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Monoclonal Antibodies
Pembrolizumab + Tazemetostat for Non-Hodgkin's Lymphoma
Phase 2
Recruiting
Led By Reem Karmali, MD
Research Sponsored by Northwestern University
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Patients must have a histo-pathologically confirmed aggressive B-cell NHL intended for or currently undergoing standard of care ASCT or CAR T-cell therapy
Patients should have met the FDA approved indications for the respective CAR T cell construct being used
Must not have
Patients with active autoimmune disease that has required systemic treatment in the past 2 years
Patients with a diagnosis of immunodeficiency or receiving chronic systemic glucocorticoids
Timeline
Screening 3 weeks
Treatment Varies
Follow Up from asct or car t-cell infusion until death from any cause, up to 3 years
Awards & highlights
No Placebo-Only Group
Summary
This trial aims to see how well pembrolizumab and tazemetostat work together to treat patients with aggressive non-Hodgkin's lymphoma who have previously undergone autologous
Who is the study for?
This trial is for patients with aggressive B-cell Non-Hodgkin's Lymphoma who have already undergone autologous stem cell transplantation (ASCT) or chimeric antigen receptor (CAR) T-cell therapy. Specific eligibility criteria are not provided, but typically include factors like age, health status, and previous treatments.
What is being tested?
The trial is testing the combination of pembrolizumab (a monoclonal antibody that helps the immune system detect and fight cancer cells) and tazemetostat (a drug that may stop cancer growth by blocking certain enzymes), to see if they can improve outcomes in patients post-ASCT or CAR-T therapy.
What are the potential side effects?
Potential side effects from pembrolizumab could include fatigue, skin reactions, diarrhea, liver inflammation, and infusion-related reactions. Tazemetostat might cause tiredness, nausea, loss of appetite or weight loss. Side effects vary among individuals.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I have aggressive B-cell NHL and am getting a stem cell transplant or CAR T-cell therapy.
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I meet the FDA requirements for my specific CAR T cell therapy.
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I am 18 years old or older.
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I am fully active or can carry out light work.
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My PET/CT scan shows active cancer before starting CAR T-cell therapy.
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I am in complete remission and ready for stem cell transplant.
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My kidneys are functioning well enough, with a creatinine clearance of 30 mL/min or more.
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I have had hepatitis C but my viral load is now undetectable.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I have an autoimmune disease treated with medication in the last 2 years.
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I have an immune system disorder or I'm on long-term steroids.
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I have a known history of HIV.
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I have had myeloid malignancies or T-cell lymphoblastic lymphoma before.
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I cannot take pills by mouth or have a condition that affects how my body absorbs nutrients.
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I have not had radiotherapy in the last 14 days.
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I have previously been treated with EZH2 inhibitors or similar drugs.
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I have a history of chronic hepatitis B.
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I have or had lung inflammation that needed steroids.
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I have another cancer that is getting worse or I am currently being treated for.
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I am not pregnant or nursing.
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I have active brain metastases or carcinomatous meningitis.
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I have side effects from previous cancer treatments that affect my health.
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I have received an organ or tissue transplant from another person.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ from asct or car t-cell infusion until death from any cause, up to 3 years
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~from asct or car t-cell infusion until death from any cause, up to 3 years
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Event free survival
Secondary study objectives
Complete response rate
Incidence of adverse events
Objective response rate (ORR)
+3 moreAwards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
1Treatment groups
Experimental Treatment
Group I: Treatment (pembrolizumab, tazemetostat)Experimental Treatment6 Interventions
Starting on day 14 after standard of care ASCT or CAR-T cell treatment patients receive pembrolizumab IV on day 1 of each cycle. Starting cycle 2, patients receive tazemetostat PO BID on days 1-21 of each cycle. Cycles repeat every 21 days for 12 months in the absence of disease progression or unacceptable toxicity. Patients undergo echocardiography during screening, CT scan, PET scan, and blood sample collection throughout the study.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Pembrolizumab
2017
Completed Phase 3
~3130
Biospecimen Collection
2004
Completed Phase 3
~2030
Computed Tomography
2017
Completed Phase 2
~2790
Echocardiography
2013
Completed Phase 4
~11580
Positron Emission Tomography
2011
Completed Phase 2
~2200
Tazemetostat
2016
Completed Phase 2
~1050
Find a Location
Who is running the clinical trial?
Northwestern UniversityLead Sponsor
1,652 Previous Clinical Trials
961,483 Total Patients Enrolled
National Cancer Institute (NCI)NIH
13,956 Previous Clinical Trials
41,112,051 Total Patients Enrolled
Reem Karmali, MDPrincipal InvestigatorNorthwestern University
5 Previous Clinical Trials
95 Total Patients Enrolled