Trial Outcomes & Findings for Ixazomib and Rituximab in Treating Patients With Relapsed or Refractory Mantle Cell Lymphoma (NCT NCT04047797)

NCT ID: NCT04047797

Last Updated: 2025-04-20

Results Overview

Evaluate the complete remission rate of BTK inhibitor refractory MCL patients with ixazomib and rituximab at 16 weeks of therapy. Complete remission at 16 weeks was measured by PET/CT or CT imaging using Lugano Criteria 2014.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

3 participants

Primary outcome timeframe

16 weeks

Results posted on

2025-04-20

Participant Flow

Open label, single center, single-arm, phase II

Participant milestones

Participant milestones
Measure
Study Drug
Ixazomib 4mg PO on days 1, 8, 15 Rituximab 375 mg/m2 IV weekly until cycle 3, then given day 1 of each cycle
Overall Study
STARTED
3
Overall Study
COMPLETED
2
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Study Drug
Ixazomib 4mg PO on days 1, 8, 15 Rituximab 375 mg/m2 IV weekly until cycle 3, then given day 1 of each cycle
Overall Study
Progressive Disease
1

Baseline Characteristics

Ixazomib and Rituximab in Treating Patients With Relapsed or Refractory Mantle Cell Lymphoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Study Drug
n=3 Participants
Ixazomib 4mg PO on days 1, 8, 15 Rituximab 375 mg/m2 IV weekly until cycle 3, then given day 1 of each cycle
Age, Categorical
<=18 years
0 Participants
n=93 Participants
Age, Categorical
Between 18 and 65 years
1 Participants
n=93 Participants
Age, Categorical
>=65 years
2 Participants
n=93 Participants
Sex: Female, Male
Female
1 Participants
n=93 Participants
Sex: Female, Male
Male
2 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
2 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=93 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=93 Participants
Race (NIH/OMB)
White
2 Participants
n=93 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=93 Participants

PRIMARY outcome

Timeframe: 16 weeks

Population: All endpoints will be measured on patients that received at least one dose of the study drug

Evaluate the complete remission rate of BTK inhibitor refractory MCL patients with ixazomib and rituximab at 16 weeks of therapy. Complete remission at 16 weeks was measured by PET/CT or CT imaging using Lugano Criteria 2014.

Outcome measures

Outcome measures
Measure
Study Drug
n=3 Participants
Ixazomib 4mg PO on days 1, 8, 15 Rituximab 375 mg/m2 IV weekly until cycle 3, then given day 1 of each cycle
Complete Remission Rate at 16 Weeks
3 Participants

SECONDARY outcome

Timeframe: 16 weeks

Evaluate the overall response rate (ORR) assessed by Lugano criteria (2014)

Outcome measures

Outcome measures
Measure
Study Drug
n=3 Participants
Ixazomib 4mg PO on days 1, 8, 15 Rituximab 375 mg/m2 IV weekly until cycle 3, then given day 1 of each cycle
Overall Response Rate at 16 Weeks
3 Participants

SECONDARY outcome

Timeframe: 16 weeks

Evaluate progression free survival and overall survival

Outcome measures

Outcome measures
Measure
Study Drug
n=3 Participants
Ixazomib 4mg PO on days 1, 8, 15 Rituximab 375 mg/m2 IV weekly until cycle 3, then given day 1 of each cycle
Progression Free Survival (PFS) and Overall Survival (OS)
Overall survival (OS)
3 Participants
Progression Free Survival (PFS) and Overall Survival (OS)
Complete Metabolic Response (CMR)
2 Participants

SECONDARY outcome

Timeframe: time of first dose of ixazomib through 30 days after the last dose of ixazomib was administered, up to 140 weeks.

Tolerability of study drug at weeks 8, 16, 28, 42, and 56 using CTCAE v4.0 Toxicities or Adverse Events (grade 3 and up) were measured using CTCAE v 4.0 to determine the tolerability of ixazomib.

Outcome measures

Outcome measures
Measure
Study Drug
n=3 Participants
Ixazomib 4mg PO on days 1, 8, 15 Rituximab 375 mg/m2 IV weekly until cycle 3, then given day 1 of each cycle
Tolerability of Study Drug at Weeks 8, 16, 28, 42, and 56
Week 8
0 Participants
Tolerability of Study Drug at Weeks 8, 16, 28, 42, and 56
Week 16
0 Participants
Tolerability of Study Drug at Weeks 8, 16, 28, 42, and 56
Week 28
0 Participants
Tolerability of Study Drug at Weeks 8, 16, 28, 42, and 56
Week 42
0 Participants
Tolerability of Study Drug at Weeks 8, 16, 28, 42, and 56
Week 56
0 Participants

Adverse Events

Study Drug

Serious events: 1 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Study Drug
n=3 participants at risk
Ixazomib 4mg PO on days 1, 8, 15 Rituximab 375 mg/m2 IV weekly until cycle 3, then given day 1 of each cycle
Respiratory, thoracic and mediastinal disorders
Respiratory, thoracic, and mediastinal disorders- other, specify (COVID-19 pneumonia)
33.3%
1/3 • Number of events 1 • From first dose of study drug through 30 days after administration of the last dose of ixazomib, up to 140 weeks.
Adverse event data collected using definitions from CTCAE v4.0
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
33.3%
1/3 • Number of events 1 • From first dose of study drug through 30 days after administration of the last dose of ixazomib, up to 140 weeks.
Adverse event data collected using definitions from CTCAE v4.0
Nervous system disorders
Stroke
33.3%
1/3 • Number of events 1 • From first dose of study drug through 30 days after administration of the last dose of ixazomib, up to 140 weeks.
Adverse event data collected using definitions from CTCAE v4.0

Other adverse events

Other adverse events
Measure
Study Drug
n=3 participants at risk
Ixazomib 4mg PO on days 1, 8, 15 Rituximab 375 mg/m2 IV weekly until cycle 3, then given day 1 of each cycle
Gastrointestinal disorders
Diarrhea
66.7%
2/3 • Number of events 2 • From first dose of study drug through 30 days after administration of the last dose of ixazomib, up to 140 weeks.
Adverse event data collected using definitions from CTCAE v4.0
Gastrointestinal disorders
Constipation
33.3%
1/3 • Number of events 1 • From first dose of study drug through 30 days after administration of the last dose of ixazomib, up to 140 weeks.
Adverse event data collected using definitions from CTCAE v4.0
Gastrointestinal disorders
Abdominal distention
33.3%
1/3 • Number of events 1 • From first dose of study drug through 30 days after administration of the last dose of ixazomib, up to 140 weeks.
Adverse event data collected using definitions from CTCAE v4.0
Renal and urinary disorders
Urinary tract infection
33.3%
1/3 • Number of events 1 • From first dose of study drug through 30 days after administration of the last dose of ixazomib, up to 140 weeks.
Adverse event data collected using definitions from CTCAE v4.0
Skin and subcutaneous tissue disorders
Rash
66.7%
2/3 • Number of events 3 • From first dose of study drug through 30 days after administration of the last dose of ixazomib, up to 140 weeks.
Adverse event data collected using definitions from CTCAE v4.0
General disorders
Insomnia
33.3%
1/3 • Number of events 1 • From first dose of study drug through 30 days after administration of the last dose of ixazomib, up to 140 weeks.
Adverse event data collected using definitions from CTCAE v4.0
Metabolism and nutrition disorders
Anorexia
33.3%
1/3 • Number of events 1 • From first dose of study drug through 30 days after administration of the last dose of ixazomib, up to 140 weeks.
Adverse event data collected using definitions from CTCAE v4.0
General disorders
Edema limbs
66.7%
2/3 • Number of events 2 • From first dose of study drug through 30 days after administration of the last dose of ixazomib, up to 140 weeks.
Adverse event data collected using definitions from CTCAE v4.0
Gastrointestinal disorders
Dysphagia
33.3%
1/3 • Number of events 1 • From first dose of study drug through 30 days after administration of the last dose of ixazomib, up to 140 weeks.
Adverse event data collected using definitions from CTCAE v4.0
General disorders
Fatigue
66.7%
2/3 • Number of events 2 • From first dose of study drug through 30 days after administration of the last dose of ixazomib, up to 140 weeks.
Adverse event data collected using definitions from CTCAE v4.0
General disorders
Nausea
33.3%
1/3 • Number of events 1 • From first dose of study drug through 30 days after administration of the last dose of ixazomib, up to 140 weeks.
Adverse event data collected using definitions from CTCAE v4.0
Gastrointestinal disorders
Mucositis oral
33.3%
1/3 • Number of events 1 • From first dose of study drug through 30 days after administration of the last dose of ixazomib, up to 140 weeks.
Adverse event data collected using definitions from CTCAE v4.0
General disorders
Headache
33.3%
1/3 • Number of events 1 • From first dose of study drug through 30 days after administration of the last dose of ixazomib, up to 140 weeks.
Adverse event data collected using definitions from CTCAE v4.0
Nervous system disorders
Neuropathy
33.3%
1/3 • Number of events 1 • From first dose of study drug through 30 days after administration of the last dose of ixazomib, up to 140 weeks.
Adverse event data collected using definitions from CTCAE v4.0

Additional Information

Hun J Lee, MD

MD Anderson Cancer Center

Phone: 713-792-2860

Results disclosure agreements

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