About this trial
This phase I trial tests the safety, side effects, and best dose of tegavivint in treating patients with large b-cell lymphomas that has come back (relapsed) or does not respond to treatment (refractory). Tegavivint may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth. Giving tegavivint may help control the disease.
Eligibility criteria
Qualifiers
Increased expression of MYC (>= 40%) and BCL2 (>= 50%) by immunohistochemistry (IHC) or
Presence of isolated MYC translocation Or
Relapsed/refractory histologically confirmed high-grade B-cell lymphoma (HGBCL) (double hit [DH] and triple hit [TH]) with translocations of MYC and BCL2 and/or BCL6 Or
Histologic transformation of indolent non-Hodgkin's lymphoma (NHL) to DLBCL
Disqualifiers
History of allergic reactions attributed to compounds of similar chemical or biologic composition to tegavivint or other agents used in study
Known active central nervous system (CNS) lymphoma, history of CNS involvement allowed if in remission for >= 3 months
Evidence of chronic active Hepatitis B, chronic active Hepatitis C infection
Human immunodeficiency virus (HIV)-positive patients on combination antiretroviral therapy (e.g., strong CYP3A inhibitors and/or concomitant medications that are excluded) are ineligible because of the potential for pharmacokinetic interactions with tegavivint
Trial design
Treatments tested in this trial
- Biospecimen Collection
- Computed Tomography
- Positron Emission Tomography
- Tegavivint
- Bone Marrow Biopsy
- Bone Marrow Aspiration
Treatment groups
Sponsors and collaborators
Lapo Alinari
Lead sponsor
Ohio State University Comprehensive Cancer Center
Sponsor institution