Trial Outcomes & Findings for Flavopiridol in Treating Patients With Previously Treated Chronic Lymphocytic Leukemia or Lymphocytic Lymphoma (NCT NCT00058240)

NCT ID: NCT00058240

Last Updated: 2017-07-02

Results Overview

DLTs were defined as non-hematologic toxicity of grade 3 or greater severity (excluding transient liver function abnormalities, transient electrolyte abnormalities that are not life threatening, fatigue, or diarrhea that resolve within 4 days), or in some case grade 2 toxicity (i.e. irreversible renal, chronic pulmonary, neurologic, or cardiac toxicity). Hematologic toxicity were evaluated by the modified NCI criteria and followed closely. Dose limiting only if grade 4 thrombocytopenia or neutropenia persists for 7 days or greater. Inability to continue with cycle 2 by 7 weeks for reasons other than progression of disease will also be considered a DLT.The National Cancer Institute Common Toxicity Criteria will be used to characterize toxicity.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

52 participants

Primary outcome timeframe

up to 7 weeks

Results posted on

2017-07-02

Participant Flow

Patients with relapsed, symptomatic Chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL) were enrolled and received treatment between May 2003 and February 2006

Participant milestones

Participant milestones
Measure
Dose Level 1
Patients were administered Flavopiridol 30mg/m2 bolus followed by 30 mg/m2 4 hour infusion weekly for four weeks followed by two weeks without therapy for a total of 6 cycles
Dose Level 2
Patients were administered Flavopiridol 40mg/m2 bolus followed by 40 mg/m2 4 hour infusion weekly for four weeks followed by two weeks without therapy for a total of 6 cycles
Dose Level 3
Patients were administered Flavopiridol dose level one scheduled for the first cycle. In absence of severe toxicity, dose level was escalated to 30mg/m2 bolus followed by 50 mg/m2 4 hour infusion for a total of 6 cycles
Dose Level 4
Patients were administered Flavopiridol dose level one scheduled for the first dose. In absence of severe toxicity, dose level was escalated to 30mg/m2 bolus followed by 50 mg/m2 4 hour infusion for a total of 6 cycles
First Dose Level
STARTED
20
3
17
12
First Dose Level
Treated
20
3
17
12
First Dose Level
COMPLETED
20
3
17
12
First Dose Level
NOT COMPLETED
0
0
0
0
Second Dose Level
STARTED
0
0
2
4
Second Dose Level
COMPLETED
0
0
2
4
Second Dose Level
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Flavopiridol in Treating Patients With Previously Treated Chronic Lymphocytic Leukemia or Lymphocytic Lymphoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Dose Level 1
n=20 Participants
Dose Level 1: Patients were administered Flavopiridol 30mg/m2 bolus followed by 30 mg/m2 4 hour infusion weekly for four weeks followed by two weeks without therapy for a total of 6 cycles
Dose Level 2
n=3 Participants
Dose Level 2: Patients were administered Flavopiridol 40mg/m2 bolus followed by 40 mg/m2 4 hour infusion weekly for four weeks followed by two weeks without therapy for a total of 6 cycles.
Dose Level 3
n=17 Participants
Dose Level 3: Patients were administered Flavopiridol dose level one scheduled for the first cycle. In absence of severe toxicity, dose level was escalated to 30mg/m2 bolus followed by 50 mg/m2 4 hour infusion for a total of 6 cycles
Dose Level 4
n=12 Participants
Dose Level 4: Patients were administered Flavopiridol dose level one scheduled for the first dose. In absence of severe toxicity, dose level was escalated to 30mg/m2 bolus followed by 50 mg/m2 4 hour infusion for a total of 6 cycles
Total
n=52 Participants
Total of all reporting groups
Age, Continuous
61.5 years
n=5 Participants
52 years
n=7 Participants
55 years
n=5 Participants
60 years
n=4 Participants
60 years
n=21 Participants
Sex: Female, Male
Female
6 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
3 Participants
n=4 Participants
14 Participants
n=21 Participants
Sex: Female, Male
Male
14 Participants
n=5 Participants
1 Participants
n=7 Participants
14 Participants
n=5 Participants
9 Participants
n=4 Participants
38 Participants
n=21 Participants
Region of Enrollment
United States
20 patients
n=5 Participants
3 patients
n=7 Participants
17 patients
n=5 Participants
12 patients
n=4 Participants
52 patients
n=21 Participants

PRIMARY outcome

Timeframe: up to 7 weeks

DLTs were defined as non-hematologic toxicity of grade 3 or greater severity (excluding transient liver function abnormalities, transient electrolyte abnormalities that are not life threatening, fatigue, or diarrhea that resolve within 4 days), or in some case grade 2 toxicity (i.e. irreversible renal, chronic pulmonary, neurologic, or cardiac toxicity). Hematologic toxicity were evaluated by the modified NCI criteria and followed closely. Dose limiting only if grade 4 thrombocytopenia or neutropenia persists for 7 days or greater. Inability to continue with cycle 2 by 7 weeks for reasons other than progression of disease will also be considered a DLT.The National Cancer Institute Common Toxicity Criteria will be used to characterize toxicity.

Outcome measures

Outcome measures
Measure
Dose Level 1
n=20 Participants
Patients were administered Flavopiridol 30mg/m2 bolus followed by 30 mg/m2 4 hour infusion weekly for four weeks followed by two weeks without therapy for a total of 6 cycles
Dose Level 2
n=3 Participants
Patients were administered Flavopiridol 40mg/m2 bolus followed by 40 mg/m2 4 hour infusion weekly for four weeks followed by two weeks without therapy for a total of 6 cycles
Dose Level 3
n=19 Participants
Patients were administered Flavopiridol dose level one scheduled for the first cycle. In absence of severe toxicity, dose level was escalated to 30mg/m2 bolus followed by 50 mg/m2 4 hour infusion for a total of 6 cycles
Dose Level 4
n=16 Participants
Patients were administered Flavopiridol dose level one scheduled for the first dose. In absence of severe toxicity, dose level was escalated to 30mg/m2 bolus followed by 50 mg/m2 4 hour infusion for a total of 6 cycles
Number of Patients With Dose Limiting Toxicities (DLTs)
2 patients
2 patients
4 patients
3 patients

PRIMARY outcome

Timeframe: Up to 6 weeks

Recommended dose determined by number of DLTs \[non-hematologic toxicity grade 3 or greater (excluding not life-threatening transient liver function or transient electrolyte abnormalities, fatigue, or diarrhea resolving within 4 days), some grade 2 toxicity (i.e. irreversible renal, chronic pulmonary, neurologic, or cardiac toxicity), hematologic toxicity of grade 4 thrombocytopenia/neutropenia persisting for 7 days or greater, or inability to continue cycle 2 by 7 weeks for reasons other than disease progression\] and consideration of number of patients with severe tumor lysis requiring hemodialysis with dose 1.

Outcome measures

Outcome measures
Measure
Dose Level 1
n=16 Participants
Patients were administered Flavopiridol 30mg/m2 bolus followed by 30 mg/m2 4 hour infusion weekly for four weeks followed by two weeks without therapy for a total of 6 cycles
Dose Level 2
Patients were administered Flavopiridol 40mg/m2 bolus followed by 40 mg/m2 4 hour infusion weekly for four weeks followed by two weeks without therapy for a total of 6 cycles
Dose Level 3
Patients were administered Flavopiridol dose level one scheduled for the first cycle. In absence of severe toxicity, dose level was escalated to 30mg/m2 bolus followed by 50 mg/m2 4 hour infusion for a total of 6 cycles
Dose Level 4
Patients were administered Flavopiridol dose level one scheduled for the first dose. In absence of severe toxicity, dose level was escalated to 30mg/m2 bolus followed by 50 mg/m2 4 hour infusion for a total of 6 cycles
Recommended Dose Level of Flavopiridol
Cycle 1 dose 1
30 mg/m^2
Recommended Dose Level of Flavopiridol
Cycle 1 dose 2 thru Cycle 6
50 mg/m^2

SECONDARY outcome

Timeframe: Up to 2 years

Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR

Outcome measures

Outcome measures
Measure
Dose Level 1
n=52 Participants
Patients were administered Flavopiridol 30mg/m2 bolus followed by 30 mg/m2 4 hour infusion weekly for four weeks followed by two weeks without therapy for a total of 6 cycles
Dose Level 2
Patients were administered Flavopiridol 40mg/m2 bolus followed by 40 mg/m2 4 hour infusion weekly for four weeks followed by two weeks without therapy for a total of 6 cycles
Dose Level 3
Patients were administered Flavopiridol dose level one scheduled for the first cycle. In absence of severe toxicity, dose level was escalated to 30mg/m2 bolus followed by 50 mg/m2 4 hour infusion for a total of 6 cycles
Dose Level 4
Patients were administered Flavopiridol dose level one scheduled for the first dose. In absence of severe toxicity, dose level was escalated to 30mg/m2 bolus followed by 50 mg/m2 4 hour infusion for a total of 6 cycles
Overall Response Rate (CR + PR) of Flavopiridol in Patients Evaluated Utilizing the Revised National Cancer Institute-sponsored Working Group Guidelines
21 patients

Adverse Events

Dose Levels 1-3

Serious events: 11 serious events
Other events: 40 other events
Deaths: 0 deaths

Dose Level 4

Serious events: 1 serious events
Other events: 16 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Dose Levels 1-3
n=40 participants at risk;n=42 participants at risk
Dose Level 1: Patients were administered Flavopiridol 30mg/m2 bolus followed by 30 mg/m2 4 hour infusion weekly for four weeks followed by two weeks without therapy for a total of 6 cycles Dose Level 2: Patients were administered Flavopiridol 40mg/m2 bolus followed by 40 mg/m2 4 hour infusion weekly for four weeks followed by two weeks without therapy for a total of 6 cycles Dose Level 3: Patients were administered Flavopiridol dose level one scheduled for the first cycle. In absence of severe toxicity, dose level was escalated to 30mg/m2 bolus followed by 50 mg/m2 4 hour infusion for a total of 6 cycles
Dose Level 4
n=16 participants at risk
Dose Level 4: Patients were administered Flavopiridol dose level one scheduled for the first dose. In absence of severe toxicity, dose level was escalated to 30mg/m2 bolus followed by 50 mg/m2 4 hour infusion for a total of 6 cycles
Metabolism and nutrition disorders
Hyperacute Tumor Lysis
26.2%
11/42 • Number of events 11 • Patients were assessed for toxicities from Day 1 of each Flavopiridol Treatment to Post-Treatment Follow-up. Follow up was performed every 3 months for 2 years.
Adverse events were reported for 40 unique patients treated at dose levels 1-3 and 16 patients treated at Dose level 4
6.2%
1/16 • Number of events 1 • Patients were assessed for toxicities from Day 1 of each Flavopiridol Treatment to Post-Treatment Follow-up. Follow up was performed every 3 months for 2 years.
Adverse events were reported for 40 unique patients treated at dose levels 1-3 and 16 patients treated at Dose level 4

Other adverse events

Other adverse events
Measure
Dose Levels 1-3
n=40 participants at risk;n=42 participants at risk
Dose Level 1: Patients were administered Flavopiridol 30mg/m2 bolus followed by 30 mg/m2 4 hour infusion weekly for four weeks followed by two weeks without therapy for a total of 6 cycles Dose Level 2: Patients were administered Flavopiridol 40mg/m2 bolus followed by 40 mg/m2 4 hour infusion weekly for four weeks followed by two weeks without therapy for a total of 6 cycles Dose Level 3: Patients were administered Flavopiridol dose level one scheduled for the first cycle. In absence of severe toxicity, dose level was escalated to 30mg/m2 bolus followed by 50 mg/m2 4 hour infusion for a total of 6 cycles
Dose Level 4
n=16 participants at risk
Dose Level 4: Patients were administered Flavopiridol dose level one scheduled for the first dose. In absence of severe toxicity, dose level was escalated to 30mg/m2 bolus followed by 50 mg/m2 4 hour infusion for a total of 6 cycles
Investigations
Absolute Neutrophil Count
75.0%
30/40 • Number of events 30 • Patients were assessed for toxicities from Day 1 of each Flavopiridol Treatment to Post-Treatment Follow-up. Follow up was performed every 3 months for 2 years.
Adverse events were reported for 40 unique patients treated at dose levels 1-3 and 16 patients treated at Dose level 4
100.0%
16/16 • Number of events 16 • Patients were assessed for toxicities from Day 1 of each Flavopiridol Treatment to Post-Treatment Follow-up. Follow up was performed every 3 months for 2 years.
Adverse events were reported for 40 unique patients treated at dose levels 1-3 and 16 patients treated at Dose level 4
Investigations
WBC
0.00%
0/40 • Patients were assessed for toxicities from Day 1 of each Flavopiridol Treatment to Post-Treatment Follow-up. Follow up was performed every 3 months for 2 years.
Adverse events were reported for 40 unique patients treated at dose levels 1-3 and 16 patients treated at Dose level 4
68.8%
11/16 • Number of events 11 • Patients were assessed for toxicities from Day 1 of each Flavopiridol Treatment to Post-Treatment Follow-up. Follow up was performed every 3 months for 2 years.
Adverse events were reported for 40 unique patients treated at dose levels 1-3 and 16 patients treated at Dose level 4
Investigations
Platelets
37.5%
15/40 • Number of events 15 • Patients were assessed for toxicities from Day 1 of each Flavopiridol Treatment to Post-Treatment Follow-up. Follow up was performed every 3 months for 2 years.
Adverse events were reported for 40 unique patients treated at dose levels 1-3 and 16 patients treated at Dose level 4
43.8%
7/16 • Number of events 7 • Patients were assessed for toxicities from Day 1 of each Flavopiridol Treatment to Post-Treatment Follow-up. Follow up was performed every 3 months for 2 years.
Adverse events were reported for 40 unique patients treated at dose levels 1-3 and 16 patients treated at Dose level 4
Vascular disorders
Hemorhage
7.5%
3/40 • Number of events 3 • Patients were assessed for toxicities from Day 1 of each Flavopiridol Treatment to Post-Treatment Follow-up. Follow up was performed every 3 months for 2 years.
Adverse events were reported for 40 unique patients treated at dose levels 1-3 and 16 patients treated at Dose level 4
6.2%
1/16 • Number of events 1 • Patients were assessed for toxicities from Day 1 of each Flavopiridol Treatment to Post-Treatment Follow-up. Follow up was performed every 3 months for 2 years.
Adverse events were reported for 40 unique patients treated at dose levels 1-3 and 16 patients treated at Dose level 4
Vascular disorders
Hypotension
10.0%
4/40 • Number of events 4 • Patients were assessed for toxicities from Day 1 of each Flavopiridol Treatment to Post-Treatment Follow-up. Follow up was performed every 3 months for 2 years.
Adverse events were reported for 40 unique patients treated at dose levels 1-3 and 16 patients treated at Dose level 4
6.2%
1/16 • Number of events 1 • Patients were assessed for toxicities from Day 1 of each Flavopiridol Treatment to Post-Treatment Follow-up. Follow up was performed every 3 months for 2 years.
Adverse events were reported for 40 unique patients treated at dose levels 1-3 and 16 patients treated at Dose level 4
Respiratory, thoracic and mediastinal disorders
Hypoxia
15.0%
6/40 • Number of events 6 • Patients were assessed for toxicities from Day 1 of each Flavopiridol Treatment to Post-Treatment Follow-up. Follow up was performed every 3 months for 2 years.
Adverse events were reported for 40 unique patients treated at dose levels 1-3 and 16 patients treated at Dose level 4
18.8%
3/16 • Number of events 3 • Patients were assessed for toxicities from Day 1 of each Flavopiridol Treatment to Post-Treatment Follow-up. Follow up was performed every 3 months for 2 years.
Adverse events were reported for 40 unique patients treated at dose levels 1-3 and 16 patients treated at Dose level 4
Gastrointestinal disorders
Diarrhea
40.0%
16/40 • Number of events 16 • Patients were assessed for toxicities from Day 1 of each Flavopiridol Treatment to Post-Treatment Follow-up. Follow up was performed every 3 months for 2 years.
Adverse events were reported for 40 unique patients treated at dose levels 1-3 and 16 patients treated at Dose level 4
75.0%
12/16 • Number of events 12 • Patients were assessed for toxicities from Day 1 of each Flavopiridol Treatment to Post-Treatment Follow-up. Follow up was performed every 3 months for 2 years.
Adverse events were reported for 40 unique patients treated at dose levels 1-3 and 16 patients treated at Dose level 4
Gastrointestinal disorders
Abdominal pain/cramping
5.0%
2/40 • Number of events 2 • Patients were assessed for toxicities from Day 1 of each Flavopiridol Treatment to Post-Treatment Follow-up. Follow up was performed every 3 months for 2 years.
Adverse events were reported for 40 unique patients treated at dose levels 1-3 and 16 patients treated at Dose level 4
6.2%
1/16 • Number of events 1 • Patients were assessed for toxicities from Day 1 of each Flavopiridol Treatment to Post-Treatment Follow-up. Follow up was performed every 3 months for 2 years.
Adverse events were reported for 40 unique patients treated at dose levels 1-3 and 16 patients treated at Dose level 4
Investigations
AST SGOT(serum glutamic oxaloacetic transaminase) or ALT, SGPT (serum glutamic pyruvic transaminase)
32.5%
13/40 • Number of events 13 • Patients were assessed for toxicities from Day 1 of each Flavopiridol Treatment to Post-Treatment Follow-up. Follow up was performed every 3 months for 2 years.
Adverse events were reported for 40 unique patients treated at dose levels 1-3 and 16 patients treated at Dose level 4
18.8%
3/16 • Number of events 3 • Patients were assessed for toxicities from Day 1 of each Flavopiridol Treatment to Post-Treatment Follow-up. Follow up was performed every 3 months for 2 years.
Adverse events were reported for 40 unique patients treated at dose levels 1-3 and 16 patients treated at Dose level 4
Investigations
Bilirubin
7.5%
3/40 • Number of events 3 • Patients were assessed for toxicities from Day 1 of each Flavopiridol Treatment to Post-Treatment Follow-up. Follow up was performed every 3 months for 2 years.
Adverse events were reported for 40 unique patients treated at dose levels 1-3 and 16 patients treated at Dose level 4
6.2%
1/16 • Number of events 1 • Patients were assessed for toxicities from Day 1 of each Flavopiridol Treatment to Post-Treatment Follow-up. Follow up was performed every 3 months for 2 years.
Adverse events were reported for 40 unique patients treated at dose levels 1-3 and 16 patients treated at Dose level 4
Renal and urinary disorders
Renal Failture
2.5%
1/40 • Number of events 1 • Patients were assessed for toxicities from Day 1 of each Flavopiridol Treatment to Post-Treatment Follow-up. Follow up was performed every 3 months for 2 years.
Adverse events were reported for 40 unique patients treated at dose levels 1-3 and 16 patients treated at Dose level 4
6.2%
1/16 • Number of events 1 • Patients were assessed for toxicities from Day 1 of each Flavopiridol Treatment to Post-Treatment Follow-up. Follow up was performed every 3 months for 2 years.
Adverse events were reported for 40 unique patients treated at dose levels 1-3 and 16 patients treated at Dose level 4
Musculoskeletal and connective tissue disorders
Pain
2.5%
1/40 • Number of events 1 • Patients were assessed for toxicities from Day 1 of each Flavopiridol Treatment to Post-Treatment Follow-up. Follow up was performed every 3 months for 2 years.
Adverse events were reported for 40 unique patients treated at dose levels 1-3 and 16 patients treated at Dose level 4
6.2%
1/16 • Number of events 1 • Patients were assessed for toxicities from Day 1 of each Flavopiridol Treatment to Post-Treatment Follow-up. Follow up was performed every 3 months for 2 years.
Adverse events were reported for 40 unique patients treated at dose levels 1-3 and 16 patients treated at Dose level 4
Skin and subcutaneous tissue disorders
Pruritus
2.5%
1/40 • Number of events 1 • Patients were assessed for toxicities from Day 1 of each Flavopiridol Treatment to Post-Treatment Follow-up. Follow up was performed every 3 months for 2 years.
Adverse events were reported for 40 unique patients treated at dose levels 1-3 and 16 patients treated at Dose level 4
6.2%
1/16 • Number of events 1 • Patients were assessed for toxicities from Day 1 of each Flavopiridol Treatment to Post-Treatment Follow-up. Follow up was performed every 3 months for 2 years.
Adverse events were reported for 40 unique patients treated at dose levels 1-3 and 16 patients treated at Dose level 4
Blood and lymphatic system disorders
Febrile neutropenia
10.0%
4/40 • Number of events 4 • Patients were assessed for toxicities from Day 1 of each Flavopiridol Treatment to Post-Treatment Follow-up. Follow up was performed every 3 months for 2 years.
Adverse events were reported for 40 unique patients treated at dose levels 1-3 and 16 patients treated at Dose level 4
25.0%
4/16 • Number of events 4 • Patients were assessed for toxicities from Day 1 of each Flavopiridol Treatment to Post-Treatment Follow-up. Follow up was performed every 3 months for 2 years.
Adverse events were reported for 40 unique patients treated at dose levels 1-3 and 16 patients treated at Dose level 4
Infections and infestations
Infection w/neutropenia
17.5%
7/40 • Number of events 7 • Patients were assessed for toxicities from Day 1 of each Flavopiridol Treatment to Post-Treatment Follow-up. Follow up was performed every 3 months for 2 years.
Adverse events were reported for 40 unique patients treated at dose levels 1-3 and 16 patients treated at Dose level 4
37.5%
6/16 • Number of events 6 • Patients were assessed for toxicities from Day 1 of each Flavopiridol Treatment to Post-Treatment Follow-up. Follow up was performed every 3 months for 2 years.
Adverse events were reported for 40 unique patients treated at dose levels 1-3 and 16 patients treated at Dose level 4
General disorders
Fatigue
20.0%
8/40 • Number of events 8 • Patients were assessed for toxicities from Day 1 of each Flavopiridol Treatment to Post-Treatment Follow-up. Follow up was performed every 3 months for 2 years.
Adverse events were reported for 40 unique patients treated at dose levels 1-3 and 16 patients treated at Dose level 4
12.5%
2/16 • Number of events 2 • Patients were assessed for toxicities from Day 1 of each Flavopiridol Treatment to Post-Treatment Follow-up. Follow up was performed every 3 months for 2 years.
Adverse events were reported for 40 unique patients treated at dose levels 1-3 and 16 patients treated at Dose level 4
Metabolism and nutrition disorders
Biochemical tumor lysis
57.5%
23/40 • Number of events 23 • Patients were assessed for toxicities from Day 1 of each Flavopiridol Treatment to Post-Treatment Follow-up. Follow up was performed every 3 months for 2 years.
Adverse events were reported for 40 unique patients treated at dose levels 1-3 and 16 patients treated at Dose level 4
43.8%
7/16 • Number of events 7 • Patients were assessed for toxicities from Day 1 of each Flavopiridol Treatment to Post-Treatment Follow-up. Follow up was performed every 3 months for 2 years.
Adverse events were reported for 40 unique patients treated at dose levels 1-3 and 16 patients treated at Dose level 4

Additional Information

John Byrd, MD

The Ohio State University Comprehensive Cancer Center

Phone: 614-293-3196

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60