor Oktato Korhaz
Kaposvár
Szegedi Tudomanyegyetem Szent-Gyorgyi Albert Klinikat Kozpont
Szeged, H-6720
Belgium3 sites
Universite de Gent
Ghent, 9000
AZ Sint-Augustinus
Wilrijk, 2610
Cliniques Universitaires UCL de Mont-Goddine
Yvoir, 5530
Czechia3 sites
Fakultni nemocnice Hradec Kralove
Hradec Králové, 500 05
Vseobecna fakultni nemocnice v Praze
Prague, 128 08
Fakultni nemocnice v Motole
Prague, 150 06
Germany3 sites
Johannes-Gutenberg Universitat Mainz
Mainz, 55101
KH Maria Hilf-Franziskushaus
Mönchengladbach, 41063
Universitatsklinikum Ulm
Ulm, 89081
Italy3 sites
Azienda Ospedaliera Universitaria Careggi
Florence, 50139
Azienda Ospedaliera Universitaria San Martino
Genova, 16132
Azienda Ospedaliera Universitaria Senese
Siena, 53100
About this study
Official title: A Randomized Phase IIb Placebo-controlled Study of R-ICE Chemotherapy With and Without SGN-40 (Anti-CD40 Humanized Monoclonal Antibody) for Second-line Treatment of Patients With Diffuse Large B-Cell Lymphoma (DLBCL)
This is a randomized trial to estimate the activity of R-ICE plus SGN-40 vs. R-ICE plus placebo in patients with DLBCL. The study will assess safety and tolerability and will measure any additional clinical benefit observed in patients receiving SGN-40.
- Being tested
- SGN-40, placebo, rituximab, etoposide, carboplatin
- Keywords
- Lymphoproliferative Disorders, Lymphoma, Antigens, CD40, Antibody, Monoclonal, Combined Modality Therapy, Lymphoma, Large B-Cell, Diffuse, Lymphoma, Non-Hodgkin, Hematologic Diseases, Immunoproliferative Disorders, Lymphatic Diseases
- Medical subject headings
- Lymphoma, Large B-Cell, Diffuse, Lymphoma, Non-Hodgkin, Lymphoproliferative Disorders, Lymphoma, Hematologic Diseases, Immunoproliferative Disorders, Lymphatic Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SGN-40Drug
Also called dacetuzumab
2-8 mg/kg IV. Cycle 1: Days -1, 3, 8, 15; Cycles 2, 3: Days 1, 8, 15.
placeboDrug
Volume as equivalent to corresponding SGN 40 dose IV. Cycle 1: Days -1, 3, 8, 15. Cycles 2, 3: Days 1, 8, 15.
rituximabDrug
Also called Rituxan
375 mg/m2 IV. Cycle 1: Day -2; Cycles 2, 3: Day 1
etoposideDrug
Also called Toposar, Vepesid
100 mg/m2 IV. Cycles 1-3: Days 1, 2 and 3.
carboplatinDrug
Also called Paraplatin
AUC=5 mg/mL min IV. Cycles 1-3: Day 2.
ifosfamideDrug
Also called Ifex
5 g/m2 24 hr. IV infusion. Cycles 1-3: Day2.
| Study group | Role | What they receive |
|---|---|---|
| 1 | Experimental | SGN-40, rituximab, etoposide, carboplatin, ifosfamide Receives: Drug: SGN-40; Drug: rituximab; Drug: etoposide; Drug: carboplatin; Drug: ifosfamide |
| 2 | Placebo comparator | placebo, rituximab, etoposide, carboplatin, ifosfamide Receives: Drug: placebo; Drug: rituximab; Drug: etoposide; Drug: carboplatin; Drug: ifosfamide |
What is being measured
The primary outcome is the main question the study is designed to answer.
Complete response as assessed by CT and PET scans and revised response criteria for malignant lymphoma.
Measured: 9 weeks
Secondary outcomes (2)
Adverse events, laboratory values, and anti-drug antibody immune responses.
Measured: 9 weeks
Partial response, failure free survival, overall survival, and response for one and two years following treatment.
Measured: Every 3 months for 2 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Sep 2007 (estimated)
- Study startSep 2007
- Primary completionDec 2009
- Study completionMay 2011
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Lymphoma, Large B-Cell, DiffuseStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 151 participants (actual)
Sponsor and investigators
- Lead sponsor
- Seagen Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Genentech, Inc.
- Responsible party
- Sponsor
- Investigators
- Jonathan Drachman, MD, Study director, Seagen Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00529503
- Sponsor's protocol ID
- SG040-0005
- Status last verified
- Feb 2015
- First submitted
- 11 Sep 2007
- Last updated
- 25 Feb 2015
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Fayad L, Ansell SM, Advani R, Coiffier B, Stuart R, Bartlett NL, Forero-Torres A, Kuliczkowski K, Belada D, Ng E, Drachman JG. Dacetuzumab plus rituximab, ifosfamide, carboplatin and etoposide as salvage therapy for patients with diffuse large B-cell lymphoma relapsing after rituximab, cyclophosphamide, doxorubicin, vincristine and prednisolone: a randomized, double-blind, placebo-controlled phase 2b trial. Leuk Lymphoma. 2015;56(9):2569-78. doi: 10.3109/10428194.2015.1007504. Epub 2015 Feb 26.
PubMed 25651427
Study at a glance
From the registry record, last updated by the sponsor on 25 Feb 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized Phase IIb Placebo-controlled Study of R-ICE Chemotherapy With and Without SGN-40 (Anti-CD40 Humanized Monoclonal Antibody) for Second-line Treatment of Patients With Diffuse Large B-Cell Lymphoma (DLBCL)
- ClinicalTrials.gov ID
- NCT00529503
- Acronym / sponsor ID
- SG040-0005
- Keywords
- Lymphoproliferative Disorders, Lymphoma, Antigens, CD40, Antibody, Monoclonal, Combined Modality Therapy, Lymphoma, Large B-Cell, Diffuse, Lymphoma, Non-Hodgkin, Hematologic Diseases
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Terminated
- Enrolment
- 151 participants (actual)
- Lead sponsor
- Seagen Inc.Industry (pharma, biotech, devices)
- Collaborators
- Genentech, Inc.
- Study start
- Sep 2007
- Primary completion
- Dec 2009 (actual)
- Study completion
- May 2011 (actual)
- First posted
- 14 Sep 2007 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a randomized trial to estimate the activity of R-ICE plus SGN-40 vs. R-ICE plus placebo in patients with DLBCL. The study will assess safety and tolerability and will measure any additional clinical benefit observed in patients receiving SGN-40.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| 1 | Experimental | Drug: SGN-40, Drug: rituximab, Drug: etoposide, Drug: carboplatin, Drug: ifosfamideSGN-40, rituximab, etoposide, carboplatin, ifosfamide |
| 2 | Placebo comparator | Drug: placebo, Drug: rituximab, Drug: etoposide, Drug: carboplatin, Drug: ifosfamideplacebo, rituximab, etoposide, carboplatin, ifosfamide |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Confirmed diagnosis of de novo or transformed DLBCL, or follicular grade 3b lymphoma.
- Received at least four cycles of first-line therapy with R-CHOP, or equivalent.
- Best clinical response to first-line therapy of stable disease, partial response, or complete response.
- At least one measureable lesion that is both greater than or equal to 1.5cm by radiographic imaging and by positive FDG-PET scan.
Key exclusion criteria (3 listed)
- Leptomeningeal or central nervous system lymphoma.
- Received any therapy for relapsed or progressive disease except for local radiation, steroids, or rituximab.
- Received a hematopoietic stem cell transplant.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| SGN-40Also: dacetuzumab2-8 mg/kg IV. Cycle 1: Days -1, 3, 8, 15; Cycles 2, 3: Days 1, 8, 15. | Drug | 1 |
| placeboVolume as equivalent to corresponding SGN 40 dose IV. Cycle 1: Days -1, 3, 8, 15. Cycles 2, 3: Days 1, 8, 15. | Drug | 2 |
| rituximabAlso: Rituxan375 mg/m2 IV. Cycle 1: Day -2; Cycles 2, 3: Day 1 | Drug | 1, 2 |
| etoposideAlso: Toposar, Vepesid100 mg/m2 IV. Cycles 1-3: Days 1, 2 and 3. | Drug | 1, 2 |
| carboplatinAlso: ParaplatinAUC=5 mg/mL min IV. Cycles 1-3: Day 2. | Drug | 1, 2 |
| ifosfamideAlso: Ifex5 g/m2 24 hr. IV infusion. Cycles 1-3: Day2. | Drug | 1, 2 |
Primary outcome
Complete response as assessed by CT and PET scans and revised response criteria for malignant lymphoma.
Time frame: 9 weeks
2 secondary outcomes
Adverse events, laboratory values, and anti-drug antibody immune responses.
Time frame: 9 weeks
Partial response, failure free survival, overall survival, and response for one and two years following treatment.
Time frame: Every 3 months for 2 years
Results and safety
The study was stopped early. Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Feb 2015.
- Results publication: PubMed 25651427Fayad L, Ansell SM, Advani R, Coiffier B, Stuart R, Bartlett NL, Forero-Torres A, Kuliczkowski K, Belada D, Ng E, Drachman JG. Dacetuzumab plus rituximab, ifosfamide, carboplatin and etoposide as salvage therapy for patients with diffuse large B-cell lymphoma relapsing after rituximab, cyclophosphamide, doxorubicin, vincristine and prednisolone: a randomized, double-blind, placebo-controlled phase 2b trial. Leuk Lymphoma. 2015;56(9):2569-78. doi: 10.3109/10428194.2015.1007504. Epub 2015 Feb 26.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Jonathan Drachman, MD study director
Seagen Inc.
66 sites in 10 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing SGN-40, rituximab and etoposide in people with Lymphoma, Large B-Cell, Diffuse and Lymphoma, Non-Hodgkin, run by Seagen Inc. at 66 sites in 10 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 25 Feb 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 66 sites in United States, France, Australia, Poland, Spain and 5 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study was stopped early. Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Complete response as assessed by CT and PET scans and revised response criteria for malignant lymphoma. (time frame: 9 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00529503, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Feb 2015; AzTrials last refreshed its copy on 31 Oct 2026.