Study to Evaluate the Efficacy and Safety of Treatment With Bendamustine in Combination With Ofatumumab in Previously Untreated Patients With Indolent B-Cell Non-Hodgkin's Lymphoma (NHL)

Phase 2

Completed

Conditions: Non-Hodgkin's Lymphoma (NHL)

Interventions: Drug: Bendamustine hydrochloride
Drug: Ofatumumab

Registration Number: NCT01108341

Lead Sponsor: Cephalon

Brief Summary: The primary objective of the study is to determine the efficacy, as measured by overall response (complete response + partial response) of bendamustine in combination with ofatumumab in previously untreated patients with indolent B-Cell Non-Hodgkin's Lymphoma (NHL).

Detailed Description: Not available

Recruitment & Eligibility

Status: COMPLETED

Sex: All

Target Recruitment: 50

Inclusion Criteria

The patient has histopathologic confirmation of one of the protocol-specific CD20+ B-cell non-Hodgkin's lymphomas. Tissue diagnostic procedures must be performed within 6 months of study entry and with biopsy material available for review.
The patient meets 1 of the following need-for-treatment criteria:
1. Presence of at least 1 of the following B-symptoms:
  - fever (>38ºC) of unclear etiology
  - night sweats
  - weight loss of greater than 10% within the prior 6 months
2. large tumor mass (bulky disease) characterized by lymphomas with a diameter of more than 3 cm in 3 or more regions or by a lymphoma with a diameter of more than 7 cm in 1 region
3. presence of lymphoma-related complications
4. hyperviscosity syndrome due to monoclonal gammopathy
The patient's tumor is verified to be CD20+ positive from current or previous excisional or incisional tissue diagnostic procedures performed within 6 months of study entry.
The screening phase CT scan (based on local evaluation) shows:
2 or more clearly demarcated lesions with a largest diameter ≥1.5 cm, or
1 clearly demarcated lesion with a largest diameter ≥2.0 cm
The patient was not previously treated for indolent lymphoma (with the exception of a single course of local radiation therapy not exceeding 2 adjacent lymph node regions).
The patient has adequate hematologic and hepatic function.
The patient has Eastern Cooperative Oncology Group (ECOG) performance status 0, 1, or 2.
The patient has serum creatinine of 2.0 mg/dL or less or creatinine clearance of 30 mL/min or more, based on the Cockcroft-Gault method, or from a 24-hour urine collection.
The patient is willing to comply with contraception requirements.

Key

Exclusion Criteria

The patient:

Has small lymphocytic lymphoma or mantle cell lymphoma.
Has documented history of central nervous system (CNS) lymphomatous involvement.
Has or has had an active malignancy, other than NHL, within the past 3 years except for localized prostate cancer without evidence of bone metastases, bladder, cervical, or breast carcinoma in-situ, or non-melanoma skin cancer .
Has New York Heart Association (NYHC) Class III or IV heart failure, uncontrolled arrythmias or unstable angina, electrocardiographic evidence of active ischemia or active conduction system abnormalities, or myocardial infarction within the last 6 months.
Has known human immunodeficiency virus (HIV) infection.
Has acute or chronic hepatitis B or hepatitis C infection.
Is a pregnant or lactating woman. (Any women becoming pregnant during the study will be withdrawn from the study.)
Has any serious uncontrolled, medical or psychological disorder that would impair the ability of the subject to receive study drugs.
Has received another investigational agent within 30 days of study entry.
Has known hypersensitivity to mannitol.
Has Ann Arbor stage I disease.

Study & Design

Study Type: INTERVENTIONAL

Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Bendamustine and Ofatumumab	Bendamustine hydrochloride	There are 6 planned and 2 optional 28-day cycles in which participants are administered both bendamustine and ofatumumab in the following doses: Bendamustine administered at 90 mg/m\^2 intravenously (iv) on study days 1 and 2. Ofatumumab administered at 300 mg iv on day 1 and 1000 mg iv on day 8 of cycle 1. Ofatumumab administered at 1000 mg iv on day 1 of all additional cycles.
Bendamustine and Ofatumumab	Ofatumumab	There are 6 planned and 2 optional 28-day cycles in which participants are administered both bendamustine and ofatumumab in the following doses: Bendamustine administered at 90 mg/m\^2 intravenously (iv) on study days 1 and 2. Ofatumumab administered at 300 mg iv on day 1 and 1000 mg iv on day 8 of cycle 1. Ofatumumab administered at 1000 mg iv on day 1 of all additional cycles.

Primary Outcome Measures

Name	Time	Method
Percentage of Participants With a Best Overall Response of Complete Response (CR) or Partial Response (PR), as Determined by the International Working Group (IWG) Criteria As Assessed by Investigators	up to Week 32	The IWG criteria (Cheson et al 2007) for a CR is a complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present before therapy. A PR is at least a 50% decrease in sum of the product of the diameters (SPD) of up to 6 of the largest dominant nodes or nodal masses, no increase should be observed in the size of other nodes, liver or spleen, and no new sites of disease should be observed.

Secondary Outcome Measures

Name	Time	Method
Percentage of Participants With a Best Overall Response of Complete Response (CR), as Determined by the International Working Group (IWG) Criteria As Assessed by Investigators	up to Week 32	The IWG criteria (Cheson et al 2007) for a CR is a complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present before therapy.

Trial Locations

Locations (33): Florida Cancer Institute - New Hope
🇺🇸
New Port Richey, Florida, United States
Dublin Hematology Oncology Care P.C.
🇺🇸
Dublin, Georgia, United States
Cancer Care and Hematology Specialists of Chicagoland
🇺🇸
Niles, Illinois, United States
Texas Oncology
🇺🇸
Waco, Texas, United States
Cancer Centers of the Carolinas
🇺🇸
Greenville, South Carolina, United States
Carroll County Cancer Center
🇺🇸
Westminster, Maryland, United States
Columbia Comprehensive Cancer Care Clinic
🇺🇸
Jefferson City, Missouri, United States
Longview Cancer Center
🇺🇸
Longview, Texas, United States
University Cancer Institute
🇺🇸
Boynton Beach, Florida, United States
Tower Cancer Research Foundation
🇺🇸
Beverly Hills, California, United States
Texas Oncology, P.A.
🇺🇸
Webster, Texas, United States
Kentucky Cancer Clinic
🇺🇸
Hazard, Kentucky, United States
Yakima Valley Memorial Hospital/North Start Lodge
🇺🇸
Yakima, Washington, United States
Roswell Park Cancer Institute
🇺🇸
Buffalo, New York, United States
Monter Cancer Center
🇺🇸
Lake Success, New York, United States
Somerset Hematology Oncology Associates
🇺🇸
Somerville, New Jersey, United States
Joe Arrington Cancer Research
🇺🇸
Lubbock, Texas, United States
US Oncology Research - Texoma Cancer Center
🇺🇸
Wichita Falls, Texas, United States
Cephalon Investigational Site
🇮🇱
Nahariya, Israel
Birmingham Hematology and Oncology Associates, LLC
🇺🇸
Birmingham, Alabama, United States
University of Alabama at Birmingham
🇺🇸
Birmingham, Alabama, United States
Siouxland Hematology-Oncology Assoc. LLP
🇺🇸
Sioux City, Iowa, United States
Hematology Oncology, P.C.
🇺🇸
Stamford, Connecticut, United States
Georgia Cancer Specialists
🇺🇸
Tucker, Georgia, United States
Mid Dakota Clinic
🇺🇸
Bismarck, North Dakota, United States
Northwest Georgia Oncology Center
🇺🇸
Marietta, Georgia, United States
Nevada Cancer Institute
🇺🇸
Las Vegas, Nevada, United States
Oregon Health Sciences University
🇺🇸
Portland, Oregon, United States
University of Pittsburgh Medical Center - Cancer Institute
🇺🇸
Pittsburgh, Pennsylvania, United States
MD Anderson Cancer Center
🇺🇸
Houston, Texas, United States
Fairfax/Northern Virginia Hematology/Oncology
🇺🇸
Fairfax, Virginia, United States
Cancer Care Centers of South Texas
🇺🇸
San Antonio, Texas, United States
The West Clinic
🇺🇸
Memphis, Tennessee, United States