Trial Outcomes & Findings for Study of Bexxar <Tositumomab> Combined With External Beam Radiation Therapy (NCT NCT00490490)

NCT ID: NCT00490490

Last Updated: 2017-03-29

Results Overview

Participants assessed for by the following Complete Response (CR) criteria CR or Functional CR * No evidence of disease and symptoms * Any macroscopic nodules detected in any organs no longer present. * Any palpable lymph node is normal and greatest diameter is \< 1.0 cm. * The enlarged organs decreased in size and not palpable * The bone marrow biopsy and aspirate are negative for disease * Negative for disease by PET-scan (functional CR) CR Unconfirmed (CRu) criteria * No evidence of disease and symptoms * Any lymph node mass \> 1.0 cm\^2 diameter has regressed is size by more than 75%. * No macroscopic nodules in any organs * Any palpable lymph node is normal and greatest diameter is \< 1.0 cm. * The bone marrow biopsy and aspirate are negative for disease * The bone marrow biopsy may have increased number or size of lymphoid aggregates without cytologic or architectural atypia

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

8 participants

Primary outcome timeframe

12 weeks

Results posted on

2017-03-29

Participant Flow

Participant milestones

Participant milestones
Measure
Tositumomab + XRT + KI
Tositumomab + external beam radiotherapy (XRT) + potassium iodide (KI)
Completed Assessment for CR
STARTED
8
Completed Assessment for CR
COMPLETED
8
Completed Assessment for CR
NOT COMPLETED
0
Completed Assessment for TTP
STARTED
8
Completed Assessment for TTP
COMPLETED
5
Completed Assessment for TTP
NOT COMPLETED
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Tositumomab + XRT + KI
Tositumomab + external beam radiotherapy (XRT) + potassium iodide (KI)
Completed Assessment for TTP
Withdrawal by Subject
1
Completed Assessment for TTP
Lost to Follow-up
2

Baseline Characteristics

Study of Bexxar <Tositumomab> Combined With External Beam Radiation Therapy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Tositumomab + XRT + KI
n=8 Participants
Tositumomab + external beam radiotherapy (XRT) + potassium iodide (KI)
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
5 Participants
n=5 Participants
Age, Categorical
>=65 years
3 Participants
n=5 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
7 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
7 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
Histology
Follicular Lymphoma, Grade 1
2 Participants
n=5 Participants
Histology
Follicular Lymphoma, Grade 2
2 Participants
n=5 Participants
Histology
Follicular Lymphoma, Grade 3
2 Participants
n=5 Participants
Histology
Marginal Zone B-Cell Lymphoma
2 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 12 weeks

Participants assessed for by the following Complete Response (CR) criteria CR or Functional CR * No evidence of disease and symptoms * Any macroscopic nodules detected in any organs no longer present. * Any palpable lymph node is normal and greatest diameter is \< 1.0 cm. * The enlarged organs decreased in size and not palpable * The bone marrow biopsy and aspirate are negative for disease * Negative for disease by PET-scan (functional CR) CR Unconfirmed (CRu) criteria * No evidence of disease and symptoms * Any lymph node mass \> 1.0 cm\^2 diameter has regressed is size by more than 75%. * No macroscopic nodules in any organs * Any palpable lymph node is normal and greatest diameter is \< 1.0 cm. * The bone marrow biopsy and aspirate are negative for disease * The bone marrow biopsy may have increased number or size of lymphoid aggregates without cytologic or architectural atypia

Outcome measures

Outcome measures
Measure
Tositumomab + XRT + KI
n=8 Participants
Tositumomab + external beam radiotherapy (XRT) + potassium iodide (KI)
Complete Response (CR) Rate
CR
37.5 percentage of participants
Complete Response (CR) Rate
Partial response (PR) or stable disease (SD)
62.5 percentage of participants

SECONDARY outcome

Timeframe: 12 weeks

ORR is assessed as the sum of the overall rates of * CR confirmed by positron emission tomography (PET) * CR not confirmed by PET, and * Partial response (PR) negative for progression by PET

Outcome measures

Outcome measures
Measure
Tositumomab + XRT + KI
n=8 Participants
Tositumomab + external beam radiotherapy (XRT) + potassium iodide (KI)
Overall Response Rate (ORR)
All CR + PR
50 percentage of participants
Overall Response Rate (ORR)
Partial Response (PR)
12.5 percentage of participants
Overall Response Rate (ORR)
Stable Disease (SD)
50 percentage of participants
Overall Response Rate (ORR)
Progressive disease (PD)
0 percentage of participants

SECONDARY outcome

Timeframe: 2 years

Population: One subject has not progressed (assessment not possible), and one subject has been lost to follow-up.

Outcome measures

Outcome measures
Measure
Tositumomab + XRT + KI
n=6 Participants
Tositumomab + external beam radiotherapy (XRT) + potassium iodide (KI)
Time-to-Progression (TTP)
3 months
1 Participants
Time-to-Progression (TTP)
6 months
1 Participants
Time-to-Progression (TTP)
9 months
1 Participants
Time-to-Progression (TTP)
18 months
2 Participants
Time-to-Progression (TTP)
60 months
1 Participants

Adverse Events

Tositumomab + XRT + KI

Serious events: 8 serious events
Other events: 8 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Tositumomab + XRT + KI
n=8 participants at risk
Tositumomab + external beam radiotherapy (XRT) + potassium iodide (KI)
Blood and lymphatic system disorders
Anemia
37.5%
3/8 • Number of events 7 • 12 weeks
Blood and lymphatic system disorders
Thrombocytopenia
100.0%
8/8 • Number of events 8 • 12 weeks
Blood and lymphatic system disorders
Neutropenia
50.0%
4/8 • Number of events 10 • 12 weeks

Other adverse events

Other adverse events
Measure
Tositumomab + XRT + KI
n=8 participants at risk
Tositumomab + external beam radiotherapy (XRT) + potassium iodide (KI)
Blood and lymphatic system disorders
Anemia
100.0%
8/8 • Number of events 8 • 12 weeks
Blood and lymphatic system disorders
Neutropenia
87.5%
7/8 • Number of events 7 • 12 weeks
Blood and lymphatic system disorders
Thrombocytoperia
100.0%
8/8 • Number of events 8 • 12 weeks
Musculoskeletal and connective tissue disorders
Back Pain
37.5%
3/8 • Number of events 3 • 12 weeks
Musculoskeletal and connective tissue disorders
Body Aches
12.5%
1/8 • Number of events 1 • 12 weeks
Musculoskeletal and connective tissue disorders
Bone Pain
12.5%
1/8 • Number of events 1 • 12 weeks
Gastrointestinal disorders
Nausea
62.5%
5/8 • Number of events 5 • 12 weeks
Blood and lymphatic system disorders
Leukocytopenia
100.0%
8/8 • Number of events 8 • 12 weeks
General disorders
Fatigue
62.5%
5/8 • Number of events 14 • 12 weeks
Skin and subcutaneous tissue disorders
Burning sensation
12.5%
1/8 • Number of events 1 • 12 weeks
General disorders
Chills
12.5%
1/8 • Number of events 1 • 12 weeks
Nervous system disorders
Headaches
62.5%
5/8 • Number of events 15 • 12 weeks
Nervous system disorders
Dizziness
12.5%
1/8 • Number of events 2 • 12 weeks
Respiratory, thoracic and mediastinal disorders
Dyspnea
25.0%
2/8 • Number of events 2 • 12 weeks
Ear and labyrinth disorders
Equilibrium abnormal
12.5%
1/8 • Number of events 1 • 12 weeks
General disorders
Body aches
25.0%
2/8 • Number of events 2 • 12 weeks
Infections and infestations
Infection, Finger
12.5%
1/8 • Number of events 1 • 12 weeks
Gastrointestinal disorders
Diarrhea
12.5%
1/8 • Number of events 1 • 12 weeks
Skin and subcutaneous tissue disorders
Itchiness, hands and feet
12.5%
1/8 • Number of events 1 • 12 weeks
Infections and infestations
Mouth Sores
12.5%
1/8 • Number of events 3 • 12 weeks
Nervous system disorders
Neuropathy
25.0%
2/8 • Number of events 2 • 12 weeks
Skin and subcutaneous tissue disorders
Skin Rash
25.0%
2/8 • Number of events 2 • 12 weeks
Respiratory, thoracic and mediastinal disorders
Sore Throat
25.0%
2/8 • Number of events 2 • 12 weeks
Gastrointestinal disorders
Stomach Pain
12.5%
1/8 • Number of events 1 • 12 weeks
Infections and infestations
Swollem Lymph Nodes
12.5%
1/8 • Number of events 2 • 12 weeks
Nervous system disorders
Tremor
12.5%
1/8 • Number of events 1 • 12 weeks
Cardiac disorders
Chest Pain
12.5%
1/8 • Number of events 1 • 12 weeks
Infections and infestations
Lung Infection
12.5%
1/8 • Number of events 1 • 12 weeks
Metabolism and nutrition disorders
Indigestion
12.5%
1/8 • Number of events 1 • 12 weeks
Musculoskeletal and connective tissue disorders
Back spasms
12.5%
1/8 • Number of events 1 • 12 weeks
Musculoskeletal and connective tissue disorders
Pain in Hip/Leg
12.5%
1/8 • Number of events 1 • 12 weeks
Musculoskeletal and connective tissue disorders
Pain at biopsy site (lower back)
12.5%
1/8 • Number of events 1 • 12 weeks
Musculoskeletal and connective tissue disorders
R Armpit Pain
12.5%
1/8 • Number of events 1 • 12 weeks
Musculoskeletal and connective tissue disorders
Pain, side
12.5%
1/8 • Number of events 1 • 12 weeks
Nervous system disorders
Headache, Chronic
12.5%
1/8 • Number of events 1 • 12 weeks
Skin and subcutaneous tissue disorders
Itchiness, nose and mouth
12.5%
1/8 • Number of events 1 • 12 weeks

Additional Information

Susan J. Knox, MD, Associate Professor of Radiation Oncology

Stanford University Medical Center

Phone: (650) 725-2720

Results disclosure agreements

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