About this trial
This study is researching an experimental drug called odronextamab, referred to as study drug. The study is focused on participants with previously untreated follicular lymphoma (a type of non-Hodgkin lymphoma or NHL).
This study will be made up of two parts: Part 1 (non-randomized) and Part 2 (randomized - controlled).
The aim of Part 1 of the study is to see how safe and tolerable the study drug is when given alone.
The aim of Part 2 of the study is to see how the study drug works compared to rituximab (called the "comparator drug") and chemotherapy (the current standard of care for NHL). 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 * 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) * How the study drug affects quality of life and ability to complete routine daily activities.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diagnosis of Cluster of Differentiation 20^+ (CD20^+) FL Grade 1-3a, stage II bulky or stage III / IV
Need for treatment as described in the protocol
Have measurable disease on cross-sectional imaging documented by diagnostic imaging Computed Tomography (CT) or Magnetic Resonance Imaging (MRI)
Eastern Cooperative Oncology Group (ECOG) performance status of 0-2
Disqualifiers
Central Nervous System (CNS) lymphoma or leptomeningeal lymphoma
Histological evidence of transformation to a high-grade or diffuse large B-cell lymphoma
Waldenström Macroglobulinemia (WM, lymphoplasmacytic lymphoma), Grade 3b follicular lymphoma, chronic lymphocytic leukemia, or small lymphocytic lymphoma
Treatment with any systemic anti-lymphoma therapy
Trial design
Parallel
Treatments tested in this trial
Odronextamab
DrugAdministered per the protocol
Rituximab
DrugAdministered per the protocol
Cyclophosphamide
DrugAdministered per the protocol as part of Cyclophosphamide, Doxorubicin, Vincristine, Prednisone (CHOP) chemotherapy, or Cyclophosphamide, Vincristine, Prednisone (CVP) chemotherapy
Doxorubicin
DrugAdministered per the protocol as part of CHOP chemotherapy
Vincristine
DrugAdministered per the protocol as part of CHOP, and CVP chemotherapy
Prednisone/prednisolone
DrugAdministered per the protocol as part of CVP chemotherapy
Bendamustine
DrugAdministered per the protocol as part of chemotherapy (Rituximab-Bendamustine)
Treatment groups
Trial outcomes
Primary outcomes
Incidence of Dose-Limiting Toxicities (DLTs) for odronextamab
Part 1
Incidence of Treatment-Emergent Adverse Events (TEAEs) of odronextamab
Part 1
Severity of TEAEs of odronextamab
Part 1
Complete Response at 30 months (CR30) as assessed by independent central review
Part 2
Secondary outcomes
Concentrations of odronextamab in serum
Part 1
Occurrence of Anti-Drug Antibodies (ADAs) to odronextamab
Part 1
Magnitude of ADAs to odronextamab
Part 1
Objective response as assessed by the investigator
Part 1
Sponsors and contacts
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