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.
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
- Type of treatment
- Pill or oral medicine, Injection or infusion
- 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)
Show all 14Show fewer
- 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).
Show all 11Show fewer
- 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
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
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
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
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
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.
- Conditions
- Peripheral T-cell Lymphoma
- 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 group | Role | What they receive |
|---|---|---|
| CD30-negative Cohort | Experimental | Participants with CD30 expression level < 1% Receives: Drug: brentuximab vedotin; Drug: cyclophosphamide; Drug: doxorubicin; Drug: prednisone |
| CD30-positive Cohort | Experimental | Participants 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.
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)
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
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)
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)
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)
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
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)
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.
- First posted29 Sep 2020
- Study start12 Nov 2020
- Primary completion9 May 2024
- Study completion12 Jan 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Peripheral T-cell LymphomaStudies of the same condition, open and under way.
- More trials run by Seagen, a wholly owned subsidiary of PfizerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- Seagen, a wholly owned subsidiary of Pfizer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Pfizer CT.gov Call Center, Study director, Pfizer
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
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No