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NCT00372905

Phase I/II Trial of VELCADE Plus Zevalin in Patients With Relapsed or Refractory Follicular Lymphoma

Terminated Phase 1, PHASE2 Results posted Last updated 4 September 2019
What this trial tests

Phase 1, PHASE2 trial testing rituximab in Lymphoma in 18 participants. Terminated before completion.

Timeline
24 July 2007
Primary endpoint
22 June 2010
8 July 2013

Quick facts

Lead sponsorNorthwestern University
PhasePhase 1, PHASE2
StatusTerminated
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment18
Start date24 July 2007
Primary completion22 June 2010
Estimated completion8 July 2013
Sites2 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.

Maximum Tolerated Dose (MTD) and Tolerability of Bortezomib Combined With Y-90-Ibritumomab Tiuxetan Determined by Number of Dose Limiting Toxicities in a Cohort. Primary · During induction therapy, the first 28 days of treatment.

To determine the MTD using a 3+3 dose escalating design. There will be 3 dose cohorts:1.0mg/m2,1.3mg/m2 and1.6 mg/m2. 3 patients will be enrolled at dose of 1.0mg/m2 bortezomib. If no dose limiting toxicities (DLTs) are seen in the first 3 patients then dose will be escalated to next level and 3 patients will be treated at that dose level. If a DLT is seen at any dose, then 3 more patients will be enrolled at that dose level. If 1 patient out of 6, experience a DLT then MTD will be determined to be at this dose level. If 2 or more DLTs are seen in first 3 patients at that dose, then MTD will b

GroupValue95% CI
Cohort 1: 1.0mg/m2 Bortezomib0
Cohort 2: 1.3mg/m2 Bortezomib0
Cohort 3: 1.6mg/m2 Bortezomib2
Number of Patients With Adverse Events Related to Treatment of Bortezomib Combined With Y-90-ibritumomab Tiuxetan Secondary · At start of treatment on days 1, 8, 15, 22 of induction, days 36 and 50 of recovery, days 1, 8, 15 of consolidation cycles for up to 3 cycles and 4 weeks after the completion of treatment.

To further explore the toxicity bortezomib combined with Y-90-ibritumomab tiuxetan by collecting data on adverse events (AE) reported by patient or collected lab results that are grade 3 or grade 4 that were determined to be at least possible related to any of the studies drugs. Toxicity will be collected on treatment days according to the National Cancer Institute's Common Toxicity Criteria for adverse events version 3.0 (CTCAE v3.0). In general adverse events (AEs) will be graded according to the following: Grade 1 Mild AE Grade 2 Moderate AE Grade 3 Severe AE Grade 4 Life-threatening or d

Leukopenia
GroupValue95% CI
Cohort 1+ Cohort 2+ Cohort 33
Lymphopenia
GroupValue95% CI
Cohort 1+ Cohort 2+ Cohort 33
Neutropenia
GroupValue95% CI
Cohort 1+ Cohort 2+ Cohort 35
Thrombocytopenia
GroupValue95% CI
Cohort 1+ Cohort 2+ Cohort 34
Cardiac
GroupValue95% CI
Cohort 1+ Cohort 2+ Cohort 31
Overall Response Rate Secondary · At baseline, after induction cycle (1 cycle =28 days) and consolidation therapy of a maximum of 3 cycles (1cycle =28 days), up to approximately 6 months

The overall response rate at the completion of treatment was defined as complete response plus partial response. Complete response (CR)=A post-treatment residual mass of any size is permitted as long as it is PET-negative and normalization of those biochemical abnormalities. Partial response (PR)=50% decrease in SPD of the six largest dominant nodes or nodal masses, no increase in the size of the other nodes, liver or spleen, and no new sites of disease. Stable disease=Failing to attain the criteria for PR or CR, but not fulfilling those for progressive disease. Progressive disease(PD)=At

GroupValue95% CI
Cohort 1+ Cohort 2+ Cohort 389
Median Progression Free Survival Secondary · At start of treatment, at completion of induction therapy, at completion of consolidation therapy, every 3 months for 1 year, and every 6 months for 1 year

Median progression free survival (PFS) will be assessed by CT scans after induction therapy, consolidation therapy, every 3 months for the first year following treatment and every 6 months for the second year. Progressive disease is defined as the appearance of any new lesion more than 1.5 cm in any axis during or at the end of therapy, even if other lesions are decreasing in size or at least a 50% increase in the longest diameter of any single previously identified node or extranodal mass more than 1 cm in its short axis.

GroupValue95% CI
Cohort 1+ Cohort 2+ Cohort 36.53 – 22.5

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events (AE) for the study were collected over a 5 year period. AEs for each patient were collected during treatment through 30 days post last treatment. Treatment consisted of one 28 day induction cycle followed by 71 day recovery period and then a maximum of 3 consolidation cycles each of 28 days.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Cohort 1: 1.0mg/m2 Bortezomib
Serious: 0/3 (0%)
Deaths: 0/3
Cohort 2: 1.3mg/m2 Bortezomib
Serious: 0/3 (0%)
Deaths: 1/3
Cohort 3: 1.6mg/m2 Bortezomib
Serious: 0/3 (0%)
Deaths: 0/3
Expansion Phase: 1.3mg/m2 Bortezomib
Serious: 1/8 (13%)
Deaths: 1/8

Serious adverse events (1 terms)

ReactionSystemCohort 1: 1.0mg/m2 Bortezo…Cohort 2: 1.3mg/m2 Bortezo…Cohort 3: 1.6mg/m2 Bortezo…Expansion Phase: 1.3mg/m2 …
Respiratory failureRespiratory, thoracic and mediastinal disorders
Other adverse events (78 terms — click to expand)

ReactionSystemCohort 1: 1.0mg/m2 Bortezo…Cohort 2: 1.3mg/m2 Bortezo…Cohort 3: 1.6mg/m2 Bortezo…Expansion Phase: 1.3mg/m2 …
Platelets (thrombocytopenia)Blood and lymphatic system disorders
FatigueGeneral disorders
DiarrheaGastrointestinal disorders
Hemoglobin (anemia)Blood and lymphatic system disorders
Neutrophils (neutropenia)Blood and lymphatic system disorders
Leukocytes (total white blood cells)Blood and lymphatic system disorders
LymphopeniaBlood and lymphatic system disorders
NauseaGastrointestinal disorders
Sinus infectionInfections and infestations
Glucose, serum highMetabolism and nutrition disorders
Neuropathy - sensoryNervous system disorders
HeadacheNervous system disorders
InsomniaGeneral disorders
Rash/desquamationSkin and subcutaneous tissue disorders
Hot flashes/flushesSkin and subcutaneous tissue disorders
ConstipationGastrointestinal disorders
VomitingGastrointestinal disorders
Alkaline phosphatase increaseMetabolism and nutrition disorders
Glucose, serum lowMetabolism and nutrition disorders
Lactic acid dehydrogenase increase (LDH)Metabolism and nutrition disorders
Potassium, serum lowMetabolism and nutrition disorders
Sodium, serum highMetabolism and nutrition disorders
DizzinessNervous system disorders
Joint painMusculoskeletal and connective tissue disorders
Shortness of breath (dyspnea)Respiratory, thoracic and mediastinal disorders
Otitis (non infectious)Ear and labyrinth disorders
Hearing lossEar and labyrinth disorders
HypertensionCardiac disorders
Cardiac NOSCardiac disorders
PalpitationsCardiac disorders
Ventricular arrhythmiaCardiac disorders
TachycardiaCardiac disorders
MalaiseGeneral disorders
FeverGeneral disorders
SweatingGeneral disorders
Weight lossGeneral disorders
BrusingSkin and subcutaneous tissue disorders
Pruritis/itchingSkin and subcutaneous tissue disorders
ShinglesSkin and subcutaneous tissue disorders
Cavity - Root canalGastrointestinal disorders

Most-reported serious reactions: Respiratory failure.

Data from ClinicalTrials.gov NCT00372905 adverse events section.

Sponsor's own description

Bortezomib may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth. Monoclonal antibodies, such as rituximab, can block cancer growth in different ways. Some block the ability of cancer cells to grow and spread. Others find cancer cells and help kill them or carry cancer-killing substances to them. Radiolabeled monoclonal antibodies, such as yttrium Y 90 ibritumomab tiuxetan, can find cancer cells and carry cancer-killing substances to them without harming normal cells. Giving bortezomib together with rituximab and yttrium Y 90 ibritumomab tiuxetan may kill more cancer cells. This phase I/II trial is studying the side effects and best dose of bortezomib when given together with rituximab and yttrium Y 90 ibritumomab tiuxetan and to see how well they work in treating patients with relapsed or refractory follicular non-Hodgkin's lymphoma.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Novel treatment approaches and future perspectives in follicular lymphoma.
    Sutamtewagul G, Link BK. · · 2019 · cited 7× · PMID 30719267 · DOI 10.1177/2040620718820510

Verify or expand the search:

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Trials by the same sponsor.

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