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NCT01217229

Safety and Efficacy Study of PLX3397 in Adults With Relapsed or Refractory Hodgkin Lymphoma

Completed Phase 2 Results posted Last updated 30 June 2020
What this trial tests

Phase 2 trial testing PLX3397 in Hodgkin Lymphoma in 20 participants. Completed in 26 April 2012.

Timeline
3 March 2011
Primary endpoint
26 April 2012
26 April 2012

Quick facts

Lead sponsorDaiichi Sankyo
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment20
Start date3 March 2011
Primary completion26 April 2012
Estimated completion26 April 2012
Sites6 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Daiichi Sankyo — full company profile →

Who can join

18 and older, any sex, with Hodgkin 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.

Progression-Free Survival According to the Cheson Criteria by Kaplan-Meier Analysis Following Orally Administered PLX3397 in Adults With Relapsed or Refractory Hodgkin Lymphoma (Modified Intent-to-Treat Population) Primary · Baseline to 1 year postdose

Progression-free survival was assessed by Kaplan Meier analysis and was defined as the number of days from the first day of treatment to the date of first documented disease progression or date of death (whichever occurred first).

GroupValue95% CI
PLX33975654 – 57
Summary of Overall Tumor Response and By Cycle Following Orally Administered PLX3397 in Adults With Relapsed or Refractory Hodgkin Lymphoma (Modified Intent-to-Treat Population) Primary · Baseline to Cycles 3, 5, 7, 10, and 13, up to 1 year postdose

Subjects were monitored for response and disease progression with contrast Computed tomography (CT) /18Fluorodeoxyglucose (FDG)-positron emission tomography (PET) scans every two cycles. Each cycle is 28 days. Response to treatment as defined by Cheson criteria was reported via descriptive statistics. Target tumor response is Complete Response (CR) + Partial Response (PR) and target tumor disease control rate (CR + PR + Stable Disease (SD)) are reported. Per Cheson Criteria, CR is disappearance of all evidence of disease; Partial Response is regression of measurable disease and no new sites (≥

Overall: Target tumor response (CR+PR)
GroupValue95% CI
PLX33971
Overall: Target tumor DCR (CR+PR+SD)
GroupValue95% CI
PLX33974
Overall: Complete response (CR)
GroupValue95% CI
PLX33970
Overall: Partial response (PR)
GroupValue95% CI
PLX33971
Overall: Stable disease (SD)
GroupValue95% CI
PLX33973
Overall: Relapsed disease or progressive disease
GroupValue95% CI
PLX339713
Cycle 3: Target tumor response (CR+PR)
GroupValue95% CI
PLX33970
Cycle 3: Target tumor DCR (CR+PR+SD)
GroupValue95% CI
PLX33974
Participants With Treatment-Emergent Adverse Events Occurring at a Frequency of ≥10% in Any Preferred Term (Safety Population) Primary · Baseline to 1 year post-dose
At least 1 adverse event
GroupValue95% CI
PLX339720
Anaemia
GroupValue95% CI
PLX33976
Thrombocytopenia
GroupValue95% CI
PLX33976
Diarrhoea
GroupValue95% CI
PLX33972
Nausea
GroupValue95% CI
PLX33972
Vomiting
GroupValue95% CI
PLX33972
Chills
GroupValue95% CI
PLX33972
Fatigue
GroupValue95% CI
PLX33978
Participants With at Least Grade 2 Severity Adverse Events by Preferred Term (Safety Population) Primary · Baseline to 1 year postdose

Grade 2 adverse events were defined as events that were moderate; minimal, local or noninvasive intervention indicated; limiting age-appropriate instrumental activities of daily living (ADL).

At least 1 Grade 2 adverse event
GroupValue95% CI
PLX339713
At least 1 Grade 3 adverse event
GroupValue95% CI
PLX33975
Grade 2 Anaemia
GroupValue95% CI
PLX33976
Grade 2 Neutropenia
GroupValue95% CI
PLX33971
Grade 3 Neutropenia
GroupValue95% CI
PLX33971
Grade 2 Thrombocytopenia
GroupValue95% CI
PLX33971
Grade 3 Thrombocytopenia
GroupValue95% CI
PLX33971
Grade 2 Fatigue
GroupValue95% CI
PLX33975

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events were collected from study enrollment up to 1 year post dose.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

PLX3397
Serious: 1/20 (5%)
Deaths: 0/20

Serious adverse events (2 terms)

ReactionSystemPLX3397
Lung infectionInfections and infestations
PyrexiaGeneral disorders
Other adverse events (64 terms — click to expand)

ReactionSystemPLX3397
FatigueGeneral disorders
Hair depigmentationSkin and subcutaneous tissue disorders
FatigueGastrointestinal disorders
Hair colour changesSkin and subcutaneous tissue disorders
AnaemiaBlood and lymphatic system disorders
ThrombocytopeniaBlood and lymphatic system disorders
RashSkin and subcutaneous tissue disorders
DyspneaRespiratory, thoracic and mediastinal disorders
Blood lactate dehydrogenase increasedInvestigations
DyspnoeaRespiratory, thoracic and mediastinal disorders
PyrexiaGastrointestinal disorders
Decreased appetiteMetabolism and nutrition disorders
CoughRespiratory, thoracic and mediastinal disorders
DiarrhoeaGastrointestinal disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
ChillsGastrointestinal disorders
Aspartate aminotransferase increasedInvestigations
Back painMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
HeadacheNervous system disorders
Productive coughRespiratory, thoracic and mediastinal disorders
LeukopeniaBlood and lymphatic system disorders
NeutropeniaBlood and lymphatic system disorders
Ear painEar and labyrinth disorders
Eye swellingEye disorders
Eyelid oedemaEye disorders
Abdominal distensionGastrointestinal disorders
Abdominal painGastrointestinal disorders
ConstipationGastrointestinal disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
AstheniaGastrointestinal disorders
Face odemaGastrointestinal disorders
Clostridial infectionInfections and infestations
Herpes zosterInfections and infestations
Lung infectionInfections and infestations
NasopharyngitisInfections and infestations
PneumoniaInfections and infestations
Alanine aminotransferase increasedInvestigations
Blood alkaline phosphataseInvestigations

Most-reported serious reactions: Lung infection, Pyrexia.

Data from ClinicalTrials.gov NCT01217229 adverse events section.

Sponsor's own description

PLX3397 is a selective inhibitor of Fms, Kit, and oncogenic Flt3 activity.The primary objective of this study is to evaluate the efficacy, as measured by overall response rate, of orally administered PLX3397 in patients with relapsed or refractory classical Hodgkin lymphoma (HL). Secondary objectives include safety, the duration of response, the disease control rate, progression free survival, and how the drug affects your body.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Inflammation and tumor progression: signaling pathways and targeted intervention.
    Zhao H, Wu L, Yan G, Chen Y, et al · · 2021 · cited 1932× · PMID 34248142 · DOI 10.1038/s41392-021-00658-5
  2. Colony-stimulating factor 1 receptor (CSF1R) inhibitors in cancer therapy.
    Cannarile MA, Weisser M, Jacob W, Jegg AM, et al · · 2017 · cited 796× · PMID 28716061 · DOI 10.1186/s40425-017-0257-y
  3. Tumor-associated macrophages: from basic research to clinical application.
    Yang L, Zhang Y. · · 2017 · cited 654× · PMID 28241846 · DOI 10.1186/s13045-017-0430-2
  4. Pexidartinib, a Novel Small Molecule CSF-1R Inhibitor in Use for Tenosynovial Giant Cell Tumor: A Systematic Review of Pre-Clinical and Clinical Development.
    Benner B, Good L, Quiroga D, Schultz TE, et al · · 2020 · cited 138× · PMID 32440095 · DOI 10.2147/dddt.s253232
  5. Small molecule inhibitors targeting the cancers.
    Liu GH, Chen T, Zhang X, Ma XL, et al · · 2022 · cited 127× · PMID 36254250 · DOI 10.1002/mco2.181
  6. Roles of tumor-associated macrophages in tumor progression: implications on therapeutic strategies.
    Zhu S, Yi M, Wu Y, Dong B, et al · · 2021 · cited 116× · PMID 34965886 · DOI 10.1186/s40164-021-00252-z
  7. Research trends in pharmacological modulation of tumor-associated macrophages.
    Wang N, Wang S, Wang X, Zheng Y, et al · · 2021 · cited 88× · PMID 33463063 · DOI 10.1002/ctm2.288
  8. Glycosylation of PAMAM dendrimers significantly improves tumor macrophage targeting and specificity in glioblastoma.
    Sharma R, Liaw K, Sharma A, Jimenez A, et al · · 2021 · cited 65× · PMID 34274384 · DOI 10.1016/j.jconrel.2021.07.018

Verify or expand the search:

Other trials of PLX3397

Trials testing the same drug.

Other recruiting trials for Hodgkin Lymphoma

Currently open trials in the same condition.

Other Daiichi Sankyo trials

Trials by the same sponsor.

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