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AzTrials

Diffuse Large B Cell Non-Hodgkin LymphomaPhase 2FIL_RICCONCT06835530

A Combination of Rituximab and CC-99282 as Front-line Therapy for Older Frail Patients With Diffuse Large B-cells Non-Hodgkin Lymphoma Evaluated With a Simplified Geriatric Assessment (sGA): a Phase II Study of the Fondazione Italiana Linfomi (FIL)

A Phase 2 study testing Rituximab + Golcadomide (CC-99282) in people with Diffuse Large B Cell Non-Hodgkin Lymphoma, run by Fondazione Italiana Linfomi - ETS at 20 sites in Italy.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

Prospective, multicenter, single arm, phase II study, to evaluate the efficacy of the combination rituximab-golcadomide as a chemo free approach in a population of older patients with new diagnosis of DLBCL, defined as frail according to a sGA evaluation and not candidate for the standard R-CHOP (or R-CHOP like)… Read more about this study

Who is it for?
Ages 80 years and older
What is being tested?
Rituximab + Golcadomide (CC-99282)
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
47 participants
Where
20 sitesItaly
Study dates
9 Apr 2025to Apr 2030
Phase
Phase 2
Are there results?
Not yet: the study is under way

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 80 years and older
  • All sexes
  • No healthy volunteers
  • Older adult

Who may be able to join

  • Able to provide written informed consent form approved by the National Ethics Committee (NEC) prior to the initiation of any screening or study- specific procedures and able to understand and to comply with the requirements of the study and the schedule of assessments.
  • Histologically documented diagnosis of DLBCL as defined in the 5th edition of the World Health Organization (WHO) classification (2022)
  • Previously untreated
  • Frail patients defined as follows (Appendix A-D): Age ≥ 80 years: activity of daily living (ADL) < 6 residual functions and/or Instrumental activity of daily living (IADL) < 8 residual functions and/or cumulative illness rating scale (CIRS) > 5 comorbidities of grade 2 and/or one or more comorbidities of grade 3-4
  • Patient not eligible to anthracycline-based chemotherapy
  • Ann Arbor Stage I - IV (Appendix E)
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  • Eastern Cooperative Oncology Group (ECOG) performance status (PS) ≤ 3 (Appendix F)
  • At least one site of measurable nodal disease at baseline [≥ 1.5 cm] in the longest transverse diameter as determined by CT scan
  • Adequate hematological counts defined as follows:
  • WBC > 2.5 x 109/L with ANC > 1.0 x 109/L unless due to bone marrow involvement by lymphoma
  • Platelet count ≥ 75 x 109/L unless due to bone marrow involvement by lymphoma
  • Hemoglobin ≥ 10 g/dL unless anemia related to active lymphoma
  • Adequate renal function defined as creatinine clearance ≥ 30 mL/min (Appendix G). The same CrCl cutoff applies in case of documented renal involvement by lymphoma
  • Adequate hepatic function per local laboratory reference range, unless secondary to lymphoma, as follows:
  • Aspartate transaminase (AST) and alanine transaminase (ALT) ≤ 2.0 x ULN
  • Bilirubin ≤ 2 x ULN (unless bilirubin rise is due to Gilbert's syndrome or of non-hepatic origin, i.e. mild and chronic hemolysis)
  • Subject must be able to adhere to the study visit schedule and other protocol requirements
  • Subject must be able to swallow capsules or tablets
  • Life expectancy ≥ 3 months
  • Male subjects must practice complete abstinence when this is in line with the usual lifestyle (periodic abstinence is not permitted) or agree to use specified contraceptive methods (barrier contraception: condom) during sexual contact with a female of childbearing potential while participating in the study, for at least 28 days following investigational product discontinuation, even if he has undergone a successful vasectomy. Furthermore, they do not have to donate sperm during the study and for at least 28 days after receiving the last dose of study drug. If applicable, male subjects must receive study specific Pregnancy Prevention Plan (PPP).

Who cannot join

  • Histological diagnosis different from DLBCL
  • Central nervous system (CNS) involvement with lymphoma
  • Severe heart failure (NYHA grado III-IV and/or LVEF < 45%), liver disease Child Pugh C, history of interstitial lung disease, non-infectious pneumonitis, pulmonary fibrosis, or pulse oximetry of < 92% while breathing room air, or any other clinical condition that would preclude participation in the study or compromise ability to give informed consent
  • Any history of other active malignancies within 5 years prior to study entry, except for adequately treated in situ carcinoma of the cervix uterine, basal cell carcinoma of the skin or localized squamous cell carcinoma of the skin, previous malignancy confined and surgically resected with curative intent
  • Gastrointestinal dysfunction that may affect drug absorption (eg, gastric bypass surgery, gastrectomy) or any other malabsorption condition
  • Evidence of other clinically significant uncontrolled condition(s) including, but not limited to:
Show all 12Show fewer
  • Uncontrolled and/or active systemic infection (viral, bacterial or fungal), including active ongoing infection from SARS-CoV-2
  • Chronic or acute hepatitis B virus (HBV) or hepatitis C (HCV) requiring treatment. Note: subjects with serologic evidence of prior vaccination to HBV i.e. hepatitis B surface (HBs) antigen (Ag) negative, anti-HBs antibody positive and anti-hepatitis B core (HBc) antibody negative, may participate; patients with positive anti-HBc antibody from previous infection or inactive carriers are eligible only with HBV-DNA negative and with concomitant treatment with Lamivudine or Tenofovir
  • Patients with presence of HCV antibody are eligible only if PCR negative for HCV-RNA
  • Human immunodeficiency virus (HIV) seropositivity
  • Absence of caregivers in non-autonomous patients
  • Allergy or intolerance to the active or inactive ingredients of study drugs

Trial locations and contacts

20 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Uffici Studi FIL contact

+390131033153

startup@filinf.it

Uffici Studi FIL contact

+390599769913

gestionestudi@filinf.it

20 sites in 1 country

Italy20 sites, 20 recruiting
  • AOU SS. Antonio e Biagio e Cesare Arrigo di Alessandria - SCDU Ematologia

    Alessandria, Alessandria, 15121

    Manuela Zanni, Dr., +390131206156, manuela.zanni@ospedale.al.it

    Manuela Zanni, Dr.

    Recruiting
  • AOU Ospedali Riuniti - Clinica di Ematologia

    Ancona

    Guido Gini, Dr., +390715964562, guido.gini@ospedaliriuniti.marche.it

    Guido Gini, Dr.

    Recruiting
  • Azienda Ospedaliera S. Giuseppe Moscati - S.C. Ematologia e trapianto emopoietico

    Avellino

    Sonya De Lorenzo, Dr., +390825203281, sonya.delorenzo@tin.it

    Sonya De Lorenzo, Dr.

    Recruiting
  • Ospedale IRCCS Centro di Riferimento Oncologico di Aviano - Divisione di Oncologia e dei Tumori immuno-correlati

    Aviano

    Michele Spina, Dr., +390434659730, mspina@cro.it

    Michele Spina, Dr.

    Recruiting
  • ASST Spedali Civili di Brescia - Ematologia

    Brescia

    Alessandra Tucci, Dr., +390303995438, alessandra.tucci@asst-spedalicivili.it

    Alessandra Tucci, Dr.

    Recruiting
  • Azienda Ospedaliera Universitaria Careggi -Unità Funzionale di Ematologia

    Florence

    Benedetta Puccini, Dr., +390557945296, puccinib@aou-careggi.toscana.it

    Benedetta Puccini, Dr.

    Recruiting
  • ASST Grande Ospedale Metropolitano Niguarda - SC Ematologia

    Milan

    Vittorio Zilioli, Dr., +393494921317, vittorioruggero.zilioli@ospedaleniguarda.it

    Vittorio Zilioli, Dr.

    Recruiting
  • Fondazione IRCCS San Gerardo dei Tintori -Ematologia

    Monza

    Ivana Casaroli, Dr., +393396804439, ivanarita.casaroli@irccs-sangerardo.it

    Ivana Casaroli, Dr.

    Recruiting
  • I.R.C.C.S. Istituto Oncologico Veneto -Oncologia 1

    Padova

    Dario Marino, Dr., +393396804439, ivanarita.casaroli@irccs-sangerardo.it

    Dario Marino, Dr.

    Recruiting
  • Policlinico Giaccone - Ematologia

    Palermo

    Salvatrice Mancuso, Dr., +390916554505, salvatrice.mancuso@unipa.it

    Salvatrice Mancuso, Dr.

    Not yet recruiting
  • Azienda Sanitaria Locale di Pescara- Presidio Ospedaliero Santo Spirito - U.O.C. Ematologia

    Pescara, Pescara, 65128

    Elsa Pennese, MD, +390854252838, elsa.pennese@asl.pe.it

    Elsa Pennese, MD

    Not yet recruiting
  • Azienda USL Piacenza - UOC Ematologia e Centro Trapianti,

    Piacenza

    Annalisa Arcari, Dr., +390523303724, a.arcari@ausl.pc.it

    Annalisa Arcari, Dr.

    Recruiting
  • Ospedale delle Croci - Ematologia

    Ravenna

    Monica Tani, Dr., +390544285330, monica.tani@auslromagna.it

    Monica Tani, Dr.

    Recruiting
  • Azienda Unità Sanitaria Locale-IRCCS - Arcispedale Santa Maria Nuova - Ematologia

    Reggio Emilia

    Maria Elena Nizzoli, Dr., +390522296623, mariaelena.nizzoli@ausl.re.it

    Maria Elena Nizzoli, Dr.

    Recruiting
  • Ematologia - Trapianto cellule staminali - Medicina Trasfusionale e Terapie Cellulari, Policlinico Universitario Campus Bio-Medico

    Roma

    Luigi Rigacci, Dr., +3906225411129, l.rigacci@policlinicocampus.it

    Luigi Rigacci, Dr.

    Recruiting
  • AOU Senese - U.O.C. Ematologia

    Siena

    Alberto Fabbri, Dr., +390577586798, fabbri7@unisi.it

    Alberto Fabbri, Dr.

    Recruiting
  • A.O.U. Città della Salute e della Scienza di Torino - Ematologia Universitaria

    Torino

    Federica Cavallo, Dr., +390116334264, f.cavallo@unito.it

    Federica Cavallo, Dr.

    Recruiting
  • A.O.U. Città della Salute e della Scienza di Torino - S.C. Ematologia

    Torino

    Mattia Novo, Dr., +390116334553, mnovo@cittadellasalute.to.it

    Mattia Novo, Dr.

    Recruiting
  • Azienda Sanitaria Universitaria Giuliano Isontina (ASUGI) - S.C. Ematologia

    Trieste

    Elisa Lucchini, Dr., +390403992677, elisa.lucchini@asugi.sanita.fvg.it

    Elisa Lucchini, Dr.

    Recruiting
  • AOU Integrata di Verona - U.O. Ematologia

    Verona

    Cinzia Sissa, Dr., +390458126634, cinzia.sissa@aovr.veneto.it

    Cinzia Sissa, Dr.

    Recruiting

Other trials in Italy

About this study

Prospective, multicenter, single arm, phase II study, to evaluate the efficacy of the combination rituximab-golcadomide as a chemo free approach in a population of older patients with new diagnosis of DLBCL, defined as frail according to a sGA evaluation and not candidate for the standard R-CHOP (or R-CHOP like) treatments.

Read the detailed description

This is a prospective, multicenter, phase II study, in older patients affected by DLBCL defined as frail according to sGA and previously untreated.

All patients will receive an induction phase with a combination of golcadomide, rituximab and only at cycle 1 dexamethasone, for a maximum number of 6 cycles of 28 days.

Response assessment is planned after 4 and after 6 cycles for identification of non-responding patients. Patients achieving at least a PR at the interim restaging and after 6th cycle will complete therapy as planned, while patients with stable and progressive disease will discontinue protocol treatment and will be addressed to an alternative regimen.

At the end of the 6th cycle of induction (EOI), involved site radiotherapy is allowed on PET positive sites.

At EOI (end of induction), if the patient reached at least a partial response (≥PR), a consolidation phase was planned with golcadomide, for a maximum of 6 cycles of 28 days.

During consolidation phase, an interim check for response will be performed after the completion of 3 cycles in order to early identify progressive disease. Patients with progressive disease will stop protocol treatment and will be treated at physician discretion.

End of treatment response will be evaluated within 4-6 weeks after the last cycle of consolidation (or the last study medication administration).

All patients will be monitored during follow up for 24 months, every 3 months for the first year and every 6 months for the second year.

Patients experimenting progression at any time will be considered as treatment failures and will be followed-up for survival until the end of the study.

Baseline and EOT 18FDG PET/CT or CT scan including pre-contrast phase (only if PET/CT is not performed) will be evaluated for sarcopenia assessment.

Quality of life (QoL) evaluation is planned at study entry and at established timepoints during and after treatment and follow-up.

Being tested
Rituximab + Golcadomide (CC-99282)
Keywords
diffuse large B-cell non-Hodgkin lymphoma, simplified geriatric assessment (sGA), rituximab, older frail patients, Golcadomide

What participants receive

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

  • Rituximab + Golcadomide (CC-99282)Drug

    A combination of Rituximab and CC-99282 as front-line therapy for older frail patients with Diffuse Large B-cells non-Hodgkin Lymphoma evaluated with a simplified Geriatric Assessment (sGA).

Study groups in NCT06835530
Study groupRoleWhat they receive
Rituximab in combination with Golcadomide (CC-99282)ExperimentalInduction Phase (6 cycles every 28 days): Cycle 1 (Rituximab 375 mg/mq i.v. on days 1, 8, 15; Golcadomide 0,3 mg/day p.o. days 1-14; Dexamethasone 5 mg p.o. on days 1, 8, 15, 22). Cycles 2-6 (Rituximab 375 mg/mq i.v. on day 1; Golcadomide 0,4 mg/day p.o. days 1-14). Consolidation phase (for patients achieving at least a partial response at the end of induction (≥PR), the consolidation phase will start within 6-8 weeks from Cycle 6 Day1 and will be continued up to 6 cycles every 28 days): golcadomide 0.2 mg / day p.o. days 1-14. Consolidation radiotherapy: involved site radiotherapy (ISR) is allowed at the end of induction phase on PET positive sites, according to the available guidelines (Illidge et al., 2014). ISR should be concomitant to consolidation phase.
Receives: Drug: Rituximab + Golcadomide (CC-99282)

What is being measured

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

  1. Progression free survival (PFS) at 24 months

    PFS defined as the time between the start of prephase and the first documentation of recurrence, progression or death from any cause.

    Measured: from enrollment to 24 month

Secondary outcomes (9)
  1. ORR Overall response rate (partial response, PR + complete response, CR) and CR after the 4th and 6th cycle

    ORR Overall response rate (partial response, PR + complete response, CR) and CR after the 4th and 6th cycle

    Measured: From the start of treatment to approximately 4 months and 6 months

  2. Overall survival (OS)

    OS defined as the time between the start of prephase and death from any cause

    Measured: from enrollment to 60 month

  3. Rate of treatment discontinuation due to AE or treatment intolerance

    Rate of treatment discontinuation due to AE or treatment intolerance

    Measured: From the start of treatment to 60 months

  4. QoL (quality of life) scores at baseline - EORTC-QLQ-C30

    Quality of life is measured with the EORTC-QLQ-C30 (European Organisation for Research and Treatment of Cancer-Quality of life Questionnaire-Core 30) questionnaire

    Measured: The endpoint wil be evaluated at the baseline

  5. QoL (quality of life) scores variations at 6 months - EORTC-QLQ-C30

    Quality of life is measured with the EORTC-QLQ-C30 (European Organisation for Research and Treatment of Cancer-Quality of life Questionnaire-Core 30) questionnaire

    Measured: The endpoint will be evaluated from the beginning of the study to 6 months

  6. QoL (quality of life) scores variations at 12 months - EORTC-QLQ-C30

    Quality of life is measured with the EORTC-QLQ-C30 (European Organisation for Research and Treatment of Cancer-Quality of life Questionnaire-Core 30) questionnaire

    Measured: The endpoint will be evaluated from the beginning of the study to 12 months

  7. QoL (quality of life) scores at baseline - FACT-Lym-LymS

    Quality of life is measured with the FACT-Lym-LymS (Functional Assessment of Cancer Therapy - Lymphoma- lymphoma-specific symptoms)

    Measured: The endpoint wil be evaluated at the baseline

  8. QoL (quality of life) scores variations at 6 months - FACT-Lym-LymS

    Quality of life is measured with the FACT-Lym-LymS (Functional Assessment of Cancer Therapy - Lymphoma- lymphoma-specific symptoms questionnaire)

    Measured: The endpoint will be evaluated from the beginning of the study to 6 months

  9. QoL (quality of life) scores variations after 12 months - FACT-Lym-LymS

    Quality of life is measured with the FACT-Lym-LymS (Functional Assessment of Cancer Therapy - Lymphoma- lymphoma-specific symptoms)

    Measured: The endpoint will be evaluated from the beginning of the study to 12 months

Timeline

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

  1. First posted19 Feb 2025
  2. Study start9 Apr 2025
  3. Primary completionApr 2030 (estimated)
  4. Study completionApr 2030 (estimated)

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
47 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06835530
Sponsor's protocol ID
FIL_RICCO
Other IDs
2023-506206-38-00, 2023
Acronym
FIL_RICCO
Status last verified
Aug 2026
First submitted
10 Feb 2025
Last updated
24 Aug 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Rituximab + Golcadomide (CC-99282) in people with Diffuse Large B Cell Non-Hodgkin Lymphoma, run by Fondazione Italiana Linfomi - ETS at 20 sites in Italy.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 20 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 24 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 20 sites in Italy. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Uffici Studi FIL (+390131033153, startup@filinf.it), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Progression free survival (PFS) at 24 months (time frame: from enrollment to 24 month). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Aug 2026.

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