E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Relapsed/refractory (R/R) CD30 + classic Hodgkin lymphoma (cHL) |
Linfoma de Hodgkin clásico (LHc) CD30+ en recidiva/refractario (R/R) |
|
E.1.1.1 | Medical condition in easily understood language |
Hodgkin Disease |
Enfermedad de Hodgkin |
|
E.1.1.2 | Therapeutic area | Diseases [C] - Cancer [C04] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | HLGT |
E.1.2 | Classification code | 10025319 |
E.1.2 | Term | Lymphomas Hodgkin's disease |
E.1.2 | System Organ Class | 10005329 - Blood and lymphatic system disorders |
|
E.1.3 | Condition being studied is a rare disease | Yes |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
- R1 (Low Risk) Cohort: To describe event-free survival (EFS) rate at 3 years, as assessed by blinded independent central review (BICR).
- R2 (Standard Risk) Cohort: to describe the complete metabolic response (CMR) rate prior to HDCT/ASCT by BICR, using Lugano 2014 response criteria |
- Cohorte R1 (riesgo bajo): describir la tasa de supervivencia libre de acontecimientos (SLA) a los 3 años, evaluada mediante revisión central independiente enmascarada (RCIE).
- Cohorte R2 (riesgo estándar): describir la tasa de respuesta metabólica completa (RMC) antes de QTDA/TACP mediante RCIE, usando los criterios de respuesta de Lugano 2014 |
|
E.2.2 | Secondary objectives of the trial |
- To assess overall response rate (ORR) (CMR + partial metabolic response [PMR]) using Lugano 2014 criteria of the low risk and standard risk cohorts following 4 cycles of nivolumab and brentuximab vedotin by BICR
- To assess PFS rate at 3 years by BICR using Lugano 2014 criteria
- Duration of Response (DOR) will be evaluated for those participants who achieved PMR or CMR by BICR as well as for those participants who achieved CMR by BICR prior to IFRT in the low risk cohort and for those participants who achieved CMR prior to HDCT/ASCT in the standard risk cohort
- To describe the toxicity of nivolumab + brentuximab in combination in pediatric and young adult participants with relapsed or refractory classical Hodgkin’s lymphoma (cHL) after failure of first-line treatment
- To evaluate efficacy as assessed by investigators using LUGANO (2014) response criteria. |
- Evaluar la tasa de respuesta global (TRO) (RMC + respuesta metabólica parcial [RMP]) usando los criterios de Lugano 2014 de las cohortes de bajo riesgo y de riesgo estándar después de 4 ciclos de nivolumab y brentuximab vedotin mediante RCIE.
- Evaluar la tasa de SLP a los 3 años mediante RCIE usando los criterios de Lugano 2014
- Se evaluará la duración de la respuesta (DdR) en los participantes que hayan alcanzado RMP o RMC mediante RCIE así como en los participantes que hayan alcanzado RMC según la RCIE antes de RTCA en la cohorte de riesgo bajo
y en los participantes que hayan alcanzado RMC antes de QTDA/TACP en la cohorte de riesgo estándar.
- Describir la toxicidad de nivolumab + brentuximab en combinación en participantes pediátricos y adultos jóvenes con linfoma de Hodgkin clásico (LHc) recidivante o refractario después del fracaso del tratamiento de primera línea. |
|
E.2.3 | Trial contains a sub-study | Yes |
E.2.3.1 | Full title, date and version of each sub-study and their related objectives |
Retention of sample collection for additional research is mandatory for all participants, except where prohibited by local laws or regulations.
This protocol will include residual sample storage for additional research.
For additional details, pls refer to section 9.8.3 the original protocol dated 23-Sep-2016 |
Para todos los participantes, es obligatoria la retención de la colección de muestras para investigación adicional, excepto si lo prohíben leyes o regulaciones locales.
Este protocolo incluirá almacenamiento de muestras sobrantes para investigación adicional.
Consultar los detalles adicionales en la sección 9.8.3. del protocolo original de 23 de Septiembre de 2016. |
|
E.3 | Principal inclusion criteria |
• Classic Hodgkin Lymphoma (cHL), relapsed or refractory
• Minimal limitation on activities of daily living as measured by Karnofsky ≥ 50 for participants > 16 years of age or Lansky ≥ 50 for participants ≤ 16 years of age.
• One prior anti-cancer therapy that did not work |
- Linfoma de Hodgkin clásico (LHc), en recidiva o refractario
- Limitación mínima de actividades de la práctica diaria, medido mediante Karnofsky ≥ 50 para participantes con > 16 años de eada o Lansky ≥ 50 para participantes con ≤ 16 años de edad.
- Un tratamiento previo de terapia anti-cancerosa que fracasó. |
|
E.4 | Principal exclusion criteria |
• Active, known, or suspected autoimmune disease or infection
• Active cerebral/meningeal disease related to the underlying malignancy
• More than one line of anti-cancer therapy or no treatment at all
• Received a stem cell transplant for Hodgkin Lymphoma and/or a solid organ transplant
• Prior treatment with any drug that targets T cell co-stimulation pathways (such as checkpoint inhibitors) |
- Enfermedad autoinmune o infección activa, conocida o sospechada
- Enfermedad cerebral/meníngea activa relacionada con la enfermedad de base
- Más de una línea de tratamiento anti-canceroso o sin ningún tipo de tratamiento.
- Trasplante de células madre para el Linfoma de Hodgkin y/o trasplante de órganos sólidos
- Tratamiento previo con cualquier fármaco cuya diana sea la vía de co-estimulación de células T (como inhibidores del punto de control) |
|
E.5 End points |
E.5.1 | Primary end point(s) |
- Event Free Survival (EFS) ; Low Risk Group. Based on blinded independent central review (BICR)
- Complete Metabolic Response (CMR) prior to RT; Low Risk Group. The CMR rate is defined as the proportion of all response-evaluable participants who, assessed by the BICR, achieve best response of CMR using Lugano 2014 criteria.
- Complete Metabolic Response (CMR) Rate; Standard Risk Group. This is the rate prior to high-dose chemotherapy followed by autologous stem cell transplant (HDCT/ASCT) based on the blinded independent central review (BICR). |
- Supervivencia libre de acontecimientos (SLA); Cohorte R1 (riesgo bajo). Basado en una revisión central independiente enmascarada (RCIE)
- Tasa de respuesta metabólica completa (RMC); Cohorte R2 (riesgo estándar). |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
Up to 5 years |
Hasta 5 años |
|
E.5.2 | Secondary end point(s) |
• Overall Response Rate (ORR)
Based on blinded independent central review (BICR)
• Progression Free Survival Rate (PFSR)
Based on the blinded independent central review (BICR)
• Duration of Response (DOR)
Based on the blinded independent central review (BICR)
• Incidence of serious and non-serious adverse events of nivolumab (BMS-936558) and brentuximab when given in combination
• Incidence of clinically significant abnormalities in general laboratory tests of nivolumab (BMS-936558) and brentuximab when given in combination. Hematology, Chemistry and Urinalysis
• Incidence of clinically significant vital sign measurements of nivolumab (BMS-936558) and brentuximab when given in combination. Temperature, Blood Pressure and Heart Rate
• Complete Metabolic Response (CMR)
• Complete Metabolic Response (CMR) rate at any time prior to radiation therapy
• EFS: Low Risk Group. Based on investigator assessments
• ORR: All participants, based on investigator assessments, after 4 cycles of nivolumab + brentuximab vedotin treatment
• PFSR:All participants, based on investigator assessments
• DOR: All participants, based on investigator assessments
|
• Tasa de respuesta global (TRO)
Evaluada mediante revisión central independiente enmascarada (RCIE)
• Supervivencia Libre de Progresión (SLP)
Evaluada mediante revisión central independiente enmascarada (RCIE)
• Duración de la respuesta (DdR) en
Evaluada mediante revisión central independiente enmascarada (RCIE)
• Incidencia de eventos adversos graves y no graves de nivolumab (BMS-936558) y brentuximab administrados en combinación
• Incidencia de las mediciones de las constantes vitales nivolumab (BMS-936558) y brentuximab administrados en combinación. Temperatura, Presión sanguínea y Tasa cardiaca
de las constantes vitales, etc. |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
- ORR: Up to 12 weeks
- Others: Up to 5 years |
- TRO: hasta 12 semanas
- Otros: hasta 5 años |
|
E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | Yes |
E.6.11 | Pharmacogenomic | Yes |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
Will this trial be conducted at a single site globally?
| No |
E.8.4 | Will this trial be conducted at multiple sites globally? | Yes |
E.8.6 Trial involving sites outside the EEA |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | Specify the countries outside of the EEA in which trial sites are planned |
Canada |
Czech Republic |
France |
Germany |
Ireland |
Italy |
Netherlands |
Poland |
Spain |
United Kingdom |
United States |
|
E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
LVLS (Once participants reach the survival follow-up phase, either in-person visits or documented telephone calls/email correspondence to assess the participant’s status are acceptable) |
Última visita del último sujetos (una vez que los participantes alcancen la fase de seguimiento de supervivencia, son aceptables tanto las visitas en persona como las llamadas telefóno/correspondencia por e-mail documentados para evaluar el estado de los participantes) |
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.2 | In all countries concerned by the trial years | 5 |
E.8.9.2 | In all countries concerned by the trial months | 0 |
E.8.9.2 | In all countries concerned by the trial days | 0 |