Researchers are looking for new ways to treat follicular lymphoma (FL). A standard (usual) treatment for FL includes a targeted therapy called rituximab and chemotherapy. In this study, researchers want to learn if giving a study medicine called MK-1045 and rituximab can treat FL. MK-1045 is a type of treatment called immunotherapy.
The goals of this study are to learn:
* About the safety of MK-1045 and rituximab, and if people tolerate them when given together
* If people who receive MK-1045 and rituximab have the cancer go away
* If people who receive MK-1045 and rituximab live longer without their cancer getting worse compared to those who receive standard treatment (rituximab and chemotherapy)
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* Has biopsy-proven, previously untreated, histologically confirmed cluster of differentiation (CD)19-positive and CD20-positive classical follicular lymphoma (FL), with Ann Arbor Stage II-IV disease and a Follicular Lymphoma International Prognostic Index (FLIPI) score of 2-5.
* Has radiographically measurable disease per the Lugano Response Criteria.
* Has provided a newly obtained core or excisional biopsy or archival tissue of a tumor lesion not previously irradiated.
* If human immunodeficiency virus (HIV)-positive, has well-controlled HIV on antiretroviral therapy (ART).
* If hepatitis B surface antigen (HBsAg)-positive, has undetectable hepatitis B virus (HBV) viral load and has received HBV antiviral therapy for at least 4 weeks and will continue it.
* If history of hepatitis C virus (HCV) infection, has undetectable HCV viral load.
Exclusion Criteria:
* Has received prior systemic anticancer therapy or radiotherapy for FL.
* Has follicular large B-cell lymphoma or any other subtype of FL other than classical FL.
* Has FL that has transformed into a more aggressive type of lymphoma.
* History or presence of clinically relevant central nervous system (CNS) diseases.
* Has history of serious cardiovascular and cerebrovascular diseases.
* Is HIV-infected with a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease.
* Has received a live or live-attenuated vaccine within 30 days before the first dose of study intervention.
* Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy.
* Has a known additional malignancy that is progressing or has required active treatment within the past 3 years.
* Has known active CNS lymphoma or involvement.
* Has an active autoimmune disease that has required systemic treatment in the past 2 years.
* Has active infection requiring systemic therapy.
* Has chronic liver disease, including liver cirrhosis of Child-Pugh class B or C.
* Has not adequately recovered from major surgery or has ongoing surgical complications.
Primary outcome measure(s)
Part 1: Number of Participants Who Experience an Adverse Event (AE) — Up to approximately 15 months An AE is defined as any unfavorable and unintended sign, symptom, disease, or worsening of preexisting condition temporally associated with study treatment and irrespective of causality to study treatment.
Part 1: Number of Participants Who Discontinue Study Treatment Due to an AE — Up to approximately 12 months An AE is defined as any unfavorable and unintended sign, symptom, disease, or worsening of preexisting condition temporally associated with study treatment and irrespective of causality to study treatment.
Part 1: Number of Participants Who Experience Dose Limiting Toxicity (DLT) — Up to approximately 36 days DLT will be defined as any drug-related AE observed during the DLT evaluation period that results in a change to a given dose or a delay in initiating the next cycle.
Part 1: Complete Response (CR) Rate — Up to approximately 60 months For participants who demonstrate a confirmed Complete Response (CR: disappearance of all target lesions) per Lugano response criteria. CR rate is defined as the percentage of participants who experience a CR. The CR rate as assessed by physician investigator will be presented.
Part 2: Progression-Free Survival (PFS) — Up to approximately 63 months PFS is defined as the time from randomization to the first documented disease progression per Lugano response criteria by Blinded Independent Central Review (BICR) or death due to any cause, whichever occurs first.
Trial sites (25)
Facility
City
Region
Status
City of Hope - Duarte Cancer Center ( Site 1301)
Duarte
California
Recruiting
University of Kentucky ( Site 1303)
Lexington
Kentucky
Recruiting
John Theurer Cancer Center at Hackensack University Medical Center ( Site 1311)
Hackensack
New Jersey
Recruiting
Duke Cancer Center Clinic 1B/C Onc/Heme ( Site 1307)
Durham
North Carolina
Recruiting
SCRI Oncology Partners ( Site 7000)
Nashville
Tennessee
Recruiting
Instituto Alexander Fleming ( Site 0105)
Ciudad Autonoma de Buenos Aires
Buenos Aires
Recruiting
Sanatorio Nuestra Senora del Rosario ( Site 0104)
Rosario
Santa Fe Province
Recruiting
Hospital Privado Universitario de Córdoba ( Site 0102)
Córdoba
Argentina
Recruiting
Box Hill Hospital ( Site 0201)
Box Hill
Victoria
Recruiting
Beijing Cancer hospital ( Site 0501)
Beijing
Beijing Municipality
Recruiting
Fudan University Shanghai Cancer Center ( Site 0504)
Shanghai
Shanghai Municipality
Recruiting
Hadassah Medical Center ( Site 0701)
Jerusalem
Israel
Recruiting
Sheba Medical Center ( Site 0702)
Ramat Gan
Israel
Recruiting
Sourasky Medical Center ( Site 0704)
Tel Aviv
Israel
Recruiting
Samsung Medical Center ( Site 0801)
Seoul
South Korea
Recruiting
Institut Català d'Oncologia (ICO) - Badalona ( Site 0904)
Badalona
Barcelona
Recruiting
Hospital Virgen de la Victoria ( Site 0905)
Málaga
Malaga
Recruiting
Hospital Universitari Vall de Hebron ( Site 0903)
Barcelona
Spain
Recruiting
Hospital Universitario Gregorio Maranon ( Site 0902)
Madrid
Spain
Recruiting
Hospital Universitario de Salamanca ( Site 0906)
Salamanca
Spain
Recruiting
National Taiwan University Hospital ( Site 1001)
Taipei
Taiwan
Recruiting
Chang Gung Medical Foundation-Linkou Branch ( Site 1002)
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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