Study of Velcade and Temsirolimus for Relapsed or Refractory Non-Hodgkin Lymphoma

NCT ID: NCT01281917

Last Updated: 2019-12-13

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

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-02-28

Study Completion Date

2014-06-30

Brief Summary

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The investigators want to find out if the drugs Velcade and temsirolimus given together are effective in treating cancer. Velcade and temsirolimus are each FDA approved individually for certain types of cancer (Velcade for multiple myeloma and mantle cell lymphoma, and temsirolimus for renal cell carcinoma) but are not currently approved in combination for B-cell non-Hodgkin lymphoma. The investigators are trying to find out if giving these 2 drugs together will improve the period of time that the patient's cancer is stopped or slowed from growing and causing symptoms.

Detailed Description

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Conditions

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Non-Hodgkins Lymphoma

Keywords

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velcade temsirolimus non-hodgkins lymphoma

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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Velcade plus Temsirolimus

Velcade 1.6 mg/m2 weekly (days 1, 8, 15, and 22) Temsirolimus 25mg IV weekly (days 1, 8, 15, 22, and 29)

Treat for up to 6 cycles, cycles are 35 days long.

Group Type EXPERIMENTAL

Velcade

Intervention Type DRUG

Velcade, 1.6 mg/m2 weekly (days 1, 8, 15, and 22)

Temsirolimus

Intervention Type DRUG

Temsirolimus 25mg IV weekly (days 1, 8, 15, 22, and 29)

Interventions

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Velcade

Velcade, 1.6 mg/m2 weekly (days 1, 8, 15, and 22)

Intervention Type DRUG

Temsirolimus

Temsirolimus 25mg IV weekly (days 1, 8, 15, 22, and 29)

Intervention Type DRUG

Other Intervention Names

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bortezomib, PS-341 Torisel

Eligibility Criteria

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Inclusion Criteria

* Relapsed or refractory B-cell non-Hodgkin lymphoma which includes: diffuse large B-cell lymphoma; primary mediastinal large B-cell lymphoma; follicular lymphoma (grade 1, 2 or 3); mantle cell lymphoma; small lymphocytic lymphoma; marginal zone lymphoma; lymphoplasmacytic lymphoma; B-cell lymphoblastic lymphoma; or Burkitt lymphoma. "Grey-zone" lymphomas must be approved by the Wisconsin Oncology Network (WON) Study Chair or Principal Investigator prior to enrollment.
* At least one measurable tumor mass (\>1.5 cm in the long axis and \> 1.0 cm in the short axis) that has not been previously irradiated, or has grown since previous irradiation.
* Documented relapse or progression following prior antineoplastic therapy.
* No clinical or documented radiographic evidence of central nervous system lymphoma.
* Eastern Cooperative Oncology Group \[ECOG\] performance status of 0-2.
* The following clinical laboratory values within 14 days prior to enrollment:
* Absolute neutrophil count (ANC) ≥ 1.5 x 109 cells / L
* Platelets ≥ 100 x 109 cells / L
* Alanine transaminase (ALT) and Aspartate transaminase (AST) ≤ 3X the upper limit of normal (ULN)
* Total bilirubin ≤ 2X the upper limit of normal (ULN).
* Calculated creatinine clearance ≥40 mL/min (using the Cockcroft-Gault equation).
* Female subjects must be either post-menopausal for at least 1 year or surgically sterilized, agree to practice 2 effective methods of contraception from the time of signing the informed consent form through 30 days after the last dose of Velcade, or agree to completely abstain from heterosexual intercourse.
* Male subjects, even if surgically sterilized (ie, status postvasectomy) must agree to 1 of the following: practice effective barrier contraception during the entire study treatment period and through a minimum of 30 days after the last dose of study drug, or completely abstain from heterosexual intercourse.

Exclusions:

* Antineoplastic, experimental, or radiation therapy within 14 days prior to enrollment, or 21 days prior to Day 1 of Cycle 1.
* Radioimmunoconjugates within 10 weeks of Day 1 of Cycle 1.
* Autologous stem cell transplant within 3 months before Day 1 of Cycle 1, or any prior history of allogeneic stem cell transplant.
* Platelet transfusion within 7 days of Day 1 of Cycle 1.
* Ongoing therapy with glucocorticoids. Prednisone ≤15 mg per day or its equivalent is allowed.
* Patient has Grade 2 or greater peripheral neuropathy within 14 days before enrollment.
* Myocardial infarction within 6 months prior to enrollment or has New York Heart Association (NYHA) Class III or IV heart failure (see section 8.4), uncontrolled angina, severe uncontrolled ventricular arrhythmias, or electrocardiographic evidence of acute ischemia or active conduction system abnormalities.
* Patient has hypersensitivity to Velcade, boron or mannitol.
* Female subjects that are pregnant or breast-feeding.
* Serious medical or psychiatric illness that is likely to interfere with participation
* Diagnosed or treated for another malignancy within 2 years of enrollment, with the exception of complete resection of basal cell carcinoma or squamous cell carcinoma of the skin, an in situ malignancy, or low-risk prostate cancer after curative therapy.
* Prior therapy with both Velcade and temsirolimus. Patients who have previously been treated with either Velcade or temsirolimus (but not both) are eligible.
* Radiation therapy within 3 weeks before randomization.
* Patients must not be taking the following strong CyP3A inducers at study entry: phenytoin, phenobarbital, rifampin, carbamazepin, rifabutin, rifampicin, a one week washout period is required.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Millennium Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role collaborator

Pfizer

INDUSTRY

Sponsor Role collaborator

National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

University of Wisconsin, Madison

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Brad S Kahl, MD

Role: PRINCIPAL_INVESTIGATOR

Universtity of Wisconsin- Madison

Timothy S Fenske, MD

Role: STUDY_CHAIR

Medical College of Wisconsin

Locations

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Rapid City Regional Hospital John T. Vucurevich Cancer Care Institute

Rapid City, South Dakota, United States

Site Status

Aurora Baycare Medical Center-GreenBay

Green Bay, Wisconsin, United States

Site Status

St Vincent Regional Cancer Center CCOP

Green Bay, Wisconsin, United States

Site Status

Bellin Memorial Hospital, Inc

Green Bay, Wisconsin, United States

Site Status

Gunderson Lutheran Health System

La Crosse, Wisconsin, United States

Site Status

UW Health Oncology- 1 S Park

Madison, Wisconsin, United States

Site Status

University Of Wisconsin Cancer Center

Madison, Wisconsin, United States

Site Status

Aurora BayCare Medical Center

Marinette, Wisconsin, United States

Site Status

Marshfield Clinic

Marshfield, Wisconsin, United States

Site Status

Columbia St Mary's, Inc

Milwaukee, Wisconsin, United States

Site Status

Medical College of Wisconsin

Milwaukee, Wisconsin, United States

Site Status

Aurora Sheboygan Memorial Medical Center

Sheboygan, Wisconsin, United States

Site Status

Aurora Medical Center in Summit

Summit, Wisconsin, United States

Site Status

Aurora Medical Center in Two Rivers

Two Rivers, Wisconsin, United States

Site Status

Waukesha Memorial Hospital

Waukesha, Wisconsin, United States

Site Status

Aspirus Wausau Hospital

Wausau, Wisconsin, United States

Site Status

Aurora Health Care Metro, Inc.

Wauwatosa, Wisconsin, United States

Site Status

UW Cancer Center-Riverview

Wisconsin Rapids, Wisconsin, United States

Site Status

Countries

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United States

Other Identifiers

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H-2010-0393

Identifier Type: OTHER

Identifier Source: secondary_id

NCI-2011-00647

Identifier Type: REGISTRY

Identifier Source: secondary_id

A534260

Identifier Type: OTHER

Identifier Source: secondary_id

SMPH\MEDICINE\HEM-ONC

Identifier Type: OTHER

Identifier Source: secondary_id

HO10407

Identifier Type: -

Identifier Source: org_study_id