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Trial Title: Study of HMPL-760 Puls R-GemOx Versus Placebo Plus R-GemOx in Relapsed/Refractory DLBCL

NCT ID: NCT06601504

Condition: Relapsed/Refractory Diffuse Large B-Cell Lymphoma

Conditions: Official terms:
Lymphoma
Lymphoma, B-Cell
Lymphoma, Large B-Cell, Diffuse
Gemcitabine

Conditions: Keywords:
R-GemOx
R/R DLBCL
HMPL-760

Study type: Interventional

Study phase: Phase 2

Overall status: Not yet recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

Intervention:

Intervention type: Drug
Intervention name: HMPL-760 planned dose 1
Description: HMPL-760 planned dose 1 daily (QD) orally
Arm group label: Group A: HMPL-760 planned dose 1 once daily (QD) in combination with R-GemOx regimen

Intervention type: Drug
Intervention name: R-GemOx
Description: R-GemOx regimen includes Rituximab Injection, Gemcitabine Hydrochloride for Injection, Gemcitabine Hydrochloride for Injection. R-GemOx regimen in 21-day cycle for a total of 6 cycles. Rituximab 375 mg/m^2 ivgtt is given on day 1 of each cycle, and gemcitabine 1000 mg/m^2 ivgtt is given, followed by oxaliplatin 100 mg/m^2 ivgtt on day 2 of each cycle.
Arm group label: Group A: HMPL-760 planned dose 1 once daily (QD) in combination with R-GemOx regimen
Arm group label: Group B: HMPL-760 placebo planned dose 1 once daily (QD) in combination with R-GemOx regimen
Arm group label: Group C: HMPL-760 planned dose 2 once daily (QD) in combination with R-GemOx regimen
Arm group label: Group D: HMPL-760 placebo planned dose 2 once daily (QD) in combination with R-GemOx regimen

Other name: Rituximab Injection, Gemcitabine Hydrochloride for Injection, Gemcitabine Hydrochloride for Injection

Intervention type: Drug
Intervention name: HMPL-760 placebo planned dose 1
Description: HMPL-760 placebo planned dose 1 daily (QD) orally
Arm group label: Group B: HMPL-760 placebo planned dose 1 once daily (QD) in combination with R-GemOx regimen

Intervention type: Drug
Intervention name: HMPL-760 planned dose 2
Description: HMPL-760 planned dose 2 daily (QD) orally
Arm group label: Group C: HMPL-760 planned dose 2 once daily (QD) in combination with R-GemOx regimen

Intervention type: Drug
Intervention name: HMPL-760 placebo planned dose 2
Description: HMPL-760 placebo planned dose 2 daily (QD) orally
Arm group label: Group D: HMPL-760 placebo planned dose 2 once daily (QD) in combination with R-GemOx regimen

Summary: The goal of this study is to evaluate the efficacy of HMPL-760 in combination with R-GemOx versus placebo in combination with R-GemOx in patients with Relapsed/Refractory Diffuse Large B-Cell Lymphoma (R/R DLBCL).

Detailed description: A Phase II Randomized, Controlled Study to Evaluate the Efficacy, Safety, and Pharmacokinetics of HMPL-760 in Combination with R-GemOx versus Placebo in Combination with R-GemOx in Patients with Relapsed/Refractory Diffuse Large B-Cell Lymphoma (R/R DLBCL). The study phases include screening period, treatment period, safety observation period, PFS follow-up period, and OS follow-up period.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Sign the Informed consent form(ICF) and be able to follow the requirements of study protocol; 2. Age ≥18 years; 3. Eastern Cooperative Oncology Group (ECOG) performance status between 0 and 2; 4. Histopathologically confirmed diagnosis of DLBCL; 5. The investigator judges that the patient's current condition requires further treatment; 6. Patients should have at least one bi-dimensionally measurable lesion; 7. Expected survival is more than 12 weeks; Exclusion Criteria: 1. Patients with known primary or secondary central nervous system lymphoma (CNSL) or the presence of clinical symptoms suggestive of CNSL; 2. Women who are pregnant (positive pregnancy test during the screening period) or breastfeeding; 3. Organ insufficiency; 4. Currently known history of liver disease, including cirrhosis, alcoholic liver, known active infection with human immunodeficiency virus (HIV), hepatitis B virus (HBV), or hepatitis C virus (HCV): 5. History of significant organ bleeding, including gastrointestinal bleeding, hematencephalon, haemoptysis, etc., within 8 weeks prior to the first dose of study drug; 6. Known risk of bleeding, such as coagulation factor deficiency, vascular hemophilia; or the patient is receiving vitamin K antagonist (warfarin); 7. Toxicities from prior anticancer therapy not resolved to Grade ≤ 1 (except for alopecia and decreased appetite); 8. Clinically significant active infection;

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Ruijin Hospital, Shanghai Jiaotong University School of Medicine

Address:
City: Shanghai
Country: China

Start date: October 29, 2024

Completion date: November 12, 2026

Lead sponsor:
Agency: Hutchmed
Agency class: Industry

Source: Hutchmed

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06601504

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