Diffuse Large B-cell LymphomaPhase 2L-MINDNCT02399085
Open Label Study to Evaluate the Safety and Efficacy of Lenalidomide With MOR00208 in Patients With R-R DLBCL
A Phase 2 study testing Tafasitamab and Lenalidomide in people with Diffuse Large B-cell Lymphoma, run by MorphoSys AG at 57 sites in 10 countries.
Trial summary
This is a Phase II, Single-Arm, Open-Label, Multicentre Study to Evaluate the Safety and Efficacy of Lenalidomide Combined with MOR00208 in Participants with Relapsed or Refractory Diffuse Large B-Cell Lymphoma (R-R DLBCL). 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?
- Tafasitamab and Lenalidomide
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 81 participants
- Where
- 57 sitesin 10 countries
- Study dates
- 29 Mar 2016to 19 Apr 2023
- 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
Major Inclusion Criteria:
- Age >18 years
- Histologically confirmed diagnosis of DLBCL
- Tumour tissue for central pathology review and correlative studies had to be provided.
- Participants must had:
- relapsed and/or refractory disease
- at least one bidimensionally measurable, PET positive disease site (transverse diameter of ≥1.5 cm and perpendicular diameter of ≥1.0 cm at baseline)
- received at least one, but no more than three previous systemic regimens for the treatment of DLBCL and one therapy line must had included a CD20-targeted therapy
- Eastern Cooperative Oncology Group 0 to 2
- Participants were not considered in the opinion of the investigator eligible, or participants unwilling to undergo intensive salvage therapy including ASCT
- Participants had to meet the following laboratory criteria at screening:
- absolute neutrophil count ≥1.5 × 10˄9/L
- platelet count ≥90 × 10˄9/L
- total serum bilirubin ≤2.5 × ULN or ≤5 × ULN in cases of Glibert's Syndrome or liver involvement by lymphoma
- alanine transaminase, aspartate aminotransferase and alkaline phosphatase ≤3 × ULN or <5 × ULN in cases of liver involvement
- serum creatinine clearance ≥60 mL/minute
- Females of childbearing potential (FCBP) must:
- not be pregnant
- refrain from breastfeeding and donating blood or oocytes
- agreed to ongoing pregnancy testing
- committed to continued abstinence from heterosexual intercourse, or agree to use and be able to comply with the use of double-barrier contraception
- Males (if sexually active with a FCBP) had to
- use an effective barrier method of contraception
- refrain from donating blood or sperm
- In the opinion of the investigator the participants had to:
- be able and willing to receive adequate prophylaxis and/or therapy for thromboembolic events
- be able to understand, give written informed consent and comply with all study-related procedures, medication use, and evaluations
- had no history of noncompliance in relation to medical regimens or not be considered potentially unreliable and/or uncooperative
- be able to understand the reason for complying with the special conditions of the pregnancy prevention risk management plan and gave written acknowledgement of this.
Major Exclusion Criteria:
- Participants who had:
- other histological type of lymphoma
- primary refractory DLBCL
- a history of "double/triple hit" genetics
- Participants who had, within 14 days prior to Day 1 dosing:
- not discontinued CD20-targeted therapy, chemotherapy, radiotherapy, investigational anticancer therapy or other lymphoma specific therapy
- underwent major surgery or suffered from significant traumatic injury
- received live vaccines.
- required parenteral antimicrobial therapy for active, intercurrent infections
- Participants who:
- had, in the opinion of the investigator, not recovered sufficiently from the adverse toxic effects of prior therapies
- were previously treated with CD19-targeted therapy or immunomodulatory drugs (IMiDs)® (e.g., thalidomide, LEN)
- had a history of hypersensitivity to compounds of similar biological or chemical composition to MOR00208, IMiDs® and/or the excipients contained in the study drug formulations
- had undergone ASCT within the period ≤ 3 months prior to the signing of the Informed Consent Form. Patients who had a more distant history of ASCT had to exhibit full haematological recovery before enrolment into the study
- had undergone previous allogenic stem cell transplantation
- had a history of deep venous thrombosis/embolism, threatening thromboembolism or known thrombophilia or were at a high risk for a thromboembolic event in the opinion of the investigator and who were not willing/able to take venous thromboembolic event prophylaxis during the entire treatment period
- concurrently used other anti-cancer or experimental treatments
- Prior history of malignancies other than DLBCL, unless the participant had been free of the disease for ≥5 years prior to screening.
- Participants with:
- positive hepatitis B and/or C serology.
- known seropositivity for or history of active viral infection with human immunodeficiency virus (HIV)
- CNS lymphoma involvement
- history or evidence of clinically significant cardiovascular, CNS and/or other systemic disease that would in the investigator's opinion preclude participation in the study or compromised the participant's ability to give informed consent.
Trial locations and contacts
57 sites in 10 countries.
57 sites in 10 countries
United States10 sites
CBCC Global Research, Inc. at Comprehensive Blood and Cancer Center
Bakersfield, California, 93309
Charleston Hematology Oncology Associates
Charleston, South Carolina, 29414
Ohio State University Medical Center
Columbus, Ohio, 43210
St. Mary's Hospital And Regional Medical Center
Grand Junction, Colorado, 81501
UCLA - David Geffen School of Medicine
Los Angeles, California, 90095
Norwalk Hospital
Norwalk, Connecticut, 06856
Cancer Care - Torrance Memorial Physician Network
Redondo Beach, California, 90277
Central Coast Medical Oncology Corporation
Santa Maria, California, 93454
Tyler Hematology-Oncology
Tyler, Texas, 75701
St. Joseph Mercy Hospital Cancer Care Center
Ypsilanti, Michigan, 48179
Italy9 sites
Azienda Ospedaliera Univerisitaria Policlinico Consorziale Di Bari UOC Ematologia con Trapianto
Bari, 70124
Ist.Ematologia E Oncologia Medica L.E A.Seragnoli Azienda Ospedaliero-Universitaria, Policlinico S.Orsola-Malpighi
Bologna, 40138
Azienda Ospedaliero Universitaria Careggi-S.O.D. Patologia Medica
Florence, 50134
Azienda Ospedaliero - Universitaria Policlinico di Modena Dip di Medicina Diagnostica, Clinica e di Sanità Pubblica
Modena, 41124
AOU Maggiore della Cartia
Novara, 28100
A .O. S. Maria della Misericordia
Perugia, 6132
Tor Vergata University Department Of Hematology
Roma, 00133
Az Ospedaliera Santa Maria Facolta di Medicina e Chirurgia
Terni, 5100
A.O.U. Citta della Salute e della Scienza di Torino
Torino, 10126
Poland8 sites
Pratia MCM Krakow
Krakow, 30-510
Samodzielny Publiczny Zaklad Opieki Zdrowotnej MSWiA z Warmimsko
Olsztyn, 10228
Szpital Wojewodzk I w Opolu SP ZOZ Oddzial Hematologii i Onkologii Hematologicznej
Opole, 45061
Samodzielny Publiczny Zaklad Opieki Zdrowotnej Ministerstwa Spraw Wewnetrznych w Poznaniu im. prof. Ludwika Bierkowskiego
Poznan, 60631
Szpital Wojewodzki Nr 1 im. Fryderyka Chopina w Rzeszowie
Rzeszów, 35055
MTZ Clinical Research Sp. z o.o
Warsaw, 02106
Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie Panstwowy Instytut Badawczy Klinika Nowotworow Ukladu Chlonnego Ul.
Warsaw, 02781
Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie Panstwowy Instytut Badawczy
Warsaw, 02781
Spain8 sites
Hospital Universitari Germans Trias i Pujol (HUGTP)
Badalona, 08916
Hospital Universitari Vall d'Hebron
Barcelona, 08035
Institut Catala D'Oncologia-Hospital Duran Y Reynals
Barcelona, 08097
Hospital Universitario Fundacion Jimenez Diaz Servicio de Hematologia Unidad de Linformas Oncohealth Institute
Madrid, 28040
Hospital Universitario Puerta de Hierro de Majadahonda
Madrid, 28222
Complejo Hospitalario de Navarra (CHN)
Pamplona, 31008
Hospital Universitario Quiron Salud Madrid
Pozuelo de Alarcón, 28223
Hospital Universitario Virgen del Rocio, Hospital de la Mujer Servicio de Hematologia
Seville, 41013
Germany5 sites
Universitatsklinikum Essen, Abteilung Haematologie
Essen, 45147
Krankenhaus Nordwest GmbH - Institut Fuer Klinisch-Onkologische Forschung (IKF)
Frankfurt, 60488
Klinikum Grosshadern-Klinikum Der Ludwig-Maximilian Universitaet Muenchen
Munich, 81337
Klinikum Nuernberg Nord Medizinische Klinik 5 Hamatologie
Nuremberg, 90419
Universitaetsklinikum Wuerzburg
Würzburg, 97080
Belgium4 sites
ZNA Middelheim dep Klinische studies Hematologie
Antwerp, 2020
AZ Groeninge-Campus Maria's Voorzienigheid
Kortrijk, 8500
Centre Hospitalier Universitaire (CHU) de Liege
Liège, 4000
Clinique Universitaire de Mont Godinne
Yvoir, 5530
France4 sites
CHU De Clermont Ferrand - Hopital Estaing Service Hematologie Clinique Et Thrapie Cellulaire
Clermont-Ferrand, 63000
Centre Hospitalier Universitaire (CHU) De Limoges Hopital Dupuytren
Limoges, 87042
Centre Hospitalier Lyon-Sud (CHLS)
Lyon, 69495
Hopital Universitaire Necker Enfants Malades Service de Hematologie Adultes
Paris, 75015
Hungary4 sites
Semmelweis Egyetem I. Sz. Belgyogyaszati Klinika-Semmelweis University
Budapest, 1038
National Institute of Oncology Hematological Department
Budapest, 1122
DEKK, Belgyogyaszati Klinika
Debrecen, 4032
Somogy Megyei Kaposi Mor Oktato Korhaz (Kaposi Mor County Hospital)
Kaposvár, 7400
United Kingdom4 sites
The Royal Bournemouth & Christchurch Hospitals
Bournemouth, BH77DW
Royal Liverpool University Hospital - Liverpool University Hospitals NHS Foundation Trust
Liverpool, L7 8XP
Sarah Cannon Research Institute
London, W1G 6AD
The Newcastle Hospitals NHS Foundation Trust
Newcastle, NE7 7DN
Czechia1 site
University Hospital Olomouc Hematoonkologicka klinika
Olomouc, 779 00
About this study
Official title: A Phase II, Single-Arm, Open-Label, Multicentre Study to Evaluate the Safety and Efficacy of Lenalidomide Combined With MOR00208 in Patients With Relapsed or Refractory Diffuse Large B-Cell Lymphoma (R-R DLBCL)
This is a Phase II, Single-Arm, Open-Label, Multicentre Study to Evaluate the Safety and Efficacy of Lenalidomide Combined with MOR00208 in Participants with Relapsed or Refractory Diffuse Large B-Cell Lymphoma (R-R DLBCL).
Read the detailed description
The aim of this single-arm, multicentre, open-label Phase II study is to evaluate the Lenalidomide (LEN) combined with Tafasitamab (MOR00208) in adult participants with DLBCL who had relapsed after or were refractory to at least one, but no more than three previous systemic regimens administered for the treatment of their DLBCL and who were not candidates for high-dose chemotherapy and subsequent Autologous stem cell transplants and were thus considered to have exhausted their therapeutic options. One prior therapy line had to include an anti-CD20 targeted therapy (e.g., rituximab [RTX]).
MOR00208 and LEN were administered for up to 12 cycles (28 days each), followed by MOR00208 monotherapy until progression, in participants with at least stable disease or a better response.
- Conditions
- Diffuse Large B-cell Lymphoma
- Being tested
- Tafasitamab, Lenalidomide
- Keywords
- DLBCL, Efficacy, MOR00208, Tafasitamab, lenalidomide
- 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.
TafasitamabDrug
Also called MOR00208
12 mg/kg
LenalidomideDrug
Also called LEN, Revlimid®
25 mg
| Study group | Role | What they receive |
|---|---|---|
| Tafasitamab (MOR00208) + lenalidomide (LEN) | Experimental | MOR00208:
MOR00208 was administered via IV infusion at a dose of 12 mg/kg. For the first three cycles (Cycles 1 to 3) of the study each cycle consisted of a MOR00208 infusion on Day 1, Day 8, Day 15 and Day 22 of the cycle.
Additionally, a loading dose was administered on Day 4 of Cycle 1. Thereafter MOR00208 was administered on a bi-weekly (every 14 days) basis with infusions on Day 1 and Day 15 of each 28-day cycle.
LEN:
Participants self-administered a starting dose of 25 mg oral LEN daily on Days 1-21 of each cycle, for up to 12 cycles in total. LEN dose could be modified in a de-escalating fashion or discontinued based upon clinical and laboratory findings.
On days when both study drugs were given together, LEN was administered prior to MOR00208. Receives: Drug: Tafasitamab; Drug: Lenalidomide |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants With Best Objective Response Rate (ORR)
ORR = complete response [CR] + partial response [PR]; Independent Radiology/Clinical Review Committee (IRC) Evaluation.
ORR after MOR00208 and Lenalidomide combination therapy assessed by the IRC evaluation.
ORR was defined as the number of participants of the total number of participants treated with MOR00208 + LEN with CR or PR as best response achieved at any time during the study.
Measured: Approximately 4.5 years after first participant enrolled; Approximately 6.5 years after first participant enrolled
Secondary outcomes (15)
Duration of Response (DoR) by IRC Evaluation
DoR [months] = (date of assessment of tumor progression or death - date of assessment of first documented response of (CR or PR) + 1)/30.4375.
Measured: Approximately 4.5 years after first participant enrolled; Approximately 6.5 years after first participant enrolled
DoR by Investigator (INV) Evaluation
DoR [months] = (date of assessment of tumour progression or death - date of assessment of first documented response of (CR or PR) + 1)/30.4375.
Measured: Approximately 4.5 years after first participant enrolled; Approximately 6.5 years after first participant enrolled
Progression-free Survival (PFS) by IRC Evaluation
PFS time was defined as the time (in months) from the date of the first administration of any study drug to the date of tumor progression or death from any cause.
Measured: Approximately 4.5 years after first participant enrolled; Approximately 6.5 years after first participant enrolled
PFS by INV Evaluation
PFS time was defined as the time (in months) from the date of the first administration of any study drug to the date of tumor progression or death from any cause.
Measured: Approximately 4.5 years after first participant enrolled; Approximately 6.5 years after first participant enrolled
Overall Survival (OS)
OS was defined as the time from the date of the first administration of any study drug until death from any cause (documented by the date of death).
Measured: Approximately 4.5 years after first participant enrolled; Approximately 6.5 years after first participant enrolled
Disease Control Rate (DCR) by IRC Evaluation
DCR = CR + PR + SD (Stable disease); IRC Evaluation DCR was defined as the number of participants having CR, PR or SD based on the best objective response achieved at any time during the study.
Measured: Approximately 2.5 years after first participant enrolled
DCR by INV Evaluation
DCR = CR + PR + SD (Stable disease); IRC Evaluation DCR was defined as the number of participants having CR, PR or SD based on the best objective response achieved at any time during the study.
Measured: Approximately 2.5 years after first participant enrolled
Time to Progression (TTP) by IRC Evaluation
TTP is defined as the time from the first administration of any study drug until documented DLBCL progression or death as a result of lymphoma.
Measured: Approximately 2.5 years after first participant enrolled
TTP by INV Evaluation
TTP is defined as the time from the first administration of any study drug until documented DLBCL progression or death as a result of lymphoma.
Measured: Approximately 2.5 years after first participant enrolled
Time to Next Treatment (TTNT)
Kaplan-Meier analysis of TTNT in FAS population. TTNT is defined as the time from the first administration of any study drug to the institution of next anti-neoplastic therapy (for any reason including disease progression, treatment toxicity and participant preference) or death of any cause, whatever comes first.
Measured: Approximately 4.5 years after first participant enrolled; Approximately 6.5 years after first participant enrolled
Event-free Survival (EFS) by IRC Evaluation
EFS is defined as the time (in months) from the date of the first administration of any study drug to the date of tumour progression, first initiation of a new non-study anti-neoplastic therapy or death from any cause whichever comes first.
Measured: Approximately 4.5 years after first participant enrolled; Approximately 6.5 years after first participant enrolled
Serum Drug Levels of MOR00208
The pharmacokinetics (PK) profile of MOR00208 was investigated by quantifying serum drug levels at baseline and after repeated IV administrations for up to 24 treatment cycles using sparse sampling.
MOR00208 PK sample was taken pre-dose and 1 hour ± 10 min after the end of MOR00208 infusion for Cycle 1 to Cycle 23. MOR00208 PK sample (pre-dose only) were taken in odd numbered additional treatment cycles only (e.g., treatment Cycles 13, 15,17, 19, 21, 23).
Measured: Cycle 1 Days 1, 4, 15 predose and 1 hr post-dose; Cycle 2 Days 1, 15 predose and 1 hr post-dose; Cycle 3 Days 1, 15 predose and 1 hr post-dose; Cycles 4, 5, 6, 7, 9, 11,13, 15, 17, 19, 21, 23 Day 1 predose; End of Treatment
Number of Participants Who Developed Anti-MOR00208 Antibodies
The Anti-MOR00208 Antibodies were investigated by quantifying serum drug levels at baseline and after repeated intravenous (IV) administrations planned for up to 24 treatment cycles using sparse sampling. Anti-MOR00208 antibody sample (pre-dose only) were taken in odd numbered additional treatment cycles only (e.g., treatment Cycles 13, 15,17, 19, 21,23).
Measured: Baseline, Up to a maximum of 23 cycles.
Number of Participants That Experienced Treatment-emergent Adverse Events (TEAEs)
TEAEs are defined as any adverse event reported in the following time interval (including the lower and upper limits): date of first administration of study treatment; date of last administration of study treatment + 30 days, or if they are considered to be related to the study drug.
Measured: Approximately 6.5 years after first participant enrolled
Severity of Treatment-emergent Adverse Events (TEAEs)
Number of participants with Severity of TEAEs during MOR00208 and LEN combination therapy.
Measured: Approximately 6.5 years after first participant enrolled
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Mar 2015 (estimated)
- Study start29 Mar 2016
- Primary completion14 Nov 2022
- Study completion19 Apr 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (7)Papers the sponsor has linked to this study.
- Other trials for Diffuse Large B-cell LymphomaStudies 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
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 81 participants (actual)
Sponsor and investigators
- Lead sponsor
- MorphoSys AG
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Johannes Duell, MD, Principal investigator, MorphoSys AG
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02399085
- Sponsor's protocol ID
- MOR208C203
- Other IDs
- 2014-004688-19, 2014
- Acronym
- L-MIND
- Status last verified
- Sep 2023
- First submitted
- 13 Mar 2015
- Last updated
- 23 Oct 2023
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- Individual data sharing
- No
Publications
Salles G, Duell J, Gonzalez Barca E, Tournilhac O, Jurczak W, Liberati AM, Nagy Z, Obr A, Gaidano G, Andre M, Kalakonda N, Dreyling M, Weirather J, Dirnberger-Hertweck M, Ambarkhane S, Fingerle-Rowson G, Maddocks K. Tafasitamab plus lenalidomide in relapsed or refractory diffuse large B-cell lymphoma (L-MIND): a multicentre, prospective, single-arm, phase 2 study. Lancet Oncol. 2020 Jul;21(7):978-988. doi: 10.1016/S1470-2045(20)30225-4. Epub 2020 Jun 5.
PubMed 32511983Duell J, Maddocks KJ, Gonzalez-Barca E, Jurczak W, Liberati AM, De Vos S, Nagy Z, Obr A, Gaidano G, Abrisqueta P, Kalakonda N, Andre M, Dreyling M, Menne T, Tournilhac O, Augustin M, Rosenwald A, Dirnberger-Hertweck M, Weirather J, Ambarkhane S, Salles G. Long-term outcomes from the Phase II L-MIND study of tafasitamab (MOR208) plus lenalidomide in patients with relapsed or refractory diffuse large B-cell lymphoma. Haematologica. 2021 Sep 1;106(9):2417-2426. doi: 10.3324/haematol.2020.275958.
PubMed 34196165Duell J, Obr A, Augustin M, Endell J, Liu H, Geiger S, Silverman IM, Ambarkhane S, Rosenwald A. CD19 expression is maintained in DLBCL patients after treatment with tafasitamab plus lenalidomide in the L-MIND study. Leuk Lymphoma. 2022 Feb;63(2):468-472. doi: 10.1080/10428194.2021.1986219. Epub 2021 Nov 15. No abstract available.
PubMed 34779360Duell J, Abrisqueta P, Andre M, Gaidano G, Gonzales-Barca E, Jurczak W, Kalakonda N, Liberati AM, Maddocks KJ, Menne T, Nagy Z, Tournilhac O, Kuffer C, Bakuli A, Amin A, Gurbanov K, Salles G. Tafasitamab for patients with relapsed or refractory diffuse large B-cell lymphoma: final 5-year efficacy and safety findings in the phase II L-MIND study. Haematologica. 2024 Feb 1;109(2):553-566. doi: 10.3324/haematol.2023.283480.
PubMed 37646664Cherng HJ, Westin JR. Broadening the MIND: Tafasitamab and Lenalidomide versus Synthetic Controls. Clin Cancer Res. 2022 Sep 15;28(18):3908-3910. doi: 10.1158/1078-0432.CCR-22-1626.
PubMed 35861632Nowakowski GS, Yoon DH, Peters A, Mondello P, Joffe E, Fleury I, Greil R, Ku M, Marks R, Kim K, Zinzani PL, Trotman J, Huang D, Waltl EE, Winderlich M, Kurukulasuriya NC, Ambarkhane S, Hess G, Salles G. Improved Efficacy of Tafasitamab plus Lenalidomide versus Systemic Therapies for Relapsed/Refractory DLBCL: RE-MIND2, an Observational Retrospective Matched Cohort Study. Clin Cancer Res. 2022 Sep 15;28(18):4003-4017. doi: 10.1158/1078-0432.CCR-21-3648.
PubMed 35674661Zinzani PL, Rodgers T, Marino D, Frezzato M, Barbui AM, Castellino C, Meli E, Fowler NH, Salles G, Feinberg B, Kurukulasuriya NC, Tillmanns S, Parche S, Dey D, Fingerle-Rowson G, Ambarkhane S, Winderlich M, Nowakowski GS. RE-MIND: Comparing Tafasitamab + Lenalidomide (L-MIND) with a Real-world Lenalidomide Monotherapy Cohort in Relapsed or Refractory Diffuse Large B-cell Lymphoma. Clin Cancer Res. 2021 Nov 15;27(22):6124-6134. doi: 10.1158/1078-0432.CCR-21-1471. Epub 2021 Aug 25.
PubMed 34433649
Study at a glance
From the registry record, last updated by the sponsor on 23 Oct 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase II, Single-Arm, Open-Label, Multicentre Study to Evaluate the Safety and Efficacy of Lenalidomide Combined With MOR00208 in Patients With Relapsed or Refractory Diffuse Large B-Cell Lymphoma (R-R DLBCL)
- ClinicalTrials.gov ID
- NCT02399085
- Acronym / sponsor ID
- L-MIND / MOR208C203
- Conditions
- Diffuse Large B-cell Lymphoma
- Keywords
- DLBCL, Efficacy, MOR00208, Tafasitamab, lenalidomide
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 81 participants (actual)
- Lead sponsor
- MorphoSys AGIndustry (pharma, biotech, devices)
- Study start
- 29 Mar 2016 (actual)
- Primary completion
- 14 Nov 2022 (actual)
- Study completion
- 19 Apr 2023 (actual)
- First posted
- 26 Mar 2015 (estimated)
- Results
- Posted 5 Feb 2020
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 Phase II, Single-Arm, Open-Label, Multicentre Study to Evaluate the Safety and Efficacy of Lenalidomide Combined with MOR00208 in Participants with Relapsed or Refractory Diffuse Large B-Cell Lymphoma (R-R DLBCL).
Detailed description
The aim of this single-arm, multicentre, open-label Phase II study is to evaluate the Lenalidomide (LEN) combined with Tafasitamab (MOR00208) in adult participants with DLBCL who had relapsed after or were refractory to at least one, but no more than three previous systemic regimens administered for the treatment of their DLBCL and who were not candidates for high-dose chemotherapy and subsequent Autologous stem cell transplants and were thus considered to have exhausted their therapeutic options. One prior therapy line had to include an anti-CD20 targeted therapy (e.g., rituximab [RTX]).
MOR00208 and LEN were administered for up to 12 cycles (28 days each), followed by MOR00208 monotherapy until progression, in participants with at least stable disease or a better response.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Tafasitamab (MOR00208) + lenalidomide (LEN) | Experimental | Drug: Tafasitamab, Drug: LenalidomideMOR00208: MOR00208 was administered via IV infusion at a dose of 12 mg/kg. For the first three cycles (Cycles 1 to 3) of the study each cycle consisted of a MOR00208 infusion on Day 1, Day 8, Day 15 and Day 22 of the cycle. Additionally, a loading dose was administered on Day 4 of Cycle 1. Thereafter MOR00208 was administered on a bi-weekly (every 14 days) basis with infusions on Day 1 and Day 15 of each 28-day cycle. LEN: Participants self-administered a starting dose of 25 mg oral LEN daily on Days 1-21 of each cycle, for up to 12 cycles in total. LEN dose could be modified in a de-escalating fashion or discontinued based upon clinical and laboratory findings. On days when both study drugs were given together, LEN was administered prior to MOR00208. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
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 |
|---|---|---|
| TafasitamabAlso: MOR0020812 mg/kg | Drug | Tafasitamab (MOR00208) + lenalidomide (LEN) |
| LenalidomideAlso: LEN, Revlimid®25 mg | Drug | Tafasitamab (MOR00208) + lenalidomide (LEN) |
Primary outcome
Number of Participants With Best Objective Response Rate (ORR)
Time frame: Approximately 4.5 years after first participant enrolled; Approximately 6.5 years after first participant enrolled
ORR = complete response [CR] + partial response [PR]; Independent Radiology/Clinical Review Committee (IRC) Evaluation. ORR after MOR00208 and Lenalidomide combination therapy assessed by the IRC evaluation. ORR was defined as the number of participants of the total number of participants treated with MOR00208 + LEN with CR or PR as best response achieved at any time during the study.
15 secondary outcomes
Duration of Response (DoR) by IRC Evaluation
Time frame: Approximately 4.5 years after first participant enrolled; Approximately 6.5 years after first participant enrolled
DoR by Investigator (INV) Evaluation
Time frame: Approximately 4.5 years after first participant enrolled; Approximately 6.5 years after first participant enrolled
Progression-free Survival (PFS) by IRC Evaluation
Time frame: Approximately 4.5 years after first participant enrolled; Approximately 6.5 years after first participant enrolled
PFS by INV Evaluation
Time frame: Approximately 4.5 years after first participant enrolled; Approximately 6.5 years after first participant enrolled
Overall Survival (OS)
Time frame: Approximately 4.5 years after first participant enrolled; Approximately 6.5 years after first participant enrolled
Disease Control Rate (DCR) by IRC Evaluation
Time frame: Approximately 2.5 years after first participant enrolled
DCR by INV Evaluation
Time frame: Approximately 2.5 years after first participant enrolled
Time to Progression (TTP) by IRC Evaluation
Time frame: Approximately 2.5 years after first participant enrolled
TTP by INV Evaluation
Time frame: Approximately 2.5 years after first participant enrolled
Time to Next Treatment (TTNT)
Time frame: Approximately 4.5 years after first participant enrolled; Approximately 6.5 years after first participant enrolled
Event-free Survival (EFS) by IRC Evaluation
Time frame: Approximately 4.5 years after first participant enrolled; Approximately 6.5 years after first participant enrolled
Serum Drug Levels of MOR00208
Time frame: Cycle 1 Days 1, 4, 15 predose and 1 hr post-dose; Cycle 2 Days 1, 15 predose and 1 hr post-dose; Cycle 3 Days 1, 15 predose and 1 hr post-dose; Cycles 4, 5, 6, 7, 9, 11,13, 15, 17, 19, 21, 23 Day 1 predose; End of Treatment
Number of Participants Who Developed Anti-MOR00208 Antibodies
Time frame: Baseline, Up to a maximum of 23 cycles.
Number of Participants That Experienced Treatment-emergent Adverse Events (TEAEs)
Time frame: Approximately 6.5 years after first participant enrolled
Severity of Treatment-emergent Adverse Events (TEAEs)
Time frame: Approximately 6.5 years after first participant enrolled
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Oct 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 32511983Salles G, Duell J, Gonzalez Barca E, Tournilhac O, Jurczak W, Liberati AM, Nagy Z, Obr A, Gaidano G, Andre M, Kalakonda N, Dreyling M, Weirather J, Dirnberger-Hertweck M, Ambarkhane S, Fingerle-Rowson G, Maddocks K. Tafasitamab plus lenalidomide in relapsed or refractory diffuse large B-cell lymphoma (L-MIND): a multicentre, prospective, single-arm, phase 2 study. Lancet Oncol. 2020 Jul;21(7):978-988. doi: 10.1016/S1470-2045(20)30225-4. Epub 2020 Jun 5.
- Results publication: PubMed 34196165Duell J, Maddocks KJ, Gonzalez-Barca E, Jurczak W, Liberati AM, De Vos S, Nagy Z, Obr A, Gaidano G, Abrisqueta P, Kalakonda N, Andre M, Dreyling M, Menne T, Tournilhac O, Augustin M, Rosenwald A, Dirnberger-Hertweck M, Weirather J, Ambarkhane S, Salles G. Long-term outcomes from the Phase II L-MIND study of tafasitamab (MOR208) plus lenalidomide in patients with relapsed or refractory diffuse large B-cell lymphoma. Haematologica. 2021 Sep 1;106(9):2417-2426. doi: 10.3324/haematol.2020.275958.
- Results publication: PubMed 34779360Duell J, Obr A, Augustin M, Endell J, Liu H, Geiger S, Silverman IM, Ambarkhane S, Rosenwald A. CD19 expression is maintained in DLBCL patients after treatment with tafasitamab plus lenalidomide in the L-MIND study. Leuk Lymphoma. 2022 Feb;63(2):468-472. doi: 10.1080/10428194.2021.1986219. Epub 2021 Nov 15. No abstract available.
- Derived from this study: PubMed 37646664Duell J, Abrisqueta P, Andre M, Gaidano G, Gonzales-Barca E, Jurczak W, Kalakonda N, Liberati AM, Maddocks KJ, Menne T, Nagy Z, Tournilhac O, Kuffer C, Bakuli A, Amin A, Gurbanov K, Salles G. Tafasitamab for patients with relapsed or refractory diffuse large B-cell lymphoma: final 5-year efficacy and safety findings in the phase II L-MIND study. Haematologica. 2024 Feb 1;109(2):553-566. doi: 10.3324/haematol.2023.283480.
- Derived from this study: PubMed 35861632Cherng HJ, Westin JR. Broadening the MIND: Tafasitamab and Lenalidomide versus Synthetic Controls. Clin Cancer Res. 2022 Sep 15;28(18):3908-3910. doi: 10.1158/1078-0432.CCR-22-1626.
- Derived from this study: PubMed 35674661Nowakowski GS, Yoon DH, Peters A, Mondello P, Joffe E, Fleury I, Greil R, Ku M, Marks R, Kim K, Zinzani PL, Trotman J, Huang D, Waltl EE, Winderlich M, Kurukulasuriya NC, Ambarkhane S, Hess G, Salles G. Improved Efficacy of Tafasitamab plus Lenalidomide versus Systemic Therapies for Relapsed/Refractory DLBCL: RE-MIND2, an Observational Retrospective Matched Cohort Study. Clin Cancer Res. 2022 Sep 15;28(18):4003-4017. doi: 10.1158/1078-0432.CCR-21-3648.
- Derived from this study: PubMed 34433649Zinzani PL, Rodgers T, Marino D, Frezzato M, Barbui AM, Castellino C, Meli E, Fowler NH, Salles G, Feinberg B, Kurukulasuriya NC, Tillmanns S, Parche S, Dey D, Fingerle-Rowson G, Ambarkhane S, Winderlich M, Nowakowski GS. RE-MIND: Comparing Tafasitamab + Lenalidomide (L-MIND) with a Real-world Lenalidomide Monotherapy Cohort in Relapsed or Refractory Diffuse Large B-cell Lymphoma. Clin Cancer Res. 2021 Nov 15;27(22):6124-6134. doi: 10.1158/1078-0432.CCR-21-1471. Epub 2021 Aug 25.
- CD19 expression is maintained in DLBCL patients after treatment with tafasitamab plus lenalidomide in the L-MIND studyLink provided by the sponsor.
- Tafasitamab plus lenalidomide in relapsed or refractory diffuse large B-cell lymphoma (L-MIND): a multicentre, prospective, single-arm, phase 2 studyLink provided by the sponsor.
- Long-term outcomes from the Phase II L-MIND study of tafasitamab (MOR208) plus lenalidomide in patients with relapsed or refractory diffuse large B-cell lymphomaLink provided by the sponsor.
- Individual participant dataSharing planned: No
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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.
Johannes Duell, MD principal investigator
MorphoSys AG
57 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 Tafasitamab and Lenalidomide in people with Diffuse Large B-cell Lymphoma, run by MorphoSys AG at 57 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?
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 23 Oct 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 57 sites in United States, Italy, Poland, Spain, 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 5 Feb 2020). 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?
Number of Participants With Best Objective Response Rate (ORR) (time frame: Approximately 4.5 years after first participant enrolled; Approximately 6.5 years after first participant enrolled). 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 NCT02399085, which also lists 7 linked publications.
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 23 Oct 2023.