NCT06936943

Brief Summary

Investigate the efficacy and safety of ONO-4538 in patients with Richter's transformation

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
14

participants targeted

Target at below P25 for phase_2

Timeline
51mo left

Started Nov 2025

Longer than P75 for phase_2

Geographic Reach
1 country

10 active sites

Status
recruiting

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

Study Progress10%
Nov 2025Jul 2030

First Submitted

Initial submission to the registry

April 13, 2025

Completed
7 days until next milestone

First Posted

Study publicly available on registry

April 20, 2025

Completed
7 months until next milestone

Study Start

First participant enrolled

November 19, 2025

Completed
3.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 31, 2029

Expected
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

July 31, 2030

Last Updated

February 13, 2026

Status Verified

February 1, 2026

Enrollment Period

3.7 years

First QC Date

April 13, 2025

Last Update Submit

February 12, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Objective response rate (ORR) (Centralized assessment)

    up to 4 years

Secondary Outcomes (11)

  • Objective response rate (ORR) (site investigator assessment)

    up to 4 years

  • Overall survival (OS)

    up to 4 years

  • Progression free survival (PFS)

    up to 4 years

  • Disease control rate (DCR)

    up to 4 years

  • Duration of response (DOR)

    up to 4 years

  • +6 more secondary outcomes

Study Arms (1)

ONO-4538

EXPERIMENTAL

ONO-4538 480 mg solution administered intravenously every 4 weeks

Drug: ONO-4538

Interventions

every 4 weeks

Also known as: Nivolumab, Opdivo
ONO-4538

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Histological diagnosis of diffuse large B-cell lymphoma (DLBCL)-type or Hodgkin lymphoma(HL)-type Richter's transformation with a history of chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL)
  • In the case of DLBCL-type Richter's transformation, refractory, intolerant or ineligible for treatment of DLBCL
  • Patients with measurable disease
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • Expected to survive for 90 days or more

You may not qualify if:

  • Serious complications
  • Active multiple cancers
  • Active central nervous system (CNS) disease
  • History of allogeneic hematopoietic stem cell transplantation

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (10)

Aichi Cancer Center

Nagoya, Aichi-ken, Japan

RECRUITING

Kyusyu University Hospital

Fukuoka, Fukuoka, 812-8582, Japan

RECRUITING

Hiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital

Hiroshima, Hiroshima, Japan

RECRUITING

Hokkaido University Hospital

Sapporo, Hokkaido, 060-8648, Japan

RECRUITING

Kyoto University Hospital

Kyoto, Kyoto, Japan

RECRUITING

Tohoku University Hospital

Sendai, Miyagi, Japan

RECRUITING

Niigata University Medical & Dental Hospital

Niigata, Niigata, Japan

RECRUITING

Kindai University Hospital

Ōsaka-sayama, Osaka, Japan

RECRUITING

Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital

Bunkyō-Ku, Tokyo, Japan

RECRUITING

National Cancer Center Hospital

Chuo Ku, Tokyo, Japan

RECRUITING

MeSH Terms

Interventions

Nivolumab

Intervention Hierarchy (Ancestors)

Antibodies, Monoclonal, HumanizedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulins

Study Officials

  • Project Leader

    Ono Pharmaceutical Co. Ltd

    STUDY DIRECTOR

Central Study Contacts

North America Clinical Trial Support Desk

CONTACT

International Clinical Trial Support Desk

CONTACT

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 13, 2025

First Posted

April 20, 2025

Study Start

November 19, 2025

Primary Completion (Estimated)

July 31, 2029

Study Completion (Estimated)

July 31, 2030

Last Updated

February 13, 2026

Record last verified: 2026-02

Data Sharing

IPD Sharing
Will not share

Locations