Tafasitamab + Rituximab for Follicular Lymphoma

MD
Overseen ByMengyang Di, MD, PhD
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial
Breakthrough TherapyThis drug has been fast-tracked for approval by the FDA given its high promise

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores the effectiveness of combining two drugs, tafasitamab and rituximab, to treat individuals newly diagnosed with follicular lymphoma, a type of blood cancer. Both drugs are monoclonal antibodies that assist the immune system in attacking cancer cells. Suitable candidates for this trial have been diagnosed with follicular lymphoma and experience significant symptoms such as fever, night sweats, or unexplained weight loss. As a Phase 2 trial, the research focuses on assessing the treatment's effectiveness in an initial, smaller group of participants.

Is there any evidence suggesting that tafasitamab and rituximab are likely to be safe for humans?

Research has shown that tafasitamab, when combined with other treatments, generally has a manageable safety profile. For instance, one study found that serious side effects occurred in 71% of patients taking tafasitamab, similar to those not taking it, indicating that tafasitamab is fairly well-tolerated.

Additionally, the FDA has approved the combination of tafasitamab with other medications for treating a type of lymphoma when other treatments have failed. This approval suggests the treatment is considered safe for certain conditions. Although there is less information specifically about using tafasitamab with rituximab for newly diagnosed follicular lymphoma, the existing safety evidence remains encouraging.12345

Why are researchers excited about this trial's treatments for follicular lymphoma?

Researchers are excited about using Tafasitamab in combination with Rituximab for follicular lymphoma because Tafasitamab is a monoclonal antibody that targets CD19, a protein found on the surface of B-cells, including cancerous ones. This is different from the standard treatment, which typically involves Rituximab targeting CD20. By attacking a different protein, Tafasitamab offers a new mechanism of action that could enhance the effectiveness of treatment. This dual-target approach has the potential to improve outcomes by more comprehensively attacking the cancer cells.

What evidence suggests that tafasitamab and rituximab might be an effective treatment for follicular lymphoma?

Research has shown that combining tafasitamab with other treatments, such as lenalidomide and rituximab, can significantly improve outcomes for patients with follicular lymphoma. In studies, patients receiving tafasitamab combinations achieved higher complete response rates, ranging from 43.2% to 51.1%, compared to those receiving a placebo. Overall, 84% of patients responded positively to the treatment. This trial will specifically evaluate the combination of tafasitamab and rituximab. These findings suggest that using tafasitamab and rituximab together could be a promising option for treating newly diagnosed follicular lymphoma.12356

Who Is on the Research Team?

MD

Mengyang Di, MD, PhD

Principal Investigator

Fred Hutch/University of Washington Cancer Consortium

Are You a Good Fit for This Trial?

This trial is for adults who have just been diagnosed with follicular lymphoma and have not yet received treatment. Participants should be healthy enough to undergo study procedures, but specific inclusion or exclusion details are not provided here.

Inclusion Criteria

Platelets ≥ 75,000/mm3 (unless due to bone marrow involvement by lymphoma)
Absolute neutrophil count ≥ 1500/mm3 (unless due to lymphoma involvement of the bone marrow or spleen)
Hemoglobin ≥ 8 g/dL (unless due to bone marrow involvement by lymphoma)
See 18 more

Exclusion Criteria

I have Hepatitis B core antibodies but no active Hepatitis B infection.
I have follicular lymphoma grade 3B or transformed follicular lymphoma.
Patients receiving any other investigational agents
See 13 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment Cycles 1-3

Patients receive rituximab IV on day 1 and tafasitamab IV on days 1, 8, 15, and 22 of each cycle. Cycles repeat every 28 days.

12 weeks
4 visits per cycle (in-person)

Treatment Cycles 4-6

Patients receive rituximab IV on day 1 and tafasitamab IV on days 1 and 15 of each cycle. Cycles repeat every 28 days.

12 weeks
2 visits per cycle (in-person)

Treatment Cycles 7-12

Patients receive tafasitamab IV on days 1 and 15 of each cycle. Cycles repeat every 28 days.

24 weeks
2 visits per cycle (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment completion, including PET scan, CT scan, bone marrow biopsy, and blood sample collection.

Up to 5 years

What Are the Treatments Tested in This Trial?

Interventions

  • Rituximab
  • Tafasitamab

Trial Overview

The study is testing a combination of two antibody drugs, tafasitamab and rituximab, to see how well they work together in treating newly diagnosed follicular lymphoma. Patients will also undergo scans, blood tests, bone marrow exams, and surveys as part of the research.

How Is the Trial Designed?

1

Treatment groups

Experimental Treatment

Group I: Treatment (Tafasitamab and rituximab)Experimental Treatment8 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Washington

Lead Sponsor

Trials
1,858
Recruited
2,023,000+

Incyte Corporation

Industry Sponsor

Trials
408
Recruited
66,800+
Steven Stein profile image

Steven Stein

Incyte Corporation

Chief Medical Officer since 2015

MD from University of Witwatersrand

Hervé Hoppenot profile image

Hervé Hoppenot

Incyte Corporation

Chief Executive Officer since 2014

MBA from ESSEC Business School

Citations

Tafasitamab Combo Improves Outcomes in High-Risk R/R ...

The PET complete response rate was higher with tafasitamab, ranging from 43.2% to 51.1% compared with 20.7% to 33.8% with placebo. The ORR ...

2.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/41360064/

Tafasitamab, lenalidomide, and rituximab in relapsed or ...

The addition of tafasitamab to lenalidomide and rituximab resulted in significantly lower risk of progression, relapse, or death versus placebo ...

Tafasitamab, Lenalidomide, Rituximab Combination Improves ...

The overall response rate was 84% in the tafasitamab arm compared with 72% in the control arm (p=0.0014). The complete response rate was 45% and ...

LBA-1 Tafasitamab Plus Lenalidomide and Rituximab for ...

Conclusions: Addition of tafa to len+R resulted in significant and clinically meaningful improvement in PFS, representing a 57% reduction in ...

Tafasitamab Combo Significantly Extends PFS in R/R ...

Patients receiving the tafasitamab combination achieved a median PFS of 22.4 months, compared with 13.9 months for patients receiving placebo ...

NCT04680052 | A Phase 3 Study to Assess Efficacy and ...

A Phase 3 Study to Assess Efficacy and Safety of Tafasitamab Plus Lenalidomide and Rituximab. Patients With Relapsed/ Follicular Lymphoma