Non Hodgkin Lymphoma Clinical Trial

TAK-659 in Participants With Relapsed or Refractory Diffuse Large B-Cell Lymphoma (DLBCL)

Summary

The purpose of this study is to assess the efficacy of TAK-659 measured by independent radiologic review committee (IRC)-assessed overall response rate (ORR) in participants with relapsed or refractory DLBCL.

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Full Description

The drug being tested is TAK-659. This study will evaluate overall response rate (ORR) in participants with relapsed or refractory DLBCL who take TAK-659.

The study will enroll approximately 122 participants. Participants will be assigned to:

• TAK-659 60 mg to 100 mg

All participants will be asked to take the tablets of TAK-659 at the same time each day throughout the study in a 28-day cycle.

This multi-center trial will be conducted in the United States, United Kingdom, Spain, Italy, France, Canada, Germany. The overall time to participate in this study is approximately 48 months. Participants will be assessed for disease response and progression during the PFS follow-up every 3 months after end of treatment (for participants who discontinue due to reasons other than disease progression) and OS follow-up every 3 months from the last dose of study drug until death or conclusion of the study, whichever occurs first.

View Eligibility Criteria

Eligibility Criteria

Inclusion Criteria:

Must have histologically confirmed DLBCL, including de novo disease or transformed disease from indolent NHL.

a. High-grade B-cell lymphoma (BCL) with MYC and BCL-2 and/or BCL-6 translocations (double-hit DLBCL under DLBCL, not otherwise specified [NOS], based on the 2008 World Health Organization [WHO] classification criteria) is not eligible for this study.

Local pathology review for histological confirmation; A formalin-fixed, paraffin-embedded (FFPE) tumor block or appropriately stained slides from a fresh biopsy is required.
Relapsed or refractory to greater than or equal to (>=) 2 prior lines of chemotherapy based on standard of care with certain requirements for prior therapy.
Documented investigator-assessed relapse or progression after the last treatment is required if the participant responded and then progressed on the prior treatment.
Measurable disease per IWG 2007 criteria.
Eastern Cooperative Oncology Group (ECOG) performance status less than (<) 2.
Life expectancy of greater than (>) 3 months.

Adequate organ function, including the following:

Bone marrow reserve: absolute neutrophil count (ANC) >=1000/microliter (μL), platelet count >=75,000/μL (>=50,000/μL for participants with bone marrow involvement), and hemoglobin >=8 gram per deciliter (g/dL).
Hepatic: total bilirubin less than or equal to (<=) 1.5 times the upper limit of the normal range (ULN); alanine aminotransferase (ALT) and aspartate aminotransferase (AST) <=2.5*ULN.
Renal: creatinine clearance >=60 milliliter per minute (mL/min).

Others:

Lipase <=1.5*ULN and amylase <=1.5*ULN with no clinical symptoms suggestive of pancreatitis or cholecystitis.
Blood pressure <=Grade 1 (hypertensive participants are permitted if their blood pressure is controlled to <=Grade 1 by hypertensive medications.
Glycosylated hemoglobin is <=6.5% hyperglycemic participants permitted if glucose is well controlled by antihyperglycemic medication).

Exclusion Criteria:

Central nervous system (CNS) lymphoma; active brain or leptomeningeal metastases.
Known human immunodeficiency virus (HIV)-related malignancy.
Systemic anticancer treatment (including investigational agents) less than 3 weeks before the first dose of study treatment (<=4 weeks for antibody-based therapy including unconjugated antibody, antibody-drug conjugate, and bi-specific T-cell engager agents; <=8 weeks for cell-based therapy or anti-tumor vaccine).
Radiotherapy less than 3 weeks before the first dose of study treatment. If prior radiotherapy occurred <4 to 6 weeks before study start, as radiated lesions cannot be reliably assessed by fluorodeoxyglucose-positron emission tomography (FDG-PET), nonradiated target lesions are required for eligibility, and prior radiotherapy information must be submitted to the IRC.
Known HIV positive, hepatitis B surface antigen positive or known or suspected active hepatitis C infection.
Prior autologous stem cell transplant (ASCT) within 6 months or prior ASCT at any time without full hematopoietic recovery before Cycle 1 Day 1, or allogeneic stem cell transplant any time.
Participants with certain cardiovascular conditions are excluded.
Major surgery within 14 days before the first dose of study drug or incomplete recovery from any complications from surgery.
Systemic infection requiring parenteral antibiotic therapy or other serious infection (bacterial, fungal, or viral) within 21 days before the first dose of study drug.
Treatment with high-dose corticosteroids for anticancer purposes within 7 days before the first dose of TAK-659.
Participants with another malignancy within 2 years of study start. Participants with nonmelanoma skin cancer or carcinoma in situ of any type are not excluded if they have undergone complete resection and are considered disease-free at the time of study entry.
Known gastrointestinal (GI) disease or GI procedure that could interfere with the oral absorption or tolerance of TAK-659.
Received medications, supplements, or food/beverages that are P-glycoprotein (P-gp) inhibitors or inducers or strong cytochrome P450 (CYP) 3A inhibitors or inducers within a certain timeframe prior to the first dose of study drug. Depending on the substance, the washout period for P-gp inhibitors or inducers or strong CYP3A inhibitors or inducers will be either 7 days or 5 times the half-life (half-life is related to the time required for elimination from the body). The washout period for grapefruit containing food or beverages is 5 days.

Study is for people with:

Non Hodgkin Lymphoma

Phase:

Phase 2

Estimated Enrollment:

49

Study ID:

NCT03123393

Recruitment Status:

Terminated

Sponsor:

Calithera Biosciences, Inc

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There are 41 Locations for this study

See Locations Near You

University of Kansas Medical Center
Westwood Kansas, 66205, United States
University of Michigan
Ann Arbor Michigan, 48109, United States
Roswell Park Cancer Institute
Buffalo New York, 14263, United States
New York University Langone Medical Center
New York New York, 10016, United States
Perelman Center for Advanced Medicine
Philadelphia Pennsylvania, 19104, United States
Swedish Medical Oncology - Edmonds
Edmonds Washington, 98026, United States
Swedish Cancer Institute - Issaquah
Issaquah Washington, 98029, United States
Swedish Health Services
Seattle Washington, 98104, United States
University of Washington, Hutchinson Cancer Research Center
Seattle Washington, 98109, United States
Swedish First Hill Campus
Seattle Washington, 98122, United States
Princess Margaret Cancer Center
Toronto Ontario, M5G2M, Canada
Centre Hospitalier Regional de Rimouski
Rimouski Quebec, G5L 5, Canada
CHU de Quebec -Universite Laval-Hopital de L'Enfant Jesus
Quebec , G1J 1, Canada
Hopital Haut-Leveque
Pessac Cedex Aquitaine, 33604, France
CHRU Clermont- Ferrand CHU Estaing
Clermont-Ferrand Auvergne, 63000, France
Centre Henri-Becquerel
Rouen Cedex 1 Haute-normandie, 76038, France
Hopital Saint Louis
Paris Cedex 10 Ile-de-france, 75475, France
Groupe Hospitalier - Hopitaux Universitaires Pitie-Salpetriere - Charles-Foix - Pitie-Salpetriere
Paris Cedex 13 Ile-de-france, 75651, France
Hopital Necker-Enfants Malades
Paris Ile-de-france, 75015, France
Institut Gustave Roussy
Villejuif Cedex Ile-de-france, 94805, France
Hopital Dupuytren
Limoges Cedex Limousin, Lorraine, 87042, France
Institut Paoli Calmettes Departement de Recherche Clinique et de l'Innovation
Marseille Provence Alpes COTE D'azur, 13009, France
Centre Hospitalier Lyon Sud
Pierre Benite Cedex Rhone-alpes, 69495, France
Ospedale Casa Sollievo della Sofferenza
San Giovanni Rotondo Foggia, 71013, Italy
Azienda Ospedaliera Universitaria Citta della Salute e della Scienza di Torino
Torino Piemonte, 10126, Italy
Azienda Ospedaliera Papa Giovanni XXIII
Bergamo , 24127, Italy
Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda
Milano , 20162, Italy
Azienda Ospedaliero-Universitaria "Maggiore della Carita"
Novara , 28100, Italy
Azienda Ospedaliero Universitaria Santa Maria della Misericordia di Udine
Udine , 33100, Italy
Hospital Universitari Vall d'Hebron
Barcelona , 08035, Spain
Hospital Clinic de Barcelona
Barcelona , 08036, Spain
Hospital General Universitario Gregorio Maranon
Madrid , 28009, Spain
Hospital Universitario La Paz
Madrid , 28046, Spain
Hospital Universitario de Salamanca
Salamanca , 37007, Spain
Hospital Universitario Marques de Valdecilla
Santander , 39008, Spain
Hospital Universitario La Fe
Valencia , 46026, Spain
University Hospitals Birmingham NHS Foundation Trust, Queen Elizabeth Hospital
Birmingham England, B15 2, United Kingdom
London North West Healthcare NHS Trust, Imperial College London
Harrow England, HA1 3, United Kingdom
University College London Hospitals NHS Foundation Trust
London England, NW1 2, United Kingdom
The Christie NHS Foundation Trust
Manchester England, M20 4, United Kingdom
Newcastle Hospitals NHS Foundation Trust
Newcastle upon Tyne England, NE7 7, United Kingdom

How clear is this clinincal trial information?

Study is for people with:

Non Hodgkin Lymphoma

Phase:

Phase 2

Estimated Enrollment:

49

Study ID:

NCT03123393

Recruitment Status:

Terminated

Sponsor:


Calithera Biosciences, Inc

How clear is this clinincal trial information?

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