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Diffuse Large B-Cell LymphomaPhase 1/2NCT05658562

A Study of MT-2111 in Patients With Relapsed/Refractory DLBCL

A Phase 1/2 study testing MT-2111 in people with Diffuse Large B-Cell Lymphoma, run by Tanabe Pharma Corporation at 23 sites in Japan.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

[Phase I part] To investigate the safety, tolerability, and pharmacokinetics of MT-2111 monotherapy in patients with relapsed/refractory diffuse large B-cell lymphoma (DLBCL). In addition, the dose to be used in the Phase II part will be confirmed. 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?
MT-2111
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
46 participants
Where
23 sitesJapan
Study dates
30 Jan 2023to Aug 2028
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

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

  • Patients who were diagnosed pathologically with DLBCL, NOS, DLBCL transformed from indolent B-cell lymphoma, or high-grade B-cell lymphoma with DLBCL morphology and with MYC and BCL2 and/or BCL6 rearrangements, based on the 2017 WHO classification.
  • Patients with relapsed or refractory disease despite 2 or more prior systemic therapies.
  • Japanese patients aged ≥ 18 years at the time of informed consent. For Japanese subjects, it should be confirmed that the parents who are related by blood to the subject must be Japanese.
  • Patients who have a lesion that can be assessed for staging and evaluated for response according to the Lugano criteria (2014). A lesion that has received radiotherapy as the most recent treatment will be considered as a measurable lesion only when progression has been documented following completion of the radiotherapy.
  • Patients with an Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2 at screening.

Who cannot join

  • Patients with a pathological diagnosis of Burkitt's lymphoma.
  • Patients with bulky disease with the longest dimension of ≥ 10 cm.
  • Patients with a history or complication of post-transplant lymphoproliferative disorders.
  • Patients with lymphoma with active central nervous system involvement at the time of screening, including leptomeningeal disease.
  • Patients complicated with other active malignancies or patients with a history of other malignancies within 3 years before informed consent. However, the following are exceptional:
  • Non-melanoma skin cancer
Show all 24Show fewer
  • Non-metastatic prostate cancer
  • Cervical carcinoma in situ
  • Ductal carcinoma in situ or lobular carcinoma in situ
  • Patients with clinically significant third space fluid accumulation (e.g., ascites requiring drainage or pleural effusion requiring drainage or associated with shortness of breath).
  • Patients who underwent autologous hematopoietic stem cell transplantation (AHSCT) within 30 days prior to the start of study drug administration (Cycle 1 Day 1).
  • For the Phase I part, patients with prior allogeneic stem cell transplantation (Allo-HSCT) before the start of study drug administration (Cycle 1 Day 1). For the Phase II part, patients undergoing Allo-HSCT within 60 days prior to the start of study drug administration (Cycle 1 Day 1).
  • Patients who had a positive HIV antigen-antibody test or HIV antibody test.
  • Patients positive for HBs antigen, HBc antibody, or HBs antibody. However, patients who meet any of the following are eligible:
  • The patient's HBs antibody positivity is clearly due to vaccination.
  • Patients who are positive for HBs antibody and/or HBc antibody with HBV-DNA not detected and agree to undergo HBV-DNA tests once a month from the start of study drug administration to at least 12 months after the completion of study drug administration.
  • Patients positive for HCV antibody. However, patients with negative HCV-RNA are eligible.
  • Patients who received anticancer therapy during the following periods prior to the start of study drug administration (Cycle 1 Day 1).
  • Cytotoxic chemotherapy: within 14 days.
  • Antibody therapy: within 5 half-lives or 14 days, whichever is longer (including monoclonal antibody preparations, radioimmunoconjugates, or antibody-drug conjugates). Within 14 days for rituximab, anti-CD3/CD20 bispecific antibody.
  • Radiotherapy: within 14 days
  • CAR-T therapy: within 100 days
  • Other anticancer therapy: within 14 days
  • Patients who received treatment with any other investigational product within 14 days prior to the start of study drug administration (Cycle 1 Day 1). However, for the Phase I part, patients who received any other investigational product within 14 days or 5 half-lives, whichever is longer, before the start of study drug administration (Cycle 1 Day 1).

Trial locations and contacts

23 sites in 1 country.

23 sites in 1 country

Japan23 sites
  • Tokyo Metropolitan Komagome Hospital

    Bunkyo-ku, Tokyo, 113-8677

  • National Cancer Center Hospital

    Chuo-ku, Tokyo, 104-0045

  • Kyushu Cancer Center

    Fukuoka, Fukuoka, 811-1395

  • Fukushima Medical University Hospital

    Fukushima, Fukushima, 960-1295

  • Gifu Municipal Hospital

    Gifu, Gifu, 500-8513

  • Japanese Red Cross Society Himeji Hospital

    Himeji-shi, Hyōgo, 670-8540

  • Aso Iizuka Hospital

    Iizuka-shi, Fukuoka, 820-8505

  • Shimane University Hospital

    Izumo-shi, Shimane, 693-8501

  • National Cancer Center Hospital East

    Kashiwa-shi, Chiba, 277-8577

  • Cancer Institute Hospital of JFCR

    Koto-ku, Tokyo, 135-0063

  • University Hospital, Kyoto Prefectural University of Medicine

    Kyoto, Kyoto, 602-8566

  • Shinshu University Hospital

    Matsumoto-shi, Nagano, 390-8621

  • Japanese Red Cross Nagasaki Genbaku Hospital

    Nagasaki, Nagasaki, 852-8104

  • Nagoya Medical Center

    Nagoya, Aichi-ken, 460-0001

  • Japanese Red Cross Aichi Medical Center Nagoya Daini Hospital

    Nagoya, Aichi-ken, 466-8650

  • Osaka Saiseikai Nakatsu Hospital

    Osaka, Osaka, 530-0012

  • Medical Research Institute KITANO HOSPITAL, PIIF Tazuke-kofukai

    Osaka, Osaka, 530-0025

  • Gunma Prefectural Cancer Center

    Ota-shi, Gunma, 373-8550

  • Hokkaido Cancer Center

    Sapporo, Hokkaido, 003-0804

  • Tohoku University Hospital

    Sendai, Miyagi, 980-8574

  • Disaster Medical Center

    Tachikawa-shi, Tokyo, 190-0014

  • Yamagata University Hospital

    Yamagata, Yamagata, 990-9585

  • Kanagawa Cancer Center

    Yokohama, Kanagawa, 241-8515

Other trials in Japan

About this study

Official title: A Phase I/II Open-Label Study of MT-2111 in Patients With Relapsed/Refractory DLBCL

[Phase I part] To investigate the safety, tolerability, and pharmacokinetics of MT-2111 monotherapy in patients with relapsed/refractory diffuse large B-cell lymphoma (DLBCL). In addition, the dose to be used in the Phase II part will be confirmed.

[Phase II part] To evaluate the efficacy of MT-2111 monotherapy in patients with relapsed/refractory DLBCL. In addition, the safety and pharmacokinetics will be investigated.

Being tested
MT-2111
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.

  • MT-2111Drug

    Also called Loncastuximab tesirine

    i.v. infusion

Study groups in NCT05658562
Study groupRoleWhat they receive
MT-2111 dosing regimenExperimentalNot described
Receives: Drug: MT-2111

What is being measured

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

  1. Overall response rate (ORR) by independent central review

    Measured: From the date of the first dose of treatment until the date of discontinuation or completion of the study (Up to 48 months)

Secondary outcomes (13)
  1. Duration of response (DOR)

    Measured: The time from the date of first observation of complete response (CR) or partial response (PR) until progressive disease (PD) or death in patients with CR or PR observed (Up to 48 months)

  2. Complete response rate (CRR)

    Measured: From the date of the first dose of treatment until the date of discontinuation or completion of the study (Up to 48 months)

  3. Overall survival (OS)

    Measured: The time from the date of first dose until death regardless of the occurrence of intercurrent event (Up to 48 months)

  4. Progression-free survival (PFS)

    Measured: The time from the date of first dose until PD or death (Up to 48 months)

  5. Relapse-free survival (RFS)

    Measured: The time from the date of first observation of CR until PD or death in patients with CR observed (Up to 48 months)

  6. Adverse events and adverse drug reactions

    Measured: From the start of premedication until 15 weeks after the last dose of the study drug or until the start of new anticancer therapy, whichever comes first.

  7. Eastern Cooperative Oncology Group (ECOG) Performance Status

    ECOG (Eastern Cooperative Oncology Group) Performance Status is scored on a 6-point scale where higher scores indicate a worse outcome.

    Measured: Screening to end of treatment (up to 30 days after the last dose) or data cut off

  8. Body weight

    Measured: Screening to end of treatment (up to 30 days after the last dose) or data cut off

  9. 12-lead electrocardiogram (heart rate)

    Measured: Screening to end of treatment (up to 30 days after the last dose) or data cut off

  10. 12-lead electrocardiogram [RR, PR, QRS, QT (QTcF)]

    Measured: Screening to end of treatment (up to 30 days after the last dose) or data cut off

  11. 12-lead electrocardiogram (presence or absence of abnormal findings)

    Measured: Screening to end of treatment (up to 30 days after the last dose) or data cut off

  12. Serum drug concentration

    [Phase 1 part] Cycle 1 [each cycle is 3 weeks (21 days) in duration]: Day 1, 2, 5, 8 and 15, Cycle 2: Day 1, 2, 8 and 15, Cycle 3: Day 1 and 8, odd number Cycle: Day 1,end of treatment (EOT)*, and 15 weeks after the last dose [Phase 2 part] Cycle 1 and 2: Day 1, 8 and 15, odd number Cycle : Day 1, EOT*, and 15 weeks after the last dose

    *: After the decision to discontinue treatment with study drug and prior to the start of any new anticancer therapy, the scheduled evaluations will be performed preferably 30 days after the last dose of study drug.(Up to 13 months after the first treatment)

    Measured: Cycle 1 (each cycle is 3 weeks): Days 1, 2*, 5*, 8, and 15. Cycle 2: Days 1, 2*, 8, and 15. Cycle 3: Days 1 and 8*. Odd numbered Cycles: Day 1. End of treatment (up to 13 months after first dose), 15 weeks after the last dose. *Phase 1 only.

  13. Anti-drug antibodies (including neutralizing antibodies)

    [Phase 1 part] Cycle 1 [each cycle is 3 weeks (21 days) in duration]: Day 1 and 15, Cycle 2: Day 1, odd number Cycle: Day 1, end of treatment (EOT)*, and 15 weeks after the last dose [Phase 2 part] Cycle 1: Day 1 and 15, Cycle 2: Day 1, odd number Cycle : Day 1, EOT*, and 15 weeks after the last dose

    *: After the decision to discontinue treatment with study drug and prior to the start of any new anticancer therapy, the scheduled evaluations will be performed preferably 30 days after the last dose of study drug.(Up to 13 months after the first treatment)

    Measured: Cycle 1 (each cycle is 3 weeks): Days 1 and 15. Cycle 2: Day 1. Odd numbered cycles: Day 1. End of Treatment (up to 13 months after first dose) and 15 weeks after the last dose.

Timeline

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

  1. First posted20 Dec 2022
  2. Study start30 Jan 2023
  3. Primary completionAug 2028 (estimated)
  4. Study completionAug 2028 (estimated)

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 1/2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
46 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05658562
Sponsor's protocol ID
MT-2111-A-101
Other IDs
jRCT2021220031
Status last verified
Jun 2026
First submitted
7 Nov 2022
Last updated
9 Jun 2026
Results posted
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: When requested by a qualified researcher in the field of science or medicine, Tanabe Pharma Corporation will share clinical trial data that was collected from individual patients in a clinical trial with that researcher after a review committee of experts determines that such sharing is appropriate. Access Criteria: Please refer to the following link for conditions and limitations for sharing data. URL: https://www.tanabe-pharma.com/en/develop/protocol.html

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing MT-2111 in people with Diffuse Large B-Cell Lymphoma, run by Tanabe Pharma Corporation at 23 sites in Japan.

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 5 inclusion and 24 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: under way, not looking for participants, as of the sponsor's last update on 9 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 23 sites in Japan. 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 combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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?

This study is still under way. Results are not available in the source record yet.

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?

Overall response rate (ORR) by independent central review (time frame: From the date of the first dose of treatment until the date of discontinuation or completion of the study (Up to 48 months)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 9 Jun 2026.

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