Study to Evaluate the Efficacy and Safety of Treatment With Bendamustine in Combination With Ofatumumab in Previously Untreated Patients With Indolent B-Cell Non-Hodgkin's Lymphoma (NHL)

NCT ID: NCT01108341

Last Updated: 2012-08-28

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

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-05-31

Study Completion Date

2011-10-31

Brief Summary

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The primary objective of the study is to determine the efficacy, as measured by overall response (complete response + partial response) of bendamustine in combination with ofatumumab in previously untreated patients with indolent B-Cell Non-Hodgkin's Lymphoma (NHL).

Detailed Description

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Conditions

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Non-Hodgkin's Lymphoma (NHL)

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Bendamustine and Ofatumumab

There are 6 planned and 2 optional 28-day cycles in which participants are administered both bendamustine and ofatumumab in the following doses: Bendamustine administered at 90 mg/m\^2 intravenously (iv) on study days 1 and 2. Ofatumumab administered at 300 mg iv on day 1 and 1000 mg iv on day 8 of cycle 1. Ofatumumab administered at 1000 mg iv on day 1 of all additional cycles.

Group Type EXPERIMENTAL

Bendamustine hydrochloride

Intervention Type DRUG

Bendamustine will be administered at 90 mg/m\^2 as a 30-minute intravenous (iv) infusion on days 1 and 2 of each cycle.

Ofatumumab

Intervention Type DRUG

Ofatumumab will be administered at 300 mg as an iv infusion on day 1 and 1000 mg on day 8 of cycle 1 and 1000 mg on day 1 of each subsequent cycle.

Interventions

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Bendamustine hydrochloride

Bendamustine will be administered at 90 mg/m\^2 as a 30-minute intravenous (iv) infusion on days 1 and 2 of each cycle.

Intervention Type DRUG

Ofatumumab

Ofatumumab will be administered at 300 mg as an iv infusion on day 1 and 1000 mg on day 8 of cycle 1 and 1000 mg on day 1 of each subsequent cycle.

Intervention Type DRUG

Other Intervention Names

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CEP-18083 Treanda Arzerra

Eligibility Criteria

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Inclusion Criteria

* The patient has histopathologic confirmation of one of the protocol-specific CD20+ B-cell non-Hodgkin's lymphomas. Tissue diagnostic procedures must be performed within 6 months of study entry and with biopsy material available for review.
* The patient meets 1 of the following need-for-treatment criteria:

1. Presence of at least 1 of the following B-symptoms:

* fever (\>38ºC) of unclear etiology
* night sweats
* weight loss of greater than 10% within the prior 6 months
2. large tumor mass (bulky disease) characterized by lymphomas with a diameter of more than 3 cm in 3 or more regions or by a lymphoma with a diameter of more than 7 cm in 1 region
3. presence of lymphoma-related complications
4. hyperviscosity syndrome due to monoclonal gammopathy
* The patient's tumor is verified to be CD20+ positive from current or previous excisional or incisional tissue diagnostic procedures performed within 6 months of study entry.
* The screening phase CT scan (based on local evaluation) shows:
* 2 or more clearly demarcated lesions with a largest diameter ≥1.5 cm, or
* 1 clearly demarcated lesion with a largest diameter ≥2.0 cm
* The patient was not previously treated for indolent lymphoma (with the exception of a single course of local radiation therapy not exceeding 2 adjacent lymph node regions).
* The patient has adequate hematologic and hepatic function.
* The patient has Eastern Cooperative Oncology Group (ECOG) performance status 0, 1, or 2.
* The patient has serum creatinine of 2.0 mg/dL or less or creatinine clearance of 30 mL/min or more, based on the Cockcroft-Gault method, or from a 24-hour urine collection.
* The patient is willing to comply with contraception requirements.

Exclusion Criteria

The patient:

* Has small lymphocytic lymphoma or mantle cell lymphoma.
* Has documented history of central nervous system (CNS) lymphomatous involvement.
* Has or has had an active malignancy, other than NHL, within the past 3 years except for localized prostate cancer without evidence of bone metastases, bladder, cervical, or breast carcinoma in-situ, or non-melanoma skin cancer .
* Has New York Heart Association (NYHC) Class III or IV heart failure, uncontrolled arrythmias or unstable angina, electrocardiographic evidence of active ischemia or active conduction system abnormalities, or myocardial infarction within the last 6 months.
* Has known human immunodeficiency virus (HIV) infection.
* Has acute or chronic hepatitis B or hepatitis C infection.
* Is a pregnant or lactating woman. (Any women becoming pregnant during the study will be withdrawn from the study.)
* Has any serious uncontrolled, medical or psychological disorder that would impair the ability of the subject to receive study drugs.
* Has received another investigational agent within 30 days of study entry.
* Has known hypersensitivity to mannitol.
* Has Ann Arbor stage I disease.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cephalon

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sponsor's Medical Expert

Role: STUDY_DIRECTOR

Cephalon

Locations

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Birmingham Hematology and Oncology Associates, LLC

Birmingham, Alabama, United States

Site Status

University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

Tower Cancer Research Foundation

Beverly Hills, California, United States

Site Status

Hematology Oncology, P.C.

Stamford, Connecticut, United States

Site Status

University Cancer Institute

Boynton Beach, Florida, United States

Site Status

Florida Cancer Institute - New Hope

New Port Richey, Florida, United States

Site Status

Dublin Hematology Oncology Care P.C.

Dublin, Georgia, United States

Site Status

Northwest Georgia Oncology Center

Marietta, Georgia, United States

Site Status

Georgia Cancer Specialists

Tucker, Georgia, United States

Site Status

Cancer Care and Hematology Specialists of Chicagoland

Niles, Illinois, United States

Site Status

Siouxland Hematology-Oncology Assoc. LLP

Sioux City, Iowa, United States

Site Status

Kentucky Cancer Clinic

Hazard, Kentucky, United States

Site Status

Carroll County Cancer Center

Westminster, Maryland, United States

Site Status

Columbia Comprehensive Cancer Care Clinic

Jefferson City, Missouri, United States

Site Status

Nevada Cancer Institute

Las Vegas, Nevada, United States

Site Status

Somerset Hematology Oncology Associates

Somerville, New Jersey, United States

Site Status

Roswell Park Cancer Institute

Buffalo, New York, United States

Site Status

Monter Cancer Center

Lake Success, New York, United States

Site Status

Mid Dakota Clinic

Bismarck, North Dakota, United States

Site Status

Oregon Health Sciences University

Portland, Oregon, United States

Site Status

University of Pittsburgh Medical Center - Cancer Institute

Pittsburgh, Pennsylvania, United States

Site Status

Cancer Centers of the Carolinas

Greenville, South Carolina, United States

Site Status

The West Clinic

Memphis, Tennessee, United States

Site Status

Texas Oncology, P.A.

Bedford, Texas, United States

Site Status

MD Anderson Cancer Center

Houston, Texas, United States

Site Status

Longview Cancer Center

Longview, Texas, United States

Site Status

Joe Arrington Cancer Research

Lubbock, Texas, United States

Site Status

Texas Oncology, P.A.

McAllen, Texas, United States

Site Status

Cancer Care Centers of South Texas

San Antonio, Texas, United States

Site Status

Texas Oncology

Waco, Texas, United States

Site Status

Texas Oncology, P.A.

Webster, Texas, United States

Site Status

US Oncology Research - Texoma Cancer Center

Wichita Falls, Texas, United States

Site Status

Fairfax/Northern Virginia Hematology/Oncology

Fairfax, Virginia, United States

Site Status

Yakima Valley Memorial Hospital/North Start Lodge

Yakima, Washington, United States

Site Status

Cephalon Investigational Site

Brussels, , Belgium

Site Status

Cephalon Investigational Site

Brussels, , Belgium

Site Status

Cephalon Investigational Site

Ghent, , Belgium

Site Status

Cephalon Investigational Site

Haifa, , Israel

Site Status

Cephalon Investigational Site

Nahariya, , Israel

Site Status

Countries

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United States Belgium Israel

References

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Czuczman MS, Kahanic S, Forero A, Davis G, Munteanu M, Van Den Neste E, Offner F, Bron D, Quick D, Fowler N. Results of a phase II study of bendamustine and ofatumumab in untreated indolent B cell non-Hodgkin's lymphoma. Ann Hematol. 2015 Apr;94(4):633-41. doi: 10.1007/s00277-014-2269-8. Epub 2015 Jan 30.

Reference Type DERIVED
PMID: 25630297 (View on PubMed)

Other Identifiers

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2009-016725-34

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

C18083/2048

Identifier Type: -

Identifier Source: org_study_id