Study Evaluating Temsirolimus (CCI-779) In Mantle Cell Lymphoma (MCL)

NCT ID: NCT00117598

Last Updated: 2015-03-30

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

169 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-05-31

Study Completion Date

2011-01-31

Brief Summary

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This is an open-label, randomized trial in relapsed refractory subjects with mantle cell lymphoma (MCL).

Detailed Description

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Conditions

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Lymphoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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A

Group Type EXPERIMENTAL

Temsirolimus (CCI-779)

Intervention Type DRUG

Temsirolimus 175 mg IV once a week for 3 weeks; followed by 75 mg IV once a week

B

Group Type EXPERIMENTAL

Temsirolimus (CCI-779)

Intervention Type DRUG

Temsirolimus 175 mg IV once a week for 3 weeks; followed by 25 mg IV once a week

C

Group Type ACTIVE_COMPARATOR

Investigator's choice

Intervention Type DRUG

Any of the following single agent treatments:

1. Fludarabine 25 mg/m2 IV over 30 minutes daily for 5 consecutive days, every 28 days or oral administration, as appropriate.
2. Chlorambucil 0.1 (0.1-0.2) mg/kg PO daily for 3 to 6 weeks as required OR 0.4 (0.3 0.8) mg/kg PO every 21 to 28 days
3. Gemcitabine 1 gm/m2 IV over 30 minutes on days 1, 8 and 15 every 28 days or day 1 and day 8 every 21 days
4. Cyclophosphamide 300 (200-450) mg/m2 PO daily for 5 consecutive days every 21 to 28 days, OR 600 (400-1200) mg/m2 IV every 21 to 28 days
5. Cladribine 5 mg/m2 IV daily for 5 consecutive days, every 28 days for 2-6 cycles depending on response,
6. Etoposide 50 (50-150) mg/m2 IV daily for 3-5 days every 21 to 28 days OR 100 (50 300) mg/m2 PO daily for 3-5 days every 21 to 28 days
7. Prednisone 40 (20-60) mg/m2 PO daily or every other day
8. Dexamethasone 20(20-40) mg PO/IV daily for 5 consecutive days, every 14 - 28 day

Interventions

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Temsirolimus (CCI-779)

Temsirolimus 175 mg IV once a week for 3 weeks; followed by 75 mg IV once a week

Intervention Type DRUG

Temsirolimus (CCI-779)

Temsirolimus 175 mg IV once a week for 3 weeks; followed by 25 mg IV once a week

Intervention Type DRUG

Investigator's choice

Any of the following single agent treatments:

1. Fludarabine 25 mg/m2 IV over 30 minutes daily for 5 consecutive days, every 28 days or oral administration, as appropriate.
2. Chlorambucil 0.1 (0.1-0.2) mg/kg PO daily for 3 to 6 weeks as required OR 0.4 (0.3 0.8) mg/kg PO every 21 to 28 days
3. Gemcitabine 1 gm/m2 IV over 30 minutes on days 1, 8 and 15 every 28 days or day 1 and day 8 every 21 days
4. Cyclophosphamide 300 (200-450) mg/m2 PO daily for 5 consecutive days every 21 to 28 days, OR 600 (400-1200) mg/m2 IV every 21 to 28 days
5. Cladribine 5 mg/m2 IV daily for 5 consecutive days, every 28 days for 2-6 cycles depending on response,
6. Etoposide 50 (50-150) mg/m2 IV daily for 3-5 days every 21 to 28 days OR 100 (50 300) mg/m2 PO daily for 3-5 days every 21 to 28 days
7. Prednisone 40 (20-60) mg/m2 PO daily or every other day
8. Dexamethasone 20(20-40) mg PO/IV daily for 5 consecutive days, every 14 - 28 day

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Mantle cell lymphoma (MCL) confirmed with histology, immunophenotype, and cyclin D1 analysis
* Received 2 to 7 prior therapies which may include hematopoietic stem cell transplant (i.e. induction + consolidation + maintenance)
* Prior treatment with an alkylating agent and an anthracycline, rituximab, individually or in combination, and status that is at least one of the following:
* Primary disease refractory to at least 2 regimens;
* Refractory to at least 1 regimen after first relapse;
* Refractory or untreated after second or greater relapse;
* Refractory to first line and relapsed after second line. Chemotherapy combinations may include, but are not limited to: CHOP (Cyclophosphamide, doxorubicin, vincristine, prednisone), R-CHOP (Rituximab, Cyclophosphamide, doxorubicin, vincristine, prednisone), FCM (Fludarabine, cyclophosphamide, mitoxantrone), R-FCM (Rituximab,Fludarabine, cyclophosphamide, mitoxantrone), ICE(Ifosfamide, carboplatin, etoposide), DHAP (Dexamethasone, cisplatin, cytarabine) and hyper-CVAD (Cyclophosphamide, doxorubicin, vincristine, dexamethasone).

Exclusion Criteria

* Subjects who are less than or equal to six month from allogeneic hematopoietic stem cell transplant and who are on immunosuppressive therapy or have evidence of graft versus host disease
* Prior investigational therapy within 3 weeks of first dose. Investigational therapy is defined as treatment that is not approved for any indication.
* Active central nervous system (CNS) metastases, as indicated by clinical symptoms, cerebral edema, requirement for corticosteroids and/or progressive growth. (Treated CNS metastases must be stable for \> 2 weeks prior to Day 1.)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pfizer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pfizer CT.gov Call Center

Role: STUDY_DIRECTOR

Pfizer

Locations

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Pfizer Investigational Site

Little Rock, Arkansas, United States

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Fountain Valley, California, United States

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Los Angeles, California, United States

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New Milford, Connecticut, United States

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Washington D.C., District of Columbia, United States

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Boca Raton, Florida, United States

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Honolulu, Hawaii, United States

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Chicago, Illinois, United States

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Morristown, New Jersey, United States

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Buffalo, New York, United States

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New York, New York, United States

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Rochester, New York, United States

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Portland, Oregon, United States

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Upland, Pennsylvania, United States

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Austin, Texas, United States

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Grapevine, Texas, United States

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Houston, Texas, United States

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Temple, Texas, United States

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Seattle, Washington, United States

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Buenos Aires, Buenos Aires, Argentina

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Córdoba, Córdoba Province, Argentina

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Buenos Aires, , Argentina

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East Melbourne, Victoria, Australia

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Vienna, , Austria

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Ghent, Belgium, Belgium

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Bruges, , Belgium

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Ghent, , Belgium

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Leuven, , Belgium

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Vila Buarque, São Paulo, Brazil

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Porto Alegre - RS, , Brazil

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Edmonton, Alberta, Canada

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Vancouver, British Columbia, Canada

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London, Ontario, Canada

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Ottawa, Ontario, Canada

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Toronto, Ontario, Canada

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Greenfield Park, Quebec, Canada

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Montreal, Quebec, Canada

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Montreal, Quebec, Canada

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Providencia, Santiago Metropolitan, Chile

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Beijing, , China

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Beijing, , China

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Shanghai, , China

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Shanghai, , China

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Shanghai, , China

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Lyon, , France

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Paris, , France

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Paris, , France

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Pierre-Bénite, , France

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Strasbourg, , France

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Villejuif, , France

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Ulm, Baden-Wurttemberg, Germany

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Ulm, Baden-Wurttemberg, Germany

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Heidelberg, , Germany

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Mainz, , Germany

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Bologna, Italy, Italy

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Roma, Italy, Italy

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Catania, , Italy

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Milan, , Italy

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Rotterdam, , Netherlands

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Lublin, , Poland

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Warsaw, , Poland

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Barcelona, Barcelona, Spain

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L'Hospitalet de Llobregat, Barcelona, Spain

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Madrid, Madrid, Spain

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Pamplona, Navarre, Spain

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Madrid, , Spain

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Lund, , Sweden

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Uppsala, , Sweden

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Aarau, , Switzerland

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Plymouth, Devon, United Kingdom

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Southampton, Hants, United Kingdom

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Tooting, London, United Kingdom

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Sutton, Surrey, United Kingdom

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Countries

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United States Argentina Australia Austria Belgium Brazil Canada Chile China France Germany Italy Netherlands Poland Spain Sweden Switzerland United Kingdom

References

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Hess G, Coiffier B, Crump M, Gisselbrecht C, Offner F, Romaguera J, Kang L, Moran PJ. Effect of prognostic classification on temsirolimus efficacy and safety in patients with relapsed or refractory mantle cell lymphoma: a retrospective analysis. Exp Hematol Oncol. 2015 Apr 11;4:11. doi: 10.1186/s40164-015-0006-1. eCollection 2015.

Reference Type DERIVED
PMID: 25938001 (View on PubMed)

Related Links

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Other Identifiers

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3066K1-305

Identifier Type: -

Identifier Source: org_study_id

NCT00326547

Identifier Type: -

Identifier Source: nct_alias

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