NCT01472562已完成2 期
Phase II Study of Lenalidomide Plus Rituximab in Patients With Previously Untreated Mantle Cell Lymphoma
适应症
干预措施
相关药物
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 入组人数
- 38
- 试验地点
- 4
- 主要终点
- Overall Response Rate
研究概览
简要总结
This is a phase II, multicenter study to determine the efficacy and safety of first-line lenalidomide plus rituximab therapy in patients with mantle cell lymphoma who have received no prior systemic therapy.
详细描述
Induction Phase (week 1 - 48):
- Lenalidomide will be given at 20 mg/day for days 1-21 of a 28-day cycle for 12 cycles. If no excess toxicity is observed the dose will be increased to 25 mg/day.
- Rituximab will be administered at 375 mg/m2 per dose for a total of 9 doses. The first 4 doses will be administered weekly starting on day 1 of lenalidomide (e.g. days 1, 8, 15 and 22). Subsequent rituximab doses will be administered for one dose each at weeks 12, 20, 28, 36 and 44.
Maintenance Phase (week 49 - progression of disease):
- Lenalidomide will be given at 15 mg/day for days 1-21 of a 28-day cycle.
- Rituximab at 375 mg/m2 per dose will be administered for one dose every 8 weeks, starting at week 52.
Response Assessment
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Understand and voluntarily sign an informed consent form.
- •Age > = 18 years at the time of signing the informed consent form.
- •Able to adhere to the study visit schedule and other protocol requirements.
- •Histologically confirmed diagnosis of mantle cell Non-Hodgkin's Lymphoma with cyclin D1 overexpression by immunohistochemistry, and a characteristic immunophenotypic profile with CD5(+), CD23(-), CD20(+), and CD10(-). In tumor tissues with negative cyclin D1, evidence of cyclin D2 or D3 overexpression by immunohistochemistry will be acceptable.
- •No prior systemic therapy for lymphoma including chemotherapy or immunotherapy. Patients may have received involved-field radiation therapy which has been discontinued at least 4 weeks prior to treatment in this study.
- •Patient has measurable disease as defined by a tumor mass > 1.5 cm in one dimension.
- •Low and intermediate-risk disease as defined by MIPI score.
- •Subject who the investigator considers that chemotherapy is not indicated.
- •ECOG performance status of < = 2 at study entry.
- •Laboratory test results within these ranges:
- •Absolute neutrophil count > = 1000 /mm³
- •Platelet count > = 75,000 /mm³
- •Calculated creatinine clearance ≥ 30 ml/min by Cockcroft-Gault formula • Total bilirubin < = 2 x ULN
- •AST (SGOT) and ALT (SGPT) < = 3 x ULN.
- •Disease free of prior malignancies for > = 5 years with exception of currently treated basal cell, squamous cell carcinoma of the skin, carcinoma "in situ" of the cervix or breast, or localized prostate cancer.
- •All subjects must be registered into the mandatory RevAssist® program, and be willing and able to comply with the requirements of RevAssist®.
- •Subjects of reproductive potential agree to use birth control throughout their participation in this study, and for three months following study termination.
- •Females of childbearing potential (FCBP)† must have a negative serum or urine pregnancy test with a sensitivity of at least 50 mIU/mL within 10 - 14 days and again within 24 hours prior to prescribing lenalidomide for Cycle 1 (prescriptions must be filled within 7 days). FCBP must either commit to continued abstinence from heterosexual intercourse or begin TWO acceptable methods of birth control, one highly effective method and one additional effective method AT THE SAME TIME, at least 28 days before she starts taking lenalidomide. FCBP must also agree to ongoing pregnancy testing. Men must agree to use a latex condom during sexual contact with a FCBP even if they have had a successful vasectomy. See Appendix: Risks of Fetal Exposure, Pregnancy Testing Guidelines and Acceptable Birth Control Methods.
- •Able to take aspirin (81 or 325 mg) daily as prophylactic anticoagulation (patients intolerant to ASA may use warfarin or low molecular weight heparin).
- •Asymptomatic carriers of hepatitis B virus can be considered for study if they agree to and comply with close monitoring and suppressive therapy with lamivudine during treatment and for additional six months after coming off study.
排除标准
- •Any serious medical condition, laboratory abnormality, or psychiatric illness that would prevent the subject from signing the informed consent form.
- •Pregnant or breast feeding females.
- •Any condition, including the presence of laboratory abnormalities, which places the subject at unacceptable risk if he/she were to participate in the study or confounds the ability to interpret data from the study.
- •Use of any other experimental drug or therapy within 28 days of baseline.
- •Patient on corticosteroids within two weeks prior to study entry, except for prednisone < = 10 mg/day or equivalent for purposes other than treating MCL.
- •Known hypersensitivity to thalidomide.
- •Any prior use of lenalidomide.
- •Known seropositive for or active viral infection with human immunodeficiency virus (HIV), hepatitis B virus (HBV) or hepatitis C virus (HCV). Patients who are seropositive because of hepatitis B virus vaccine are eligible.
- •Known central nervous system (CNS) involvement by lymphoma.
- •Patient at high risk for deep vein thrombosis not willing to take DVT prophylaxis.
- •Patient has had major surgery within the last 3 weeks
研究组 & 干预措施
all patients
Experimental
Induction Phase (week 1 - 48):
- Lenalidomide will be given at 20 mg/day for days 1-21 of a 28-day cycle for 12 cycles. If no excess toxicity is observed the dose will be increased to 25 mg/day.
- Rituximab will be administered at 375 mg/m2 per dose for a total of 9 doses. The first 4 doses will be administered weekly starting on day 1 of lenalidomide (e.g. days 1, 8, 15 and 22). Subsequent rituximab doses will be administered for one dose each at weeks 12, 20, 28, 36 and 44.
Maintenance Phase (week 49 - progression of disease):
- Lenalidomide will be given at 15 mg/day for days 1-21 of a 28-day cycle.
- Rituximab at 375 mg/m2 per dose will be administered for one dose every 8 weeks, starting at week 52.
干预措施: lenalidomide (Drug)
all patients
Experimental
Induction Phase (week 1 - 48):
- Lenalidomide will be given at 20 mg/day for days 1-21 of a 28-day cycle for 12 cycles. If no excess toxicity is observed the dose will be increased to 25 mg/day.
- Rituximab will be administered at 375 mg/m2 per dose for a total of 9 doses. The first 4 doses will be administered weekly starting on day 1 of lenalidomide (e.g. days 1, 8, 15 and 22). Subsequent rituximab doses will be administered for one dose each at weeks 12, 20, 28, 36 and 44.
Maintenance Phase (week 49 - progression of disease):
- Lenalidomide will be given at 15 mg/day for days 1-21 of a 28-day cycle.
- Rituximab at 375 mg/m2 per dose will be administered for one dose every 8 weeks, starting at week 52.
干预措施: rituximab (Biological)
结局指标
主要结局
Overall Response Rate
时间窗: 30 months
The primary endpoint of overall response rate will be estimated and a 95% confidence interval will be estimated via binomial proportions.
次要结局
- Number of Participants With Progression-free Survival(10 years)
- Time to Next Treatment(10 years)
- Safety as Measured by Number of Subjects Who Experience an Adverse Event While on Study Treatment(6 years)
- Number of Participants With Overall Survival(10 years)
研究者
研究点 (4)
Loading locations...
相似试验
已完成
2 期
A Phase II Study of the FIL on Elderly Frail Patients With DLBCLDiffuse Large B-cells Non-Hodgkin LymphomaNCT02955823Fondazione Italiana Linfomi - ETS68
已完成
2 期
Lenalidomide and Rituximab in Treating Patients With Previously Untreated Stage II, Stage III, or Stage IV Follicular Non-Hodgkin LymphomaAnn Arbor Stage III Grade 2 Follicular LymphomaAnn Arbor Stage III Grade 3 Follicular LymphomaAnn Arbor Stage IV Grade 1 Follicular LymphomaAnn Arbor Stage II Grade 1 Contiguous Follicular LymphomaAnn Arbor Stage II Grade 1 Non-Contiguous Follicular LymphomaAnn Arbor Stage II Grade 2 Contiguous Follicular LymphomaAnn Arbor Stage II Grade 2 Non-Contiguous Follicular LymphomaAnn Arbor Stage II Grade 3 Contiguous Follicular LymphomaAnn Arbor Stage II Grade 3 Non-Contiguous Follicular LymphomaAnn Arbor Stage III Grade 1 Follicular LymphomaAnn Arbor Stage IV Grade 2 Follicular LymphomaAnn Arbor Stage IV Grade 3 Follicular LymphomaNCT01145495National Cancer Institute (NCI)66
已完成
2 期
Rituximab Plus Lenalidomide in Patients With Mucosa Associated Lymphoid TissueLymphoma of the Mucosa Associated Lymphoid Tissue (MALT)NCT01611259Arbeitsgemeinschaft medikamentoese Tumortherapie50
Unknown
2 期
Lenalidomide Plus Rituximab (R) in Non Follicular NHLIndolent Non Hodgkin LymphomaNCT01830478Gruppo Italiano Studio Linfomi44
已完成
2 期
Lenalidomide in Combination With Rituximab in Treating Participants With Stage III/IV Indolent Non-Hodgkin LymphomaAnn Arbor Stage III Grade 1 Follicular LymphomaAnn Arbor Stage III Grade 2 Follicular LymphomaAnn Arbor Stage III Indolent Adult Non-Hodgkin LymphomaAnn Arbor Stage III Marginal Zone LymphomaAnn Arbor Stage III Small Lymphocytic LymphomaAnn Arbor Stage IV Grade 1 Follicular LymphomaAnn Arbor Stage IV Grade 2 Follicular LymphomaAnn Arbor Stage IV Indolent Adult Non-Hodgkin LymphomaAnn Arbor Stage IV Marginal Zone LymphomaAnn Arbor Stage IV Small Lymphocytic LymphomaNCT00695786M.D. Anderson Cancer Center156