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Peripheral T-cell LymphomaPhase 2NCT04569032

A Study of Brentuximab Vedotin and CHP in Frontline Treatment of PTCL With Less Than 10% CD30 Expression

A Phase 2 study testing brentuximab vedotin, cyclophosphamide and doxorubicin in people with Peripheral T-cell Lymphoma, run by Seagen, a wholly owned subsidiary of Pfizer at 63 sites in 5 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record

Search all trials

Trial summary

This clinical trial will study brentuximab vedotin with CHP to find out if the drugs work for people who have certain types of peripheral T-cell lymphoma (PTCL). It will also find out what side effects occur when brentuximab vedotin and CHP are used together. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Peripheral T-cell Lymphoma
What is being tested?
brentuximab vedotin, cyclophosphamide and doxorubicin
Could I receive a placebo?
No, everyone receives an active treatment
How many people
82 participants
Where
63 sitesin 5 countries
Study dates
12 Nov 2020to 12 Jan 2026
Phase
Phase 2

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Newly diagnosed PTCL, excluding systemic anaplastic large cell lymphoma (sALCL), per the Revised European-American Lymphoma World Health Organization (WHO) 2016 classification
  • The following non-sALCL PTCL subtypes are eligible:
  • PTCL - not otherwise specified (PTCL-NOS)
  • Angioimmunoblastic T-cell lymphoma (AITL)
  • Adult T-cell leukemia/lymphoma (ATLL; acute and lymphoma types only, must be positive for human T cell leukemia virus 1)
  • Enteropathy-associated T-cell lymphoma (EATL)
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  • Hepatosplenic T-cell lymphoma
  • Monomorphic epitheliotropic intestinal T-cell lymphoma (MEITCL)
  • Indolent T-cell lymphoproliferative disorder (T-LPD) of the gastrointestinal (GI) tract
  • Follicular T-cell lymphoma
  • Nodal peripheral T-cell lymphoma with T-follicular helper (TFH) phenotype
  • CD30 expression <10% by local assessment in tumor containing lymph node or other extranodal soft tissue biopsy
  • Fluorodeoxyglucose (FDG)-avid disease by PET and measurable disease of at least 1.5 cm by CT, as assessed by the site radiologist
  • An Eastern Cooperative Oncology Group (ECOG) performance status less than or equal to 2

Who cannot join

  • Current diagnosis of any of the following:
  • sALCL
  • Primary cutaneous T-cell lymphoproliferative disorders and lymphomas
  • Mycosis fungoides (MF), including transformed MF
  • History of another primary invasive cancer, hematologic malignancy, or myelodysplastic syndrome that has not been in remission for at least 3 years. Exceptions are malignancies with a negligible risk of metastasis or death (e.g., 5-year OS ≥90%), such as carcinoma in situ of the cervix, non-melanoma skin carcinoma, localized prostate cancer, ductal carcinoma in situ, or Stage I uterine cancer.
  • History of progressive multifocal leukoencephalopathy (PML).
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  • Cerebral/meningeal disease related to the underlying malignancy.
  • Prior treatment with brentuximab vedotin or doxorubicin.
  • Baseline peripheral neuropathy Grade 2 or higher (per the NCI CTCAE, Version 4.03) or subjects with the demyelinating form of Charcot-Marie-Tooth syndrome.
  • Left ventricular ejection fraction less than 45% or symptomatic cardiac disease (including symptomatic ventricular dysfunction, symptomatic coronary artery disease, and symptomatic arrhythmias), or myocardial infarction within the past 6 months, or previous treatment with complete cumulative dose of >300 mg/m2 of doxorubicin.
  • Any uncontrolled Grade 3 or higher (per the National Cancer Institute's Common Terminology Criteria for Adverse Events, NCI CTCAE Version 4.03) viral, bacterial, or fungal infection within 2 weeks prior to the first dose of study drug. Routine antimicrobial prophylaxis is permitted.

Trial locations and contacts

63 sites in 5 countries.

63 sites in 5 countries

United States43 sites
  • Rocky Mountain Cancer centers, LLP

    Aurora, Colorado, 80012

  • Texas Oncology - Central/South Texas

    Austin, Texas, 78705

  • Texas Oncology - Central South (Balcones Dr)

    Austin, Texas, 78731

  • Texas Oncology - Central South (James Casey)

    Austin, Texas, 78745

  • University of Alabama at Birmingham

    Birmingham, Alabama, 35233

  • University of Alabama at Birmingham

    Birmingham, Alabama, 35249

  • Rocky Mountain Cancer centers, LLP

    Boulder, Colorado, 80303

  • Virginia Oncology Associates

    Chesapeake, Virginia, 23320

  • Cleveland Clinic taussig Cancer Center Investigational Pharmacy

    Cleveland, Ohio, 44106

  • Cleveland Clinic, The

    Cleveland, Ohio, 44195

  • Rocky Mountain Cancer centers, LLP

    Colorado Springs, Colorado, 80907

  • Rocky Mountain Cancer centers, LLP

    Denver, Colorado, 80218

  • Rocky Mountain Cancer centers, LLP

    Denver, Colorado, 80220

  • Virginia Oncology Associates

    Hampton, Virginia, 23666

  • The University of Texas MD Anderson Cancer Center

    Houston, Texas, 77030

  • US Oncology Investigational Products Center (IPC)

    Irving, Texas, 75063

  • US Oncology Investigational Products Center(IPC)

    Irving, Texas, 75063

  • US Oncology lnvestigational Products Center (IPC)

    Irving, Texas, 75063

  • Rocky Mountain Cancer centers, LLP

    Lakewood, Colorado, 80228

  • Rocky Mountain Cancer centers, LLP

    Littleton, Colorado, 80120

  • Rocky Mountain Cancer centers, LLP

    Lone Tree, Colorado, 80124

  • Rocky Mountain Cancer centers, LLP

    Longmont, Colorado, 80504

  • Texas Oncology-Northeast Texas

    Longview, Texas, 75601

  • Tulane Cancer Center

    New Orleans, Louisiana, 70112

  • Tulane Medical Center

    New Orleans, Louisiana, 70112

  • Memorial Sloan Kettering Cancer Center David H. Koch Center for Cancer Care

    New York, New York, 10021

  • Memorial Sloan Kettering Cancer Center

    New York, New York, 10065

  • Virginia Oncology Associates

    Newport News, Virginia, 23606

  • Virginia Oncology Associates

    Norfolk, Virginia, 23502

  • Texas Oncology-Northeast Texas

    Palestine, Texas, 75801

  • Texas Oncology-Northeast Texas

    Paris, Texas, 75460

  • Rocky Mountain Cancer centers, LLP

    Pueblo, Colorado, 81003

  • VCU Massey Cancer Center-Radiation Oncology

    Richmond, Virginia, 23219

  • VCU Medical Center -InPatient

    Richmond, Virginia, 23219

  • VCU Medical Center Critical Care Hospital

    Richmond, Virginia, 23219

  • Virginia Commonwealth University

    Richmond, Virginia, 23219

  • VCU at Stony Point

    Richmond, Virginia, 23235

  • Massey Cancer Center Clinical & Translational Research Lab

    Richmond, Virginia, 23298

  • Stanford Cancer Center

    Stanford, California, 94305

  • Stanford Hospital and Clinics, Investigational Drug Services

    Stanford, California, 94305

  • Rocky Mountain Cancer centers, LLP

    Thornton, Colorado, 80260

  • Texas Oncology-Northeast Texas

    Tyler, Texas, 75702

  • Virginia Oncology Associates

    Virginia Beach, Virginia, 23456

Other trials in United States

Italy6 sites
  • Azienda Ospedaliero Universitaria di Bologna - IRCCS

    Bologna, Emilia-Romagna, 40138

  • Fondazione del Piemonte per l'Oncologia (FPO) - IRCCS Candiolo - Oncologia Medica

    Candiolo, Turin, 10060

  • IRCCS Ospedale Policlinico San Martino

    Genova, Other, 16132

  • Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico

    Milan, Lombardy, 20122

  • Fondazione IRCCS Policlinico San Matteo

    Pavia, Lombardy, 27100

  • Azienda Ospedaliera Universitaria Integrata Verona Policlinico G.B. Rossi

    Verona, 37134

Other trials in Italy

Spain6 sites
  • Cetir Centre Medic

    Barcelona, 08029

  • Hospital Duran I Reynals - Institut Catala d'Oncologia

    Barcelona, 08908

  • IEC Trials, Hospital La Milagrosa.

    Madrid, Other, 28010

  • Hospital Universitario De La Paz

    Madrid, Other, 28046

  • Hospital Universitario 12 de Octubre

    Madrid, 28041

  • Hospital Clinico Universitario de Salamanca

    Salamanca, 37007

Other trials in Spain

United Kingdom5 sites
  • Oxford University Hospitals

    Headington, Oxford, OX3 7LE

  • UCLH Hospitals

    London, NWI 2BG

  • Hammersmith Hospital

    London, W12 0HS

  • MACMILLIAN Cancer Centre

    London, WC1E 6AG

  • The Christie NHS Foundation Trust

    Manchester, M20 4BX

Other trials in United Kingdom

France3 sites
  • Hopital Emile Muller

    Mulhouse, 68070

  • Höpital Haut Levéque - CHU Bordeaux Service d'hématologie clinique et thérapie cellulaire

    Pessac, 33604

  • CHU Grenoble Alpes

    Tronche, Auvergne-Rhône-Alpes, 38700

Other trials in France

About this study

Official title: A Dual-cohort, Open-label, Phase 2 Study of Brentuximab Vedotin and CHP (A+CHP) in the Frontline Treatment of Subjects With Peripheral T-cell Lymphoma (PTCL) With Less Than 10% CD30 Expression

This clinical trial will study brentuximab vedotin with CHP to find out if the drugs work for people who have certain types of peripheral T-cell lymphoma (PTCL). It will also find out what side effects occur when brentuximab vedotin and CHP are used together. A side effect is anything the drugs do besides treating cancer. CHP is a type of chemotherapy that uses three drugs (cyclophosphamide, doxorubicin, and prednisone). CHP is approved by the FDA to treat certain types of PTCL.

Being tested
brentuximab vedotin, cyclophosphamide, doxorubicin, prednisone
Keywords
CD30-positive, CD30-negative, Seattle Genetics
Medical subject headings
Lymphoma, T-Cell, Peripheral

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • brentuximab vedotinDrug

    Also called ADCETRIS

    1.8 mg/kg administered intravenously (IV; into the vein) on Day 1 of each 21 -day cycle

  • cyclophosphamideDrug

    750 mg/m^2 administered intravenously (IV; into the vein) on Day 1 of each 21 -day cycle

  • doxorubicinDrug

    50 mg/m^2 administered intravenously (IV; into the vein) on Day 1 of each 21 -day cycle

  • prednisoneDrug

    100 mg daily administered orally on Days 1-5 of each cycle

Study groups in NCT04569032
Study groupRoleWhat they receive
CD30-negative CohortExperimentalParticipants with CD30 expression level < 1%
Receives: Drug: brentuximab vedotin; Drug: cyclophosphamide; Drug: doxorubicin; Drug: prednisone
CD30-positive CohortExperimentalParticipants with CD30 expression level ≥1% to < 10%
Receives: Drug: brentuximab vedotin; Drug: cyclophosphamide; Drug: doxorubicin; Drug: prednisone

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Objective Response Rate (ORR) Per Blinded Independent Central Review (BICR) by Revised Response Criteria for Malignant Lymphoma Criteria (Cheson 2007) by Central CD30 Assessment

    ORR was defined as the percentage of participants with complete response (CR) or partial response (PR) following the completion of study treatment (at end of treatment [EOT]). CR and PR per Cheson 2007: CR was defined as complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present before therapy and PR was defined as at least a 50% decrease in sum of the product of the diameters (SPD) of up to six of the largest dominant nodes or nodal masses.

    Measured: At EOT or the first assessment after the last dose of study treatment (prior to long term follow-up or initiation of subsequent anti-cancer therapies); up to 41.91 months

Secondary outcomes (7)
  1. Complete Response (CR) Rate Per BICR (Cheson 2007) by Central CD30 Assessment

    CR rate was defined as the percentage of participants with CR following the completion of study treatment (at EOT). CR as per Cheson 2007: CR was defined as complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present before therapy.

    Measured: At EOT or the first assessment after the last dose of study treatment (prior to long term follow-up or initiation of subsequent anti-cancer therapies); up to 41.91 months

  2. Progression Free Survival (PFS) Per BICR (Cheson 2007) by Central CD30 Assessment

    PFS was defined as the time from start of study treatment to the first documentation of objective tumor progression or to death due to any cause, whichever came first. Kaplan-Meier method was used for analysis. PFS data was censored on the date of the last radiological assessment of measured lesions documenting absence of PD for participants without objective tumor progression and were still on study at the time of an analysis, were given antitumor treatment other than the study treatment or stem cell transplant (included donor lymphocyte infusion) or were removed from study prior to documentation of objective tumor progression. Participants who lacked an evaluation of tumor response after their first dose had their event time censored at 1 day.

    Measured: From the first dose of study treatment to first documentation of objective tumor progression or death due to any cause or censoring, whichever came first (approximately 61.7 months)

  3. Overall Survival (OS) by Central CD30 Assessment

    OS was defined as the time from first dose to death due to any cause. Participant not known to have died by the end of study follow-up, observation of OS was censored on the date the participants were last known to be alive (i.e., date of last contact). Participants who lacked data beyond the day of first dose had their survival time censored on the date of first dose (i.e., OS duration of 1 day). Kaplan-Meier method was used for analysis.

    Measured: From the first dose of study treatment until death or censoring date, whichever came first (approximately 61.7 months)

  4. Duration of Response (DOR) Per BICR (Cheson 2007) by Central CD30 Assessment

    DOR was defined as the time from the first documentation of objective tumor response (CR or PR) to the first documentation of tumor progression (per Cheson 2007) or death, whichever came first. Participants without progression or death were censored. DOR was only calculated for the subset of participants achieving a CR or PR. CR and PR per Cheson 2007: CR was defined as complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present before therapy and PR was defined as at least a 50% decrease in sum of the product of the diameters (SPD) of up to six of the largest dominant nodes or nodal masses. Kaplan-Meier method was used for analysis.

    Measured: From the first documented CR or PR until the first documentation of tumor progression, death or censoring date, whichever came first (up to 61.7 months)

  5. ORR Per BICR by Modified Lugano Criteria (Cheson 2014) by Central CD30 Assessment

    ORR was defined as the percentage of participants with CR or PR following the completion of study treatment (at EOT) according to the modified Lugano criteria (Cheson 2014). Complete response was defined as complete disappearance of radiologic evidence of disease and PR was defined as at least a 50% decrease in SPD of up to six of the largest dominant nodes or nodal masses.

    Measured: At EOT or the first assessment after the last dose of study treatment (prior to long term follow-up or initiation of subsequent anti-cancer therapies); up to 41.91 months

  6. Number of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious Adverse Events (TESAEs) and Treatment Related Adverse Events by Local CD30 Assessment

    An adverse event was any untoward medical occurrence in a participant or clinical investigational participant administered a medicinal product and which did not necessarily have a causal relationship with this treatment. An adverse event was classified as a serious adverse event (SAE) if it met one of the following criteria: fatal, life threatening, hospitalization, disabling/incapacitating, congenital anomaly or birth defect or any medically significant event. TEAEs were events if they were newly occurring or worsen following study treatment. TESAE is any SAE that met treatment emergent definition. Treatment related AEs were which had evidence to suggest a causal relationship between the drugs and the adverse event, such as: an event that was uncommon and known to be strongly associated with drug exposure, an event that was not commonly associated with drug exposure but was otherwise uncommon in the population exposed to the drug. AEs included both SAEs and all non-SAEs.

    Measured: From first dose of the study treatment (Day 1) up to 30-37 days after the last dose of study treatment (approximately up to 6.6 months)

  7. Number of Participants With Treatment Emergent Laboratory Abnormalities as Per Worst Post Baseline Grading, by National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v4.03 by Local CD30 Assessment

    Any Abnormal laboratory tests(Decreased values of hemoglobin,leukocytes,lymphocytes,neutrophils, platelets, calcium corrected for albumin,glomerular filtration rate estimated, glucose, phosphate, potassium,albumin,sodium and increased values of calcium corrected for albumin,creatinine, potassium, glucose, alanine aminotransferase, alkaline phosphatase, aspartate aminotransferase, total Bilirubin, urate) that worsen from baseline were considered clinically significant by investigator.Abnormal test were recorded as AE if associated with accompanying symptoms,required additional diagnostic testing or medical/surgical intervention,study dosing change,study discontinuation,significant additional concomitant drug treatment,other therapy.As perNCI CTCAE grade(G)1:mild(asymptomatic or mild symptoms,clinical,diagnostic observations,no intervention),G2:moderate(minimal, local,noninvasive intervention),G3:severe,medically significant,G4:life-threatening,urgent intervention,G5:death related to AE

    Measured: From first dose of the study treatment (Day 1) up to 30-37 days after the last dose of study treatment (approximately up to 6.6 months)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Sep 2020
  2. Study start12 Nov 2020
  3. Primary completion9 May 2024
  4. Study completion12 Jan 2026

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
82 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04569032
Sponsor's protocol ID
SGN35-032
Status last verified
Jul 2026
First submitted
23 Sep 2020
Last updated
13 Aug 2026
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

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