Trial Outcomes & Findings for Bendamustine and Rituximab in Combination With Copanlisib for the Treatment of Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma (NCT NCT04155840)

NCT ID: NCT04155840

Last Updated: 2022-04-11

Results Overview

Will use a Simon optimal two-stage design.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

1 participants

Primary outcome timeframe

End of cycle 4 (each cycle is 28 days)

Results posted on

2022-04-11

Participant Flow

Participant milestones

Participant milestones
Measure
Treatment (Copanlisib, Rituximab, Bendamustine)
Patients receive copanlisib IV over 1 hour on days 1, 8 and 15 or days 1 and 15 (depending on dose level). Patients also receive rituximab IV on day 1 and bendamustine IV on days 1 and 2 of cycles 1-4. Patients who achieve at least a partial response (MRD-positive) continue on treatment for 2 additional cycles. Treatment repeats every 28 days for up to 6 cycles in the absence of disease progression or unacceptable toxicity. Beginning cycle 7, patients receive copanlisib IV over 1 hour on days 1 and 15 for an additional 6 cycles in the absence of disease progression or unacceptable toxicity. Copanlisib: Given IV Rituximab: Given IV Bendamustine: Given IV
Overall Study
STARTED
1
Overall Study
COMPLETED
1
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Bendamustine and Rituximab in Combination With Copanlisib for the Treatment of Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment (Copanlisib, Rituximab, Bendamustine)
n=1 Participants
Patients receive copanlisib IV over 1 hour on days 1, 8 and 15 or days 1 and 15 (depending on dose level). Patients also receive rituximab IV on day 1 and bendamustine IV on days 1 and 2 of cycles 1-4. Patients who achieve at least a partial response (MRD-positive) continue on treatment for 2 additional cycles. Treatment repeats every 28 days for up to 6 cycles in the absence of disease progression or unacceptable toxicity. Beginning cycle 7, patients receive copanlisib IV over 1 hour on days 1 and 15 for an additional 6 cycles in the absence of disease progression or unacceptable toxicity. Copanlisib: Given IV Rituximab: Given IV Bendamustine: Given IV
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=5 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
Age, Continuous
72 years
n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
Sex: Female, Male
Male
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
1 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
1 participants
n=5 Participants

PRIMARY outcome

Timeframe: End of cycle 4 (each cycle is 28 days)

Population: Data for the outcome measure was collected, however, the outcome measure was not analyzed because we were unable to determine the marrow minimal residual disease (MRD)-negative rate due to low accrual and few data timepoints for which meaningful data could be extracted.

Will use a Simon optimal two-stage design.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: At 1 year

Population: Data for the outcome measure was not collected.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: At 1 and 3 years

Population: Data for the outcome measure was not collected.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: End of cycle 4 (each cycle is 28 days)

Population: This outcome measure was not done. The MRD sample after Cycle 4 was received at the analyzing lab beyond stability.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Approximately 6 months

Population: Data for the outcome measure was collected, however, the outcome measure was not analyzed due to low accrual and few data timepoints for which meaningful data could be extracted.

Outcome measures

Outcome data not reported

Adverse Events

Treatment (Copanlisib, Rituximab, Bendamustine)

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Treatment (Copanlisib, Rituximab, Bendamustine)
n=1 participants at risk
Patients receive copanlisib IV over 1 hour on days 1, 8 and 15 or days 1 and 15 (depending on dose level). Patients also receive rituximab IV on day 1 and bendamustine IV on days 1 and 2 of cycles 1-4. Patients who achieve at least a partial response (MRD-positive) continue on treatment for 2 additional cycles. Treatment repeats every 28 days for up to 6 cycles in the absence of disease progression or unacceptable toxicity. Beginning cycle 7, patients receive copanlisib IV over 1 hour on days 1 and 15 for an additional 6 cycles in the absence of disease progression or unacceptable toxicity. Copanlisib: Given IV Rituximab: Given IV Bendamustine: Given IV
Metabolism and nutrition disorders
Anorexia
100.0%
1/1 • Number of events 1 • Adverse events are collected after the first administration of copanlisib until the end of treatment visit, approximately 6 months.
Adverse events are collected through regular investigator assessment, regular laboratory testing, and patient interviews.
General disorders
Chills
100.0%
1/1 • Number of events 2 • Adverse events are collected after the first administration of copanlisib until the end of treatment visit, approximately 6 months.
Adverse events are collected through regular investigator assessment, regular laboratory testing, and patient interviews.
Nervous system disorders
Dizziness
100.0%
1/1 • Number of events 1 • Adverse events are collected after the first administration of copanlisib until the end of treatment visit, approximately 6 months.
Adverse events are collected through regular investigator assessment, regular laboratory testing, and patient interviews.
Skin and subcutaneous tissue disorders
Dry Skin
100.0%
1/1 • Number of events 1 • Adverse events are collected after the first administration of copanlisib until the end of treatment visit, approximately 6 months.
Adverse events are collected through regular investigator assessment, regular laboratory testing, and patient interviews.
Gastrointestinal disorders
Dyspepsia
100.0%
1/1 • Number of events 1 • Adverse events are collected after the first administration of copanlisib until the end of treatment visit, approximately 6 months.
Adverse events are collected through regular investigator assessment, regular laboratory testing, and patient interviews.
General disorders
Fever
100.0%
1/1 • Number of events 2 • Adverse events are collected after the first administration of copanlisib until the end of treatment visit, approximately 6 months.
Adverse events are collected through regular investigator assessment, regular laboratory testing, and patient interviews.
Gastrointestinal disorders
Flatulance
100.0%
1/1 • Number of events 1 • Adverse events are collected after the first administration of copanlisib until the end of treatment visit, approximately 6 months.
Adverse events are collected through regular investigator assessment, regular laboratory testing, and patient interviews.
General disorders
Knots on forehead
100.0%
1/1 • Number of events 1 • Adverse events are collected after the first administration of copanlisib until the end of treatment visit, approximately 6 months.
Adverse events are collected through regular investigator assessment, regular laboratory testing, and patient interviews.
General disorders
Bilateral nipple pain
100.0%
1/1 • Number of events 2 • Adverse events are collected after the first administration of copanlisib until the end of treatment visit, approximately 6 months.
Adverse events are collected through regular investigator assessment, regular laboratory testing, and patient interviews.
Reproductive system and breast disorders
Gynecomastia
100.0%
1/1 • Number of events 1 • Adverse events are collected after the first administration of copanlisib until the end of treatment visit, approximately 6 months.
Adverse events are collected through regular investigator assessment, regular laboratory testing, and patient interviews.
Injury, poisoning and procedural complications
Infusion-related reaction
100.0%
1/1 • Number of events 5 • Adverse events are collected after the first administration of copanlisib until the end of treatment visit, approximately 6 months.
Adverse events are collected through regular investigator assessment, regular laboratory testing, and patient interviews.
General disorders
Bilateral ankle edema
100.0%
1/1 • Number of events 1 • Adverse events are collected after the first administration of copanlisib until the end of treatment visit, approximately 6 months.
Adverse events are collected through regular investigator assessment, regular laboratory testing, and patient interviews.
Gastrointestinal disorders
Nausea
100.0%
1/1 • Number of events 1 • Adverse events are collected after the first administration of copanlisib until the end of treatment visit, approximately 6 months.
Adverse events are collected through regular investigator assessment, regular laboratory testing, and patient interviews.
Investigations
Neutrophil count decreased
100.0%
1/1 • Number of events 1 • Adverse events are collected after the first administration of copanlisib until the end of treatment visit, approximately 6 months.
Adverse events are collected through regular investigator assessment, regular laboratory testing, and patient interviews.
General disorders
Clammy feeling
100.0%
1/1 • Number of events 1 • Adverse events are collected after the first administration of copanlisib until the end of treatment visit, approximately 6 months.
Adverse events are collected through regular investigator assessment, regular laboratory testing, and patient interviews.
Investigations
Platelet count decreased
100.0%
1/1 • Number of events 2 • Adverse events are collected after the first administration of copanlisib until the end of treatment visit, approximately 6 months.
Adverse events are collected through regular investigator assessment, regular laboratory testing, and patient interviews.
Skin and subcutaneous tissue disorders
Rash
100.0%
1/1 • Number of events 3 • Adverse events are collected after the first administration of copanlisib until the end of treatment visit, approximately 6 months.
Adverse events are collected through regular investigator assessment, regular laboratory testing, and patient interviews.
Skin and subcutaneous tissue disorders
Papule on back
100.0%
1/1 • Number of events 1 • Adverse events are collected after the first administration of copanlisib until the end of treatment visit, approximately 6 months.
Adverse events are collected through regular investigator assessment, regular laboratory testing, and patient interviews.
Skin and subcutaneous tissue disorders
Flaking lesion, right cheek
100.0%
1/1 • Number of events 1 • Adverse events are collected after the first administration of copanlisib until the end of treatment visit, approximately 6 months.
Adverse events are collected through regular investigator assessment, regular laboratory testing, and patient interviews.
Metabolism and nutrition disorders
Tumor lysis syndrome
100.0%
1/1 • Number of events 1 • Adverse events are collected after the first administration of copanlisib until the end of treatment visit, approximately 6 months.
Adverse events are collected through regular investigator assessment, regular laboratory testing, and patient interviews.

Additional Information

Dr. Ryan Lynch

University of Washington

Phone: 206-606-1739

Results disclosure agreements

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