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Phase 2 Study of VELCADE With Fludarabine in Comparison to Rituximab With Fludarabine in Follicular Lymphoma Patients Previously Treated With Rituximab

Phase 2
Terminated
Conditions
Follicular Lymphoma
Interventions
Registration Number
NCT00850499
Lead Sponsor
Millennium Pharmaceuticals, Inc.
Brief Summary

This is a randomized, open-label, active-control, multicenter Phase 2 study of VELCADE+fludarabine in comparison with rituximab+fludarabine in subjects with relapsed advanced follicular lymphoma. Eligible subjects will be randomized in a 1:1 ratio between the 2 treatment arms (55 subjects per arm).

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
12
Inclusion Criteria
  • Male or female subjects 18 years or older
  • Histologically proven diagnosis of follicular non-Hodgkin's lymphoma grades 1or 2 according to the World Health Organization classification
  • Subjects must have received at least 12 doses (375mg/m2 or appropriately adjusted dose) of rituximab for the treatment of this lymphoma as single agent rituximab or in rituximab-containing regimens as documented in the subject's medical record
  • Documented relapse or progression following last antineoplastic treatment
  • At least 1 measurable tumor mass (≥1.5 cm x ≥1.0 cm)
Exclusion Criteria
  • Subjects with histological or clinical transformation to an aggressive lymphoma

    • prior treatment with VELCADE or fludarabine.
    • antineoplastic (including unconjugated therapeutic antibodies), experimental, or radiation therapy within 3 weeks before randomization
    • nitrosoureas within 6 weeks before randomization
    • radioimmunoconjugates or toxin immunoconjugates within 10 weeks before randomization
    • major surgery within 3 weeks before randomization
    • chronic use of corticosteroids, such as dexamethasone

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
VELCADE and fludarabine (Group A)VELCADEVELCADE 1.6 mg/m2 intravenously (IV) on Days 1, 8, 15, and 22 and fludarabine 40mg/m2/day orally on Days 1 to 5 of every 35-day cycle
fludarabine and rituximab (Group B)fludarabinefludarabine 40mg/m2/day orally on Days 1 to 5 and rituximab 375mg/m2 on Day 1 of every 35-day cycle
fludarabine and rituximab (Group B)rituximabfludarabine 40mg/m2/day orally on Days 1 to 5 and rituximab 375mg/m2 on Day 1 of every 35-day cycle
VELCADE and fludarabine (Group A)fludarabineVELCADE 1.6 mg/m2 intravenously (IV) on Days 1, 8, 15, and 22 and fludarabine 40mg/m2/day orally on Days 1 to 5 of every 35-day cycle
Primary Outcome Measures
NameTimeMethod
Complete Response RateUp to 8 cycles (1 cycle is 35 days: 280 days)

The proportion of response-evaluable subjects who achieved a confirmed complete response (CR) or complete response unconfirmed (CRu). Disease response and progression were evaluated according to modified International Workshop Response Criteria (IWRC) criteria by radiographic imaging and other procedures as necessary.

Secondary Outcome Measures
NameTimeMethod
Overall Response RateUp to 8 cycles (1 cycle is 35 days: 280 days)

The proportion of subjects who achieve CR, CRu, or partial response (PR) relative to the response evaluable population. Disease response and progression were evaluated according to the modified IWRC criteria by radiographic imaging and other procedures as necessary.

Trial Locations

Locations (43)

Laiko Hospital - 1st Dept. of Propaedeutic Internal Medicine

🇬🇷

Athens, Greece

Sheba MC - Hematology Institute

🇮🇱

Ramat Gan, Israel

Hadassah University Hospital - Hematology Department

🇮🇱

Jerusalem, Israel

Rabin Medical Center - Hematology Institute

🇮🇱

Petach Tikva, Israel

Kantonsspital St.Gallen Department of Oncology/Hematology

🇨🇭

St. Gallen, Switzerland

University Hospital of Heraklion- Department of Hematology

🇬🇷

Heraklion- Crete, Greece

Haemek Medical Center - Hematology Department

🇮🇱

Afula, Israel

Rambam Med.Center - Hematology Institute

🇮🇱

Haifa, Israel

Universitaetsklinikum Frankfurt

🇩🇪

Frankfurt, Germany

Charite, group Benjamin Franklin

🇩🇪

Berlin, Germany

Centre Victor Hugo

🇫🇷

Le Mans, 72, France

CHU Caremeau

🇫🇷

Nimes, 30, France

Hoptial Saint Louis

🇫🇷

Paris Cedex 10, 75, France

Hopital Cochin

🇫🇷

Paris, 75, Cedex 14, France

Klinikum Bamberg, fachbereich 3

🇩🇪

Bamberg, Germany

Vivantes Klinikum am Urban

🇩🇪

Berlin, BE, Germany

Hospital Spandau

🇩🇪

Berlin, Germany

Universitatsklinikum Gottingen, zentrum Innere medicin

🇩🇪

Gottingen, Germany

Universitaetsklinikum Leipzig

🇩🇪

Leipzig, Germany

Robert Bosch Krankenhaus

🇩🇪

Stuttgart, Germany

Mutterhaus der Borromaeerinnen

🇩🇪

Trier, Germany

Universitaetsklinikum Jena

🇩🇪

Jena, Germany

Universitaetsklinikum Mainz

🇩🇪

Mainz, Germany

Evangelisches Krankenhaus Hamm

🇩🇪

Hamm, Germany

Klinikum Idar-Oberstein GmbH

🇩🇪

Idar-Oberstein, Germany

Universitatsklinikum Ulm

🇩🇪

Ulm, Germany

Ospedale Policlinico San Matteo Irccs

🇮🇹

Pavia, Italy

CHU d'Amiens

🇫🇷

Amiens, 80, France

Institut Bergonie

🇫🇷

Bordeaux, 33, France

CHU Hotel Dieu

🇫🇷

Clermont Ferrand, 63, France

Klinikum der Stadt Villinger-Schwenningen

🇩🇪

Villingen-Schwenningen, Germany

Istituto Di Ematologia E Oncologia Medica - L.A. Seragnoli - Policlinico S.Orsola Malpighi

🇮🇹

Bologna, Italy

Clinica di Ematologia DIMI - A.O. Ospedale S. Martino

🇮🇹

Genova, Italy

Azienda Ospedaliera Antonio Cardarelli

🇮🇹

Napoli, Italy

Università La Sapienza, Dipartimento di Biotecnologie Cellulari ed Ematologia, Via Benevento, 6

🇮🇹

Roma, Italy

Policlinico di Bari

🇮🇹

Bari, Italy

Ospedale Niguarda Ca' Granda

🇮🇹

Milano, Italy

A.O.Univ.Pisana-Osp. Santa Chiara

🇮🇹

Pisa, Italy

Azienda Ospedaliera Santa Maria di Terni

🇮🇹

Terni, Italy

Hospital Puerta del Mar, Secretaría de Hematología, 1ª planta

🇪🇸

Cadiz N/a, Spain

Divisione di Ematologia Ospedale San Bortolo - Hematology

🇮🇹

Vicenza, Italy

Hospital Clinico Universitario Salamanca, Servicio de Hematología, 4º Planta

🇪🇸

Salamanca, Spain

Hospital General Universitario Morales Meseguer, Secretaría de Hematología, 1ª planta

🇪🇸

Murcia N/a, Spain

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