Study of Tazemetostat in Participants With Relapsed or Refractory B-cell Non-Hodgkin's Lymphoma With EZH2 Gene Mutation
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ClinicalTrials.gov Identifier: NCT03456726 |
Recruitment Status :
Active, not recruiting
First Posted : March 7, 2018
Last Update Posted : July 1, 2020
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Condition or disease | Intervention/treatment | Phase |
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Relapsed or Refractory B-cell Non-Hodgkin's Lymphoma | Drug: Tazemetostat | Phase 2 |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 13 participants |
Allocation: | Non-Randomized |
Intervention Model: | Parallel Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | A Phase 2 Study of Tazemetostat in Relapsed or Refractory B-cell Non-Hodgkin's Lymphoma With EZH2 Gene Mutation |
Actual Study Start Date : | April 9, 2018 |
Estimated Primary Completion Date : | December 2, 2020 |
Estimated Study Completion Date : | October 2021 |

Arm | Intervention/treatment |
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Experimental: FL with EZH2 gene mutation
Participants with follicular lymphoma (FL) with the EZH2 gene mutation will receive oral tazemetostat at a starting dose of 800 milligrams (mg) twice daily (1600 mg total daily dose) by continuous regimen, no less than 8 hours between doses.
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Drug: Tazemetostat
Tazemetostat will be provided as a 200 mg oral tablet. |
Experimental: DLBCL with EZH2 gene mutation
Participants with diffuse large B-cell lymphoma (DLBCL) with the EZH2 gene mutation will receive oral tazemetostat at a starting dose of 800 mg twice daily (1600 mg total daily dose) by continuous regimen, no less than 8 hours between doses.
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Drug: Tazemetostat
Tazemetostat will be provided as a 200 mg oral tablet. |
- Objective response rate (ORR) [ Time Frame: From administration of the first dose of the study drug until disease progression, development of unacceptable toxicity, participant requests to discontinue, withdrawal of consent, or study termination (up to 30 months) ]ORR is defined as the number of participants with a best overall response of complete response or partial response.
- Progression-free survival (PFS) [ Time Frame: From administration of the first dose of the study drug to the date of the first event (disease progression, death, etc.) (up to 30 months) ]
- Duration of response (DOR) [ Time Frame: From confirmation of the first response to the date of the first event (disease progression, death, etc.) (up to 30 months) ]
- Time to response (TTR) [ Time Frame: From administration of the first dose of the study drug to confirmation of the first response (up to 30 months) ]
- Number of participants with any adverse event, as an assessment of safety [ Time Frame: From administration of the first dose of the study drug to 30 days after the last dose (up to 30 months) ]

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Ages Eligible for Study: | 20 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
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Participants with histological diagnosis of B-cell non-Hodgkin's lymphoma (NHL) as follows:
- Cohort 1: Follicular lymphoma (FL)
- Cohort 2: Diffuse large B-cell lymphoma (including primary mediastinal B-cell lymphoma and transformed FL)
- Participants who have confirmed EZH2 gene mutation of tumor in central laboratory
- Participants who have measurable disease
- Participants who had previous therapy with systemic chemotherapy and/or antibody therapy and for which no standard therapy exists
- Participants who had progressive disease or did not have response (complete response or partial response) in previous systemic therapy, or relapsed or progressed after previous systemic therapy
- Participants with Eastern Cooperative Oncology Group performance status of 0 to 1
- Participants with life expectancy of ≥3 months from starting study drug administration
- Participants with adequate renal, liver, and bone marrow function
- Male and female participants ≥20 years of age at the time of informed consent
- Participants who has provided written consent to participate in the study
Exclusion Criteria:
- Participants with prior exposure to EZH2 inhibitor
- Participants with a history or a presence of central nerves invasion
- Participants with malignant pleural effusion, cardiac effusion, or ascites retention
- Participants with allogeneic stem cell transplantation
- Participants with medical need for the continued use of potent inhibitors of Cytochrome P450 3A (CYP3A)or potent inducer of CYP3A (including St. John's wort)
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Participants with significant cardiovascular impairment
· Participants with prolongation of corrected QT interval using Fridericia's formula to > 480 milliseconds (msec)
- Participants with venous thrombosis or pulmonary embolism within the last 3 months before starting study drug
- Participants with complications of hepatic cirrhosis, interstitial pneumonia or pulmonary fibrosis
- Participants with active infection requiring systemic therapy
- Women of childbearing potential or man of impregnate potential who don't agree that both the participant and his/her partner will use a medically effective method for contraception for periods from before informed consent to during the clinical study and 30 days later (for males 90 days later) from last administration of study drug
- Woman who are pregnant or breastfeeding
- Participants who were deemed as inappropriate to participate in the study by the investigator or sub-investigator
- Have any prior history of T-cell lymphoblastic lymphoma/T-cell acute lymphoblastic leukemia or myeloid malignancies, including myelodysplastic syndrome

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03456726

Responsible Party: | Eisai Co., Ltd. |
ClinicalTrials.gov Identifier: | NCT03456726 |
Other Study ID Numbers: |
E7438-J081-206 |
First Posted: | March 7, 2018 Key Record Dates |
Last Update Posted: | July 1, 2020 |
Last Verified: | January 2020 |
Studies a U.S. FDA-regulated Drug Product: | Yes |
Studies a U.S. FDA-regulated Device Product: | No |
Product Manufactured in and Exported from the U.S.: | Yes |
EZH2 gene mutation Tazemetostat Diffuse large B-cell lymphoma Follicular lymphoma |
Lymphoma Lymphoma, Non-Hodgkin Lymphoma, B-Cell Neoplasms by Histologic Type Neoplasms |
Lymphoproliferative Disorders Lymphatic Diseases Immunoproliferative Disorders Immune System Diseases |