A clinical study to determine whether a new drug masitinib is safe and effective in cancer of the white blood cells.
- Conditions
- Relapsed or refractory peripheral T-cell lymphomaMedDRA version: 18.1Level: PTClassification code 10061871Term: Non-Hodgkin's lymphoma transformed recurrentSystem Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)MedDRA version: 18.1Level: PTClassification code 10034623Term: Peripheral T-cell lymphoma unspecifiedSystem Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)Therapeutic area: Diseases [C] - Cancer [C04]
- Registration Number
- EUCTR2010-021091-28-GB
- Lead Sponsor
- AB Science
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Recruiting
- Sex
- All
- Target Recruitment
- 267
1. Patient with histologically/cytologically confirmed peripheral T-cell lymphoma (PTCL), using the WHO disease classification 2008:
- Adult T-cell lymphoma/leukemia (human T-cell leukemia virus [HTLV] 1+)
- Angioimmunoblastic T-cell lymphoma
- Anaplastic large cell lymphoma ALK+
- Anaplastic large cell lymphoma ALK-
- Peripheral T-cell lymphoma- NOS (not otherwise specified)
- Extranodal Natural Killer (NK)/T-cell lymphoma
- Enteropathy-associated T-cell lymphoma
- Hepatosplenic T-cell lymphoma
- Subcutaneous panniculitis T-cell lymphoma
- Transformed mycosis fungoides
2. Patient with documented progression of disease after at least 1 previous chemotherapy cycle
3. Patient with minimum 1 bidimensionally measurable disease (more than 1.5 cm) according to the Cheson criteria
4. Patient having Ann Arbor stage II–IV
5. Patient with ECOG Performance Status = 2
6. Patients with adequate organ function
- Absolute neutrophils count (ANC) = 1.5 x 109/L or > 1 x 109/L in case of medullary
involvement
- Haemoglobin = 10 g/dL
- Platelets (PTL) = 75 x 109/L
- AST and ALT = 3x ULN (= 5 x ULN in case of liver metastases)
- Gamma GT = 2.5 x ULN (= 5 x ULN in case of liver metastases)
- Bilirubin = 1.5x ULN (= 3xULN in case of liver metastases)
- Normal Creatinine or if abnormal creatinine, creatinine clearance = 50 mL/min (Cockcroft and Gault formula)
- Albuminaemia > 1 x LLN
- Proteinuria < 30 mg/dl (1+) on the dipstick. If proteinuria is = 1+ on the dipstick, 24 hours proteinuria must be < 1.5g/24 hours
7. Patient with life expectancy > 3 months
8. Man or woman, age =18 years
9. Body mass index > 18 and body weight > 40 kg
10. Female patient of childbearing potential (entering the study after a menstrual period and who has a negative pregnancy test), who agrees to use a highly effective method of contraception and an acceptable method of contraception by her male partner during the study and for 3 months after the last treatment intake.
Male patient with a female partner of childbearing potential who agrees to use a highly effective method of contraception and an acceptable method of contraception by his female partner during the study and for 3 months after the last treatment intake OR who agrees to use an acceptable method of contraception and a highly effective method of contraception by his female partner during the study and for 3 months after the last treatment intake.
Highly effective methods of contraception include:
-Combined (estrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation: oral, intravaginal, or transdermal
-Progestogen-only hormonal contraception associated with inhibition of ovulation: oral, injectable,or implantable
-Intrauterine device (IUD)
-Intrauterine hormone-releasing system (IUS)
-Bilateral tubal occlusion
-Vasectomized male (azoospermia assessed medically)
-Sexual abstinence (Its reliability should be evaluated in relation to the duration of the clinical trial and the preferred and usual lifestyle of the patient)
Acceptable methods of contraception include:
-Progestogen-only oral hormonal contraception, where inhibition of ovulation is not the primary mode of action
-Male or female condom with or without spermicide
-Cap, diaphragm or sponge with spermicide
11. Patient able and willing to comply with study procedures as per protocol.
12. Patient able to understand the patient card and to follow the patient card procedures in case of signs or symp
1. Patient with:
- T-cell prolymphocytic leukemia
- T-cell large granular lymphocytic leukemia
- Mycosis fungoides, other than transformed mycosis fungoides
- Sezary syndrome
- Primary cutaneous CD30+ T-cell lymphoproliferative disorders
2. Patient with central nervous involvement of lymphoma
3. Patient with previous allogeneic stem cell transplantation
4. Patient who relapsed less than three months after an autologous stem cell transplantation
5. Patient presenting with cardiac disorders defined by at least one of the following conditions:
- Patient with recent cardiac history (within 6 months) of:
- Acute coronary syndrome
- Acute heart failure (class III or IV of the NYHA classification)
- Significant ventricular arrhythmia (persistent ventricular tachycardia, ventricular fibrillation, resuscitated sudden death)
- Patient with cardiac failure class III or IV of the NYHA classification
- Patient with severe conduction disorders which are not prevented by permanent pacing (atrioventricular block 2 and 3, sino-atrial block)
- Syncope without known aetiology within 3 months
- Uncontrolled severe hypertension, according to the judgment of the investigator, or symptomatic hypertension
6. Patient with clinically uncontrolled infectious diseases and patient with Human Immunodeficiency Virus infection and/or hepatitis B or C infection
7. Patient with a history of any other malignancy within the 5 years prior to study treatment, except carcinoma in situ of the cervix or basal cell carcinoma of the skin
8. Pregnant or nursing woman
9. Patient with history of poor compliance or history of drug/alcohol abuse, or excessive alcohol beverage consumption that would interfere with the ability to comply with the study protocol, or
current or past psychiatric disease that might interfere with the ability to comply with the study protocol or give informed consent
10. Patient with known hypersensitivity to gemcitabine and/or excipients
11. Patients requiring medication, which are prohibited in the current protocol, including anticancer drugs other than masitinib and gemcitabine, corticosteroids other than dexamethasone, investigational drugs, live attenuated vaccines, drugs known to be at high risk of Stevens-Johnson or DRESS syndrome.
Washout:
- Patient with a major surgery or radiation therapy within four weeks of starting the study treatment
- Treatments with an investigational agent or anti-tumour therapy (any chemotherapy, radiotherapy,
immunotherapy or biologic agent) within 4 weeks prior to baseline
- Treatment with corticosteroids within 7 days prior to baseline (except prednisone at a maximal dose of 0.5
mg/kg/day for less than 1 month)
- Patients to be treated with gemcitabine will require a delay of at least four weeks between radiotherapy and the start of their treatment with gemcitabine.
Study & Design
- Study Type
- Interventional clinical trial of medicinal product
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Main Objective: The objective is to evaluate the efficacy and safety of masitinib at 6 mg/kg/day in combination with dexamethasone, dexamethasone in combination with gemcitabine and the combination of masitinib at 6 mg/kg/day, dexamethasone and gemcitabine in patients with relapsed or refractory peripheral T-cell lymphoma (PTCL).;Secondary Objective: Secondary objectives are to evaluate the complementary efficacy (Progression Free Survival and Tumor Response) and safety in each treatment group of patients with relapsed or refractory peripheral T-cell lymphoma:<br> - masitinib at 6 mg/kg/day in combination with dexamethasone<br> - dexamethasone in combination with gemcitabine<br> - masitinib at 6 mg/kg/day in combination with dexamethasone and gemcitabine;Primary end point(s): Overall Survival (OS) defined as time from randomisation until death due to any cause.;Timepoint(s) of evaluation of this end point: Time of death
- Secondary Outcome Measures
Name Time Method