A Phase 1b, Multicenter, Open-Label, Dose Escalation Study of SAR245409 to Evaluate the Safety, Tolerability and Clinical Activity of SAR245409 in Combination With Rituximab or Bendamustine Plus Rituximab in Patients With Relapsed or Refractory Indolent B-cell Non-Hodgkin Lymphoma, Mantle Cell Lymphoma or Chronic Lymphocytic Leukemia
Overview
- Phase
- Phase 1
- Intervention
- SAR245409
- Conditions
- Indolent Non-Hodgkin Lymphoma
- Sponsor
- Sanofi
- Enrollment
- 37
- Locations
- 3
- Primary Endpoint
- Identification Of Dose-Limiting Toxicity (DLT) and Maximum Tolerated Dose (MTD)
- Status
- Completed
- Last Updated
- 10 years ago
Overview
Brief Summary
Primary Objective:
- To determine the maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D) for SAR245409 when administered in combination with rituximab or bendamustine plus rituximab
Secondary Objectives:
- To determine the safety and tolerability of SAR245409 in combination with rituximab or bendamustine plus rituximab in subjects with indolent Hon-Hodgkin Lymphoma (iNHL) Mantle Cell Lymphoma (MCL) or Chronic Lymphocytic Leukemia (CLL)
- To determine the pharmacokinetics (PK) of SAR245409, bendamustine and rituximab when used in combination in subjects with iNHL, MCL or CLL
- To determine the pharmacodynamic (PD) effects of SAR245409 in combination with rituximab or bendamustine plus rituximab in subjects with iNHL, MCL or CLL
- To determine the antitumor activity of SAR245409 in combination with rituximab or bendamustine plus rituximab in subjects with iNHL, MCL or CLL
Detailed Description
All subjects will take SAR245409 twice daily. All subjects will receive SAR245409 as long as there is clinical benefit. Combination therapy with SAR245409, bendamustine and rituximab , will be administered over a 28 day cycle for up to 6 to 8 cycles. Subjects receiving the doublet combination , SAR245409 plus rituximab will receive weekly rituximab for 4 - 8 weeks. Monthly Rituximab may be continued beyond 8 weeks.
Investigators
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Arms & Interventions
SAR245409 + rituximab
Subjects will receive oral SAR245409 twice daily continuously and weekly rituximab intravenously
Intervention: SAR245409
SAR245409 + rituximab + bendamustine (iNHL, MCL)
Subjects will receive oral SAR245409 twice daily continuously and monthly bendamustine intravenously.
Intervention: SAR245409
SAR245409 + rituximab+ bendamustine (CLL)
Subjects will receive oral SAR245409 twice daily continuously and monthly bendamustine and rituximab intravenously
Intervention: SAR245409
Outcomes
Primary Outcomes
Identification Of Dose-Limiting Toxicity (DLT) and Maximum Tolerated Dose (MTD)
Time Frame: 4 weeks to 8 weeks
Secondary Outcomes
- Pharmacokinetics (tmax) of bendamustine(up to 2 months)
- Pharmacokinetics (tmax) of rituximab(up to 2 months)
- Number of subjects with treatment emergent adverse events(Time from receiving first dose of SAR245409 until 30 days after the last dose)
- Pharmacokinetics (tmax) of SAR245409(up to 2 months)
- Pharmacokinetics (Ctrough) of SAR245409(up to 2 months)
- Pharmacokinetics (AUC) of bendamustine(up to 2 months)
- Pharmacokinetics (AUClast) of bendamustine(up to 2 months)
- Pharmacokinetics (Ceoi) of bendamustine(up to 2 months)
- Pharmacokinetics (AUC0-12h) of SAR245409(up to 2 months)
- Pharmacokinetics (Cmax) of SAR245409(up to 2 months)
- Pharmacokinetics (Vss) of bendamustine(up to 2 months)
- Efficacy as determined by objective response rate (ORR)(up to 4 years)
- Pharmacokinetics (Cl) of bendamustine(up to 2 months)
- Pharmacokinetics (AUC0-7h) of rituximab(up to 2 months)
- Pharmacokinetics (Ceoi) of rituximab(up to 2 months)