About this trial
This study is developed by the investigator and is a, phase I, single arm, clinical trial that will enroll subjects with untreated diffuse large B-cell lymphoma (DLCBL) at high risk for poor outcome. The types of treatments given will be shared with participants.
The aims are:
1. To assess the safety and how well the participants tolerate the treatment 2. Assess the response of the tumor to treatment to estimate complete response 3. Assess the response of the tumor to treatment to estimate progression-free survival
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Men and women 18 years of age or older.
Pathologically proven diffuse large B-cell lymphoma (DLBCL) not otherwise specified (NOS).
No prior systemic therapy for lymphoma.
Subject has provided informed consent.
Disqualifiers
Allergy or intolerance to roflumilast.
Allergy or intolerance to loncastuximab
Any active malignancy other than DLBCL
Current participation in another interventional clinical study
Trial design
Single group
Treatments tested in this trial
Loncastuximab
DrugIntravenous (IV) administration 0.15 mg/kg day 1 cycles 1-2, and 0.075mg/kg day 1, cycles 3-5
Roflumilast
DrugOral administration of 500mcg days 1-21, cycles 1-8
Rituximab
DrugIV administration of 375mg/m2 day 1, cycles 1-8
Cyclophosphamide
DrugIV administration of 750mg/m2 day 1, cycles 3-8
Vincristine
DrugIV administration 1.4mg/m2 (max 2mg) day 1, cycles 3-8
Doxorubicin
DrugIV administration 50mg/m2 day 1, cycles 3-8
Prednisone
DrugOral administration 100mg/days 1-5, cycles 3-8
Treatment groups
Trial outcomes
Primary outcomes
Estimation of number of adverse events
Estimation of adverse events (AE) and serious adverse events (SAE), graded according to the National Cancer Institute (NCI) - Common Terminology Criteria for Adverse Events (CTCAE) V5.0.
Secondary outcomes
Estimation of complete response
Estimation of complete response (CR) as defined by complete normalization of fluorodeoxyglucose positron emission tomography (FDG-PET) uptake (Deauville score of 1 to 3) of all target lesions
Estimation of progression-free survival (PFS)
Estimation of progression-free survival (PFS) defined as the time from the date of registration until the date of disease progression or death as a result of any cause.
Sponsors and contacts
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