Status:

WITHDRAWN

Velcade, Nipent, Rituxan (VNR) in Subjects With Relapsed Follicular, Marginal Zone, and Mantle Cell Lymphoma

Lead Sponsor:

Louisiana State University Health Sciences Center Shreveport

Collaborating Sponsors:

Millennium Pharmaceuticals, Inc.

Conditions:

Follicular Lymphoma

Marginal Zone Lymphoma

Eligibility:

All Genders

18-85 years

Phase:

PHASE1

PHASE2

Brief Summary

This is a phase 1/2 Study of VELCADE (bortezomib), Nipent (pentostatin), and Rituxan (rituximab) (VNR) in Subjects with Relapsed Follicular, Marginal Zone, and Mantle Cell Lymphoma.

Detailed Description

Number of Subjects: During the Phase 1 part of the study as many as 15 subjects may be enrolled, based on the dose escalation scheme; the actual number of subjects enrolled will depend on the dose lev...

Eligibility Criteria

Inclusion

  • Voluntary written informed consent.
  • Male or female subject 18 years of age and older
  • Karnofsky Performance Status (KPS) score of 50%. ECOG Performance Status score greater than 2.
  • Histologically confirmed follicular Grade 1-3a, marginal zone or mantle cell NHL.
  • Relapsed or progressive disease after at least 1 prior chemotherapy requiring treatment.
  • Bi-dimensionally measurable disease with at least 1 lesion 2 cm in a single dimension
  • Hematologic, hepatic, and renal function parameters.
  • Recovered fully from any significant toxicity associated with prior surgery, radiation treatments, chemotherapy, biological therapy, autologous bone marrow or stem cell transplant, or investigational drugs
  • Expected survival of 3 months
  • Accepted birth control methods during treatment and for 12 months after completion of treatment.

Exclusion

  • Follicular lymphoma Grade 3b
  • History of allergy to any of the study medications, their analogues, murine proteins, or excipients in the various formulations
  • Grade 2 peripheral neuropathy or clinical examination within 14 days before enrollment
  • Serum creatinine 2.5 mg/dL within 14 days before enrollment.
  • Absolute neutrophil count (ANC) \< 1,000/L, platelet count \< 70,000/L within 14 days before enrollment
  • Aspartate transaminase (AST \[SGOT\]) and alanine transaminase (ALT/SGPT\]) \> 2 x the upper limit of normal (ULN), total bilirubin \> 3 ULN
  • Rituxan refractory or refractory to anti-CD20 radioimmunotherapy (no response to prior Rituxan or prior Rituxan-containing regimen, or a response with a TTP of less than 6 months)
  • Cancer radiotherapy, biological therapy, or chemotherapy within 3 weeks prior to Study Day 1 (6 weeks if nitrosurea or mytomycin-C)
  • Prior lymphoma vaccine therapy within 12 months to Study Day 1
  • Prior antibody therapy for lymphoma (including radioimmunotherapy) within 6 months prior to Study Day 1
  • Autologous bone marrow or stem cell transplant within 6 months prior to Study Day 1
  • Known history of hepatitis or hepatic disease.
  • Presence of central nervous system (CNS) lymphoma
  • Known history of HIV infection or AIDS
  • Histologic transformation (Follicular or Marginal zone to diffuse large B cell lymphoma \[DLBCL\]
  • Presence of pleural or peritoneal effusion with positive cytology for lymphoma
  • Another primary malignancy requiring active treatment
  • Serious non-malignant disease (e.g., congestive heart failure \[CHF\], hydronephrosis); active uncontrolled bacterial, viral, or fungal infections; or other conditions (including psychiatric), which would compromise protocol objectives n the opinion of the Investigator and/or Sponsor
  • New York Heart Association Class III or IV (Appendix D) cardiac disease
  • Major surgery, other than diagnostic surgery, within 4 weeks prior to Study Day 1
  • Female subject who is pregnant or currently breast-feeding
  • Received other investigational drugs with 14 days before enrollment
  • Hypersensitivity to bortezomib, pentostatin, rituximab, boron or mannitol.

Key Trial Info

Start Date :

May 1 2010

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

October 1 2014

Estimated Enrollment :

Patients enrolled

Trial Details

Trial ID

NCT01460602

Start Date

May 1 2010

End Date

October 1 2014

Last Update

September 1 2020

Active Locations (1)

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LSU - Shreveport Health Sciences Center, Feist-Weiller Cancer Center

Shreveport, Louisiana, United States, 71103