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NCT01393717

Brentuximab Vedotin Before Autologous Stem Cell Transplant in Treating Patients With Hodgkin Lymphoma

Completed Phase 2 Results posted Last updated 26 April 2018
What this trial tests

Phase 2 trial testing brentuximab vedotin in Recurrent Hodgkin Lymphoma in 57 participants. Completed in 1 February 2017.

Timeline
20 October 2011
Primary endpoint
1 February 2017
1 February 2017

Quick facts

Lead sponsorCity of Hope Medical Center
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment57
Start date20 October 2011
Primary completion1 February 2017
Estimated completion1 February 2017
Sites2 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

City of Hope Medical Center

Who can join

11 and older, any sex, with Recurrent Hodgkin Lymphoma or Refractory 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.

Overall Response Rate Among Patients With Salvage Brentuximab Vedotin (BV) Primary · 21 days after completion of last course of study treatment, up to 5 years

The overall response rate is calculated as the percent of evaluable patients that have confirmed CR or PR by radiographic imaging, and the exact 95% confidence interval is calculated for this estimate. Per Revised Response Criteria for Malignant Lymphoma (Cheson et al. 2007) for target lesions and assessed by CT/PET scans: Complete Response (CR), complete disappearance of all detectable clinical and radiographic evidence of disease; Partial Response (PR), ≥50% decrease in the sum of the product of the diameters of up to six of the largest dominant nodes or nodal masses.

GroupValue95% CI
Patients Receive Brentuximab Vedotin75.061.6 – 85.6
Complete Response (CR) Rate Among Patients With Salvage Brentuximab Vedotin (BV) Primary · 21 days after completion of last course of study treatment, up to 5 years

The CR rate is calculated as the percent of evaluable patients that have confirmed CR by radiographic imaging, and the exact 95% confidence interval is calculated for this estimate. Per Revised Response Criteria for Malignant Lymphoma (Cheson et al. 2007) for target lesions and assessed by CT/PET scans: Complete Response (CR), complete disappearance of all detectable clinical and radiographic evidence of disease.

GroupValue95% CI
Patients Receive Brentuximab Vedotin42.929.7 – 56.8
Overall Response Rate in Cohort #2 Primary · 21 days after completion of last course of study treatment, up to 5 years

The overall response rate is calculated as the percent of evaluable patients that have confirmed CR or PR by radiographic imaging, and the exact 95% confidence interval is calculated for this estimate. Per Revised Response Criteria for Malignant Lymphoma (Cheson et al. 2007) for target lesions and assessed by CT/PET scans: Complete Response (CR), complete disappearance of all detectable clinical and radiographic evidence of disease; Partial Response (PR), ≥50% decrease in the sum of the product of the diameters of up to six of the largest dominant nodes or nodal masses.

GroupValue95% CI
Patients in Cohort #285.062.1 – 96.8
Complete Response (CR) Rate in Cohort #2 Primary · 21 days after completion of last course of study treatment, up to 5 years

The CR rate is calculated as the percent of evaluable patients that have confirmed CR by radiographic imaging, and the exact 95% confidence interval is calculated for this estimate. Per Revised Response Criteria for Malignant Lymphoma (Cheson et al. 2007) for target lesions and assessed by CT/PET scans: Complete Response (CR), complete disappearance of all detectable clinical and radiographic evidence of disease.

GroupValue95% CI
Patients in Cohort #255.031.5 – 76.9
Total CD34+ Cell Dose Among Patients Receiving Brentuximab Vedotin Followed by Autologous Hematopoietic Stem Cell Transplantation Secondary · 60 days after completion of last course of study treatment, up to conditioning regimens

Among the patients receiving salvage Brentuximab Vedotin (BV) followed by Autologous Hematopoietic Stem Cell Transplantation (AutoHCT), their total CD34+ cell yield by stem cell mobilization.

GroupValue95% CI
Cohort #16.02.6 – 34.0
Cohort #28.02.8 – 30.5
Progression Free Survival at Year Two Among AutoHCT Patients With BV Secondary · Assessed for up to 5 years, at least half of the surviving participants followed 2+ years

Progression Free Survival (PFS) defined as the time from first treatment day (post AHCT) until objective or symptomatic relapse or death as a result of lymphoma or acute toxicity of treatment. Assessed by Kaplan-Meier survival analysis and 95% confidence intervals will be calculated using Greenwood's formula.

GroupValue95% CI
Patients With BV Followed by AutoHCT0.670.52 – 0.78
Overall Survival at Year Two Among AutoHCT Patients With BV Secondary · Assessed for up to 5 years, at least half of the surviving participants followed 2+ years

Overall Survival (OS) defined as the time from first treatment day (post AHCT) until death. Assessed by Kaplan-Meier survival analysis and 95% confidence intervals will be calculated using Greenwood's formula.

GroupValue95% CI
Patients Received BV Followed by AutoHCT0.930.80 – 0.98

Adverse events — posted to ClinicalTrials.gov

Time frame: Death was monitored from Day 0 up to Year 5. Serious and other adverse events were assessed after each cycle of treatment, up to 5 years.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Cohort #1
Serious: 4/37 (11%)
Deaths: 6/37
Cohort #2
Serious: 0/20 (0%)
Deaths: 2/20

Serious adverse events (4 terms)

ReactionSystemCohort #1Cohort #2
FeverGeneral disorders
PneumonitisRespiratory, thoracic and mediastinal disorders
Non-cardiac chest painGeneral disorders
Depressed level of consciousnessNervous system disorders
Other adverse events (111 terms — click to expand)

ReactionSystemCohort #1Cohort #2
Aspartate aminotransferase increasedInvestigations
Peripheral sensory neuropathyNervous system disorders
Alanine aminotransferase increasedInvestigations
HypoglycemiaMetabolism and nutrition disorders
FatigueGeneral disorders
HypertensionVascular disorders
Rash acneiformSkin and subcutaneous tissue disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
AnemiaBlood and lymphatic system disorders
NauseaGastrointestinal disorders
White blood cell decreasedInvestigations
Generalized muscle weaknessMusculoskeletal and connective tissue disorders
Abdominal painGastrointestinal disorders
PruritusSkin and subcutaneous tissue disorders
Upper respiratory infectionInfections and infestations
Pain in extremityMusculoskeletal and connective tissue disorders
Sinus tachycardiaCardiac disorders
Cholesterol highInvestigations
Neutrophil count decreasedInvestigations
HyperuricemiaMetabolism and nutrition disorders
HyponatremiaMetabolism and nutrition disorders
ArthralgiaMusculoskeletal and connective tissue disorders
CoughRespiratory, thoracic and mediastinal disorders
DyspneaRespiratory, thoracic and mediastinal disorders
FeverGeneral disorders
Alkaline phosphatase increasedInvestigations
Lymphocyte count decreasedInvestigations
AnorexiaMetabolism and nutrition disorders
HyperglycemiaMetabolism and nutrition disorders
HypocalcemiaMetabolism and nutrition disorders
ChillsGeneral disorders
Edema limbsGeneral disorders
Flu like symptomsGeneral disorders
Gait disturbanceGeneral disorders
Non-cardiac chest painGeneral disorders
Blood bilirubin increasedInvestigations
Platelet count decreasedInvestigations
HeadacheNervous system disorders
InsomniaPsychiatric disorders
Sore throatRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Fever, Pneumonitis, Non-cardiac chest pain, Depressed level of consciousness.

Data from ClinicalTrials.gov NCT01393717 adverse events section.

Sponsor's own description

This phase II trial studies how well brentuximab vedotin before autologous (taken from an individual's own cells) stem cell transplant works in treating patients with Hodgkin lymphoma. Monoclonal antibody-drug conjugates, such as brentuximab vedotin, can block cancer growth in different ways by targeting certain cells.

Publications & conference data

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

  1. Brentuximab vedotin.
    van de Donk NW, Dhimolea E. · · 2012 · cited 110× · PMID 22684302 · DOI 10.4161/mabs.20230
  2. Results of a Multicenter Phase II Trial of Brentuximab Vedotin as Second-Line Therapy before Autologous Transplantation in Relapsed/Refractory Hodgkin Lymphoma.
    Chen R, Palmer JM, Martin P, Tsai N, et al · · 2015 · cited 104× · PMID 26211987 · DOI 10.1016/j.bbmt.2015.07.018
  3. Brentuximab Vedotin: A Review in CD30-Positive Hodgkin Lymphoma.
    Scott LJ. · · 2017 · cited 82× · PMID 28190142 · DOI 10.1007/s40265-017-0705-5
  4. Safety and efficacy of brentuximab vedotin in patients with Hodgkin lymphoma or systemic anaplastic large cell lymphoma.
    Vaklavas C, Forero-Torres A. · · 2012 · cited 65× · PMID 23606932 · DOI 10.1177/2040620712443076
  5. Brentuximab vedotin for treatment of non-Hodgkin lymphomas: A systematic review.
    Berger GK, McBride A, Lawson S, Royball K, et al · · 2017 · cited 58× · PMID 28010897 · DOI 10.1016/j.critrevonc.2016.11.009
  6. Advances in paediatric cancer treatment.
    Saletta F, Seng MS, Lau LM. · · 2014 · cited 50× · PMID 26835334 · DOI 10.3978/j.issn.2224-4336.2014.02.01
  7. Autologous stem-cell transplantation after second-line brentuximab vedotin in relapsed or refractory Hodgkin lymphoma.
    Herrera AF, Palmer J, Martin P, Armenian S, et al · · 2018 · cited 41× · PMID 29272364 · DOI 10.1093/annonc/mdx791
  8. The promising role of antibody drug conjugate in cancer therapy: Combining targeting ability with cytotoxicity effectively.
    Li WQ, Guo HF, Li LY, Zhang YF, et al · · 2021 · cited 36× · PMID 34165267 · DOI 10.1002/cam4.4052

Verify or expand the search:

Other trials of brentuximab vedotin

Trials testing the same drug.

Other recruiting trials for Recurrent Hodgkin Lymphoma

Currently open trials in the same condition.

Other City of Hope Medical Center 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/NCT01393717.

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