Study of Oral LBH589 in Adult Patients With Refractory Cutaneous T-Cell Lymphoma

NCT ID: NCT00425555

Last Updated: 2021-08-20

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

PHASE2

Total Enrollment

139 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-01-31

Study Completion Date

2013-06-30

Brief Summary

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This study will evaluate the safety and efficacy of LBH489B in adult patients with refractory Cutaneous T-Cell Lymphoma.

Detailed Description

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Conditions

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Cutaneous T-Cell Lymphoma

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Previously treated with oral bexarotene

Participants received Panobinostat 20 milligrams per day (mg/day) capsule orally, once a day (OD) on 3 days per week. (Monday, Wednesday and Friday or alternative Day 1, 3 and 5).

Group Type EXPERIMENTAL

Panobinostat

Intervention Type DRUG

No prior oral bexarotene treatment

Participants received Panobinostat 20 milligrams per day (mg/day) capsule orally, once a day (OD) on 3 days per week. (Monday, Wednesday and Friday or alternative Day 1, 3 and 5).

Group Type EXPERIMENTAL

Panobinostat

Intervention Type DRUG

Interventions

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Panobinostat

Intervention Type DRUG

Other Intervention Names

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LBH589

Eligibility Criteria

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Inclusion Criteria

1. Written informed consent obtained prior to any screening procedures
2. Age ≥ 18 years old
3. Patients with biopsy-confirmed stages IB-IVA mycosis fungoides or Sézary syndrome. Patients with SS who have bone marrow involvement are also eligible.
4. Patients must have received at least two prior treatment regimens at least one of which was a systemic therapy regimen. Systemic regimens include oral bexarotene, PUVA, photophoresis, oral corticosteroids, total skin electron bean therapy, chemotherapy such as methotrexate, and interferon. Topical steroids alone are not considered as a treatment regimen.
5. Patients must have had disease progression on or following their most recent treatment regimen or an inadequate response to their most recent treatment regimen.
6. Patients will be accrued to one of two groups: Patients previously treated with oral bexarotene and patients who have not had prior oral bexarotene treatment.

Exclusion Criteria

1. Prior treatment with an HDAC inhibitor.
2. Patients with visceral disease including CNS involvement (i.e. stage IVB CTCL). Note; Patients with SS who have bone marrow involvement are eligible.
3. Impaired cardiac function
4. Concomitant use of drugs with a risk of causing torsades de pointes
5. Patients who have received chemotherapy or any investigational drug or undergone major surgery \< 4 weeks prior to starting study drug or who have not recovered from side effects of such therapy
6. Less than 3 months since prior electron beam therapy
7. Female patients who are pregnant or breast feeding, or patients of reproductive potential not using an effective method of birth control, and male patients whose sexual partners are women of childbearing potential not using effective birth control
8. Uncontrolled hypertension
9. Concomitant use of any anti-cancer therapy or radiation therapy. Low potency topical steroid use is permitted. Topical bexarotene use is prohibited during the trial
10. Concomitant use of CYP3A4/5 inhibitors.
11. Patients with unresolved diarrhea \> CTCAE grade 1
12. Impairment of gastrointestinal (GI) function or GI disease that may significantly alter the absorption of oral LBH589
13. Other concurrent severe and/or uncontrolled medical conditions
14. Patients who would need to receive valproic acid for any reason during the study or ≤ 5 days prior to starting study drug.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novartis Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Novartis Pharmaceuticals

Role: STUDY_DIRECTOR

Novartis Pharmaceuticals

Locations

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University of Alabama at Birmingham/ Kirklin Clinic Kirklin Clinic

Birmingham, Alabama, United States

Site Status

City of Hope National Medical Center

Duarte, California, United States

Site Status

University of California at Los Angeles Dept. of Hematology-Oncology

Los Angeles, California, United States

Site Status

Florida Academic Dermatology Center

Miami, Florida, United States

Site Status

Emory University School of Medicine/Winship Cancer Institute Dept. of Hematology (2)

Atlanta, Georgia, United States

Site Status

Georgia Health Sciences University Dept.ofMedicalCollegeOfGeorgia

Augusta, Georgia, United States

Site Status

NorthwesternUniv.Med.School/Robert H. Lurie Comp.Cancer Ctr Dept. of NorthwesterUMed

Chicago, Illinois, United States

Site Status

Indiana University Dept. of IU Cancer Center

Indianapolis, Indiana, United States

Site Status

Boston Medical Center StudyCoordinator:CLBH589B2201

Boston, Massachusetts, United States

Site Status

Dana Farber Cancer Institute Deptof DanaFarberCancerInst(3)

Boston, Massachusetts, United States

Site Status

University of Michigan Health System Michigan HouseClinTrialsOffice

Ann Arbor, Michigan, United States

Site Status

Wake Forest University Baptist Medical Center OutpatientCmprehensivCancerCtr

Winston-Salem, North Carolina, United States

Site Status

University Dermatology Consultants

Cincinnati, Ohio, United States

Site Status

Oregon Health & Science University Dept. of OHSU Cancer Institute

Portland, Oregon, United States

Site Status

University of Pittsburgh Medical Center Department of Dermatology

Pittsburgh, Pennsylvania, United States

Site Status

MD Anderson Cancer Center/University of Texas StudyCoordinator:CLBH589B2201

Houston, Texas, United States

Site Status

Novartis Investigative Site

CABA, Buenos Aires, Argentina

Site Status

Novartis Investigative Site

Buenos Aires, , Argentina

Site Status

Novartis Investigative Site

South Brisbane, Queensland, Australia

Site Status

Novartis Investigative Site

Parkville, Victoria, Australia

Site Status

Novartis Investigative Site

Ghent, , Belgium

Site Status

Novartis Investigative Site

Leuven, , Belgium

Site Status

Novartis Investigative Site

Yvoir, , Belgium

Site Status

Novartis Investigative Site

Ottawa, Ontario, Canada

Site Status

Novartis Investigative Site

Montreal, Quebec, Canada

Site Status

Novartis Investigative Site

Helsinki, , Finland

Site Status

Novartis Investigative Site

Lyon, Cedex 02, France

Site Status

Novartis Investigative Site

Créteil, , France

Site Status

Novartis Investigative Site

Paris, , France

Site Status

Novartis Investigative Site

Berlin, , Germany

Site Status

Novartis Investigative Site

Minden, , Germany

Site Status

Novartis Investigative Site

Würzburg, , Germany

Site Status

Novartis Investigative Site

Budapest, , Hungary

Site Status

Novartis Investigative Site

Ancona, AN, Italy

Site Status

Novartis Investigative Site

Bologna, BO, Italy

Site Status

Novartis Investigative Site

Florence, FI, Italy

Site Status

Novartis Investigative Site

Torino, TO, Italy

Site Status

Novartis Investigative Site

Napoli, , Italy

Site Status

Novartis Investigative Site

Barcelona, Catalonia, Spain

Site Status

Novartis Investigative Site

Madrid, , Spain

Site Status

Novartis Investigative Site

Madrid, , Spain

Site Status

Novartis Investigative Site

Zurich, , Switzerland

Site Status

Countries

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United States Argentina Australia Belgium Canada Finland France Germany Hungary Italy Spain Switzerland

References

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Duvic M, Dummer R, Becker JC, Poulalhon N, Ortiz Romero P, Grazia Bernengo M, Lebbe C, Assaf C, Squier M, Williams D, Marshood M, Tai F, Prince HM. Panobinostat activity in both bexarotene-exposed and -naive patients with refractory cutaneous T-cell lymphoma: results of a phase II trial. Eur J Cancer. 2013 Jan;49(2):386-94. doi: 10.1016/j.ejca.2012.08.017. Epub 2012 Sep 13.

Reference Type RESULT
PMID: 22981498 (View on PubMed)

Other Identifiers

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2006-000880-27

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CLBH589B2201

Identifier Type: -

Identifier Source: org_study_id

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