Trial Outcomes & Findings for Ph2 Gem/Nov/Rituxan Rel/Ref MantleCell (NCT NCT00656084)

NCT ID: NCT00656084

Last Updated: 2016-11-03

Results Overview

Complete Response (CR): Disappearance of all target lesions. Partial Response (PR): At least a 30% decrease in the sum of the LD of target lesions taking as reference the baseline sum LD.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

16 participants

Primary outcome timeframe

2 years

Results posted on

2016-11-03

Participant Flow

Participant milestones

Participant milestones
Measure
Gemzar + Novantrone + Rituxan
Gemzar, Novantrone, and Rituxan in relapsed or refractory mantle cell lymphoma (MCL)
Overall Study
STARTED
16
Overall Study
COMPLETED
9
Overall Study
NOT COMPLETED
7

Reasons for withdrawal

Reasons for withdrawal
Measure
Gemzar + Novantrone + Rituxan
Gemzar, Novantrone, and Rituxan in relapsed or refractory mantle cell lymphoma (MCL)
Overall Study
Adverse Event
4
Overall Study
Withdrawal by Subject
1
Overall Study
Patient Request
1
Overall Study
Investigator Request
1

Baseline Characteristics

Ph2 Gem/Nov/Rituxan Rel/Ref MantleCell

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Gemzar + Novantrone + Rituxan
n=16 Participants
Gemzar, Novantrone, and Rituxan in relapsed or refractory mantle cell lymphoma (MCL)
Age, Continuous
68 years
STANDARD_DEVIATION 12.3 • n=5 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
Sex: Female, Male
Male
11 Participants
n=5 Participants
Race/Ethnicity, Customized
Caucasian
16 participants
n=5 Participants
Region of Enrollment
United States
16 participants
n=5 Participants

PRIMARY outcome

Timeframe: 2 years

Population: Evaluable Population

Complete Response (CR): Disappearance of all target lesions. Partial Response (PR): At least a 30% decrease in the sum of the LD of target lesions taking as reference the baseline sum LD.

Outcome measures

Outcome measures
Measure
Gemzar + Novantrone + Rituxan
n=15 Participants
Gemzar, Novantrone, and Rituxan in relapsed or refractory mantle cell lymphoma (MCL)
Objective Response Rate (CR + PR)
46.7 percentage of participants
Interval 21.3 to 73.4

SECONDARY outcome

Timeframe: From date of randomization until the date of first documented progression or the date of death from any cause, whichever came first, assessed up to 33 months.

Population: For patients who achieve a major objective response (CR or PR) the time to response will be assessed as the date of registration to the date of response.

The duration of response is measured from the time measurement criteria are first met for CR/PR until the first date that recurrent or progressive disease is objectively documented. CR: Disappearance of all target lesions. PR: At least a 30% decrease in the sum of the LD of target lesions taking as reference the baseline sum LD.

Outcome measures

Outcome measures
Measure
Gemzar + Novantrone + Rituxan
n=7 Participants
Gemzar, Novantrone, and Rituxan in relapsed or refractory mantle cell lymphoma (MCL)
Duration of Response
7.9 months
Interval 4.8 to 31.3

SECONDARY outcome

Timeframe: 1 year.

Population: ITT population

OS is measured from the date of randomization to the date of death for a dead patient. If a patient is still alive or is lost to follow up, the patient will be censored at the last contact date.

Outcome measures

Outcome measures
Measure
Gemzar + Novantrone + Rituxan
n=16 Participants
Gemzar, Novantrone, and Rituxan in relapsed or refractory mantle cell lymphoma (MCL)
Overall Survival (OS) Rate at 1 Year
0.57 Probability of Survival
Interval 0.28 to 0.78

SECONDARY outcome

Timeframe: 1 year.

Population: ITT population

PFS is measured from the date of randomization to the date of first documented disease progression or date of death, whichever comes first. If a patient neither progresses nor dies, this patient will be censored at last contact date.

Outcome measures

Outcome measures
Measure
Gemzar + Novantrone + Rituxan
n=16 Participants
Gemzar, Novantrone, and Rituxan in relapsed or refractory mantle cell lymphoma (MCL)
Progression-free Survival Rate at 1 Year.
0.54 Probability of Progression-free Survival
Interval 0.24 to 0.77

Adverse Events

Gemzar + Novantrone + Rituxan

Serious events: 4 serious events
Other events: 15 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Gemzar + Novantrone + Rituxan
n=15 participants at risk
Gemzar, Novantrone, and Rituxan in relapsed or refractory mantle cell lymphoma (MCL)
General disorders
CACHEXIA
6.7%
1/15 • Number of events 1 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
General disorders
FEVER
13.3%
2/15 • Number of events 3 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Gastrointestinal disorders
PAIN ABDO
6.7%
1/15 • Number of events 1 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.

Other adverse events

Other adverse events
Measure
Gemzar + Novantrone + Rituxan
n=15 participants at risk
Gemzar, Novantrone, and Rituxan in relapsed or refractory mantle cell lymphoma (MCL)
Gastrointestinal disorders
ABDO ENLARGE
6.7%
1/15 • Number of events 1 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Immune system disorders
ALLERG REACT
13.3%
2/15 • Number of events 3 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Skin and subcutaneous tissue disorders
ALOPECIA
20.0%
3/15 • Number of events 3 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Blood and lymphatic system disorders
ANEMIA
86.7%
13/15 • Number of events 49 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Gastrointestinal disorders
ANOREXIA
46.7%
7/15 • Number of events 10 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Musculoskeletal and connective tissue disorders
ARTHRALGIA
6.7%
1/15 • Number of events 1 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
General disorders
ASTHENIA
93.3%
14/15 • Number of events 35 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Musculoskeletal and connective tissue disorders
BACK PAIN
6.7%
1/15 • Number of events 1 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Metabolism and nutrition disorders
BILIRUBINEM
6.7%
1/15 • Number of events 1 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Metabolism and nutrition disorders
BUN INC
6.7%
1/15 • Number of events 1 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Infections and infestations
CELLULITIS
6.7%
1/15 • Number of events 1 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
General disorders
CHILLS
13.3%
2/15 • Number of events 4 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Gastrointestinal disorders
CONSTIP
40.0%
6/15 • Number of events 7 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Respiratory, thoracic and mediastinal disorders
COUGH INC
6.7%
1/15 • Number of events 1 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Metabolism and nutrition disorders
CREATININE INC
6.7%
1/15 • Number of events 1 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Gastrointestinal disorders
DEHYDRAT
6.7%
1/15 • Number of events 1 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
General disorders
DEPRESSION
6.7%
1/15 • Number of events 1 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Gastrointestinal disorders
DIARRHEA
13.3%
2/15 • Number of events 3 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Nervous system disorders
DIZZINESS
20.0%
3/15 • Number of events 3 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Gastrointestinal disorders
DRY MOUTH
20.0%
3/15 • Number of events 3 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Respiratory, thoracic and mediastinal disorders
DYSPNEA
20.0%
3/15 • Number of events 5 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Blood and lymphatic system disorders
EDEMA PERIPH
6.7%
1/15 • Number of events 4 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Blood and lymphatic system disorders
FEBRILE NEUTROPENIA
6.7%
1/15 • Number of events 1 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
General disorders
FEVER
20.0%
3/15 • Number of events 3 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Gastrointestinal disorders
FLATUL
6.7%
1/15 • Number of events 1 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Respiratory, thoracic and mediastinal disorders
FLU SYND
6.7%
1/15 • Number of events 1 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
General disorders
HEADACHE
6.7%
1/15 • Number of events 2 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Renal and urinary disorders
HEMATURIA
6.7%
1/15 • Number of events 1 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Metabolism and nutrition disorders
HYPERGLYCEM
13.3%
2/15 • Number of events 4 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Metabolism and nutrition disorders
HYPERURICEM
6.7%
1/15 • Number of events 1 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Metabolism and nutrition disorders
HYPOCALCEM
13.3%
2/15 • Number of events 3 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Metabolism and nutrition disorders
HYPONATREM
6.7%
1/15 • Number of events 1 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Metabolism and nutrition disorders
HYPOPROTEINEM
13.3%
2/15 • Number of events 4 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Metabolism and nutrition disorders
HYPOVOLEM
6.7%
1/15 • Number of events 1 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Infections and infestations
INFECT
13.3%
2/15 • Number of events 2 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
General disorders
INSOMNIA
6.7%
1/15 • Number of events 1 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Metabolism and nutrition disorders
LAB TEST ABNORM
6.7%
1/15 • Number of events 2 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Metabolism and nutrition disorders
LDH INC
13.3%
2/15 • Number of events 2 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Blood and lymphatic system disorders
LEUKOPENIA
60.0%
9/15 • Number of events 50 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Skin and subcutaneous tissue disorders
MUCOUS MEM DIS
6.7%
1/15 • Number of events 1 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Musculoskeletal and connective tissue disorders
MYALGIA
13.3%
2/15 • Number of events 2 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Gastrointestinal disorders
NAUSEA
60.0%
9/15 • Number of events 15 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Blood and lymphatic system disorders
NEUTROPENIA
100.0%
15/15 • Number of events 64 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
General disorders
PAIN
20.0%
3/15 • Number of events 3 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Gastrointestinal disorders
PAIN ABDO
13.3%
2/15 • Number of events 2 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Musculoskeletal and connective tissue disorders
PAIN BONE
6.7%
1/15 • Number of events 3 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Investigations
PAIN CHEST SUBSTERN
6.7%
1/15 • Number of events 1 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Investigations
PALLOR
6.7%
1/15 • Number of events 2 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Metabolism and nutrition disorders
PHOSPHATASE ALK INC
6.7%
1/15 • Number of events 1 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Investigations
PLAT ABNORM
6.7%
1/15 • Number of events 1 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Skin and subcutaneous tissue disorders
PRURITUS
13.3%
2/15 • Number of events 2 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Skin and subcutaneous tissue disorders
RASH
20.0%
3/15 • Number of events 4 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Gastrointestinal disorders
RECTAL DIS
6.7%
1/15 • Number of events 1 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Respiratory, thoracic and mediastinal disorders
RHINITIS
6.7%
1/15 • Number of events 1 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Respiratory, thoracic and mediastinal disorders
STOMATITIS
6.7%
1/15 • Number of events 2 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
General disorders
SWEAT
13.3%
2/15 • Number of events 4 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Gastrointestinal disorders
TASTE PERVERS
20.0%
3/15 • Number of events 3 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Blood and lymphatic system disorders
THROMBOCYTHEM
6.7%
1/15 • Number of events 3 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Blood and lymphatic system disorders
THROMBOCYTOPENIA
80.0%
12/15 • Number of events 63 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Investigations
VASODILAT
6.7%
1/15 • Number of events 1 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
Gastrointestinal disorders
VOMIT
13.3%
2/15 • Number of events 3 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.
General disorders
WEIGHT DEC
13.3%
2/15 • Number of events 2 • During the whole treatment period, up to 30 days following last dose.
For treated patients only, assessed at each treatment visit.

Additional Information

Dr. Lawrence E. Garbo

New York Oncology Hematology

Phone: (518) 489-0044

Results disclosure agreements

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