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Diffuse, Large B-Cell, LymphomaPhase 2NCT02391116

Phase II Copanlisib in Relapsed/Refractory Diffuse Large B-cell Lymphoma (DLBCL)

A Phase 2 study testing Copanlisib (Aliqopa, BAY80-6946) in people with Diffuse, Large B-Cell, Lymphoma, run by Bayer at 32 sites in 10 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

To assess the potential efficacy (in terms of objective response) of single agent copanlisib in patients with relapsed or refractory Diffuse large B-cell lymphoma (DLBCL) and assess the relationship between efficacy and a potentially predictive biomarker Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Diffuse, Large B-Cell, Lymphoma
What is being tested?
Copanlisib (Aliqopa, BAY80-6946)
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
67 participants
Where
32 sitesin 10 countries
Study dates
8 May 2015to 19 Jan 2018
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosis of Diffuse large B-cell lymphoma (DLBCL) (de novo or DLBCL transformed from follicular lymphoma on the basis of a tissue biopsy).
  • Received at least one prior therapy for aggressive Non-Hodgkin's Lymphoma (NHL) (DLBCL).
  • Received CHOP (cyclophosphamide, doxorubicin, vincristine, and prednisone) + rituximab or equivalent regimen.
  • Patients must have measurable disease.
  • Not eligible or not willing to receive the high-dose (myeloablative) chemotherapy (HDC) and stem cell transplant (SCT).
  • A fresh tumor biopsy collected during screening and /or archival tumor tissue collected after the last relapse/disease progression.
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  • Eastern Cooperative Oncology Group (ECOG) performance status (PS) ≤ 2.
  • Left ventricular ejection fraction (LVEF) ≥ the lower limit of normal (LLN) for the Institution. (as per local standard of care) as measured by echocardiogram (ECHO) or Multiple gated acquisition (MUGA) scan.
  • Adequate bone marrow, liver and renal function.

Who cannot join

  • Any of the following as the only site(s) of disease: palpable lymph nodes not visible on imaging studies, skin lesions, or bone marrow involvement only.
  • Active CTCAE (Common Terminology Criteria for Adverse Events) Grade 3/4 infection.
  • Current central nervous system (CNS) involvement by lymphoma.
  • Unstable angina (angina symptoms at rest), new-onset angina (begun within the last 3 months). Myocardial infarction within the past 6 months before start of study treatment.
  • Uncontrolled arterial hypertension despite optimal medical management (per investigator's opinion).
  • Type I or II diabetes mellitus with HbA1c > 8.5% at Screening.
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  • New York Heart Association (NYHA) class III or IV heart disease.
  • History or concurrent condition of interstitial lung disease of any severity and/or severely impaired lung function (as judged by the investigator).
  • Patients who previously received therapy with copanlisib or other PI3K inhibitors are not eligible for enrollment.

Trial locations and contacts

32 sites in 10 countries.

32 sites in 10 countries

France6 sites
  • Study site

    Caen, 14033

  • Study site

    Créteil, 94010

  • Study site

    Lille, 59037

  • Study site

    Paris, 75475

  • Study site

    Pierre-Bénite, 69310

  • Study site

    Poitiers, 86021

Other trials in France

Belgium5 sites
  • Study site

    Bruxelles - Brussel, 1200

  • Study site

    Edegem, 2650

  • Study site

    Ghent, 9000

  • Study site

    Leuven, 3000

  • Study site

    Wilrijk, Antwerpen, 2610

Other trials in Belgium

Canada5 sites
  • Study site

    Brampton, Ontario, L6R 3J7

  • Study site

    Montreal, Quebec, H1T 2M4

  • Study site

    Montreal, Quebec, H3T 1E2

  • Study site

    Sherbrooke, Quebec, J1H 5N4

  • Study site

    St. John's, Newfoundland and Labrador, A1B 3V6

Other trials in Canada

Australia4 sites
  • Study site

    Ballarat, Victoria, 3350

  • Study site

    Box Hill, 3128

  • Study site

    Kingswood, New South Wales, 2747

  • Study site

    Prahran, Victoria, 3181

Other trials in Australia

Germany3 sites
  • Study site

    Berlin, 10967

  • Study site

    Leipzig, Saxony

  • Study site

    Münster, North Rhine-Westphalia, 48149

Other trials in Germany

United Kingdom3 sites
  • Study site

    London, NW1 2PG

  • Study site

    Southampton, Hampshire, SO16 6YD

  • Study site

    Truro, Cornwall, TR1 3LJ

Other trials in United Kingdom

Denmark2 sites
  • Study site

    Aarhus C, 8000

  • Study site

    Odense C, 5000

Other trials in Denmark

South Korea2 sites
  • Study site

    Seoul, 05505

  • Study site

    Seoul, 110-744

Other trials in South Korea

Italy1 site
  • Study site

    Milan, Lombardy, 20089

Other trials in Italy

Singapore1 site
  • Study site

    Singapore, 169610

Other trials in Singapore

About this study

Official title: An Open-label, Single-arm Phase II Study in Patients With Relapsed or Refractory Diffuse Large B-cell Lymphoma (DLBCL) to Evaluate Efficacy and Safety of Treatment With Single Agent Copanlisib and the Impact of Biomarkers Thereupon.

To assess the potential efficacy (in terms of objective response) of single agent copanlisib in patients with relapsed or refractory Diffuse large B-cell lymphoma (DLBCL) and assess the relationship between efficacy and a potentially predictive biomarker

Being tested
Copanlisib (Aliqopa, BAY80-6946)
Medical subject headings
Lymphoma, Large B-Cell, Diffuse

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Copanlisib (Aliqopa, BAY80-6946)Drug

    Participants assigned to receive copanlisib intravenous (IV) infusion at a dose of 60 mg as single agent on Days 1, 8, and 15 of 28-day treatment cycle. Copanlisib treatment was to be continued until disease progression (PD), unacceptable toxicity, or until another criterion was met for withdrawal from the study treatment

Study groups in NCT02391116
Study groupRoleWhat they receive
Copanlisib (Aliqopa, BAY80-6946)ExperimentalCopanlisib (Aliqopa, BAY80-6946) solution for IV infusion (test drug/investigational medicinal product)
Receives: Drug: Copanlisib (Aliqopa, BAY80-6946)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Objective Response Rate (ORR) in Total Population Based on Investigator Assessment

    The objective response rate (ORR) was defined as the percentage of participants who had at least one post-baseline overall response of complete response (CR) or partial response (PR) during study conduct according to the criteria defined by the Lugano Classification, 2014 and assessed by CT/MRI/PET-CT. The primary efficacy overall response assessment was based on investigator assessment of response.

    Measured: From start of study treatment assessed up to 24 weeks after the last participant fully evaluable for the primary endpoint started treatment (about 12 months)

  2. ORR by CD79b Status Based on Investigator Assessment

    The objective response rate (ORR) was defined as the percentage of participants who had at least one post-baseline overall response of complete response (CR) or partial response (PR) during study conduct according to the criteria defined by the Lugano Classification, 2014 and assessed by CT/MRI/PET-CT. The primary efficacy overall response assessment was based on investigator assessment of response.

    Measured: From start of study treatment assessed up to 24 weeks after the last participant fully evaluable for the primary endpoint started treatment (about 12 months)

  3. ORR by DLBCL/COO Subtype Based on Investigator Assessment

    The objective response rate (ORR) was defined as the percentage of participants who had at least one post-baseline overall response of complete response (CR) or partial response (PR) during study conduct according to the criteria defined by the Lugano Classification, 2014 and assessed by CT/MRI/PET-CT. The primary efficacy overall response assessment was based on investigator assessment of response.

    Measured: From start of study treatment assessed up to 24 weeks after the last participant fully evaluable for the primary endpoint started treatment (about 12 months)

Secondary outcomes (14)
  1. Duration of Response (DOR) in Total Population

    The duration of response (DOR) was defined as the time from the date of first observed overall response (CR or PR) until radiological PD or death due to any cause, whichever was earlier. DOR was defined for responders only (i.e. participants with a best response of CR or PR), based on the investigator assessment of tumor response according to the criteria defined by the Lugano Classification, 2014 and assessed by CT/MRI/PET-CT.

    Measured: From start of study treatment assessed up to 2 years after the last participant's first treatment or the last participant dies, whichever occurs first

  2. DOR by CD79b Status

    The duration of response (DOR) was defined as the time from the date of first observed overall response (CR or PR) until radiological PD or death due to any cause, whichever was earlier. DOR was defined for responders only (i.e. participants with a best response of CR or PR), based on the investigator assessment of tumor response according to the criteria defined by the Lugano Classification, 2014 and assessed by CT/MRI/PET-CT.

    Measured: From start of study treatment assessed up to 2 years after the last participant's first treatment or the last participant dies, whichever occurs first

  3. DOR by DLBCL/COO Subtype

    The duration of response (DOR) was defined as the time from the date of first observed overall response (CR or PR) until radiological PD or death due to any cause, whichever was earlier. DOR was defined for responders only (i.e. participants with a best response of CR or PR), based on the investigator assessment of tumor response according to the criteria defined by the Lugano Classification, 2014 and assessed by CT/MRI/PET-CT.

    Measured: From start of study treatment assessed up to 2 years after the last participant's first treatment or the last participant dies, whichever occurs first

  4. Progression-free Survival (PFS) in Total Population

    The progression-free survival (PFS) was defined as the time from date of start of study treatment to radiological PD or death due to any cause, whichever was earlier, based on the investigator assessment of tumor response according to the criteria defined by the Lugano Classification, 2014 and assessed by CT/MRI/PET-CT.

    Measured: From start of study treatment assessed up to 2 years after the last participant's first treatment or the last participant dies, whichever occurs first

  5. PFS by CD79b Status

    The progression-free survival (PFS) was defined as the time from date of start of study treatment to radiological PD or death due to any cause, whichever was earlier, based on the investigator assessment of tumor response according to the criteria defined by the Lugano Classification, 2014 and assessed by CT/MRI/PET-CT.

    Measured: From start of study treatment assessed up to 2 years after the last participant's first treatment or the last participant dies, whichever occurs first

  6. PFS by DLBCL/COO Subtype

    The progression-free survival (PFS) was defined as the time from date of start of study treatment to radiological PD or death due to any cause, whichever was earlier, based on the investigator assessment of tumor response according to the criteria defined by the Lugano Classification, 2014 and assessed by CT/MRI/PET-CT.

    Measured: From start of study treatment assessed up to 2 years after the last participant's first treatment or the last participant dies, whichever occurs first

  7. Overall Survival (OS) in Total Population

    The overall survival (OS) was defined as the time from date of start of study treatment until death from any cause.

    Measured: From start of study treatment assessed up to 2 years after the last participant's first treatment or the last participant dies, whichever occurs first

  8. OS by CD79b Status

    The overall survival (OS) was defined as the time from date of start of study treatment until death from any cause.

    Measured: From start of study treatment assessed up to 2 years after the last participant's first treatment or the last participant dies, whichever occurs first

  9. OS by DLBCL/COO Subtype

    The overall survival (OS) was defined as the time from date of start of study treatment until death from any cause.

    Measured: From start of study treatment assessed up to 2 years after the last participant's first treatment or the last participant dies, whichever occurs first

  10. Duration of Stable Disease (DOSD) in Total Population

    The duration of stable disease (DOSD) was defined as the time (in days) from date of start of study treatment to radiological PD or death due to any cause, whichever was earlier. The DOSD was only evaluated in participants failing to achieve a best response of CR or PR, but who achieved SD (stable disease), based on the investigator assessment of tumor response according to the criteria defined by the Lugano Classification, 2014 and assessed by CT/MRI/PET-CT.

    Measured: From start of study treatment assessed up to 2 years after the last participant's first treatment or the last participant dies, whichever occurs first

  11. Disease Control Rate (DCR) in Total Population

    The disease control rate (DCR) was defined as the percentage of participants who had a best response rating of CR, PR, or SD that was achieved during treatment or within 30 days after termination of study drug. The tumor response was based on investigator assessment according to the criteria defined by the Lugano Classification, 2014 and assessed by CT/MRI/PET-CT.

    Measured: From start of study treatment assessed up to 2 years after the last participant's first treatment or the last participant dies, whichever occurs first

  12. DCR by CD79b Status

    The disease control rate (DCR) was defined as the percentage of participants who had a best response rating of CR, PR, or SD that was achieved during treatment or within 30 days after termination of study drug. The tumor response was based on investigator assessment according to the criteria defined by the Lugano Classification, 2014 and assessed by CT/MRI/PET-CT.

    Measured: From start of study treatment assessed up to 2 years after the last participant's first treatment or the last participant dies, whichever occurs first

  13. DCR by DLBCL/COO Subtype

    The disease control rate (DCR) was defined as the percentage of participants who had a best response rating of CR, PR, or SD that was achieved during treatment or within 30 days after termination of study drug. The tumor response was based on investigator assessment according to the criteria defined by the Lugano Classification, 2014 and assessed by CT/MRI/PET-CT.

    Measured: From start of study treatment assessed up to 2 years after the last participant's first treatment or the last participant dies, whichever occurs first

  14. Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)

    A TEAE was defined as any event arising or worsening after the start of study drug administration until 30 days after the last application.

    Measured: From start of test drug to 30 days after the last test drug intake, assessed up to 2 years after the last participant's first treatment or the last participant dies (whichever occurs first), with an average of 15 weeks for individual participant

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Mar 2015 (estimated)
  2. Study start8 May 2015
  3. Primary completion5 Jul 2016
  4. Study completion19 Jan 2018

Resources

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
67 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02391116
Sponsor's protocol ID
17119
Other IDs
2014-004848-36, 2014
Status last verified
Dec 2018
First submitted
16 Feb 2015
Last updated
4 Jan 2019
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Lenz G, Hawkes E, Verhoef G, Haioun C, Thye Lim S, Seog Heo D, Ardeshna K, Chong G, Haaber J, Shi W, Gorbatchevsky I, Lippert S, Hiemeyer F, Piraino P, Beckmann G, Pena C, Buvaylo V, Childs BH, Salles G. Single-agent activity of phosphatidylinositol 3-kinase inhibition with copanlisib in patients with molecularly defined relapsed or refractory diffuse large B-cell lymphoma. Leukemia. 2020 Aug;34(8):2184-2197. doi: 10.1038/s41375-020-0743-y. Epub 2020 Feb 14.

    PubMed 32060403

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Copanlisib (Aliqopa, BAY80-6946) in people with Diffuse, Large B-Cell, Lymphoma, run by Bayer at 32 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 9 inclusion and 9 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: finished, as of the sponsor's last update on 4 Jan 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 32 sites in France, Belgium, Canada, Australia, Germany 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. 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?

Yes. Results are posted in the registry (first posted 8 Jan 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Objective Response Rate (ORR) in Total Population Based on Investigator Assessment (time frame: From start of study treatment assessed up to 24 weeks after the last participant fully evaluable for the primary endpoint started treatment (about 12 months)). The study lists 3 primary outcomes in all. 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 NCT02391116, 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 4 Jan 2019.

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