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NCT01267812

Bortezomib and Rituximab in Treating Patients With Mantle Cell Lymphoma Who Have Previously Undergone Stem Cell Transplantation

Completed Phase 2 Results posted Last updated 27 July 2023
What this trial tests

Phase 2 trial testing bortezomib in Contiguous Stage II Mantle Cell Lymphoma in 23 participants. Completed in 2 November 2020.

Timeline
3 October 2011
Primary endpoint
2 November 2020
2 November 2020

Quick facts

Lead sponsorCity of Hope Medical Center
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment23
Start date3 October 2011
Primary completion2 November 2020
Estimated completion2 November 2020
Sites2 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

City of Hope Medical Center

Who can join

19 and older, any sex, with Contiguous Stage II Mantle Cell Lymphoma or Noncontiguous Stage II Mantle Cell 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.

Two-year Disease-free Survival Primary · Participants were followed up to 5 years after initial treatment and Kaplan-Meier survival analysis was used to generate the two-year disease-free survival estimate presented.

Assessed by Kaplan-Meier survival analysis. 95% confidence intervals will be calculated using Greenwood's formula.

GroupValue95% CI
Treatment (Bortezomib and Rituximab)9066 – 97
Two-year Overall Survival Secondary · Participants were followed up to 5 years after initial treatment and Kaplan-Meier survival analysis was used to generate the two-year overall survival estimate presented.

Assessed by Kaplan-Meier survival analysis. 95% confidence intervals will be calculated using Greenwood's formula.

GroupValue95% CI
Treatment (Bortezomib and Rituximab)9568 – 99
Grade 3 or 4 Toxicities of Bortezomib and Rituximab Treatment Secondary · Participants were followed up to 5 years after initial treatment.

Observed toxicities will be summarized in terms of type, severity (graded by NCI CTCAE version 4.0) and attribution.

Neutropenia
GroupValue95% CI
Treatment (Bortezomib and Rituximab)17
Lymphopenia
GroupValue95% CI
Treatment (Bortezomib and Rituximab)8
Pneumonia
GroupValue95% CI
Treatment (Bortezomib and Rituximab)2
Anemia
GroupValue95% CI
Treatment (Bortezomib and Rituximab)2
Lung infection
GroupValue95% CI
Treatment (Bortezomib and Rituximab)2
Skin infection
GroupValue95% CI
Treatment (Bortezomib and Rituximab)1
Wound infection
GroupValue95% CI
Treatment (Bortezomib and Rituximab)1
Hypertension
GroupValue95% CI
Treatment (Bortezomib and Rituximab)1

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to five years after initial treatment. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Treatment (Bortezomib and Rituximab)
Serious: 7/23 (30%)
Deaths: 3/23

Serious adverse events (9 terms)

ReactionSystemTreatment (Bortezomib and …
FeverGeneral disorders
Neutrophil Count DecreasedInvestigations
Skin InfectionInfections and infestations
Wound InfectionInfections and infestations
Lung InfectionInfections and infestations
Myelodysplastic SyndromeBlood and lymphatic system disorders
Human Metapneumovirus InfectionInfections and infestations
Febrile NeutropeniaInfections and infestations
MeningitisInfections and infestations
Other adverse events (116 terms — click to expand)

ReactionSystemTreatment (Bortezomib and …
FatigueGeneral disorders
Neutrophil count decreasedInvestigations
White blood cell decreasedInvestigations
Platelet count decreasedInvestigations
HypertensionVascular disorders
AnemiaBlood and lymphatic system disorders
Peripheral sensory neuropathyNervous system disorders
Lymphocyte count decreasedInvestigations
DiarrheaGastrointestinal disorders
FeverGeneral disorders
Aspartate aminotransferase increasedInvestigations
ArthralgiaMusculoskeletal and connective tissue disorders
CoughRespiratory, thoracic and mediastinal disorders
Productive coughRespiratory, thoracic and mediastinal disorders
ChillsGeneral disorders
Injection site reactionGeneral disorders
Alanine aminotransferase increasedInvestigations
Sore throatRespiratory, thoracic and mediastinal disorders
Upper respiratory infectionInfections and infestations
Nasal congestionRespiratory, thoracic and mediastinal disorders
Hearing impairedEar and labyrinth disorders
NauseaGastrointestinal disorders
Creatinine increasedInvestigations
HypocalcemiaMetabolism and nutrition disorders
HyponatremiaMetabolism and nutrition disorders
ParesthesiaNervous system disorders
TinnitusEar and labyrinth disorders
PainGeneral disorders
Investigations - Other, specifyInvestigations
HyperglycemiaMetabolism and nutrition disorders
HypophosphatemiaMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
Musculoskeletal and connective tissue disorder - Other, specifyMusculoskeletal and connective tissue disorders
AnxietyPsychiatric disorders
Skin and subcutaneous tissue disorders - Other, specifySkin and subcutaneous tissue disorders
Abdominal painGastrointestinal disorders
Edema limbsGeneral disorders
Alkaline phosphatase increasedInvestigations
AnorexiaMetabolism and nutrition disorders
HyperkalemiaMetabolism and nutrition disorders

Most-reported serious reactions: Fever, Neutrophil Count Decreased, Skin Infection, Wound Infection, Lung Infection, Myelodysplastic Syndrome, Human Metapneumovirus Infection, Febrile Neutropenia.

Data from ClinicalTrials.gov NCT01267812 adverse events section.

Sponsor's own description

RATIONALE: 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. Giving bortezomib together with rituximab may kill more cancer cells. PURPOSE: This phase II trial is studying how well giving bortezomib and rituximab together works in treating patients with mantle cell lymphoma who have previously undergone stem cell transplantation

Publications & conference data

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

  1. Multi-center phase II trial of bortezomib and rituximab maintenance combination therapy in patients with mantle cell lymphoma after consolidative autologous stem cell transplantation.
    Chen RW, Palmer JM, Tomassetti S, Popplewell LL, et al · · 2018 · cited 8× · PMID 29954415 · DOI 10.1186/s13045-018-0631-3
  2. Strategies to improve outcomes of autologous hematopoietic cell transplant in lymphoma.
    Dahi PB, Lazarus HM, Sauter CS, Giralt SA. · · 2019 · cited 7× · PMID 30390059 · DOI 10.1038/s41409-018-0378-z
  3. Bortezomib in mantle cell lymphoma: comparative therapeutic outcomes.
    Vallumsetla N, Paludo J, Kapoor P. · · 2015 · cited 2× · PMID 26609233 · DOI 10.2147/tcrm.s72943
  4. Targeted Drugs as Maintenance Therapy after Autologous Stem Cell Transplantation in Patients with Mantle Cell Lymphoma.
    Yan F, Gopal AK, Graf SA. · · 2017 · cited 1× · PMID 28287430 · DOI 10.3390/ph10010028

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