Trial Outcomes & Findings for Umbilical Cord Blood NK Cells, Rituximab, High-Dose Chemotherapy, and Stem Cell Transplant in Treating Patients With Recurrent or Refractory B-Cell Non-Hodgkin's Lymphoma (NCT NCT03019640)

NCT ID: NCT03019640

Last Updated: 2023-02-16

Results Overview

Participants that had Treatment-related mortality within 30 days.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

22 participants

Primary outcome timeframe

Up to 30 days

Results posted on

2023-02-16

Participant Flow

Participants recruitment from October 2017 to August 2021 at MD Anderson Cancer Center.

Participant milestones

Participant milestones
Measure
Treatment (Chemotherapy, NK Infusion, Stem Cell Transplant)
Patients receive carmustine intravenously (IV) over 2 hours on day -12, etoposide IV twice daily (BID) over 3 hours on days -11 to -8, cytarabine IV BID over 1 hour on days -11 to -8, melphalan IV over 30 minutes on day -7, and lenalidomide orally (PO) once daily (QD) on days -7 to -2 in the absence of disease progression or unacceptable toxicity. Patients who are CD20+ also receive rituximab IV over 3 hours on days -13 and -7.
Overall Study
STARTED
22
Overall Study
COMPLETED
14
Overall Study
NOT COMPLETED
8

Reasons for withdrawal

Reasons for withdrawal
Measure
Treatment (Chemotherapy, NK Infusion, Stem Cell Transplant)
Patients receive carmustine intravenously (IV) over 2 hours on day -12, etoposide IV twice daily (BID) over 3 hours on days -11 to -8, cytarabine IV BID over 1 hour on days -11 to -8, melphalan IV over 30 minutes on day -7, and lenalidomide orally (PO) once daily (QD) on days -7 to -2 in the absence of disease progression or unacceptable toxicity. Patients who are CD20+ also receive rituximab IV over 3 hours on days -13 and -7.
Overall Study
Screen Failures
4
Overall Study
Adverse Event
3
Overall Study
Participant Relapsed
1

Baseline Characteristics

Umbilical Cord Blood NK Cells, Rituximab, High-Dose Chemotherapy, and Stem Cell Transplant in Treating Patients With Recurrent or Refractory B-Cell Non-Hodgkin's Lymphoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment (Chemotherapy, NK Infusion, Stem Cell Transplant)
n=22 Participants
Patients receive carmustine intravenously (IV) over 2 hours on day -12, etoposide IV twice daily (BID) over 3 hours on days -11 to -8, cytarabine IV BID over 1 hour on days -11 to -8, melphalan IV over 30 minutes on day -7, and lenalidomide orally (PO) once daily (QD) on days -7 to -2 in the absence of disease progression or unacceptable toxicity. Patients who are CD20+ also receive rituximab IV over 3 hours on days -13 and -7.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
17 Participants
n=5 Participants
Age, Categorical
>=65 years
5 Participants
n=5 Participants
Sex: Female, Male
Female
6 Participants
n=5 Participants
Sex: Female, Male
Male
16 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
19 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
22 participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 30 days

Population: Four participants did not received treatment due to screen failures.

Participants that had Treatment-related mortality within 30 days.

Outcome measures

Outcome measures
Measure
Treatment (Chemotherapy, NK Infusion, Stem Cell Transplant)
n=18 Participants
See Detailed Description. Autologous Hematopoietic Stem Cell Transplantation: Undergo stem cell transplant Carmustine: Given IV Cord Blood-derived Expanded Allogeneic Natural Killer Cells: Given IV Cytarabine: Given IV Etoposide: Given IV Filgrastim: Given SC Lenalidomide: Given PO Melphalan: Given IV Rituximab: Given IV
Treatment-related Mortality Within 30 Days (TRM30)
0 Participants

SECONDARY outcome

Timeframe: From the time of transplant, assessed up to day 180

Number of Participants Who Survived at day 180.

Outcome measures

Outcome measures
Measure
Treatment (Chemotherapy, NK Infusion, Stem Cell Transplant)
n=22 Participants
See Detailed Description. Autologous Hematopoietic Stem Cell Transplantation: Undergo stem cell transplant Carmustine: Given IV Cord Blood-derived Expanded Allogeneic Natural Killer Cells: Given IV Cytarabine: Given IV Etoposide: Given IV Filgrastim: Given SC Lenalidomide: Given PO Melphalan: Given IV Rituximab: Given IV
Number of Participants Who Survived
16 Participants

Adverse Events

Treatment (Chemotherapy, NK Infusion, Stem Cell Transplant)

Serious events: 15 serious events
Other events: 22 other events
Deaths: 2 deaths

Serious adverse events

Serious adverse events
Measure
Treatment (Chemotherapy, NK Infusion, Stem Cell Transplant)
n=22 participants at risk
Patients receive carmustine intravenously (IV) over 2 hours on day -12, etoposide IV twice daily (BID) over 3 hours on days -11 to -8, cytarabine IV BID over 1 hour on days -11 to -8, melphalan IV over 30 minutes on day -7, and lenalidomide orally (PO) once daily (QD) on days -7 to -2 in the absence of disease progression or unacceptable toxicity. Patients who are CD20+ also receive rituximab IV over 3 hours on days -13 and -7.
Hepatobiliary disorders
Alanine aminotransferase increased
9.1%
2/22 • All-Cause Mortality monitored/assessed up to 180 days.
Blood and lymphatic system disorders
Anemia
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Hepatobiliary disorders
Aspartate aminotransferase increased
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Respiratory, thoracic and mediastinal disorders
Dyspnea
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Cardiac disorders
Hypotension
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Hepatobiliary disorders
Hypoxia
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Infections and infestations
Infections and infestations
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Infections and infestations
Lung
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Blood and lymphatic system disorders
Lymphocyte count decreased
40.9%
9/22 • All-Cause Mortality monitored/assessed up to 180 days.
Blood and lymphatic system disorders
Neutrophil count decreased
54.5%
12/22 • All-Cause Mortality monitored/assessed up to 180 days.
Blood and lymphatic system disorders
Platelet count decreased
54.5%
12/22 • All-Cause Mortality monitored/assessed up to 180 days.
Respiratory, thoracic and mediastinal disorders
Respiratory failure
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Blood and lymphatic system disorders
White blood cell decreased
68.2%
15/22 • All-Cause Mortality monitored/assessed up to 180 days.

Other adverse events

Other adverse events
Measure
Treatment (Chemotherapy, NK Infusion, Stem Cell Transplant)
n=22 participants at risk
Patients receive carmustine intravenously (IV) over 2 hours on day -12, etoposide IV twice daily (BID) over 3 hours on days -11 to -8, cytarabine IV BID over 1 hour on days -11 to -8, melphalan IV over 30 minutes on day -7, and lenalidomide orally (PO) once daily (QD) on days -7 to -2 in the absence of disease progression or unacceptable toxicity. Patients who are CD20+ also receive rituximab IV over 3 hours on days -13 and -7.
General disorders
Abdominal pain
18.2%
4/22 • All-Cause Mortality monitored/assessed up to 180 days.
Injury, poisoning and procedural complications
Acute kidney injury
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Investigations
Alanine aminotransferase increased
45.5%
10/22 • All-Cause Mortality monitored/assessed up to 180 days.
Investigations
Alkaline phosphatase increased
27.3%
6/22 • All-Cause Mortality monitored/assessed up to 180 days.
Respiratory, thoracic and mediastinal disorders
Allergic rhinitis
18.2%
4/22 • All-Cause Mortality monitored/assessed up to 180 days.
Blood and lymphatic system disorders
Anemia
100.0%
22/22 • All-Cause Mortality monitored/assessed up to 180 days.
Metabolism and nutrition disorders
Anorexia
59.1%
13/22 • All-Cause Mortality monitored/assessed up to 180 days.
Psychiatric disorders
Anxiety
36.4%
8/22 • All-Cause Mortality monitored/assessed up to 180 days.
Immune system disorders
Arthralgia
22.7%
5/22 • All-Cause Mortality monitored/assessed up to 180 days.
Musculoskeletal and connective tissue disorders
Arthritis
9.1%
2/22 • All-Cause Mortality monitored/assessed up to 180 days.
Investigations
Aspartate aminotransferase increased
27.3%
6/22 • All-Cause Mortality monitored/assessed up to 180 days.
Respiratory, thoracic and mediastinal disorders
Atelectasis
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Cardiac disorders
Atrial fibrillation
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Injury, poisoning and procedural complications
Back pain
9.1%
2/22 • All-Cause Mortality monitored/assessed up to 180 days.
Infections and infestations
Bladder infection
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Gastrointestinal disorders
Bloating
13.6%
3/22 • All-Cause Mortality monitored/assessed up to 180 days.
Investigations
Blood bilirubin increased
9.1%
2/22 • All-Cause Mortality monitored/assessed up to 180 days.
Musculoskeletal and connective tissue disorders
Bone pain
9.1%
2/22 • All-Cause Mortality monitored/assessed up to 180 days.
General disorders
Chills
31.8%
7/22 • All-Cause Mortality monitored/assessed up to 180 days.
Investigations
Cholesterol high
9.1%
2/22 • All-Cause Mortality monitored/assessed up to 180 days.
Gastrointestinal disorders
Constipation
54.5%
12/22 • All-Cause Mortality monitored/assessed up to 180 days.
General disorders
Cough
31.8%
7/22 • All-Cause Mortality monitored/assessed up to 180 days.
Investigations
Creatinine increased
9.1%
2/22 • All-Cause Mortality monitored/assessed up to 180 days.
Metabolism and nutrition disorders
Dehydration
18.2%
4/22 • All-Cause Mortality monitored/assessed up to 180 days.
Gastrointestinal disorders
Diarrhea
95.5%
21/22 • All-Cause Mortality monitored/assessed up to 180 days.
Immune system disorders
Dizziness
40.9%
9/22 • All-Cause Mortality monitored/assessed up to 180 days.
Skin and subcutaneous tissue disorders
Dry skin
9.1%
2/22 • All-Cause Mortality monitored/assessed up to 180 days.
Nervous system disorders
Dysgeusia
9.1%
2/22 • All-Cause Mortality monitored/assessed up to 180 days.
Gastrointestinal disorders
Dyspepsia
13.6%
3/22 • All-Cause Mortality monitored/assessed up to 180 days.
Gastrointestinal disorders
Dysphagia
22.7%
5/22 • All-Cause Mortality monitored/assessed up to 180 days.
Respiratory, thoracic and mediastinal disorders
Dyspnea
18.2%
4/22 • All-Cause Mortality monitored/assessed up to 180 days.
Ear and labyrinth disorders
Ear pain
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
General disorders
Edema face
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
General disorders
Edema limbs
54.5%
12/22 • All-Cause Mortality monitored/assessed up to 180 days.
Hepatobiliary disorders
Encephalopathy
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Endocrine disorders
Endocrine disorders
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Respiratory, thoracic and mediastinal disorders
Epistaxis
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Gastrointestinal disorders
Esophagitis
22.7%
5/22 • All-Cause Mortality monitored/assessed up to 180 days.
Eye disorders
Eye disorders
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
General disorders
Fatigue
77.3%
17/22 • All-Cause Mortality monitored/assessed up to 180 days.
Blood and lymphatic system disorders
Febrile neutropenia
31.8%
7/22 • All-Cause Mortality monitored/assessed up to 180 days.
General disorders
Fever
100.0%
22/22 • All-Cause Mortality monitored/assessed up to 180 days.
Gastrointestinal disorders
Flatulence
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Immune system disorders
Flushing
9.1%
2/22 • All-Cause Mortality monitored/assessed up to 180 days.
Gastrointestinal disorders
Gastroesophageal reflux disease
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Gastrointestinal disorders
Gastrointestinal pain
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
General disorders
General disorders and administration site conditions
9.1%
2/22 • All-Cause Mortality monitored/assessed up to 180 days.
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
18.2%
4/22 • All-Cause Mortality monitored/assessed up to 180 days.
Nervous system disorders
Headache
50.0%
11/22 • All-Cause Mortality monitored/assessed up to 180 days.
Renal and urinary disorders
Hematuria
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Gastrointestinal disorders
Hemorrhoidal hemorrhage
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Gastrointestinal disorders
Hemorrhoids
18.2%
4/22 • All-Cause Mortality monitored/assessed up to 180 days.
Respiratory, thoracic and mediastinal disorders
Hiccups
22.7%
5/22 • All-Cause Mortality monitored/assessed up to 180 days.
Metabolism and nutrition disorders
Hypercalcemia
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Metabolism and nutrition disorders
Hyperglycemia
81.8%
18/22 • All-Cause Mortality monitored/assessed up to 180 days.
Metabolism and nutrition disorders
Hypermagnesemia
13.6%
3/22 • All-Cause Mortality monitored/assessed up to 180 days.
Metabolism and nutrition disorders
Hypernatremia
9.1%
2/22 • All-Cause Mortality monitored/assessed up to 180 days.
Respiratory, thoracic and mediastinal disorders
Hypertension
31.8%
7/22 • All-Cause Mortality monitored/assessed up to 180 days.
Metabolism and nutrition disorders
Hyperuricemia
9.1%
2/22 • All-Cause Mortality monitored/assessed up to 180 days.
Metabolism and nutrition disorders
Hypoalbuminemia
45.5%
10/22 • All-Cause Mortality monitored/assessed up to 180 days.
Metabolism and nutrition disorders
Hypocalcemia
45.5%
10/22 • All-Cause Mortality monitored/assessed up to 180 days.
Metabolism and nutrition disorders
Hypoglycemia
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Metabolism and nutrition disorders
Hypokalemia
40.9%
9/22 • All-Cause Mortality monitored/assessed up to 180 days.
Metabolism and nutrition disorders
Hypomagnesemia
22.7%
5/22 • All-Cause Mortality monitored/assessed up to 180 days.
Metabolism and nutrition disorders
Hyponatremia
36.4%
8/22 • All-Cause Mortality monitored/assessed up to 180 days.
Metabolism and nutrition disorders
Hypophosphatemia
54.5%
12/22 • All-Cause Mortality monitored/assessed up to 180 days.
Vascular disorders
Hypotension
59.1%
13/22 • All-Cause Mortality monitored/assessed up to 180 days.
Endocrine disorders
Hypothyroidism
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Investigations
Hypoxia
18.2%
4/22 • All-Cause Mortality monitored/assessed up to 180 days.
Gastrointestinal disorders
Ileus
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Immune system disorders
Immune system disorders
13.6%
3/22 • All-Cause Mortality monitored/assessed up to 180 days.
Infections and infestations
Infections and infestations
22.7%
5/22 • All-Cause Mortality monitored/assessed up to 180 days.
General disorders
Infusion related reaction
13.6%
3/22 • All-Cause Mortality monitored/assessed up to 180 days.
Investigations
INR increased
13.6%
3/22 • All-Cause Mortality monitored/assessed up to 180 days.
Psychiatric disorders
Insomnia
31.8%
7/22 • All-Cause Mortality monitored/assessed up to 180 days.
Investigations
Investigations
31.8%
7/22 • All-Cause Mortality monitored/assessed up to 180 days.
Infections and infestations
Lung infection
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Blood and lymphatic system disorders
Lymph node pain
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Investigations
Lymphocyte count decreased
100.0%
22/22 • All-Cause Mortality monitored/assessed up to 180 days.
Investigations
Lymphocyte count increased
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Metabolism and nutrition disorders
Metabolism and nutrition disorders
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Infections and infestations
Mucosal infection
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Gastrointestinal disorders
Mucositis oral
77.3%
17/22 • All-Cause Mortality monitored/assessed up to 180 days.
Musculoskeletal and connective tissue disorders
Musculoskeletal and connective tissue disorder
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Musculoskeletal and connective tissue disorders
Myalgia
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Respiratory, thoracic and mediastinal disorders
Nasal congestion
9.1%
2/22 • All-Cause Mortality monitored/assessed up to 180 days.
Gastrointestinal disorders
Nausea
100.0%
22/22 • All-Cause Mortality monitored/assessed up to 180 days.
Musculoskeletal and connective tissue disorders
Neck pain
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Nervous system disorders
Nervous system disorders
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Investigations
Neutrophil count decreased
100.0%
22/22 • All-Cause Mortality monitored/assessed up to 180 days.
General disorders
Non-cardiac chest pain
9.1%
2/22 • All-Cause Mortality monitored/assessed up to 180 days.
General disorders
Pain
27.3%
6/22 • All-Cause Mortality monitored/assessed up to 180 days.
Musculoskeletal and connective tissue disorders
Pain in extremity
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Infections and infestations
Papulopustular rash
9.1%
2/22 • All-Cause Mortality monitored/assessed up to 180 days.
Nervous system disorders
Paresthesia
13.6%
3/22 • All-Cause Mortality monitored/assessed up to 180 days.
Nervous system disorders
Peripheral motor neuropathy
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Investigations
Platelet count decreased
100.0%
22/22 • All-Cause Mortality monitored/assessed up to 180 days.
Respiratory, thoracic and mediastinal disorders
Pleural effusion
13.6%
3/22 • All-Cause Mortality monitored/assessed up to 180 days.
Reproductive system and breast disorders
Prostatic obstruction
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Respiratory, thoracic and mediastinal disorders
Pulmonary edema
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Skin and subcutaneous tissue disorders
Rash acneiform
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Skin and subcutaneous tissue disorders
Rash maculo-papular
54.5%
12/22 • All-Cause Mortality monitored/assessed up to 180 days.
Gastrointestinal disorders
Rectal pain
13.6%
3/22 • All-Cause Mortality monitored/assessed up to 180 days.
Renal and urinary disorders
Renal and urinary disorders
9.1%
2/22 • All-Cause Mortality monitored/assessed up to 180 days.
Respiratory, thoracic and mediastinal disorders
Respiratory failure
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Nervous system disorders
Restlessness
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Cardiac disorders
Sinus bradycardia
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Cardiac disorders
Sinus tachycardia
63.6%
14/22 • All-Cause Mortality monitored/assessed up to 180 days.
Infections and infestations
Sinusitis
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorder
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Skin and subcutaneous tissue disorders
Skin hyperpigmentation
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Skin and subcutaneous tissue disorders
Skin ulceration
9.1%
2/22 • All-Cause Mortality monitored/assessed up to 180 days.
Respiratory, thoracic and mediastinal disorders
Sore throat
9.1%
2/22 • All-Cause Mortality monitored/assessed up to 180 days.
Vascular disorders
Thromboembolic event
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Nervous system disorders
Tremor
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Infections and infestations
Upper respiratory infection
9.1%
2/22 • All-Cause Mortality monitored/assessed up to 180 days.
Renal and urinary disorders
Urinary frequency
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Renal and urinary disorders
Urinary tract infection
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Renal and urinary disorders
Urinary tract pain
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Vascular disorders
Vascular disorders
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Gastrointestinal disorders
Vomiting
31.8%
7/22 • All-Cause Mortality monitored/assessed up to 180 days.
Investigations
Weight gain
4.5%
1/22 • All-Cause Mortality monitored/assessed up to 180 days.
Investigations
White blood cell decreased
100.0%
22/22 • All-Cause Mortality monitored/assessed up to 180 days.

Additional Information

UT MD Anderson Cancer Center

Yago Nieto, PhD / Stem Cell Transplantation Department

Phone: 713-792-8750

Results disclosure agreements

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