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Brentuximab Vedotin

Phase 3

Primary Cutaneous Anaplastic Large Cell Lymphoma | Small molecule | Oncology |Takeda Pharmaceutical Company Limited|Last Updated: Jan 5, 2021

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment131
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01578499A Phase 3 Trial of Brentuximab Vedotin(SGN-35) Versus Physician's Choice (Methotrexate or Bexarotene) in Participants With CD30-Positive Cutaneous T-Cell Lymphoma (ALCANZA Study)PHASE3 COMPLETED 131Jun 11, 2012Jul 6, 2018Jan 5, 202141 United States, Australia +10
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Study Endpoints
Primary Endpoints
Percentage of Participants Achieving an Objective Response That Lasts at Least 4 Months (ORR4)
Each Cycle until disease progression, death End of treatment (Median overall follow-up 38.8 months)

ORR4 was determined by an Independent Review Facility (IRF) based on Global Response Score (GRS) which consisted of a skin assessment by the investigator using the modified severity-weighted assessment tool (mSWAT), nodal and visceral radiographic assessment by an IRF and for the participants with mycosis fungoides (MF) only, detection of circulation Sezary cells. Participants whose first response occurred after the start of subsequent anticancer therapy were excluded. Response Criteria was based on International Society for Cutaneous Lymphomas (ISCL), United States Cutaneous Lymphoma Consortium (USCLC) and Cutaneous Lymphoma Task Force (CLTF) of the European Organisation for Research and Treatment of Cancer (EORTC) Consensus guidelines (Olsen, 2011).

Secondary Endpoints
Percentage of Participants Achieving a CR
Each Cycle until disease progression, death or data cutoff (Median overall follow-up 38.8 months)
Progression-Free Survival (PFS)
Until disease progression, death or data cutoff (Median PFS follow-up of 38.8 months)
Maximum Change From Baseline in Symptom Domain Score of the Skindex-29 Questionnaire
Baseline up to End of Treatment (Week 52)
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Brentuximab vedotinEXPERIMENTALBrentuximab vedotin 1.8 mg/kg, intravenous over approximately 30 minutes, once on Day 1 of each 21-day cycle and may continue as monotherapy for up to a total of 16 cycles (48 weeks).
Methotrexate or BexaroteneACTIVE_COMPARATORMethotrexate 5 to 50 mg, tablets, orally, once weekly (dose adjustment is guided by patient response and toxicity) or Bexarotene 300 mg/m\^2, tablets, orally, once daily with meals for up to 48 weeks.
Interventions
NameTypeDescription
Brentuximab VedotinDRUGBrentuximab vedotin intravenous injection.
MethotrexateDRUGMethotrexate tablets.
BexaroteneDRUGBexarotene tablets.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites41

Inclusion Criteria: * Voluntary consent form * Male or female participants 18 years or older with diagnosis of mycosis fungoides (MF) or primary cutaneous anaplastic large cell lymphoma (pcALCL) * Participants with pcALCL who have received prior radiation therapy or at least 1 prior systemic therap...

Countries:United StatesAustraliaAustriaBelgiumBrazilFranceGermanyItalyPolandSpainSwitzerlandUnited Kingdom
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