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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT06091865
Registration number
NCT06091865
Ethics application status
Date submitted
13/10/2023
Date registered
19/10/2023
Titles & IDs
Public title
A Study to Compare How Well Odronextamab Combined With Chemotherapy Works and How Safe it is Against Rituximab Combined With Chemotherapy, in Patients With Previously Untreated Diffuse Large B-cell Lymphoma
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Scientific title
A Phase 3, Open Label, Randomized Study Comparing the Efficacy and Safety of Odronextamab (REGN1979), an Anti-CD20 × Anti-CD3 Bispecific Antibody, in Combination With CHOP (ODRO-CHOP) Versus Rituximab in Combination With CHOP (R-CHOP) in Previously Untreated Participants With Diffuse Large B-cell Lymphoma (DLBCL) (OLYMPIA-3)
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Secondary ID [1]
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2022-502785-25-00
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Secondary ID [2]
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R1979-ONC-2105
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Universal Trial Number (UTN)
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Trial acronym
OLYMPIA-3
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Diffuse Large B-cell Lymphoma (DLBCL)
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Condition category
Condition code
Cancer
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Lymphoma (non Hodgkin's lymphoma) - High grade lymphoma
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Cancer
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0
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Lymphoma (non Hodgkin's lymphoma) - Low grade lymphoma
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Odronextamab
Treatment: Drugs - Rituximab
Treatment: Drugs - Cyclophosphamide
Treatment: Drugs - Doxorubicin
Treatment: Drugs - Vincristine
Treatment: Drugs - Prednisone/Prednisolone
Experimental: Odronextamab + CHOP - Part 1, includes dose escalation (Part 1A), and randomized exploration of 2 regimens of odronextamab -cyclophosphamide, doxorubicin, vincristine, prednisone (Odro-CHOP) dose optimization (Part 1B).
Active comparator: Rituximab + CHOP - Part 2 is the randomized controlled portion, participants will receive either Odro-CHOP or R-CHOP.
Treatment: Drugs: Odronextamab
Odronextamab will be administered by intravenous (IV) infusion
Treatment: Drugs: Rituximab
Rituximab will be administered IV, or subcutaneously (SC)
Treatment: Drugs: Cyclophosphamide
Cyclophosphamide will be administered IV as part of chemotherapy
Treatment: Drugs: Doxorubicin
Doxorubicin will be administered IV as part of chemotherapy
Treatment: Drugs: Vincristine
Vincristine will be administered IV as part of chemotherapy
Treatment: Drugs: Prednisone/Prednisolone
Prednisone or prednisolone will be administered orally (PO) as part of chemotherapy
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Incidence of dose limiting toxicities (DLTs)
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Assessment method [1]
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Part 1
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Timepoint [1]
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Up to 35 days
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Primary outcome [2]
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Incidence of treatment emergent adverse events (TEAEs)
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Assessment method [2]
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Part 1
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Timepoint [2]
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0
Up to 2 years
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Primary outcome [3]
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0
Severity of TEAEs
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Assessment method [3]
0
0
Part 1
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Timepoint [3]
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Up to 2 years
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Primary outcome [4]
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Progression free survival (PFS), assessed by independent central review (ICR)
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Assessment method [4]
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0
Part 2
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Timepoint [4]
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Up to 5 years
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Secondary outcome [1]
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Event-free survival (EFS) assessed by ICR
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Assessment method [1]
0
0
Part 2
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Timepoint [1]
0
0
Up to 5 years
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Secondary outcome [2]
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0
Complete response (CR) assessed by ICR
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Assessment method [2]
0
0
Part 2
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Timepoint [2]
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0
Up to 22 weeks
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Secondary outcome [3]
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0
Overall survival (OS)
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Assessment method [3]
0
0
Part 2
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Timepoint [3]
0
0
Up to 5 years
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Secondary outcome [4]
0
0
Best Overall response (BOR) as assessed by local investigators
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Assessment method [4]
0
0
Part 1 and Part 2
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Timepoint [4]
0
0
Up to 22 weeks
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Secondary outcome [5]
0
0
CR as assessed by local investigators
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Assessment method [5]
0
0
Part 1 and Part 2
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Timepoint [5]
0
0
Up to 22 weeks
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Secondary outcome [6]
0
0
Duration of response (DOR) as assessed by local investigators
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Assessment method [6]
0
0
Part 1 and Part 2
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Timepoint [6]
0
0
Up to 5 years
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Secondary outcome [7]
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0
Odronextamab concentrations in serum when administered with CHOP
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Assessment method [7]
0
0
Part 1 and Part 2
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Timepoint [7]
0
0
Up to 22 weeks
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Secondary outcome [8]
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0
Incidence of anti-drug antibodies (ADA) to odronextamab when administered with CHOP
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Assessment method [8]
0
0
Part 1 and Part 2
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Timepoint [8]
0
0
Up to 22 weeks
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Secondary outcome [9]
0
0
Titer of ADA to odronextamab when administered with CHOP
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Assessment method [9]
0
0
Part 1 and Part 2
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Timepoint [9]
0
0
Up to 22 weeks
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Secondary outcome [10]
0
0
Incidence of neutralizing antibodies (NAb) to odronextamab when administered with CHOP
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Assessment method [10]
0
0
Part 1 and Part 2
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Timepoint [10]
0
0
Up to 22 weeks
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Secondary outcome [11]
0
0
PFS assessed by local investigator review
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Assessment method [11]
0
0
Part 2
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Timepoint [11]
0
0
Up to 5 years
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Secondary outcome [12]
0
0
EFS assessed by local investigator review
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Assessment method [12]
0
0
Part 2
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Timepoint [12]
0
0
Up to 5 years
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Secondary outcome [13]
0
0
BOR assessed by ICR
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Assessment method [13]
0
0
Part 2
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Timepoint [13]
0
0
Up to 22 weeks
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Secondary outcome [14]
0
0
DOR assessed by ICR
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Assessment method [14]
0
0
Part 2
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Timepoint [14]
0
0
Up to 5 years
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Secondary outcome [15]
0
0
Incidence of TEAEs
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Assessment method [15]
0
0
Part 2
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Timepoint [15]
0
0
Up to 2 years
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Secondary outcome [16]
0
0
Severity of TEAEs
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Assessment method [16]
0
0
Part 2
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Timepoint [16]
0
0
Up to 2 years
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Secondary outcome [17]
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0
Measurable Residual Disease (MRD) status
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Assessment method [17]
0
0
Part 2
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Timepoint [17]
0
0
Up to 22 weeks
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Secondary outcome [18]
0
0
Duration of MRD-negativity
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Assessment method [18]
0
0
Part 2
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Timepoint [18]
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0
Up to 5 years
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Secondary outcome [19]
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0
Change in physical functioning as measured by European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire (EORTC QLQ-C) 30
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Assessment method [19]
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Part 2 The EORTC QLQ-C30 includes 5 functional scales (physical, role, cognitive, emotional and social functioning), 3 symptom scales (fatigue, pain and nausea/vomiting), a GHS/QoL scale, and six single items (constipation, diarrhea, insomnia, shortness of breath, appetite loss and financial difficulties). For the functioning scales and global health status / QoL, scores range from 1 = "very poor" to 7 = "excellent" with higher scores indicate better functioning; for the symptom scales, scores range from 1 = "not at all" to 4 = "very much" higher scores indicate higher symptom burden.
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Timepoint [19]
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Up to 5 years
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Secondary outcome [20]
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0
Change in patient reported outcomes, as measured by EORTC QLQ-C30
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Assessment method [20]
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Part 2 The EORTC QLQ-C30 includes 5 functional scales (physical, role, cognitive, emotional and social functioning), 3 symptom scales (fatigue, pain and nausea/vomiting), a GHS/QoL scale, and six single items (constipation, diarrhea, insomnia, shortness of breath, appetite loss and financial difficulties). For the functioning scales and global health status / QoL, scores range from 1 = "very poor" to 7 = "excellent" with higher scores indicate better functioning; for the symptom scales, scores range from 1 = "not at all" to 4 = "very much" higher scores indicate higher symptom burden.
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Timepoint [20]
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Up to 5 years
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Secondary outcome [21]
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Change in patient reported outcomes, as measured by Functional Assessment of Cancer Therapy - Lymphoma Subscale (FACT-LymS)
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Assessment method [21]
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Part 2 The FACT-Lym lymphoma subscale (LymS) includes 15 items to assess NHL-related symptoms and concerns. All questions are answered on a 5-point scale ranging from "not at all" (0) to "very much" (4). Higher scores are associated with a worse quality of life.
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Timepoint [21]
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Up to 5 years
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Secondary outcome [22]
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Change in patient reported outcomes, as measured by Patient Global Impression of Severity (PGIS)
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Assessment method [22]
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Part 2 The PGIS includes a single-item to assess how a patient perceives the overall severity of cancer symptoms over the past 7 days. Patients will choose the response that best describes the severity of their overall cancer symptoms with options on a 5-point scale ranging from 1 (No symptoms) to 4 (Very Severe).
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Timepoint [22]
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Up to 5 years
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Secondary outcome [23]
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Change in patient reported outcomes, as measured by Patient Global Impression of Change (PGIC)
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Assessment method [23]
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Part 2 The PGIC item includes a single-item to assess how a patient perceives their overall change in health status since the start of study treatment. Patients will choose from response options on a 7-point scale ranging from 1 (Much Better) to 7 (Much worse); 1- Much Better, 2-Moderately Better, 3-A Little Better, 4-About the Same, 5-A Little Worse, 6-Moderately Worse, 7-Much Worse.
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Timepoint [23]
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Up to 5 years
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Secondary outcome [24]
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Change in patient reported outcomes, as measured by EuroQol-5 Dimension-5 Level Scale (EQ-5D-5L)
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Assessment method [24]
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Part 2 The EQ-5D-5L consists of the EQ-5D descriptive system and the EQ visual analogue scale (EQ VAS). The EQ-5D-5L descriptive system comprises the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: "no problems", "slight problems", "moderate problems", "severe problems" and "extreme problems". The EQ VAS records the participant's self-rated health on a vertical visual analogue scale where the endpoints are labeled "Best imaginable health state" and "Worst imaginable health state".
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Timepoint [24]
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0
Up to 5 years
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Secondary outcome [25]
0
0
Change in score of the Functional Assessment of Cancer Therapy-General (FACT-G ) GP5 item
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Assessment method [25]
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Part 2 A single item (GP5) of the validated FACT-G questionnaire will be used to assess from the participant perspective the overall impact of treatment side-effect. The question item is on a 5-point scale ranging from "not at all" (0) to "very much" (4).
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Timepoint [25]
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Up to 5 years
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Eligibility
Key inclusion criteria
KEY
1. Previously untreated participants for lymphoma with documented cluster of differentiation 20+ (CD20+) DLBCL, as described in the protocol OR relapsed or refractory DLBCL (Part 1A only)
2. Measurable disease with at least one nodal lesion or at least one extranodal lesion, as described in the protocol
3. Eastern Cooperative Oncology Group (ECOG) performance status =2
4. Life expectancy = 12 months
5. International Prognostic Index (IPI) of 3 to 5 (part 1 only) and =2 (part 2) for untreated DLBCL only;
6. Adequate hematologic and organ function, as defined in the protocol.
KEY
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Primary central nervous system (CNS) lymphoma or known involvement by non-primary CNS NHL and history or current relevant CNS pathology
2. Another active malignancy, significant active disease or medical condition, as described in the protocol
3. Peripheral neuropathy Grade =3
4. Treatment with any systemic anti-lymphoma therapy, except for participants with relapsed/refractory (R/R) DLBCL and participants with DLBCL transformed from an indolent follicular lymphoma after treatment with systemic anti-lymphoma therapy.
5. Any other therapy or investigational treatment within 28 days or 5 half-lives of the drug, whichever is shorter, prior to the start of study treatment
6. Recent major surgery, prior organ transplantation, or standard radiotherapy, as described in the protocol
7. Allergy/hypersensitivity to study drugs, as described in the protocol
8. Infections such as any active infection (bacterial, viral, fungal, mycobacterial, parasitic or other), active Coronavirus disease (COVID-19) infection, uncontrolled infection with human immunodeficiency virus (HIV), hepatitis B virus (HBV), or hepatitis C virus (HCV), Cytomegalovirus (CMV) infection, as described in the protocol.
Note: Other protocol-defined Inclusion/ Exclusion criteria apply
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
13/12/2023
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
18/09/2028
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Actual
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Sample size
Target
904
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,VIC
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Recruitment hospital [1]
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Calvary Mater Newcastle - Waratah
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Recruitment hospital [2]
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Icon Cancer Centre - Auchenflower
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Recruitment hospital [3]
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Pindara Private Hospital - Benowa
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Recruitment hospital [4]
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Epworth Freemasons - East Melbourne
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Recruitment postcode(s) [1]
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2298 - Waratah
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Recruitment postcode(s) [2]
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4066 - Auchenflower
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Recruitment postcode(s) [3]
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4217 - Benowa
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Recruitment postcode(s) [4]
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3121 - East Melbourne
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Recruitment outside Australia
Country [1]
0
0
United States of America
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State/province [1]
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0
California
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Country [2]
0
0
United States of America
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State/province [2]
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Indiana
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Country [3]
0
0
United States of America
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State/province [3]
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Massachusetts
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Country [4]
0
0
United States of America
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State/province [4]
0
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Michigan
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Country [5]
0
0
United States of America
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State/province [5]
0
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New Jersey
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Country [6]
0
0
United States of America
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State/province [6]
0
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New York
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Country [7]
0
0
United States of America
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State/province [7]
0
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North Carolina
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Country [8]
0
0
United States of America
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State/province [8]
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Ohio
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Country [9]
0
0
United States of America
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State/province [9]
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Texas
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Country [10]
0
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United States of America
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State/province [10]
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Utah
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Country [11]
0
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United States of America
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State/province [11]
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Wisconsin
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Country [12]
0
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Austria
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State/province [12]
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Styria
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Country [13]
0
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Austria
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State/province [13]
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Upper Austria
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Country [14]
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Austria
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State/province [14]
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Graz
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Austria
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State/province [15]
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Wels
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Country [16]
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Belgium
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State/province [16]
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Oost-Vlaanderen
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Belgium
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West Flanders
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Belgium
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Brussels
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Belgium
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Herentals
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Belgium
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Verviers
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Chile
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State/province [21]
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Las Condes
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Chile
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State/province [22]
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Region Metropolitana
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Chile
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Región Metropolitana
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Czechia
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Hradec Kralove 5
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Czechia
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Prague
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Czechia
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Praha
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France
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Bretagne
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France
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Centre Val De Loire
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France
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Gironde
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France
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Nord
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France
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Nouvelle Aquitaine
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France
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Nouvelle-Aquitaine
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France
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Paris
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France
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Savoie
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France
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Angers
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France
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Metz Tessy
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France
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Nimes
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France
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Saint-Etienne
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France
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Île De France
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Germany
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North Rhine-Westphalia
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Germany
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Sachsen
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Germany
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Dresden
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Germany
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Mainz
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Germany
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Oder
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Ireland
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Dublin
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Israel
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Ashdod
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Israel
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Haifa
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Israel
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Jerusalem
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Israel
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Nahariya
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Israel
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Ramat Gan
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Israel
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Tel Aviv
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Italy
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Forli-Cesena
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Italy
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Milano
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Italy
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Modena
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Italy
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Monza
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Italy
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Napoli
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0
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Italy
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0
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Novara
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0
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Italy
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Pavia
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0
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Italy
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State/province [59]
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Ravenna
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0
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Italy
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Udine
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0
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Korea, Republic of
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Gyeonggi-do
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Korea, Republic of
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Busan
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Korea, Republic of
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Daegu
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Korea, Republic of
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State/province [64]
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Incheon
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0
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Korea, Republic of
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State/province [65]
0
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Seoul
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Country [66]
0
0
Poland
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0
Malopolskie
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0
0
Poland
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State/province [67]
0
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Wielkopolska
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Country [68]
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Singapore
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Singapore
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Spain
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A Coruna
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Spain
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Asturias
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Spain
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Balearic Islands
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Barcelona
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Cantabria
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Spain
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Madrid
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Granada
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Spain
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Sevilla
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Spain
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Toledo
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Spain
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Valencia
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Taiwan
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New Taipei City
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Taiwan
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Taipei
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Thailand
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Krung Thep Maha Nakhon [Bangko]
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Thailand
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Bangkok
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Thailand
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Chiang Mai
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Thailand
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Khon Kaen
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Turkey
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Ankara
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Turkey
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Suleymanpasa
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Turkey
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Besevler
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Turkey
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Istanbul
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Turkey
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Izmir
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Turkey
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Sakarya
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United Kingdom
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Aberdeen
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Regeneron Pharmaceuticals
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
This study is researching an experimental drug called odronextamab, referred to as study drug, when used in combination with chemotherapy. The study is focused on patients with diffuse large B-cell lymphoma (DLBCL) that have not been treated before (called "previously untreated"). Patients with DLBCL that have come back after treatment (called "relapsed"), or have not responded to treatment (called "refractory"), can also participate in this study. This study will be made up of Part 1A, Part 1B, and Part 2.The aim of Part 1A and Part 1B of the study is to see how safe and tolerable the study drug in combination with chemotherapy is and to determine the dose and schedule of the study drug to be combined with chemotherapy in Part 2 of the study. The aim of Part 2 of the study is to see how effective the combination of the study drug with chemotherapy is in comparison with the combination of rituximab (the comparator drug), and chemotherapy, the current standard of care treatment approved for DLBCL. Standard of care means the usual medication expected and used when receiving treatment for a condition. The study is looking at several other research questions, including: * What side effects may happen from taking the study drug when combined with chemotherapy * How much study drug is in the blood at different times * Whether the body makes antibodies against the study drug (which could make the study drug less effective or could lead to side effects) * The impact from the study drug on quality of life and ability to complete routine daily activities
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Trial website
https://clinicaltrials.gov/study/NCT06091865
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
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Clinical Trial Management
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Regeneron Pharmaceuticals
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Contact person for public queries
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Clinical Trials Administrator
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844-734-6643
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[email protected]
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing.
Supporting document/s available: Study protocol, Statistical analysis plan (SAP), Informed consent form (ICF), Clinical study report (CSR), Analytic code
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When will data be available (start and end dates)?
When Regeneron has received marketing authorization from major health authorities (e.g., FDA, European Medicines Agency (EMA), Pharmaceuticals and Medical Devices Agency (PMDA), etc.) for the product and indication, has made results publicly available (e.g., scientific publication, scientific conference, clinical trial registry), has the legal authority to share the data, and has ensured the ability to protect participant privacy.
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Available to whom?
Qualified researchers can submit a proposal for access to individual patient or aggregate level data from a Regeneron-sponsored clinical trial through Vivli. Regeneron's Independent Research Request Evaluation Criteria can be found at: https://www.regeneron.com/sites/default/files/Regeneron-External-Data-Sharing-Policy-and-Independent-Research-Request-Evaluation-Criteria.pdf
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Available for what types of analyses?
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How or where can data be obtained?
IPD available at link: https://vivli.org/
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT06091865