Last reviewed · How we verify

NCT01964755

Chemotherapy for Relapsed Epstein Barr Virus Associated Lymphoma

Terminated Phase 2 Results posted Last updated 23 September 2019
What this trial tests

Phase 2 trial testing Doxorubicin in Epstein Barr Virus Associated Non Hodgkin's Lymphoma in 6 participants. Terminated before completion.

Timeline
21 April 2009
Primary endpoint
7 June 2018
7 June 2018

Quick facts

Lead sponsorUniversity of Miami
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment6
Start date21 April 2009
Primary completion7 June 2018
Estimated completion7 June 2018
Sites2 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

University of Miami

Who can join

18 and older, any sex, with Epstein Barr Virus Associated Non Hodgkin's Lymphoma or Epstein Barr Virus Associated Hodgkin's 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.

Rate of Complete Response to Protocol Therapy Primary · About 21 days

Complete Response (CR) rate in study participants to protocol therapy. Response will be assessed via CT Scan and bone marrow aspirate/biopsy, if applicable. Complete response criteria include: * Complete disappearance of all detectable clinical and radiographic evidence of disease and disappearance of all disease-related symptoms if present before therapy, and normalization of those biochemical abnormalities definitely assignable to Non Hodgkin's Lymphoma (NHL); * All lymph nodes and tumor masses disappeared or regressed to normal size (≤ 1.5 cm in their greatest transverse diameters for node

GroupValue95% CI
Chemotherapy + Antiviral-Based Therapy3
One-year Rate of Overall Survival Secondary · 12 months

Rate of overall survival of study participants at one year since initiation of protocol therapy. Overall survival (OS) will be measured from the date of initiation of study treatment until date of death from any cause. In the absence of death, the follow-up will be censored at date of last contact (censored observation). Kaplan-Meier estimate of overall survival at one-year.

GroupValue95% CI
Chemotherapy + Antiviral-Based Therapy83.327.3 – 97.5
One-Year Rate of Failure-Free Survival (FFS) Secondary · 12 months

Rate of failure-free survival of study participants one-year after start of protocol therapy. Failure-free survival (FFS) will be measured from the date of treatment initiation until date of documented disease progression, relapse after response, or death from any cause. For patients alive and free of relapse or progression, follow-up time will be censored at the last documented date of failure-free status. Kaplan-Meier estimate of failure-free survival at one-year.

GroupValue95% CI
Chemotherapy + Antiviral-Based Therapy37.51.1 – 80.8
Rate of Toxicity Related to Protocol Therapy Secondary · Through Duration of Protocol Therapy, Up to six 21-day cycles (+/- 7 days)

Rate of adverse events, serious adverse events or other toxicities related to protocol therapy in study participants.

Patients w/Toxicity Definitely Treatment-Related
GroupValue95% CI
Chemotherapy + Antiviral-Based Therapy0
Gr. 4 Toxicity Probably/Possibly Treatment-Related
GroupValue95% CI
Chemotherapy + Antiviral-Based Therapy1
Gr. 3 Toxicity Probably/Possibly Treatment-Related
GroupValue95% CI
Chemotherapy + Antiviral-Based Therapy4
Gr. 2 Toxicity Probably/Possibly Treatment-Related
GroupValue95% CI
Chemotherapy + Antiviral-Based Therapy6
Gr. 1 Toxicity Probably/Possibly Treatment-Related
GroupValue95% CI
Chemotherapy + Antiviral-Based Therapy6
HIV Viral Load in Positive Subjects Before, During and After Protocol Therapy Secondary · From Baseline Up to 1 Year Post-Therapy

Measurement of HIV Viral Load in positive subjects before, during and after protocol therapy to assess the effect of protocol therapy on immune reconstitution or exhaustion.

Before Therapy
GroupValue95% CI
Chemotherapy + Antiviral-Based Therapy333
During Therapy
GroupValue95% CI
Chemotherapy + Antiviral-Based TherapyNA
After Therapy
GroupValue95% CI
Chemotherapy + Antiviral-Based TherapyNA
T-Cell Subset Levels in Peripheral Blood in Positive Participants Before, During and After Protocol Therapy Secondary · From Baseline Up to 1 Year Post-Therapy

Measurement of T-cell subset levels (CD4, CD8) in peripheral blood before, during and after protocol therapy to assess the effect of protocol therapy on immune re-constitution or exhaustion.

CD4 count, Before Therapy
GroupValue95% CI
Chemotherapy + Antiviral-Based Therapy328± 164.05
CD4 count, During Therapy
GroupValue95% CI
Chemotherapy + Antiviral-Based Therapy285± 124.58
CD4 count, After Therapy
GroupValue95% CI
Chemotherapy + Antiviral-Based Therapy323.5± 178.90
CD8 count, Before Therapy
GroupValue95% CI
Chemotherapy + Antiviral-Based Therapy1246± 668.86
CD8 count, During Therapy
GroupValue95% CI
Chemotherapy + Antiviral-Based Therapy1006± 741.05
CD8 count, After Thaerapy
GroupValue95% CI
Chemotherapy + Antiviral-Based Therapy1006± 741.05

Adverse events — posted to ClinicalTrials.gov

Time frame: 4 years. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Chemotherapy + Antiviral-Based Therapy
Serious: 2/6 (33%)
Deaths: 2/6

Serious adverse events (7 terms)

ReactionSystemChemotherapy + Antiviral-B…
HypoxiaRespiratory, thoracic and mediastinal disorders
PneumonitisRespiratory, thoracic and mediastinal disorders
Adult respiratory distress syndromeRespiratory, thoracic and mediastinal disorders
Febrile NeutropeniaBlood and lymphatic system disorders
Platelet count decreasedInvestigations
DehydrationMetabolism and nutrition disorders
HypophosphatemiaMetabolism and nutrition disorders
Other adverse events (65 terms — click to expand)

ReactionSystemChemotherapy + Antiviral-B…
AnemiaBlood and lymphatic system disorders
HyperglycemiaMetabolism and nutrition disorders
NauseaGastrointestinal disorders
HypocalcemiaMetabolism and nutrition disorders
HypokalemiaMetabolism and nutrition disorders
White blood cell decreasedInvestigations
AnorexiaMetabolism and nutrition disorders
HiccupsReproductive system and breast disorders
HypernatremiaMetabolism and nutrition disorders
HypoalbuminemiaMetabolism and nutrition disorders
HyponatremiaMetabolism and nutrition disorders
Lymphocyte count decreasedInvestigations
Mucositis oralGastrointestinal disorders
VomitingGastrointestinal disorders
Alanine aminotransferase increasedMetabolism and nutrition disorders
Aspartate aminotransferase increasedMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
Creatinine increasedInvestigations
DiarrheaGastrointestinal disorders
DyspepsiaGastrointestinal disorders
FatigueGeneral disorders
HeadacheGeneral disorders
HypoglycemiaMetabolism and nutrition disorders
MalaiseGeneral disorders
Neutrophil count decreasedInvestigations
Abdominal PainGastrointestinal disorders
AnxietyPsychiatric disorders
Blood bilirubin increasedInvestigations
Conjunctivitis infectiveInfections and infestations
ConstipationGastrointestinal disorders
CoughRespiratory, thoracic and mediastinal disorders
Depressed level of consciousnessNervous system disorders
DyspneaRespiratory, thoracic and mediastinal disorders
Edema limbsGeneral disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
FeverGeneral disorders
FlushingSkin and subcutaneous tissue disorders
GastritisGastrointestinal disorders
Gastroesophageal reflux diseaseGastrointestinal disorders
HypercalcemiaMetabolism and nutrition disorders

Most-reported serious reactions: Hypoxia, Pneumonitis, Adult respiratory distress syndrome, Febrile Neutropenia, Platelet count decreased, Dehydration, Hypophosphatemia.

Data from ClinicalTrials.gov NCT01964755 adverse events section.

Sponsor's own description

By combining a variety of agents that potentiate Zidovudine (ZDV), the investigators hope to induce remission in this generally fatal disease. Most therapies for aggressive B cell lymphomas are based upon intensive chemotherapeutic regimens, expensive modalities (bone marrow transplant, Rituximab), or experimental approaches (gene therapy, cytotoxic T cell infusion) that are difficult to implement in heavily pre-treated patients. Therapy for relapsed aggressive B cell lymphomas is very poor. Even curable lymphomas such as Burkitt Lymphoma (BL) and Hodgkin lymphoma are extremely difficult to treat in relapse and/or after stem cell transplant failure. The investigators propose a novel therapeutic approach that exploits the presence of Epstein-Barr virus (EBV) in lymphomas; antiviral mediated suppression of NF-kB and disruption of viral latency.

Publications & conference data

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

  1. EBV-associated diseases: Current therapeutics and emerging technologies.
    Chakravorty S, Afzali B, Kazemian M. · · 2022 · cited 59× · PMID 36389670 · DOI 10.3389/fimmu.2022.1059133
  2. Opportunities to Target the Life Cycle of Epstein-Barr Virus (EBV) in EBV-Associated Lymphoproliferative Disorders.
    Dugan JP, Coleman CB, Haverkos B. · · 2019 · cited 34× · PMID 30931253 · DOI 10.3389/fonc.2019.00127
  3. Targeting Metabolic Vulnerabilities in Epstein-Barr Virus-Driven Proliferative Diseases.
    Leung NYT, Wang LW. · · 2023 · cited 4× · PMID 37444521 · DOI 10.3390/cancers15133412

Verify or expand the search:

Other trials of Doxorubicin

Trials testing the same drug.

Other University of Miami 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/NCT01964755.

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