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A Clinical Study to investigate the Safety and Efficacy of Entospletinib (GS-9973) in combination with standard of care in adult subjects with Non-Hodgkin Lymphoma (NHL).

Phase 1
Conditions
Relapsed or refractory Non-Hodgkin Lymphoma and relapsed or refractory Diffuse Large B-cell Lymphoma.
Therapeutic area: Diseases [C] - Cancer [C04]
Registration Number
EUCTR2015-002731-17-ES
Lead Sponsor
Gilead Sciences, Inc.
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
124
Inclusion Criteria

1) Subjects ? 18 years of age
2) Measurable disease by computed tomograph (CT)/ and/or positron-emission tomography CT (PET-CT)
3) A) Phase 1b Dose Escalation Stage: Confirmed Diagnosis of relapsed or refractory Non-Hodgkin Lymphoma (NHL) treated with rituximab and one additional combination chemotherapy (or stem cell transplant) requiring treatment in the opinion of the treating physician
B) Phase 2 Dose Expansion Cohorts:
i) Relapsed or refractory de novo DLBCL for Dose Expansion Cohort A
ii) Treatment-naïve de novo DLBCL for Dose Expansion Cohorts B and C
4) Eastern Cooperative Oncology Group (ECOG) performance status ? 2 or Karnofsky performance status ? 70
5) Adequate organ function defined by the screening laboratory inclusion listed below and Left Ventricular Ejection Fraction (LVEF) ? 45% confirmed by ECHO or MUGA
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 30
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 90

Exclusion Criteria

1) Dose Expansion phase (Cohorts A ? C): Diagnosis of lymphoma histologies other than DLBCL
2) Diagnosis of Primary Mediastinal Large B-cell Lymphoma
3) A life threatening illness, medical condition or organ system dysfunction which, in the investigator?s opinion, could compromise the subject?s safety or interfere with the absorption or metabolism of ENTO
4) Active or symptomatic CNS disease or epidural involvement
5) Uncontrolled intercurrent illness including, but not limited to, unstable angina pectoris or psychiatric illness/social situations that would limit compliance with study requirements
6) Current/ongoing neuropathy (sensory or motor) Grade > 1 or any history of Grade ? 3 neuropathy with prior VCR or chemotherapy exposure (documentation by history is adequate to exclude)
7) Contraindication to receive VCR or any planned protocol-specified chemotherapy
8) Eligible for autologous stem cell transplant
9) History of myelodysplastic syndrome, allogeneic stem cell or solid organ transplantation
10) History of any other non-lymphoid malignancy except for the following: adequately treated local basal cell or squamous cell carcinoma of the skin, cervical carcinoma in situ, superficial bladder cancer, asymptomatic prostate cancer without known metastatic disease and with no requirement for therapy or requiring only hormonal therapy and with normal prostate specific antigen for ? 1 year prior to the start of study drug, or any other cancer that has been in complete remission without treatment for ? 5 years prior to enrollment

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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