Study Stopped
Enrolment Challenges
A Study of TAK-981 Given With Rituximab in Adults With Relapsed or Refractory CD20-Positive Non-Hodgkin Lymphoma
Phase 1/2 Study of TAK-981 in Combination With Rituximab in Patients With Relapsed/Refractory CD20-Positive Non-Hodgkin Lymphoma
3 other identifiers
interventional
38
9 countries
59
Brief Summary
This study is about a medicine called TAK-981 given with rituximab, used to treat adults with relapsed or refractory CD20-positive non-Hodgkin lymphoma. This study has 2 parts. The main aims of the study are:
- To check for side effects from treatment with TAK-981 given with rituximab.
- To check how much TAK-981 participants can tolerate.
- To check if participants with diffuse large B-cell lymphoma or follicular lymphoma respond well to treatment. Participants will receive TAK-981 and rituximab in 21-day cycles. They will continue treatment for about 12 months unless their condition gets worse (disease progression), they cannot tolerate the treatment, or they leave the study for certain reasons.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_1
Started Oct 2019
Typical duration for phase_1
59 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 28, 2019
CompletedFirst Posted
Study publicly available on registry
August 30, 2019
CompletedStudy Start
First participant enrolled
October 15, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 26, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
April 26, 2023
CompletedResults Posted
Study results publicly available
June 14, 2024
CompletedJune 14, 2024
May 1, 2024
3.5 years
August 28, 2019
March 26, 2024
May 17, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (5)
Phase 1: Number of Participants With One or More Treatment-Emergent Adverse Events (TEAEs)
Adverse event (AE) means any untoward medical occurrence in a participant administered a pharmaceutical product. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product. A TEAE was defined as an adverse event which occurred on or after the first dose of study drug and no more than 30 days after the last dose of study drug.
From the first dose of study drug through 30 days after the last dose of study drug (up to 42 months)
Phase 1: Number of Participants With Grade 3 or Higher TEAEs
AE means any untoward medical occurrence in a participant administered a pharmaceutical product. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product whether or not it is related to the medicinal product. A TEAE was defined as an adverse event which occurred on or after the first dose of study drug and no more than 30 days after the last dose of study drug. A severity grade was evaluated as per the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) Version 5.0, except for Cytokine Release Syndrome (CRS), which was assessed by American Society for Transplantation and Cellular Therapy (ASTCT) consensus grading criteria.
From the first dose of study drug through 30 days after the last dose of study drug (up to 42 months)
Phase 1: Duration of TEAEs
AE means any untoward medical occurrence in a participant administered a pharmaceutical product. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product whether or not it is related to the medicinal product. A TEAE was defined as an adverse event which occurred on or after the first dose of study drug and no more than 30 days after the last dose of study drug. As per planned analysis, data for this outcome measure were collected and analyzed for the combined population (Phase 1: TAK-981 60mg QW+Japan Lead-in: TAK-981 60mg QW) based on regimen in which same dose groups in Phase 1 irrespective of nationality were pooled.
From the first dose of study drug through 30 days after the last dose of study drug (up to 42 months)
Phase 1: Number of Participants With Dose Limiting Toxicities (DLTs) Per Dose Level
DLTs were evaluated according to NCI CTCAE, Version 5.0.
Up to 42 months
Phase 2: Overall Response Rate (ORR)
ORR was defined as the percentage of participants who achieved complete response (CR) and partial response (PR), as defined by the investigator according to Lugano classification for lymphomas during the study.
Up to 42 months
Secondary Outcomes (23)
Cmax: Maximum Observed Plasma Concentration for TAK-981
Cycle 1: Days 1 and 8, pre-infusion and at multiple timepoints (Up to 24 hours) post end of infusion (cycle length=21 days)
Tmax: Time of First Occurrence of the Maximum Plasma Concentration (Cmax) for TAK-981
Cycle 1: Days 1 and 8, pre-infusion and at multiple timepoints (Up to 24 hours) post end of infusion (cycle length=21 days)
AUC0-t: Area Under the Plasma Concentration-time Curve From Time 0 to Time t Over the Dosing Interval for TAK-981
Cycle 1: Days 1 and 8, pre-infusion and at multiple timepoints (Up to 24 hours) post end of infusion (cycle length=21 days)
AUC0-∞: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for TAK-981
Cycle 1: Days 1 and 8, pre-infusion and at multiple timepoints (Up to 24 hours) post end of infusion (cycle length=21 days)
t1/2z: Terminal Disposition Phase Half-life for TAK-981
Cycle 1: Days 1 and 8, pre-infusion and at multiple timepoints (Up to 24 hours) post end of infusion (cycle length=21 days)
- +18 more secondary outcomes
Study Arms (10)
Phase 1: TAK-981 10mg QW
EXPERIMENTALParticipants with indolent or aggressive non-Hodgkin lymphoma (NHL) received TAK-981 10 mg, infusion, intravenously (IV), once weekly (QW) on Days 1 and 8 every 21 days in each 21-day treatment cycle in combination with rituximab 375 milligram per square meter (mg/m\^2), infusion, IV, once on Days 1, 8, and 15 of Cycle 1 and then on Day 1 of each 21-day treatment cycle from Cycle 2 for up to 12 months or disease progression (PD) or unacceptable toxicity.
Phase 1: TAK-981 40mg QW
EXPERIMENTALParticipants with indolent or aggressive NHL received TAK-981 40 mg, infusion, IV, QW on Days 1 and 8 every 21 days in each 21-day treatment cycle in combination with rituximab 375 mg/m\^2, infusion, IV, once on Days 1, 8, and 15 of Cycle 1 and then on Day 1 of each 21-day treatment cycle from Cycle 2 for up to 12 months or PD or unacceptable toxicity.
Phase 1: TAK-981 60mg QW
EXPERIMENTALParticipants with indolent or aggressive NHL received TAK-981 60 mg, infusion, IV, QW on Days 1 and 8 every 21 days in each 21-day treatment cycle in combination with rituximab 375 mg/m\^2, infusion, IV, once on Days 1, 8, and 15 of Cycle 1 and then on Day 1 of each 21-day treatment cycle from Cycle 2 for up to 12 months or PD or unacceptable toxicity.
Phase 1: TAK-981 90mg QW
EXPERIMENTALParticipants with indolent or aggressive NHL received TAK-981 90 mg, infusion, IV, QW on Days 1 and 8 every 21 days in each 21-day treatment cycle in combination with rituximab 375 mg/m\^2, infusion, IV, once on Days 1, 8, and 15 of Cycle 1 and then on Day 1 of each 21-day treatment cycle from Cycle 2 for up to 12 months or PD or unacceptable toxicity.
Phase 1: TAK-981 90mg BIW
EXPERIMENTALParticipants with indolent or aggressive NHL received TAK-981 90 mg, infusion, IV, BIW on Days 1, 4, 8, and 11 every 21 days in each 21-day treatment cycle in combination with rituximab 375 mg/m\^2, infusion, IV, once on Days 1, 8, and 15 of Cycle 1 and then on Day 1 of each 21-day treatment cycle from Cycle 2 for up to 12 months or PD or unacceptable toxicity.
Phase 1: TAK-981 120mg QW
EXPERIMENTALParticipants with indolent or aggressive NHL received TAK-981 120 mg, infusion, IV, QW on Days 1 and 8 every 21 days in each 21-day treatment cycle in combination with rituximab 375 mg/m\^2, infusion, IV, once on Days 1, 8, and 15 of Cycle 1 and then on Day 1 of each 21-day treatment cycle from Cycle 2 for up to 12 months or PD or unacceptable toxicity.
Phase 1: Japan Lead-in: TAK-981 60mg QW
EXPERIMENTALJapanese participants with indolent or aggressive NHL received TAK-981 60 mg, infusion, IV, QW on Days 1 and 8 every 21 days in each 21-day treatment cycle in combination with rituximab 375 mg/m\^2, infusion, IV, once on Days 1, 8, and 15 of Cycle 1 and then on Day 1 of each 21-day treatment cycle from Cycle 2 for up to 12 months or PD or unacceptable toxicity.
Phase 1: Japan Lead-in: TAK-981 60mg BIW
EXPERIMENTALJapanese participants with indolent or aggressive NHL received TAK-981 60 mg, infusion, IV, BIW on Days 1, 4, 8, and 11 every 21 days in each 21-day treatment cycle for up to 12 months or PD or unacceptable toxicity.
Phase 2 (A): TAK-981 120 mg
EXPERIMENTALParticipants with relapsed or refractory (r/r) diffuse large B-cell lymphoma (DLBCL) received TAK-981 120 mg, infusion, IV, QW on Days 1 and 8 every 21 days in each 21-day treatment cycle in combination with rituximab infusion, intravenously, once on Days 1, 8, and 15 of Cycle 1 and then on Day 1 of each 21-day treatment cycle from Cycle 2 for up to 12 months or PD or unacceptable toxicity.
Phase 2 (C): TAK-981 120 mg
EXPERIMENTALParticipants with follicular lymphoma (FL) received TAK-981 120 mg, infusion, IV, QW on Days 1 and 8 every 21 days in each 21-day treatment cycle in combination with rituximab infusion, intravenously, once on Days 1, 8, and 15 of Cycle 1 and then on Day 1 of each 21-day treatment cycle from Cycle 2 for up to 12 months or PD or unacceptable toxicity.
Interventions
TAK-981 intravenous infusion.
Rituximab intravenous infusion.
Eligibility Criteria
You may qualify if:
- Participant Population:
- o. For Phase 1 Dose Escalation: o. aNHL including mantle cell lymphoma and DLBCL histologies such as transformed DLBCL from low-grade lymphoma (follicular or others), DLBCL associated with small-cell infiltration in bone marrow, B-cell lymphoma with intermediate features between DLBCL and Burkitt's lymphoma or with intermediate features between DLBCL and Hodgkin lymphoma, FL grade 3B, and aggressive B-cell lymphoma unclassifiable who must have previously received rituximab, cyclophosphamide, doxorubicin (hydroxydaunorubicin), vincristine, (Oncovin) and prednisone (R-CHOP) (or equivalent anti-CD20 containing therapy) and 1 additional line of therapy in the r/r setting.
- o. iNHL (including FL of grades 1-3A and marginal zone lymphoma) refractory to rituximab or to any other anti-CD20 monoclonal antibodies, who have received at least 1 prior systemic therapy for r/r iNHL.
- o. Rituximab or anti-CD20 refractoriness is defined as failure to respond to, or progression during, any previous rituximab/anti-CD20-containing regimen (monotherapy or combined with chemotherapy), or progression within 6 months of the last rituximab or anti-CD20 dose.
- Note: The minimum qualifying rituximab/anti-CD20 dose is 1 full cycle (that is, weekly\*4 doses monotherapy or 1 complete dose if combined with chemotherapy). Prior anti-CD20 antibody or cytotoxic drugs may have been administered as single agents or as components of combination therapies. Each repeated course of the same single-agent or combination is considered an independent regimen.
- o. For Phase 2, the following confirmed CD20+: o. r/r DLBCL progressed or relapsed after a prior CAR T-cells therapy that has received approval by a health authority for the treatment of DLBCL (Cohort A).
- o. r/r DLBCL that has progressed or relapsed after at least 2 but no more than 3 prior lines of systemic therapy and has not I prior cellular therapy. At least one prior line of therapy must have included a CD20-targeted therapy (Cohort B).
- o. r/r FL that has progressed or relapsed after at least 2 but no more than 3 prior lines of systemic therapy. At least 1 prior line of therapy must have included a CD20-targeted therapy (Cohort C).
- Must be considered ineligible in the opinion of the investigator, or refused autologous stem-cell transplantation (ASCT).
- Eastern Cooperative Oncology Group (ECOG) performance score of less than or equal to (\<=) 2.
- Adequate bone marrow function per local laboratory reference range at screening as follows:
- o Platelet count greater than or equal to (\>=) 75.0\*10\^9/L, Grade 2 thrombocytopenia (platelet count \>=50.0\*10\^9 per liter \[/L\]) is allowed if it is clearly due to marrow involvement with no evidence of myelodysplastic syndrome or hypoplastic bone marrow if found. Absolute neutrophil count (ANC) \>=1.0\*10\^9/L. Hemoglobin \>=85 gram per liter (g/L) (red blood cell \[RBC\] transfusion allowed \>=14 days before assessment).
- Adequate renal and hepatic function, per local laboratory reference range at screening as follows:
- Calculated creatinine clearance \>=30 milliliter per minute (mL/min) calculated with Cockcroft-Gault formula.
- Potassium levels \>=lower limit of normal (LLN). For potassium \>upper limit of normal (ULN) discussion with Takeda medical monitor (MM)/designee recommended.
- +7 more criteria
You may not qualify if:
- Central nervous system lymphoma; active brain or leptomeningeal metastases, as indicated by positive cytology from lumbar puncture or CT scan/magnetic resonance imaging (MRI).
- History of Grade \>=3 infusion-related reaction (IRR) that lead to permanent discontinuation of previous rituximab treatment.
- Post transplantation lymphoproliferative disease except relapsed NHL after ASCT.
- Undergone ASCT or treatment with cellular therapy including CAR T within \<=12 weeks of TAK-981 dosing.
- Prior allogeneic hematopoietic stem-cell transplantation.
- Lymphomas with leukemic expression.
- Prior anticancer therapy including chemotherapy, hormonal therapy, or investigational agents within 2 weeks or within at least 5 half-lives before TAK-981 dosing, whichever is shorter. Low dose steroids (oral prednisone or equivalent \<=20 mg per day), hormonal therapy for prostate cancer or breast cancer (in adjuvant situation), and treatment with bisphosphonates and receptor activator of nuclear factor kappa-B ligand (RANKL) inhibitors are allowed.
- Major surgery within 14 days before the first dose of study drug and not recovered fully from any complications from surgery.
- Significant medical diseases or conditions, as assessed by the Investigators and sponsor that would substantially increase the risk-benefit ratio of participating in the study. This includes but is not limited to acute myocardial infarction or unstable angina within the last 6 months; uncontrolled diabetes mellitus; significant active bacterial, viral, or fungal infections; severely immunocompromised state; severe non-compensated hypertension and congestive heart failure New York Heart Association Class III or IV; ongoing symptomatic cardiac arrhythmias of \>Grade 2, pulmonary embolism, or symptomatic cerebrovascular events; or any other serious cardiac condition (example, pericardial effusion or restrictive cardiomyopathy). Chronic atrial fibrillation on stable anticoagulant therapy is allowed.
- Known chronic hepatitis C and/or positive serology (unless due to vaccination or passive immunization due to immunoglobulin \[Ig\] therapy) for chronic hepatitis B. Known Human Immunodeficiency Virus (HIV) infection.
- Second malignancy within the previous 3 years, except treated basal cell or localized squamous skin carcinomas, localized prostate cancer, cervical carcinoma in situ, resected colorectal adenomatous polyps, breast cancer in situ, or other malignancy for which the participant is not on active anticancer therapy.
- Receipt of any live vaccine within 4 weeks of initiation of study treatment.
- Active, uncontrolled autoimmune disease requiring \>20 mg of prednisone or equivalent, cytotoxics or biologicals.
- Corticosteroid use within 1 week before the first dose of study drug, except as indicated for other medical conditions such as inhaled steroid for asthma, topical steroid use, or as premedication for administration of study drug or contrast. Participants requiring steroids at daily doses \>20 mg prednisone equivalent systemic exposure daily, or those who are administered steroids for lymphoma control or white blood cell count lowering are not eligible.
- With baseline prolongation of the QT interval with Fridericia correction method (QTcF) (example, \>470 milliseconds (ms) for women and \>450 ms for men and a history of congenital long QT syndrome, or torsades de pointes).
- +2 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Takedalead
Study Sites (59)
University of Alabama at Birmingham
Birmingham, Alabama, 35294, United States
University of Michigan Comprehensive Cancer Center
Ann Arbor, Michigan, 48109, United States
Mayo Clinic - Cancer Center - Rochester - PPDS
Rochester, Minnesota, 55905, United States
Levine Cancer Institute - Charlotte
Chapel Hill, North Carolina, 27514, United States
East Carolina University
Greenville, North Carolina, 27834, United States
University of Cincinnati
Cincinnati, Ohio, 45219, United States
University Hospitals Cleveland Medical Center
Cleveland, Ohio, 44106, United States
Ohio State University Wexner Medical Center
Columbus, Ohio, 43210, United States
City of Hope - Comprehensive Cancer Center (CCC)
Portland, Oregon, 97239, United States
Western Pennsylvania Hospital
Pittsburgh, Pennsylvania, 15224, United States
Texas Oncology (Medical City) - USOR
Dallas, Texas, 75230, United States
Texas Oncology (Tyler) - USOR
Tyler, Texas, 75702, United States
Centre Hospitalier de l'Universite de Montreal
Montreal, Quebec, H2L 4M1, Canada
Sir Mortimer B Davis Jewish General Hospital
Pointe-Claire, Quebec, H9R 4S3, Canada
Beijing Cancer Hospital
Beijing, Beijing Municipality, 100142, China
Shanghai East Hospital
Shanghai, Shanghai Municipality, 200123, China
Institut Paoli Calmettes
Marseille, Bouches-du-Rhone, 13273, France
Hopital Francois Mitterand
Dijon, Cote-d'Or, 21000, France
CHU Montpellier - Hopital St Eloi
Montpellier, Herault, 34090, France
Hopital Prive Sevigne
Rennes, Ille-et-Vilaine, 35000, France
Hotel Dieu - Nantes
Nantes, Loire-Atlantique, 44093, France
Centre Henri Becquerel
Rouen, Seine-Maritime, 76038, France
Hopital Saint Antoine
Paris, 75012, France
Hopital Universitaire Pitie Salpetriere
Paris, 75013, France
Universitatsklinikum Freiburg
Freiburg im Breisgau, Baden-Wurttemberg, 79106, Germany
Universitatsklinikum Tubingen
Tübingen, Baden-Wurttemberg, 72076, Germany
Klinikum rechts der Isa der Technischen Universitaet Muenchen
München, Bavaria, 81675, Germany
Universitatsklinikum Wurzburg
Würzburg, Bavaria, 97080, Germany
Universitatsklinikum Essen
Essen, North Rhine-Westphalia, 45147, Germany
Universitatsklinikum Leipzig
Leipzig, Saxony, 04103, Germany
Otto-von-Guericke-Universitat Magdeburg
Magdeburg, Saxony-Anhalt, 39120, Germany
Charite - Universitatsmedizin Berlin
Berlin, 12203, Germany
Azienda Ospedaliera Cardinale G Panico
Tricase, Apulia, 73039, Italy
Azienda Sanitaria Locale di Ravenna
Ravenna, Emilia-Romagna, 48100, Italy
Azienda Ospedaliera San Camillo Forlanini
Rome, Lazio, 00152, Italy
Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico
Milan, Lombardy, 20122, Italy
Istituto Nazionale Dei Tumori
Milan, Lombardy, 20133, Italy
ASST Grande Ospedale Metropolitano Niguarda - Presidio Ospedaliero Ospedale Niguarda
Milan, Lombardy, 20162, Italy
A.O.U. Maggiore della Carita
Novara, Piedmont, 28100, Italy
Azienda Ospedaliera Citta della Salute e della Scienza di Torino
Turin, Piedmont, 10126, Italy
Fondazione IRCCS Policlinico San Matteo di Pavia
Pavia, 27100, Italy
National Hospital Organization Nagoya Medical Center
Nagoya, Aiti, 460-0001, Japan
National Cancer Center Hospital East
Kashiwa, Chiba, 277-8577, Japan
National University Corporation Tohoku University Tohoku University Hospital
Sendai, Miyagi, 980-0872, Japan
Kindai University Hospital
Osakasayama-Shi, Osaka, 589-0014, Japan
The Cancer Institute Hospital of Japanese Foundation For Cancer Research
Koto-Ku, Tokyo, 135-0063, Japan
Hospital Clinic de Barcelona
Barcelona, '08036, Spain
Hospital del Mar
Barcelona, 08003, Spain
Hospital de La Santa Creu i Sant Pau
Barcelona, 08041, Spain
Hospital Universitario Ramon y Cajal
Madrid, 28034, Spain
Hospital Universitario La Paz - PPDS
Madrid, 28046, Spain
Complejo Asistencial Universitario de Salamanca H. Clinico
Salamanca, 37007, Spain
Hospital Universitario Virgen del Rocio - PPDS
Seville, 41013, Spain
Derriford Hospital
Plymouth, Devon, PL6 8DH, United Kingdom
Beatson West of Scotland Cancer Centre - PPDS
Glasgow, Lanarkshire, G12 0YN, United Kingdom
University College London
London, London, City of, NW1 2PG, United Kingdom
Royal Marsden Hospital - Downs Road
London, London, City of, SW7 3RP, United Kingdom
Oxford University Hospitals NHS Trust
Oxford, Oxfordshire, OX3 7LE, United Kingdom
University Hospital Birmingham
Birmingham, B15 2TH, United Kingdom
Related Publications (1)
Nakamura A, Grossman S, Song K, Xega K, Zhang Y, Cvet D, Berger A, Shapiro G, Huszar D. The SUMOylation inhibitor subasumstat potentiates rituximab activity by IFN1-dependent macrophage and NK cell stimulation. Blood. 2022 May 5;139(18):2770-2781. doi: 10.1182/blood.2021014267.
PMID: 35226739DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Limitations and Caveats
The study was terminated due to enrollment challenges.
Results Point of Contact
- Title
- Medical Director
- Organization
- Takeda
Study Officials
- STUDY DIRECTOR
Study Director
Takeda
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SEQUENTIAL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 28, 2019
First Posted
August 30, 2019
Study Start
October 15, 2019
Primary Completion
April 26, 2023
Study Completion
April 26, 2023
Last Updated
June 14, 2024
Results First Posted
June 14, 2024
Record last verified: 2024-05
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP, ICF, CSR
- Access Criteria
- IPD from eligible studies will be shared with qualified researchers according to the criteria and process described on https://vivli.org/ourmember/takeda/. For approved requests, the researchers will be provided access to anonymized data (to respect patient privacy in line with applicable laws and regulations) and with information necessary to address the research objectives under the terms of a data sharing agreement.
Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.