Trial Outcomes & Findings for Efficacy of the HCVIDDOXIL Regimen in Patients With Newly Diagnosed Peripheral T-Cell Lymphoma (NCT NCT00290433)

NCT ID: NCT00290433

Last Updated: 2020-09-23

Results Overview

Percentage of participants out of total treated alive with disease progression 3 years following registration. Progression-free survival (PFS) was measured from the date of study registration to the date of documented disease progression or death of any cause.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

55 participants

Primary outcome timeframe

From registration to disease progression or death, up to 3 years

Results posted on

2020-09-23

Participant Flow

Recruitment period: September 17, 2003 to May 8, 2009. All recruitment done at The University of Texas MD Anderson Cancer Center.

Of the 55 participants registered, two participants were found not to be eligible prior to start of study therefore are excluded from trial details.

Participant milestones

Participant milestones
Measure
HCVIDDOXIL Regimen
Cycle 1: Cyclophosphamide 300 mg/m\^2 intravenous (IV) twice a day on Days 1-3. Mesna 600 mg/m\^2 continuous IV Days 1-3. Doxil 25 mg/m\^2 IV over 1 hour on Day 2. Vincristine 1.4 mg/m\^2 IV on Days 4 and 11. Dexamethasone 40 mg Iv or oral on Days 1 - 4 and 11 - 14. Cycle 2: Methotrexate 200 mg/m\^2 over 2 hours on Day 1 and 800 mg/m\^2 over 22 hours on day 1. Cytarabine 3 Gm/m\^2 IV twice a day on Days 2 and 3.
Overall Study
STARTED
53
Overall Study
COMPLETED
17
Overall Study
NOT COMPLETED
36

Reasons for withdrawal

Reasons for withdrawal
Measure
HCVIDDOXIL Regimen
Cycle 1: Cyclophosphamide 300 mg/m\^2 intravenous (IV) twice a day on Days 1-3. Mesna 600 mg/m\^2 continuous IV Days 1-3. Doxil 25 mg/m\^2 IV over 1 hour on Day 2. Vincristine 1.4 mg/m\^2 IV on Days 4 and 11. Dexamethasone 40 mg Iv or oral on Days 1 - 4 and 11 - 14. Cycle 2: Methotrexate 200 mg/m\^2 over 2 hours on Day 1 and 800 mg/m\^2 over 22 hours on day 1. Cytarabine 3 Gm/m\^2 IV twice a day on Days 2 and 3.
Overall Study
Disease Progression
13
Overall Study
Adverse Event
14
Overall Study
Withdrawal by Subject
1
Overall Study
Non-Compliance
1
Overall Study
Congestive Heart Failure
1
Overall Study
Transplant in CR
5
Overall Study
Unrelated Infection/Death
1

Baseline Characteristics

Efficacy of the HCVIDDOXIL Regimen in Patients With Newly Diagnosed Peripheral T-Cell Lymphoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
HCVIDDOXIL Regimen
n=53 Participants
Cycle 1: Cyclophosphamide 300 mg/m\^2 intravenous (IV) twice a day on Days 1-3. Mesna 600 mg/m\^2 continuous IV Days 1-3. Doxil 25 mg/m\^2 IV over 1 hour on Day 2. Vincristine 1.4 mg/m\^2 IV on Days 4 and 11. Dexamethasone 40 mg Iv or oral on Days 1 - 4 and 11 - 14. Cycle 2: Methotrexate 200 mg/m\^2 over 2 hours on Day 1 and 800 mg/m\^2 over 22 hours on day 1. Cytarabine 3 Gm/m\^2 IV twice a day on Days 2 and 3.
Age, Continuous
54 years
n=93 Participants
Sex: Female, Male
Female
26 Participants
n=93 Participants
Sex: Female, Male
Male
27 Participants
n=93 Participants
Region of Enrollment
United States
53 participants
n=93 Participants

PRIMARY outcome

Timeframe: From registration to disease progression or death, up to 3 years

Population: Of the 53 participants, \*6 participants\* were not evaluable for response due to either no measurable disease (1) or early departure from study for adverse events (5)

Percentage of participants out of total treated alive with disease progression 3 years following registration. Progression-free survival (PFS) was measured from the date of study registration to the date of documented disease progression or death of any cause.

Outcome measures

Outcome measures
Measure
HCVIDDOXIL Regimen
n=47 Participants
Cycle 1: Cyclophosphamide 300 mg/m\^2 intravenous (IV) twice a day on Days 1-3. Mesna 600 mg/m\^2 continuous IV Days 1-3. Doxil 25 mg/m\^2 IV over 1 hour on Day 2. Vincristine 1.4 mg/m\^2 IV on Days 4 and 11. Dexamethasone 40 mg Iv or oral on Days 1 - 4 and 11 - 14. Cycle 2: Methotrexate 200 mg/m\^2 over 2 hours on Day 1 and 800 mg/m\^2 over 22 hours on day 1. Cytarabine 3 Gm/m\^2 IV twice a day on Days 2 and 3.
3 Year Progression-Free Survival Rate
30 percentage of participants
Interval 18.0 to 44.0

Adverse Events

HCVIDDOXIL Regimen

Serious events: 1 serious events
Other events: 46 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
HCVIDDOXIL Regimen
n=53 participants at risk
Cycle 1: Cyclophosphamide 300 mg/m\^2 intravenous (IV) twice a day on Days 1-3. Mesna 600 mg/m\^2 continuous IV Days 1-3. Doxil 25 mg/m\^2 IV over 1 hour on Day 2. Vincristine 1.4 mg/m\^2 IV on Days 4 and 11. Dexamethasone 40 mg Iv or oral on Days 1 - 4 and 11 - 14. Cycle 2: Methotrexate 200 mg/m\^2 over 2 hours on Day 1 and 800 mg/m\^2 over 22 hours on day 1. Cytarabine 3 Gm/m\^2 IV twice a day on Days 2 and 3.
Infections and infestations
massive cytomegalovirus infection
1.9%
1/53 • Number of events 1 • Adverse events were assessed from the initiation of the regimen through the end of the chemotherapy cycle, up to 3 years.

Other adverse events

Other adverse events
Measure
HCVIDDOXIL Regimen
n=53 participants at risk
Cycle 1: Cyclophosphamide 300 mg/m\^2 intravenous (IV) twice a day on Days 1-3. Mesna 600 mg/m\^2 continuous IV Days 1-3. Doxil 25 mg/m\^2 IV over 1 hour on Day 2. Vincristine 1.4 mg/m\^2 IV on Days 4 and 11. Dexamethasone 40 mg Iv or oral on Days 1 - 4 and 11 - 14. Cycle 2: Methotrexate 200 mg/m\^2 over 2 hours on Day 1 and 800 mg/m\^2 over 22 hours on day 1. Cytarabine 3 Gm/m\^2 IV twice a day on Days 2 and 3.
Blood and lymphatic system disorders
Neutropenia
79.2%
42/53 • Number of events 42 • Adverse events were assessed from the initiation of the regimen through the end of the chemotherapy cycle, up to 3 years.
Blood and lymphatic system disorders
Anemia
86.8%
46/53 • Number of events 46 • Adverse events were assessed from the initiation of the regimen through the end of the chemotherapy cycle, up to 3 years.
Blood and lymphatic system disorders
Thrombocytopenia
86.8%
46/53 • Number of events 46 • Adverse events were assessed from the initiation of the regimen through the end of the chemotherapy cycle, up to 3 years.
Blood and lymphatic system disorders
Febrile Neutropenia
39.6%
21/53 • Number of events 21 • Adverse events were assessed from the initiation of the regimen through the end of the chemotherapy cycle, up to 3 years.
General disorders
Fever
66.0%
35/53 • Number of events 35 • Adverse events were assessed from the initiation of the regimen through the end of the chemotherapy cycle, up to 3 years.
Infections and infestations
Infectious Disease
35.8%
19/53 • Number of events 19 • Adverse events were assessed from the initiation of the regimen through the end of the chemotherapy cycle, up to 3 years.
General disorders
Fatigue
75.5%
40/53 • Number of events 40 • Adverse events were assessed from the initiation of the regimen through the end of the chemotherapy cycle, up to 3 years.
Hepatobiliary disorders
Liver Toxicities
39.6%
21/53 • Number of events 21 • Adverse events were assessed from the initiation of the regimen through the end of the chemotherapy cycle, up to 3 years.
Gastrointestinal disorders
Constipation
35.8%
19/53 • Number of events 19 • Adverse events were assessed from the initiation of the regimen through the end of the chemotherapy cycle, up to 3 years.
Nervous system disorders
Dizziness
35.8%
19/53 • Number of events 19 • Adverse events were assessed from the initiation of the regimen through the end of the chemotherapy cycle, up to 3 years.
Respiratory, thoracic and mediastinal disorders
Dyspnea
35.8%
19/53 • Number of events 19 • Adverse events were assessed from the initiation of the regimen through the end of the chemotherapy cycle, up to 3 years.
Metabolism and nutrition disorders
Hyperglycemia
20.8%
11/53 • Number of events 11 • Adverse events were assessed from the initiation of the regimen through the end of the chemotherapy cycle, up to 3 years.
Respiratory, thoracic and mediastinal disorders
Mucositis
30.2%
16/53 • Number of events 16 • Adverse events were assessed from the initiation of the regimen through the end of the chemotherapy cycle, up to 3 years.
General disorders
Edema
67.9%
36/53 • Number of events 36 • Adverse events were assessed from the initiation of the regimen through the end of the chemotherapy cycle, up to 3 years.
Skin and subcutaneous tissue disorders
Rash
18.9%
10/53 • Number of events 10 • Adverse events were assessed from the initiation of the regimen through the end of the chemotherapy cycle, up to 3 years.

Additional Information

Christopher Flowers/Chair, Lymphoma-Myeloma

The University of Texas (UT) MD Anderson Cancer Center

Phone: 713-745-6095

Results disclosure agreements

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