New drug combo aims to keep mantle cell lymphoma in check
NCT ID NCT02896582
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This phase 2 trial tested whether adding the targeted drug obinutuzumab to standard chemotherapy (DHAP) and stem cell transplant could better control mantle cell lymphoma in 86 previously untreated patients. Participants received obinutuzumab during induction, before transplant, and as maintenance for up to 3 years. The main goal was to see if the cancer could be cleared at a molecular level in the bone marrow after initial treatment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Obinutuzumab (a targeted antibody drug) given with chemotherapy (DHAP, BEAM) and followed by stem cell transplant and maintenance therapy.
- What this could lead to
- If successful, this approach could improve long-term control of mantle cell lymphoma and reduce the chance of the cancer coming back.
- What could go wrong
- This is a small, early-phase trial (86 people) with no comparison group, so results may not apply broadly. The treatment involves strong chemotherapy and transplant, which carry serious side effects.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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86 people
The number who actually took part.
- Started
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Nov 2016
- Finished
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Dec 2024
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 65 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age ≥ 18 and age ≤ 65 * Histologically confirmed (according to the World Health Organization (WHO) classification) mantle cell lymphoma. The diagnosis has to be confirmed by phenotypic expression of CD5, CD20 and cyclin D1 or the t(11;14) translocation. * Bone marrow aspiration performed at inclusion for MRD analyses * Eligible for autologous stem cell transplant * Previously untreated MCL * Stage Ann Arbor II-IV in need of treatment * Eastern Cooperative Oncology Group (ECOG) performance status of 0 - 2 * Life expectancy of more than 3 months * Written informed consent * Patient affiliated by any social security system Exclusion Criteria: * Severe cardiac disease: York Heart Association (NYHA) grade 3-4 * Impaired liver (ALanine Amino Transferase (ALAT)/ASparagin Amino Transferase (ASAT) ≥ 2.5 Upper Limit of Normal (ULN), bilirubin ≥ 1.5 ULN), renal (calculated creatinine clearance \< 50 ml/min) or other organ function which will interfere with the treatment, if not related to lymphoma. * History of chronic liver disease * Hepatic veno-occlusive disease or sinusoidal obstruction syndrome * Any of the following laboratory abnormalities, if not result of a BM infiltration: * Absolute Neutrophils Count (ANC) \<1,500 /mm3 (1.5 x 109/L) * Platelet counts \< 75,000/mm3 (75 x 109/L) * Pregnancy/Nursing mothers * Fertile men or women of childbearing potential unless: * surgically sterile or ≥ 2 years after the onset of menopause * willing to use a highly effective contraceptive method * Patients with a malignancy that has been treated but not with curative intent, unless the malignancy has been in remission without treatment for ≥ 5 years prior to enrollment. Patients with a history of curatively treated basal or squamous cell carcinoma or melanoma of the skin or in situ carcinoma of the cervix are eligible. * Known seropositivity for Human Immunodeficiency Virus (HIV), Hepatitis C Virus (HCV) or other active infection uncontrolled by treatment. * Viral infection with hepatitis B virus (HBV) defined as hepatitis B surface antigen (HBsAg) positive and/or Hepatitis B core antibody (anti-HBc) positive Note: Patients who are immune due to hepatitis B vaccination or natural infection (HBs Ag and anti-HBc negative, anti-HBs positive) are eligible. But the patients who are immune due to hepatitis B natural infection should consult liver disease experts before start of treatment and should be monitored and managed following local medical standards to prevent hepatitis reactivation * Prior history of Progressive Multifocal Leukoencephalopathy (PML) * Vaccination with a live vaccine a minimum of 28 days prior to inclusion (Prolonged B cell depletion) * History of severe allergic or anaphylactic reactions to humanized or murine monoclonal antibodies. Known sensitivity or allergy to murine products * Psychiatric illness or condition which could interfere with their ability to understand the requirements of the study. * Person deprived of his/her liberty by a judicial or administrative decision * Person hospitalized without consent * Adult person under legal protection
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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APHP - Hopital Necker
Paris, 75743, France
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CH Perpignan
Perpignan, 66046, France
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CH d'Avignon
Avignon, 84902, France
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CHD Vendée
La Roche-sur-Yon, 85925, France
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CHRU Bretonneau
Tours, 37044, France
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CHRU Lille - Hôpital Claude Huriez
Lille, 59037, France
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CHU Limoges
Limoges, 87042, France
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CHU Lyon Sud
Pierre-Bénite, 69130, France
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CHU Montpellier
Montpellier, 34295, France
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CHU Nantes
Nantes, 44093, France
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CHU Pontchaillou
Rennes, 35033, France
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CHU Robert Debré
Reims, 51092, France
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CHU d'Amiens
Amiens, 80480, France
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CHU d'Angers
Angers, 49000, France
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CHU de Brabois
Vandœuvre-lès-Nancy, France
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CHU de Caen
Caen, 14033, France
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CHU de Clermont Ferrand
Clermont-Ferrand, 63000, France
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CHU de Dijon - Hôpital le Bocage
Dijon, 21034, France
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CHU de Grenoble
Grenoble, 38700, France
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CHU de Haut Leveque
Pessac, 33604, France
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CHU de Poitiers
Poitiers, 86021, France
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CHU de Strasbourg
Strasbourg, 67091, France
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Centre Henri Becquerel
Rouen, 76038, France
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Centre Hospitalier Annecy-Genevois
Pringy, 74374, France
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Clinique Victor Hugo
Le Mans, 72000, France
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Gustave Roussy Cancer Campus
Villejuif, 94805, France
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Hopital Henri Mondor
Créteil, 94010, France
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Hôpital Saint Louis
Paris, 75475, France
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I.U.C.T Oncopole
Toulouse, 31100, France
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Institut de Cancérologie de Loire
Saint-Priest-en-Jarez, 42271, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Off-the-Shelf Gene-Edited immune cells tested against Hard-to-Treat lymphoma
- Triple drug combo targets mantle cell lymphoma
- New drug joins standard chemotherapy in fight against B-Cell lymphoma
- Which lymphoma drug combo works best? a new study aims to find out
- Can a Three-Drug combo erase mantle cell lymphoma without chemotherapy?
- Can a single injection reprogram immune cells to fight cancer?