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NCT00577629

Chemotherapy With Monoclonal Antibody and Radioimmunotherapy for High-Risk B-Cell Non-Hodgkins Lymphoma

Completed Phase 2 Results posted Last updated 30 May 2017
What this trial tests

Phase 2 trial testing cyclophosphamide in Lymphoma, B-Cell in 39 participants. Completed in 3 November 2016.

Timeline
18 June 2005
Primary endpoint
8 April 2012
3 November 2016

Quick facts

Lead sponsorDuke University
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment39
Start date18 June 2005
Primary completion8 April 2012
Estimated completion3 November 2016
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Duke University

Who can join

18 and older, any sex, with Lymphoma, B-Cell. 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.

1 Year Progression-free Survival Rate Primary · 1 year

Progression-free survival is measured from the first day of induction chemotherapy to the date of progression, relapse or death. Definitions of response criteria are as described by Cheson. Progressive Disease: \>50% increase from nadir in the sum of the products of the greatest diameters (SPD) of any previously identified abnormal node for PDs or nonresponders, appearance of any new lesion during or at the end of therapy.

GroupValue95% CI
Experimental: Induction + Consolidation + Bexxar0.740.635 – 0.91
Disease-free Survival Secondary · 10 years

Disease-free survival is measured from the date of CR or CRu to date of relapse or death

GroupValue95% CI
Experimental: Induction + Consolidation + Bexxar54.102 – 116
Overall Survival Secondary · 10 years

Overall Survival is measured from the first day of chemotherapy until death from any cause.

GroupValue95% CI
Experimental: Induction + Consolidation + Bexxar82
Overall Response Secondary · up to 1 year

Percent of subjects who achieved a complete response (CR) or partial response (PR) any time during the treatment period. CR = complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present before therapy. PR = 1. \>/= 50% decrease in sum of the product of the diameters (SPD) of up to six of the largest dominant nodes or nodal masses. 2. No increase should be observed in the size of other nodes, liver, or spleen. 3. Splenic and hepatic nodules must regress by ≥ 50% in their SPD or, for single nodules, in the greatest transverse diameter. 4. Exce

GroupValue95% CI
Experimental: Induction + Consolidation + Bexxar92
Secondary Malignancies Secondary · 10 years

The number of patients who develop secondary malignancies including solid tumors, acute leukemia and myelodysplasia or other bone marrow failure syndromes.

Myelodysplastic Syndrome (MDS)
GroupValue95% CI
Experimental: Induction + Consolidation + Bexxar3
Acute Myeloid Leukemia (AML)
GroupValue95% CI
Experimental: Induction + Consolidation + Bexxar1
Pancreatic Cancer
GroupValue95% CI
Experimental: Induction + Consolidation + Bexxar1
Hodgkins Lymphoma
GroupValue95% CI
Experimental: Induction + Consolidation + Bexxar1
Melanoma
GroupValue95% CI
Experimental: Induction + Consolidation + Bexxar1
Renal Cell Carcinoma
GroupValue95% CI
Experimental: Induction + Consolidation + Bexxar1

Adverse events — posted to ClinicalTrials.gov

Time frame: 2 years from the start of treatment with the following exception: data on malignancies/bone marrow failures will be collected for 10 years.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Experimental: Induction + Consolidation + Bexxar
Serious: 28/39 (72%)
Deaths:

Serious adverse events (22 terms)

ReactionSystemExperimental: Induction + …
MalignancyNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Infection (documented clinically or microbiologically) with Grade 3 or 4 neutrophilsInfections and infestations
Febrile neutropenia (fever of unknown origin without documented infection)Blood and lymphatic system disorders
Infection - OtherInfections and infestations
Mucositis / Stomatitis (clinical exam)Gastrointestinal disorders
Hemorrhage, pulmonary / upper respiratory - NoseRespiratory, thoracic and mediastinal disorders
Infection with normal ANC or Grade 1 or 2 neutrophilsInfections and infestations
Colitis, infectious (e.g., Clostridium difficile)Infections and infestations
Pain - Abdomen NOSGastrointestinal disorders
Supraventricular and nodal arrhythmia - Atrial fibrillationCardiac disorders
Speech impairment (e.g., dysphasia or aphasia)Nervous system disorders
Thrombosis / thrombus / embolismVascular disorders
Ataxia (incoordination)Nervous system disorders
Thrombosis / embolism (vascular access-related)Surgical and medical procedures
Gastrointestinal - OtherGastrointestinal disorders
HypoxiaRespiratory, thoracic and mediastinal disorders
HypotensionVascular disorders
Dermatology / Skin - OtherSkin and subcutaneous tissue disorders
Leukocytes (total WBC)Investigations
Cardiac Arrhythmia - OtherCardiac disorders
Ascites (non-malignant)Gastrointestinal disorders
Infection with unknown ANC - Lung (pneumonia)Infections and infestations
Other adverse events (100 terms — click to expand)

ReactionSystemExperimental: Induction + …
HemoglobinBlood and lymphatic system disorders
PlateletsInvestigations
Leukocytes (total WBC)Investigations
Fatigue (asthenia, lethargy, malaise)General disorders
NauseaGastrointestinal disorders
AST, SGOT (serum glutamic oxaloacetic transaminase)Investigations
Mucositis / Stomatitis (clinical exam)Gastrointestinal disorders
DiarrheaGastrointestinal disorders
ALT, SGPT (serum glutamic pyruvic transaminase)Investigations
Infection (documented clinically or microbiologically) with Grade 3 or 4 neutrophilsInfections and infestations
Hair Loss / Alopecia (scalp or body)Skin and subcutaneous tissue disorders
VomitingGastrointestinal disorders
Neutrophils / granulocytes (ANC / AGC)Investigations
Alkaline phosphataseInvestigations
Febrile neutropenia (fever of unknown origin without documented infection)Blood and lymphatic system disorders
Rash / desquamationSkin and subcutaneous tissue disorders
CoughRespiratory, thoracic and mediastinal disorders
AnorexiaMetabolism and nutrition disorders
Dyspnea (shortness of breath)Respiratory, thoracic and mediastinal disorders
Pain - OtherGeneral disorders
Pulmonary / Upper Respiratory - OtherRespiratory, thoracic and mediastinal disorders
InsomniaPsychiatric disorders
ConstipationGastrointestinal disorders
Nail ChangesSkin and subcutaneous tissue disorders
Urinary frequency / urgencyRenal and urinary disorders
Edema: limbGeneral disorders
Albumin, serum-low (hypoalbuminemia)Metabolism and nutrition disorders
Muscle weakness, generalized or specific area (not due to neuropathy)Musculoskeletal and connective tissue disorders
DizzinessNervous system disorders
Calcium, serum-low (hypocalcemia)Metabolism and nutrition disorders
Dry SkinSkin and subcutaneous tissue disorders
Neuropathy: sensoryNervous system disorders
Sweating (diaphoresis)Skin and subcutaneous tissue disorders
Dermatology / Skin - OtherSkin and subcutaneous tissue disorders
Heartburn / dyspepsiaGastrointestinal disorders
Rigors / chillsGeneral disorders
Infection - OtherInfections and infestations
HypotensionVascular disorders
CreatinineInvestigations
Joint-functionMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Malignancy, Infection (documented clinically or microbiologically) with Grade 3 or 4 neutrophils, Febrile neutropenia (fever of unknown origin without documented infection), Infection - Other, Mucositis / Stomatitis (clinical exam), Hemorrhage, pulmonary / upper respiratory - Nose, Infection with normal ANC or Grade 1 or 2 neutrophils, Colitis, infectious (e.g., Clostridium difficile).

Data from ClinicalTrials.gov NCT00577629 adverse events section.

Sponsor's own description

The purpose of this study is to determine whether using high-dose chemotherapy, monoclonal antibodies, and targeted radioimmunotherapy will slow the progression of disease in patients with high-risk Non-Hodgkin's Lymphoma (NHL).

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

Verify or expand the search:

Other trials of cyclophosphamide

Trials testing the same drug.

Other recruiting trials for Lymphoma, B-Cell

Currently open trials in the same condition.

Other Duke University trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT00577629.

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