Ibrutinib 560 mg: 560mg/d continuously from C1D2 to end C24
Venetoclax 10 MG Oral Tablet [Venclexta]: 20mg/d from C2D1 to C2D7
Venetoclax 50 MG Oral Tablet [Venclexta]: 50mg/d from C2D8 to C2D14
Venetoclax 100 MG Oral Tablet [Venclexta]: 100mg/d from C2D15 to C2D21 200mg/d from C2D22 to C2D28 400mg/d from C3D1 to end C24
Study summary
The OASIS II trial is a multicentre, open label, randomized phase II trial. We will compare the efficacy of Ibrutinib/anti-CD20 Ab versus Ibrutinib/anti-CD20 Ab/Venetoclax given as fixed duration combinations in newly diagnosed Mantle Cell Lymphoma (MCL) patients (≥ 18 years and \< 80 years of age).
Treatment duration of Ibrutinib and Venetoclax will be a maximum of two years. Patients will be treated with CD20 Ab for 3.5 years.
The primary aim is to assess MRD status at 6 months in both arms.
Eligibility
Sex
ALL
Min age
18 Years
Max age
79 Years
Healthy volunteers
No
Inclusion Criteria:
1. Patient is ≥ 18 years and \< 80 years of age at the time of signing the informed consent form (ICF).
2. Patient understood and voluntarily signed and dated an ICF prior to any study-specific assessments/procedures being conducted.
3. Patient willing and able to adhere to the study visit schedule and other protocol requirements
4. Women of childbearing potential must have negative results for pregnancy test prior to study treatment start and agree to abstain from breastfeeding during study participation and at least 18 months after the last drug administration
5. Men or women of reproductive potential agree to use acceptable method of birth control during treatment and for eighteen months after the last drug administration.
6. Histologically confirmed (according to the World Health Organization (WHO) classification) mantle cell lymphoma. The diagnosis has to be confirmed by phenotypic expression of CD5, CD20 and cyclin D1 or the t(11;14) translocation (by cytogenetics and/or fluorescence in situ hybridization (FISH) and/or BCL1-IgH PCR)
7. Untreated MCL
8. Adequate renal function as demonstrated by a creatinine clearance \> 50 mL/min; calculated by Cockcroft Gault formula or Modification of Diet in Renal Disease (MDRD)
9. Adequate hepatic function per local laboratory reference range as follow:
* Aspartate transaminase (AST) and alanine transaminase (ALT) \< 3.0 x upper limit of normal (ULN)
* Bilirubin \< 1.5 x ULN (unless bilirubin rise is due to Gilbert's syndrome or of non-hepatic origin)
10. Stage II-IV disease, measurable with at least lymph node \> 1.5 cm and requiring treatment in the opinion of the treating clinician
11. Eastern Cooperative Oncology Group (ECOG) performance status of 0 - 2.
12. Life expectancy of more than 3 months.
13. For France: patient affiliated to any social security system
Exclusion Criteria:
1. Clinically significant cardiovascular disease such as uncontrolled or symptomatic arrhythmias, congestive heart failure, or myocardial infarction within 6 months of screening, or any Class 3 (moderate) or Class 4 (severe) cardiac disease as defined by the New York Heart Association Functional Classification.
2. Impaired organ function (other than liver and renal) which will interfere with the treatment
3. Hemoglobin level \< 10g/dL; Neutrophil count \<1 G/L; Platelets \< 75 G/L (except if related to lymphoma then platelet must be \>50),
4. Major surgery within 28 days before enrollment
5. Known central nervous system lymphoma
6. History of stroke or intracranial hemorrhage within 6 months prior to enrollment.
7. Requires anticoagulation with warfarin or equivalent vitamin K antagonists (e.g., phenprocoumon)
8. Requires treatment with strong CYP3A inhibitors
9. Vaccinated with live, attenuated vaccines within 6 months of enrollment (except COVID vaccine)
10. Known history of human immunodeficiency virus (HIV)
11. Evidence of other clinically significant uncontrolled condition(s) including but not limited to:
* Uncontrolled and/or active systemic infection (viral, bacterial or fungal)
* Chronic hepatitis B virus (HBV) or hepatitis C (HCV) requiring treatment. Note: subjects with serologic evidence of prior vaccination to HBV (i.e. HBs antigen negative, anti-HBs antibody + and antiHBc antibody -) and subjects with anti-HB-core antibody that are HBV DNA negative may participate
12. Psychiatric illness or condition which could interfere with their ability to understand the requirements of the study
13. Any life-threatening illness, medical condition, or organ system dysfunction which, in the investigator' opinion, could compromise the patient safety, interfere with the absorption or metabolism of treatment (Ibrutinib, CD20 Ab, venetoclax) or put the study outcomes at undue risk
14. Pregnant, planning to become pregnant, or lactating woman
15. Known hypersensitivity to study treatment (CD20 Ab, Ibrutinib, Venetoclax) or to any of the excipients
16. Known allergy to xanthine oxidase inhibitors or rasburicase
17. Known glucose-6-phosphate dehydrogenase (G6DP) deficiency
18. Known bleeding disorders
19. Severe prior reactions to monoclonal antibodies or with prior significant toxicity (other than thrombocytopenia) from Bcl-2 inhibitor
20. History of prior other malignancy with the exception of:
* curatively treated basal cell carcinoma
* curatively treated squamous cell carcinoma of the skin or carcinoma in situ of the cervix at any time prior to study
* other curatively treated cancer and patient disease-free for over 5 years
21. Anti-cancer therapies including chemotherapy, radiotherapy or other investigational therapy, including targeted small molecule agents
22. Biological agents (e.g. monoclonal antibodies) for anti-neoplastic intent: excluded 30 days prior to first dose of venetoclax
23. Person deprived of his/her liberty by a judicial or administrative decision
24. Adult person under legal protection
Primary outcome measure(s)
Minimum residual disease (MRD) rate — 6 months Minimum residual disease rate using droplet digital PCR (ddPCR) in bone marrow (BM) and/or peripheral blood (PB) at the end of induction
Trial sites (45)
Facility
City
Region
Status
A.Z. Sint Jan AV
Bruges
Belgium
Universite Libre de Bruxelles - Hopital ERASME
Brussels
Belgium
Hopital Jolimont
Haine-Saint-Paul
Belgium
CHU de Liege
Liège
Belgium
Universite Catholique de Louvain Mont Godinne
Yvoir
Belgium
CHU d'Angers
Angers
France
CH d'Avignon - Hopital Henri Duffaut
Avignon
France
CH de la Côte Basque
Bayonne
France
CHU Jean Minioz
Besançon
France
Chu de Brest - Hopital de La Cavale Blanche
Brest
France
Institut d'Hématologie de Basse Normandie
Caen
France
Chu Estaing
Clermont-Ferrand
France
CH Henri Mondor
Créteil
France
CHU de DIJON
Dijon
France
CHD de Vendée
La Roche-sur-Yon
France
CHU de Grenoble
La Tronche
France
CHRU de Lille
Lille
France
Hopital DUPUYTREN
Limoges
France
Centre Léon Bérard
Lyon
France
Institut Paoli Calmettes
Marseille
France
CHU de Montpellier
Montpellier
France
CHU de Nantes
Nantes
France
Hopital St-Louis
Paris
France
Hopital NECKER
Paris
France
Chu de Bordeaux - Hopital Haut-Leveque - Centre Francois Magendie
Pessac
France
Centre Hospitalier Lyon Sud
Pierre-Bénite
France
Hopital de la Milétrie
Poitiers
France
Ch Annecy Gennevois
Pringy
France
CH de Cornouaille
Quimper
France
CHU de REIMS
Reims
France
CHU Pontchaillou
Rennes
France
Centre Henri BECQUEREL
Rouen
France
Hopital René Huguenin
Saint-Cloud
France
Institut de Cancérologie de la Loire Lucien Neuwirth
Saint-Priest-en-Jarez
France
Institut de Cancérologie Strasbourg Europe
Strasbourg
France
IUCT Oncopole
Toulouse
France
CHU Bretonneau
Tours
France
CHU Nancy Brabois
Vandœuvre-lès-Nancy
France
CH de Bretagne Atlantique - Hopital CHUBERT
Vannes
France
Institut Gustave ROUSSY
Villejuif
France
+ 5 more sites — see the full list on the official registry below.
More The Lymphoma Academic Research Organisation trials in Belgium
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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