Study of Alisertib (MLN8237) in Adults With Aggressive Non-Hodgkin's Lymphoma

NCT ID: NCT00807495

Last Updated: 2018-03-27

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE2
• Total Enrollment: 48 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2009-02-10
• Study Completion Date: 2013-02-13

Brief Summary

The purpose of this study is to evaluate the anti-tumor activity of alisertib (MLN8237) in participants with relapsed or refractory non-hodgkin's lymphoma.

Detailed Description

The drug being tested in this study is called alisertib (MLN8237). Alisertib is being tested to treat people who have relapsed or refractory non-Hodgkin's lymphoma (NHL). The study looked at anti-tumor activity in participants who received alisertib.

The study enrolled 48 patients. Participants were categorized as per disease subtypes into five subtypes: Large B-Cell lymphoma, mantle cell lymphoma, transformed follicular lymphoma, Burkitts lymphoma and aggressive T-Cell lymphoma (Note: There were no participants enrolled with Precursor B-lymphoblastic Leukemia/Lymphoma). Participants received:

• Alisertib 50 mg BID on Days 1 to 7

All participants took alisertib capsules approximately every 12 hours each day for 7 days followed by a 14-day rest period in a 21-days cycle. MLN8237 was supplied in capsules of 5 or 25 mg strength.

This multi-center trial was conducted in United States. The overall time to participate in this study was until there is evidence of disease progression or unacceptable treatment-related toxicity. If the participant would derive benefit from continued alisertib treatment beyond 24 months, the Sponsor was consulted for approval of further treatment. Participants made multiple visits to the clinic, with imaging assessments every 12 weeks. Participants discontinuing treatment prior to disease progression continue with clinic visits, chemistry and hematology lab testing, and tumor assessments every 12 weeks up to 12 months after last dose of study drug for follow-up assessments.

Conditions

Diffuse Large B-cell Lymphoma; Mantle Cell Lymphoma; Burkitt's Lymphoma; T-cell Lymphoma, Excluding Primary Cutaneous T-cell Lymphoma; Transformed Follicular Lymphoma With ≥ 50% Diffuse Large Cell Component

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Alisertib 50 mg

Alisertib 50 mg, capsules, orally, twice daily for 7 days, followed by 14-day washout period in 21-day cycles until disease progression or unacceptable treatment-related toxicity (Up to 24 months or longer with Sponsor approval).

Group Type: EXPERIMENTAL

Alisertib

Intervention Type: DRUG

Alisertib capsules

Interventions

Alisertib

Alisertib capsules

Intervention Type: DRUG

Other Intervention Names

MLN8237

Eligibility Criteria

Inclusion Criteria

1. Participant must have histological or cytological diagnosis of a hematological malignancy of the following types that has relapsed or was refractory to prior therapy:

• Diffuse large B-cell lymphoma
• Mantle cell lymphoma
• Burkitt's lymphoma
• Precursor B-lymphoblastic leukemia/lymphoma
• T-cell lymphoma, excluding primary cutaneous T-cell lymphoma
• Transformed follicular lymphoma with ≥ 50% diffuse large cell component.

2. Male or female participants 18 years or older.

3. Eastern Cooperative Oncology Group (ECOG) performance status 0-2.

4. Measurable disease.

Exclusion Criteria

1. Pregnant or lactating females.

2. Known human immunodeficiency virus (HIV) positive or AIDS-related illness.

3. Any serious medical or psychiatric illness that could interfere with the completion of treatment.

4. Total bilirubin ≥ 1.5 × the upper limit of normal (ULN).

5. Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≥ 2.5 × the ULN. AST, ALT may be elevated up to 5 times the ULN if their elevation can be reasonably ascribed to their underlying hematological disorder.

6. Absolute neutrophil count (ANC) < 1,250/mm^3.

7. Platelet count < 75,000/mm^3.

8. Calculated creatinine clearance < 30 mL/minute.

9. Autologous stem cell transplant less than 6 months prior to enrollment.

10. Participants who have undergone allogeneic stem cell or organ transplantation.

11. Systemic antineoplastic therapy including glucocorticoids (> 15 mg prednisone/day or equivalent), or treatment with an investigational agent within 14 days preceding the first dose of study drug treatment.

12. Participants who have received treatment with nitrosoureas, mitomycin C, rituximab, alemtuzumab, or other unconjugated antibody treatment, within 12 weeks prior to first dose.

13. Participants who have received treatment with radioimmunoconjugates or within 12 weeks prior to first dose.

14. Participants who have received radiotherapy within 21 days prior to first dose.

15. Myocardial infarction within 6 months of enrollment or current history of New York Heart Association (NYHA) Class III or IV heart failure, uncontrolled angina, severe uncontrolled ventricular arrhythmias, or electrocardiographic evidence of acute ischemia.

16. Major surgery within 14 days prior to the first dose.

17. Infection requiring systemic antibiotic therapy within 14 days prior to the first dose or other serious infection.

18. Clinically uncontrolled central nervous system (CNS) involvement.

19. Inability to swallow capsules.

20. History of uncontrolled sleep apnoea syndrome and other conditions that could result in excessive daytime sleepiness (eg, Chronic obstructive pulmonary disease - COPD).

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Millennium Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Medical Director Clinical Science

Role: STUDY_DIRECTOR

Millennium Pharmaceuticals, Inc.

Locations

Hematology Oncology Associates, Virtua Memorial Hospital Burlington County

Mount Holly, New Jersey, United States

Countries

United States

References

Cheson BD, Pfistner B, Juweid ME, Gascoyne RD, Specht L, Horning SJ, Coiffier B, Fisher RI, Hagenbeek A, Zucca E, Rosen ST, Stroobants S, Lister TA, Hoppe RT, Dreyling M, Tobinai K, Vose JM, Connors JM, Federico M, Diehl V; International Harmonization Project on Lymphoma. Revised response criteria for malignant lymphoma. J Clin Oncol. 2007 Feb 10;25(5):579-86. doi: 10.1200/JCO.2006.09.2403. Epub 2007 Jan 22.

Reference Type: RESULT

PMID: 17242396 (View on PubMed)

Other Identifiers

U1111-1187-1268

Identifier Type: REGISTRY

Identifier Source: secondary_id

C14004

Identifier Type: -

Identifier Source: org_study_id