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NCT01381692

Bortezomib, Rituximab, and Dexamethasone With or Without Temsirolimus in Treating Patients With Untreated or Relapsed Waldenstrom Macroglobulinemia or Relapsed or Refractory Mantle Cell or Follicular Lymphoma

Completed Phase 1, PHASE2 Results posted Last updated 4 October 2021
What this trial tests

Phase 1, PHASE2 trial testing Bortezomib in Recurrent Follicular Lymphoma in 9 participants. Completed in 1 September 2021.

Timeline
20 July 2011
Primary endpoint
8 December 2014
1 September 2021

Quick facts

Lead sponsorNational Cancer Institute (NCI)
PhasePhase 1, PHASE2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment9
Start date20 July 2011
Primary completion8 December 2014
Estimated completion1 September 2021
Sites11 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

National Cancer Institute (NCI)

Who can join

18 and older, any sex, with Recurrent Follicular Lymphoma or Recurrent 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.

Phase I: The Maximum Tolerated Dose (MTD) of Temsirolimus in Combination With Bortezomib, Rituximab and Dexamethasone Primary · Assessed during cycle 1 (28 days)

Temsirolimus in combination with bortezomib, rituximab, dexamethasone were to be escalated using a standard 3+3 design. The MTD was defined as the highest dose level at which no more than 0 in 3 or 1 in 6 participants experienced a dose-limiting toxicity (DLT) during the first 28-day cycle of treatment.

GroupValue95% CI
Arm A (Phase I: Temsirolimus Dose Level 1, Rituximab, Bortezomib, Dexamethasone)NA
Arm B (Phase I: Temsirolimus Dose Level 2, Rituximab, Bortezomib, Dexamethasone)NA

Adverse events — posted to ClinicalTrials.gov

Time frame: Assessed every 4 weeks while on treatment and for 30 days after the end of treatment. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Arm A (Phase I: Temsirolimus Dose Level 1, Rituximab, Bortezomib, Dexamethasone)
Serious: 7/7 (100%)
Deaths: 1/7
Arm B (Phase I: Temsirolimus Dose Level 2, Rituximab, Bortezomib, Dexamethasone)
Serious: 1/2 (50%)
Deaths: 0/2

Serious adverse events (11 terms)

ReactionSystemArm A (Phase I: Temsirolim…Arm B (Phase I: Temsirolim…
DiarrheaGastrointestinal disorders
Neutrophil count decreasedInvestigations
Platelet count decreasedInvestigations
White blood cell decreasedInvestigations
HypertriglyceridemiaMetabolism and nutrition disorders
AnemiaBlood and lymphatic system disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
Lymphocyte count decreasedInvestigations
HyperglycemiaMetabolism and nutrition disorders
HypokalemiaMetabolism and nutrition disorders
Other adverse events (55 terms — click to expand)

ReactionSystemArm A (Phase I: Temsirolim…Arm B (Phase I: Temsirolim…
Neutrophil count decreasedInvestigations
White blood cell decreasedInvestigations
Platelet count decreasedInvestigations
AnemiaBlood and lymphatic system disorders
FatigueGeneral disorders
DiarrheaGastrointestinal disorders
HypertriglyceridemiaMetabolism and nutrition disorders
Cholesterol highInvestigations
HyperglycemiaMetabolism and nutrition disorders
Edema limbsGeneral disorders
Mucositis oralGastrointestinal disorders
Alanine aminotransferase increasedInvestigations
Aspartate aminotransferase increasedInvestigations
Lymphocyte count decreasedInvestigations
PainGeneral disorders
PruritusSkin and subcutaneous tissue disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
ConstipationGastrointestinal disorders
AnorexiaMetabolism and nutrition disorders
Localized edemaGeneral disorders
AlopeciaSkin and subcutaneous tissue disorders
Rash acneiformSkin and subcutaneous tissue disorders
NauseaGastrointestinal disorders
Lung infectionInfections and infestations
Nail infectionInfections and infestations
SinusitisInfections and infestations
Skin infectionInfections and infestations
Upper respiratory infectionInfections and infestations
BruisingInjury, poisoning and procedural complications
Alkaline phosphatase increasedInvestigations
Blood bilirubin increasedInvestigations
Creatinine increasedInvestigations
Investigations - Other, specifyInvestigations
DehydrationMetabolism and nutrition disorders
HypoalbuminemiaMetabolism and nutrition disorders
HypocalcemiaMetabolism and nutrition disorders
HypokalemiaMetabolism and nutrition disorders
HyponatremiaMetabolism and nutrition disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Generalized muscle weaknessMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Diarrhea, Neutrophil count decreased, Platelet count decreased, White blood cell decreased, Hypertriglyceridemia, Anemia, Nausea, Vomiting.

Data from ClinicalTrials.gov NCT01381692 adverse events section.

Sponsor's own description

This randomized phase I/II trial studies the side effects and the best dose of temsirolimus when given together with bortezomib, rituximab, and dexamethasone and to see how well they work compared to bortezomib, rituximab, and dexamethasone alone in treating patients with untreated or relapsed Waldenstrom macroglobulinemia or relapsed or refractory mantle cell or follicular lymphoma. Bortezomib and temsirolimus may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth. Bortezomib may also stop the growth of cancer cells by blocking blood flow to the tumor. Monoclonal antibodies, such as rituximab, can block cancer growth in difference 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. Drugs used in chemotherapy, such as dexamethasone, work in different ways to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. It is not yet known whether bortezomib, rituximab, and dexamethasone are more effective with temsirolimus in treating non-Hodgkin lymphoma.

Publications & conference data

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

  1. Relapsed and/or Refractory Mantle Cell Lymphoma: What Role for Temsirolimus?
    Kirschey S, Wagner S, Hess G. · · 2012 · cited 4× · PMID 22550404 · DOI 10.4137/cmo.s7327

Verify or expand the search:

Other trials of Bortezomib

Trials testing the same drug.

Other recruiting trials for Recurrent Follicular Lymphoma

Currently open trials in the same condition.

Other National Cancer Institute (NCI) trials

Trials by the same sponsor.

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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/NCT01381692.

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