Study of Bendamustine and Ofatumumab in Elderly Patients With Newly Diagnosed Diffuse Large B-Cell Lymphoma Who Are Poor Candidates for R-CHOP Chemotherapy

NCT ID: NCT01626352

Last Updated: 2017-11-22

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

22 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-10-31

Study Completion Date

2017-04-30

Brief Summary

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This is a single-arm, Phase II study designed to enroll and treat up to 64 patients. All patients in this study will receive ofatumumab and bendamustine as an IV infusion for 6 cycles (a cycle is defined as 21 days in length). Patients will receive as an IV infusion bendamustine Days 1 and 2 of Cycles 1 through 6 and ofatumumab Days 1 and 8 during Cycle 1 only and on Day 1 of Cycles 2 through 6.

Detailed Description

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While R-CHOP has improved survival and is considered standard of care for patients with DLBCL, the toxicities associated with R-CHOP are substantial in the elderly population. This is one of several reasons the outcome of older patients is worse than the corresponding younger patients. Bendamustine is an alkylating agent which causes intra- and inter-strand cross-links between DNA bases. Ofatumumab is a fully human anti-CD 20 antibody well tolerated by elderly patients. Ofatumumab targets a novel epitope of the CD20 molecule on B cells and remains on the cell surface twice as long as rituximab. The combination of both agents allows for a potentially efficacious, less toxic regimen.

Conditions

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Diffuse Large B-Cell Lymphoma

Keywords

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Diffuse Large B-Cell Lymphoma Ofatumumab Bendamustine

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/Ofatumumab

All patients in this study will receive ofatumumab and bendamustine as an IV infusion for 6 cycles (a cycle is defined as 21 days in length). Patients will receive as an IV infusion of bendamustine Days 1 and 2 of Cycles 1-6, ofatumumab Days 1 and 8 during Cycle 1 only and on Day 1 of Cycles 2-6.

Group Type EXPERIMENTAL

Bendamustine

Intervention Type DRUG

Patients will receive as an IV infusion bendamustine 90 mg/m\^2 Days 1 and 2 of Cycles 1 through 6.

Ofatumumab

Intervention Type DRUG

Patients will receive as an IV infusion ofatumumab 1000-mg IV Days 1 and 8 during Cycle 1 only, and on Day 1 of Cycles 2 through 6

Interventions

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Bendamustine

Patients will receive as an IV infusion bendamustine 90 mg/m\^2 Days 1 and 2 of Cycles 1 through 6.

Intervention Type DRUG

Ofatumumab

Patients will receive as an IV infusion ofatumumab 1000-mg IV Days 1 and 8 during Cycle 1 only, and on Day 1 of Cycles 2 through 6

Intervention Type DRUG

Other Intervention Names

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Treanda

Eligibility Criteria

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Inclusion Criteria

1. Histologically confirmed CD20-positive DLBCL.
2. Newly diagnosed, stage III-IV DLBCL considered poor candidates for R-CHOP.
3. Age \>=70 years
4. At least one of the following criteria:

* ECOG PS 2
* Cardiac compromise precluding anthracycline therapy
* Previous anthracycline therapy for other malignancy precluding further anthracycline therapy.
* Severe coexisting medical problems
* General frailty
5. ECOG 0-2
6. Measurable disease with at least one bidimensional lymph node or tumor mass \>1.5 cm in the longest diameter that can be followed for response as a target lesion as measured by CT
7. Patients must be HBV sAg and HBV cAb negative within 6 weeks of screening.
8. Patient must understand and voluntarily sign the IRB-approved informed consent.
9. Life expectancy \>= 3 months
10. Laboratory parameters:

* Absolute neutrophil count \>=1,000 cells/mm3
* Platelet count \>=75,000 cells/mm3
* Hemoglobin \>=8 g/dL
* Creatinine \<=2.0 mg/dL or Creatinine Clearance \>= 40 mL/min (calculated or 24 hour urine sample)
* AST/SGOT \<=2.0 x ULN (\<=5.0 x ULN if secondary to lymphoma)
* ALT/SGPT \<=2.0 x ULN (\<=5.0 x ULN if secondary to lymphoma)
* Bilirubin level of \<2.0 mg/dL unless secondary to Gilbert's disease (or pattern consistent with Gilbert's)

Exclusion Criteria

1. Patients with active/symptomatic central nervous system (CNS) involvement based on clinical evaluation by lumbar puncture, PET, CT or MRI.
2. Known sensitivity to bendamustine or any component of bendamustine.
3. Known anaphylaxis or sensitivity to ofatumumab.
4. Major surgery within 28 days of Cycle 1, Day 1. Patients undergoing minor surgery within 7 days of Cycle 1, Day 1. (no wait needed for port placement)
5. Prior chemotherapy, immunotherapy, or irradiation for lymphoma.
6. Prior use of investigational anti-cancer agents for lymphoma.
7. HIV-related lymphoma.
8. Known active HIV or HCV infection, or known seropositivity for HIV, or current or chronic HBV or HCV infection. HBV test required at screening or a negative result within 6 weeks of screening.
9. Concurrent active or history of other malignancies, except non-melanoma skin cancer or carcinoma in situ of cervix or breast. Patients with previous malignancies are eligible provided they have been treated with curative intent and disease free for \>= 1 year.
10. Serious (grade 3-4), active, intercurrent infection requiring therapy, or deep seated or systemic mycotic infections.
11. Myocardial infarction within 6 months prior to registration or New York Hospital Association (NYHA) Class III or IV heart failure, uncontrolled angina, severe uncontrolled ventricular arrhythmias, or electrocardiographic evidence of acute ischemia or significant conduction system abnormalities, in the judgment of the Investigator.
12. Concurrent uncontrolled serious medical or psychiatric conditions likely to interfere with participation in this clinical study, in the judgment of the Investigator
13. Patients who have current active hepatic or biliary disease (with exception of patients with Gilbert's syndrome, asymptomatic gallstones, liver metastases or stable chronic liver disease per investigator assessment).
14. Treatment with any known non-marketed drug substance or experimental therapy within 5 terminal half lives or 4 weeks prior to enrollment, whichever is longer, or currently participating in any other interventional clinical study.
15. Significant concurrent, uncontrolled medical condition including, but not limited to, renal, hepatic, gastrointestinal, endocrine, pulmonary, neurological, cerebral or psychiatric disease which in the opinion of the investigator may represent a risk for the patient.
16. Male patients unable or unwilling to use adequate contraception methods from study start to one year after the last dose of protocol therapy.
Minimum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novartis

INDUSTRY

Sponsor Role collaborator

GlaxoSmithKline

INDUSTRY

Sponsor Role collaborator

Cephalon

INDUSTRY

Sponsor Role collaborator

SCRI Development Innovations, LLC

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ian Flinn, MD, PhD

Role: STUDY_CHAIR

SCRI Development Innovations, LLC

Locations

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Florida Cancer Specialists-South

Fort Myers, Florida, United States

Site Status

Woodlands Medical Specialists

Pensacola, Florida, United States

Site Status

Florida Cancer Specialists North

St. Petersburg, Florida, United States

Site Status

Space Coast Cancer Center

Titusville, Florida, United States

Site Status

Providence Medical Group

Terre Haute, Indiana, United States

Site Status

RHHP/Hope Cancer Center

Terre Haute, Indiana, United States

Site Status

Grand Rapids Oncology Program

Grand Rapids, Michigan, United States

Site Status

Cancer Centers of Southwest Oklahoma

Lawton, Oklahoma, United States

Site Status

Oklahoma University

Oklahoma City, Oklahoma, United States

Site Status

Tennessee Oncology-Chattanooga

Chattanooga, Tennessee, United States

Site Status

Tennessee Oncology, PLLC

Nashville, Tennessee, United States

Site Status

Countries

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United States

References

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Other Identifiers

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SCRI LYM 75

Identifier Type: -

Identifier Source: org_study_id