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NCT00290706

A Phase I/II Trial of VELCADE & Gemcitabine for Patients With Relapsed or Refractory Aggressive B- and T-cell Non-Hodgkin's Lymphoma

Terminated Phase 1, PHASE2 Results posted Last updated 28 May 2019
What this trial tests

Phase 1, PHASE2 trial testing bortezomib in Lymphoma in 32 participants. Terminated before completion.

Timeline
7 April 2006
Primary endpoint
11 February 2011
5 September 2012

Quick facts

Lead sponsorNorthwestern University
PhasePhase 1, PHASE2
StatusTerminated
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment32
Start date7 April 2006
Primary completion11 February 2011
Estimated completion5 September 2012
Sites3 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Northwestern University

Who can join

18 and older, any sex, with 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.

Response Rate in Patients With Relapsed or Refractory B- and T-cell NHL With Gemcitabine and Bortezomib Combination Treatment. Primary · At screening and after completing cycle 3, cycle 6 and 30 days after Cycle 8

Response rate in patients with relapsed or refractory B- and T-cell NHL with Gemcitabine and Bortezomib combination treatment will be defined as the number of patients with Complete Remission \[CR\] and Partial Remission \[PR\]. CT scans at screening and after completing cycle 3, cycle 6 and 30 days after Cycle 8 assessed by the Response Criteria for Non-hodgkins Lymphoma will be used to determine response where: CR=Complete disappearance of all detectable clinical and radiographic evidence of disease PR=\> 50% decrease in SPD of the six largest dominant nodes or nodal masses

GroupValue95% CI
Phase II Gemcitabine 800 mg/m2 + Bortezomib 1.6 mg/m2 D1+D81
Phase II Gemcitabine 800 mg/m2 + Bortezomib 1.6 mg/m2 D1+D152

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events were collected from the start of treatment through 30 days post treatment. The study was designed for a maximum of 8 Cycles of treatment (1 Cycle = 28 days) and the range of cycles attemted by any patient was 1 - 8.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Cohort 1 -Gemcitabine 800 mg/m2 + Bortezomib 1.3 mg/m2
Serious: 4/5 (80%)
Deaths: 5/5
Cohort 1 -Gemcitabine 800 mg/m2 + Bortezomib 1.6 mg/m2
Serious: 2/6 (33%)
Deaths: 6/6
Phase II Gemcitabine 800 mg/m2 + Bortezomib 1.6 mg/m2 D1+D8
Serious: 3/7 (43%)
Deaths: 7/7
Phase II Gemcitabine 800 mg/m2 + Bortezomib 1.6 mg/m2 D1+D15
Serious: 6/14 (43%)
Deaths: 11/14

Serious adverse events (18 terms)

ReactionSystemCohort 1 -Gemcitabine 800 …Cohort 1 -Gemcitabine 800 …Phase II Gemcitabine 800 m…Phase II Gemcitabine 800 m…
Progressive disease - deathNeoplasms benign, malignant and unspecified (incl cysts and polyps)
AnemiaBlood and lymphatic system disorders
Renal FailureRenal and urinary disorders
Multi organ failure - deathGeneral disorders
FeverGeneral disorders
RashSkin and subcutaneous tissue disorders
Pneumonia leading to deathInfections and infestations
HeadacheNervous system disorders
HypertensionCardiac disorders
Infection NOSInfections and infestations
PneumoniaInfections and infestations
SepsisInfections and infestations
BacteremiaInfections and infestations
Pleural EffusionRespiratory, thoracic and mediastinal disorders
VomitingGastrointestinal disorders
HyponatremiaMetabolism and nutrition disorders
Rectal bleedingRenal and urinary disorders
NeutropeniaInfections and infestations
Other adverse events (84 terms — click to expand)

ReactionSystemCohort 1 -Gemcitabine 800 …Cohort 1 -Gemcitabine 800 …Phase II Gemcitabine 800 m…Phase II Gemcitabine 800 m…
Hemoglobin decreased (Anemia)Blood and lymphatic system disorders
FatigueGeneral disorders
Sensory NeuropathyNervous system disorders
NauseaGastrointestinal disorders
Glucose, Serum-HighMetabolism and nutrition disorders
Platelet Decrease (Thrombocytopenia)Blood and lymphatic system disorders
DiarrheaGastrointestinal disorders
Leukocytes (Total white blood cells)Blood and lymphatic system disorders
Lymphocyte Count DecreasedBlood and lymphatic system disorders
VomitingGastrointestinal disorders
Neutrophil decreased (neutropenia)Blood and lymphatic system disorders
FeverGeneral disorders
ConstipationGastrointestinal disorders
EdemaBlood and lymphatic system disorders
Alkaline PhosphataseMetabolism and nutrition disorders
Transaminase IncreasedMetabolism and nutrition disorders
Albumin, Serum-LowMetabolism and nutrition disorders
CreatinineMetabolism and nutrition disorders
Magnesium, Serum-LowMetabolism and nutrition disorders
HypertensionCardiac disorders
HypotensionCardiac disorders
TachycardiaCardiac disorders
Weight gainGeneral disorders
AnorexiaGastrointestinal disorders
Sinus InfectionInfections and infestations
Infection (Not otherwise specified)Infections and infestations
Edema in LimbsBlood and lymphatic system disorders
AST IncreasedMetabolism and nutrition disorders
Phosphate, Serum-LowMetabolism and nutrition disorders
Potassium, Serum-HighMetabolism and nutrition disorders
Potassium, Serum-LowMetabolism and nutrition disorders
Uric Acid, Serum-HighMetabolism and nutrition disorders
Pain in Abdomen (Not otherwise specified)Gastrointestinal disorders
Pain (Not otherwise specified)General disorders
CoughRespiratory, thoracic and mediastinal disorders
Dyspnea (Shortness of Breath)Respiratory, thoracic and mediastinal disorders
Atrial FibrillationCardiac disorders
SweatingGeneral disorders
Weight LossGeneral disorders
Skin (Not otherwise specified)Skin and subcutaneous tissue disorders

Most-reported serious reactions: Progressive disease - death, Anemia, Renal Failure, Multi organ failure - death, Fever, Rash, Pneumonia leading to death, Headache.

Data from ClinicalTrials.gov NCT00290706 adverse events section.

Sponsor's own description

RATIONALE: Drugs used in chemotherapy, such as gemcitabine, work in different ways to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. Bortezomib may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth. Giving gemcitabine together with bortezomib may kill more cancer cells. PURPOSE: This phase I/II trial is studying the side effects and best dose of bortezomib when given together with gemcitabine and to see how well they work in treating patients with relapsed or refractory B-cell or T-cell non-Hodgkin's lymphoma.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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Other trials of bortezomib

Trials testing the same drug.

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Currently open trials in the same condition.

Other Northwestern University trials

Trials by the same sponsor.

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Data sources for this page

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