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NCT02399085: L-MIND

Open Label Study to Evaluate the Safety and Efficacy of Lenalidomide With MOR00208 in Patients With R-R DLBCL

Completed Phase 2 Results posted Last updated 23 October 2023
What this trial tests

Phase 2 trial testing Tafasitamab in Diffuse Large B-cell Lymphoma in 81 participants. Completed in 19 April 2023.

Timeline
29 March 2016
Primary endpoint
14 November 2022
19 April 2023

Quick facts

Lead sponsorMorphoSys AG
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment81
Start date29 March 2016
Primary completion14 November 2022
Estimated completion19 April 2023
Sites57 locations across France, Italy, Belgium, United Kingdom, Germany, Hungary, Poland, United States

Drugs / interventions tested

Conditions studied

Sponsor

MorphoSys AG — full company profile →

Who can join

18 and older, any sex, with Diffuse Large B-cell Lymphoma. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Best Objective Response Rate (ORR) Primary · Approximately 4.5 years after first participant enrolled; Approximately 6.5 years after first participant enrolled

ORR = complete response \[CR\] + partial response \[PR\]; Independent Radiology/Clinical Review Committee (IRC) Evaluation. ORR after MOR00208 and Lenalidomide combination therapy assessed by the IRC evaluation. ORR was defined as the number of participants of the total number of participants treated with MOR00208 + LEN with CR or PR as best response achieved at any time during the study.

Approximately 4.5 years after first participant enrolled
GroupValue95% CI
Treatment (MOR00208, Lenalidomide)46
Approximately 6.5 years after first participant enrolled
GroupValue95% CI
Treatment (MOR00208, Lenalidomide)46
Duration of Response (DoR) by IRC Evaluation Secondary · Approximately 4.5 years after first participant enrolled; Approximately 6.5 years after first participant enrolled

DoR \[months\] = (date of assessment of tumor progression or death - date of assessment of first documented response of (CR or PR) + 1)/30.4375.

Approximately 4.5 years after first participant enrolled
GroupValue95% CI
Treatment (MOR00208, Lenalidomide)43.926.1 – NA
Approximately 6.5 years after first participant enrolled
GroupValue95% CI
Treatment (MOR00208, Lenalidomide)NA33.8 – NA
DoR by Investigator (INV) Evaluation Secondary · Approximately 4.5 years after first participant enrolled; Approximately 6.5 years after first participant enrolled

DoR \[months\] = (date of assessment of tumour progression or death - date of assessment of first documented response of (CR or PR) + 1)/30.4375.

Approximately 4.5 years after first participant enrolled
GroupValue95% CI
Tafasitamab (MOR00208) + Lenalidomide (LEN)43.913.9 – NA
Approximately 6.5 years after first participant enrolled
GroupValue95% CI
Tafasitamab (MOR00208) + Lenalidomide (LEN)43.414.1 – NA
Progression-free Survival (PFS) by IRC Evaluation Secondary · Approximately 4.5 years after first participant enrolled; Approximately 6.5 years after first participant enrolled

PFS time was defined as the time (in months) from the date of the first administration of any study drug to the date of tumor progression or death from any cause.

Approximately 4.5 years after first participant enrolled
GroupValue95% CI
Tafasitamab (MOR00208) + Lenalidomide (LEN)11.66.3 – 45.7
Approximately 6.5 years after first participant enrolled
GroupValue95% CI
Tafasitamab (MOR00208) + Lenalidomide (LEN)11.65.7 – 45.7
PFS by INV Evaluation Secondary · Approximately 4.5 years after first participant enrolled; Approximately 6.5 years after first participant enrolled

PFS time was defined as the time (in months) from the date of the first administration of any study drug to the date of tumor progression or death from any cause.

Approximately 4.5 years after first participant enrolled
GroupValue95% CI
Tafasitamab (MOR00208) + Lenalidomide (LEN)9.15.5 – 28.0
Approximately 6.5 years after first participant enrolled
GroupValue95% CI
Tafasitamab (MOR00208) + Lenalidomide (LEN)9.15.5 – 45.5
Overall Survival (OS) Secondary · Approximately 4.5 years after first participant enrolled; Approximately 6.5 years after first participant enrolled

OS was defined as the time from the date of the first administration of any study drug until death from any cause (documented by the date of death).

Approximately 4.5 years after first participant enrolled
GroupValue95% CI
Tafasitamab (MOR00208) + Lenalidomide (LEN)33.518.3 – NA
Approximately 6.5 years after first participant enrolled
GroupValue95% CI
Tafasitamab (MOR00208) + Lenalidomide (LEN)33.518.3 – NA
Disease Control Rate (DCR) by IRC Evaluation Secondary · Approximately 2.5 years after first participant enrolled

DCR = CR + PR + SD (Stable disease); IRC Evaluation DCR was defined as the number of participants having CR, PR or SD based on the best objective response achieved at any time during the study.

GroupValue95% CI
Tafasitamab (MOR00208) + Lenalidomide (LEN)59
DCR by INV Evaluation Secondary · Approximately 2.5 years after first participant enrolled

DCR = CR + PR + SD (Stable disease); IRC Evaluation DCR was defined as the number of participants having CR, PR or SD based on the best objective response achieved at any time during the study.

GroupValue95% CI
Tafasitamab (MOR00208) + Lenalidomide (LEN)60
Time to Progression (TTP) by IRC Evaluation Secondary · Approximately 2.5 years after first participant enrolled

TTP is defined as the time from the first administration of any study drug until documented DLBCL progression or death as a result of lymphoma.

GroupValue95% CI
Tafasitamab (MOR00208) + Lenalidomide (LEN)16.27.4 – NA
TTP by INV Evaluation Secondary · Approximately 2.5 years after first participant enrolled

TTP is defined as the time from the first administration of any study drug until documented DLBCL progression or death as a result of lymphoma.

GroupValue95% CI
Tafasitamab (MOR00208) + Lenalidomide (LEN)14.16.3 – NA
Time to Next Treatment (TTNT) Secondary · Approximately 4.5 years after first participant enrolled; Approximately 6.5 years after first participant enrolled

Kaplan-Meier analysis of TTNT in FAS population. TTNT is defined as the time from the first administration of any study drug to the institution of next anti-neoplastic therapy (for any reason including disease progression, treatment toxicity and participant preference) or death of any cause, whatever comes first.

Approximately 4.5 years after first participant enrolled
GroupValue95% CI
Tafasitamab (MOR00208) + Lenalidomide (LEN)12.17.3 – 24.7
Approximately 6.5 years after first participant enrolled
GroupValue95% CI
Tafasitamab (MOR00208) + Lenalidomide (LEN)12.57.3 – 28
Event-free Survival (EFS) by IRC Evaluation Secondary · Approximately 4.5 years after first participant enrolled; Approximately 6.5 years after first participant enrolled

EFS is defined as the time (in months) from the date of the first administration of any study drug to the date of tumour progression, first initiation of a new non-study anti-neoplastic therapy or death from any cause whichever comes first.

Approximately 4.5 years after first participant enrolled
GroupValue95% CI
Tafasitamab (MOR00208) + Lenalidomide (LEN)8.75.3 – 21.0
Approximately 6.5 years after first participant enrolled
GroupValue95% CI
Tafasitamab (MOR00208) + Lenalidomide (LEN)9.15.3 – 23.5

Adverse events — posted to ClinicalTrials.gov

Time frame: From first day of study drug administration through 30 days after last dose, up to maximum duration of 6.5 years approximately after first participant enrolled.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Treatment (MOR00208, Lenalidomide)
Serious: 47/81 (58%)
Deaths: 45/81

Serious adverse events (67 terms)

ReactionSystemTreatment (MOR00208, Lenal…
PneumoniaInfections and infestations
Febrile neutropeniaBlood and lymphatic system disorders
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
COVID-19Infections and infestations
BronchitisInfections and infestations
Lower respiratory tract infectionInfections and infestations
Atrial fibrillationCardiac disorders
Cardiac failure congestiveCardiac disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Squamous cell carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Basal cell carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Bronchopulmonary aspergillosisInfections and infestations
Cytomegalovirus infectionInfections and infestations
Enterobacter bacteraemiaInfections and infestations
Escherichia bacteraemiaInfections and infestations
Febrile infectionInfections and infestations
InfluenzaInfections and infestations
Klebsiella sepsisInfections and infestations
Neutropenic sepsisInfections and infestations
Parainfluenzae virus infectionInfections and infestations
Progressive multifocal leukoencephalopathyInfections and infestations
Respiratory syncytial virus infectionInfections and infestations
SepsisInfections and infestations
Soft tissue infectionInfections and infestations
Streptococcal sepsisInfections and infestations
Other adverse events (54 terms — click to expand)

ReactionSystemTreatment (MOR00208, Lenal…
NeutropeniaBlood and lymphatic system disorders
AnaemiaBlood and lymphatic system disorders
DiarrhoeaGastrointestinal disorders
CoughRespiratory, thoracic and mediastinal disorders
ThrombocytopeniaBlood and lymphatic system disorders
AstheniaGeneral disorders
Oedema peripheralGeneral disorders
PyrexiaGeneral disorders
Decreased appetiteMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
ConstipationGastrointestinal disorders
HypokalaemiaMetabolism and nutrition disorders
FatigueGeneral disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
BronchitisInfections and infestations
Muscle spasmsMusculoskeletal and connective tissue disorders
LeukopeniaBlood and lymphatic system disorders
Urinary tract infectionInfections and infestations
DyspnoeaRespiratory, thoracic and mediastinal disorders
Respiratory tract infectionInfections and infestations
C-reactive protein increasedInvestigations
Abdominal painGastrointestinal disorders
NasopharyngitisInfections and infestations
Upper respiratory tract infectionInfections and infestations
HypomagnesaemiaMetabolism and nutrition disorders
Pain in extremityMusculoskeletal and connective tissue disorders
PruritusSkin and subcutaneous tissue disorders
RashSkin and subcutaneous tissue disorders
Blood creatinine increasedInvestigations
HeadacheNervous system disorders
ParaesthesiaNervous system disorders
HypertensionVascular disorders
RhinitisInfections and infestations
Mucosal inflammationGeneral disorders
GastroenteritisInfections and infestations
ArthralgiaMusculoskeletal and connective tissue disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
Gamma-glutamyltransferase increasedInvestigations
HypotensionVascular disorders

Most-reported serious reactions: Pneumonia, Febrile neutropenia, Pulmonary embolism, COVID-19, Bronchitis, Lower respiratory tract infection, Atrial fibrillation, Cardiac failure congestive.

Data from ClinicalTrials.gov NCT02399085 adverse events section.

Sponsor's own description

This is a Phase II, Single-Arm, Open-Label, Multicentre Study to Evaluate the Safety and Efficacy of Lenalidomide Combined with MOR00208 in Participants with Relapsed or Refractory Diffuse Large B-Cell Lymphoma (R-R DLBCL).

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Tafasitamab plus lenalidomide in relapsed or refractory diffuse large B-cell lymphoma (L-MIND): a multicentre, prospective, single-arm, phase 2 study.
    Salles G, Duell J, González Barca E, Tournilhac O, et al · · 2020 · cited 400× · PMID 32511983 · DOI 10.1016/s1470-2045(20)30225-4
  2. Antibodies to watch in 2020.
    Kaplon H, Muralidharan M, Schneider Z, Reichert JM. · · 2020 · cited 332× · PMID 31847708 · DOI 10.1080/19420862.2019.1703531
  3. Antibodies to watch in 2019.
    Kaplon H, Reichert JM. · · 2019 · cited 324× · PMID 30516432 · DOI 10.1080/19420862.2018.1556465
  4. Antibodies to watch in 2021.
    Kaplon H, Reichert JM. · · 2021 · cited 215× · PMID 33459118 · DOI 10.1080/19420862.2020.1860476
  5. Understanding and targeting resistance mechanisms in cancer.
    Lei ZN, Tian Q, Teng QX, Wurpel JND, et al · · 2023 · cited 174× · PMID 37229486 · DOI 10.1002/mco2.265
  6. New agents and regimens for diffuse large B cell lymphoma.
    Wang L, Li LR, Young KH. · · 2020 · cited 109× · PMID 33317571 · DOI 10.1186/s13045-020-01011-z
  7. Phase IIa study of the CD19 antibody MOR208 in patients with relapsed or refractory B-cell non-Hodgkin's lymphoma.
    Jurczak W, Zinzani PL, Gaidano G, Goy A, et al · · 2018 · cited 107× · PMID 29444231 · DOI 10.1093/annonc/mdy056
  8. Long-term outcomes from the Phase II L-MIND study of tafasitamab (MOR208) plus lenalidomide in patients with relapsed or refractory diffuse large B-cell lymphoma.
    Duell J, Maddocks KJ, González-Barca E, Jurczak W, et al · · 2021 · cited 103× · PMID 34196165 · DOI 10.3324/haematol.2020.275958

Verify or expand the search:

Other trials of Tafasitamab

Trials testing the same drug.

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Currently open trials in the same condition.

Other MorphoSys AG trials

Trials by the same sponsor.

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02399085.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing