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Bortezomib in Treating Patients With Lymphoproliferative Disorders

Primary Purpose

Recurrent Grade 1 Follicular Lymphoma, Recurrent Grade 2 Follicular Lymphoma, Recurrent Grade 3 Follicular Lymphoma

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
bortezomib
Sponsored by
National Cancer Institute (NCI)
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Recurrent Grade 1 Follicular Lymphoma

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Histologically or cytologically confirmed lymphoproliferative disorder of 1 of the following subtypes: * Relapsed or refractory grade I, II, or III follicular center cell lymphoma Relapsed or refractory mantle cell lymphoma Measurable disease for non-Hodgkin's lymphoma (NHL) only At least 1 unidimensionally measurable lesion At least 2 cm by conventional techniques OR at least 1 cm by spiral CT scan Lymph nodes no greater than 1 cm in short axis considered normal Absolute lymphocytosis greater than 5,000/mm^3 with B-cell phenotype (CD19, 20,or 23 positive) with more than 30% bone marrow lymphocytes for CLL or other leukemic forms of NHL No known brain metastases Performance status - Karnofsky 70-100% At least 3 months See Disease Characteristics Absolute neutrophil count greater than 1,500/mm^3 (500/mm^3 if lymphomatous involvement of bone marrow) Platelet count greater than 50,000/mm^3 Bilirubin less than 1.5 times upper limit of normal (ULN) AST and ALT no greater than 2.5 times ULN (4 times ULN in case of liver metastases) Creatinine less than 1.5 times ULN No symptomatic congestive heart failure No New York Heart Association class III or IV heart disease No unstable angina pectoris No cardiac arrhythmia No myocardial infarction within the past 6 months No cerebrovascular accident or transient ischemic attack within the past 6 months No history of orthostatic hypotension No evidence of acute ischemia or significant conduction abnormality (left anterior hemiblock in the presence of right bundle branch block or second or third degree atrioventricular blocks) on electrocardiogram No uncontrolled hypertension requiring antihypertensive medication Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception Febrile episodes up to 38.5°C allowed if no evidence of active infection No other uncontrolled concurrent illness No known or active HIV infection No ongoing or active infection No psychiatric illness or social situation that would preclude study entry At least 3 months since prior monoclonal antibody therapy (e.g., rituximab) No more than 3 prior regimens of conventional cytotoxic chemotherapy At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin) and recovered At least 1 week since prior steroid therapy At least 4 weeks since prior radiotherapy and recovered At least 4 weeks since prior major surgery No other concurrent investigational agents

Sites / Locations

  • Memorial Sloan-Kettering Cancer Center

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Arm I

Arm Description

Patients receive an infusion of bortezomib (dose of 1.8 mg/m2) over 3-5 seconds once weekly for 4 weeks. Treatment repeats every 6 weeks in the absence of disease progression or unacceptable toxicity. Patients who achieve at least a partial response lasting at least 6 months may receive retreatment.

Outcomes

Primary Outcome Measures

Response Rate
The response probability will be estimated. The 95% confidence interval will be provided.

Secondary Outcome Measures

Full Information

First Posted
September 13, 2001
Last Updated
November 2, 2015
Sponsor
National Cancer Institute (NCI)
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1. Study Identification

Unique Protocol Identification Number
NCT00023764
Brief Title
Bortezomib in Treating Patients With Lymphoproliferative Disorders
Official Title
Phase II Study of PS-341 in Low Grade Lymphoproliferative Disorders
Study Type
Interventional

2. Study Status

Record Verification Date
December 2012
Overall Recruitment Status
Completed
Study Start Date
June 2001 (undefined)
Primary Completion Date
March 2009 (Actual)
Study Completion Date
March 2009 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
National Cancer Institute (NCI)

4. Oversight

5. Study Description

Brief Summary
Phase II trial to study the effectiveness of bortezomib in treating patients who have low-grade lymphoproliferative disorders. Bortezomib may stop the growth of cancer cells by blocking the enzymes necessary for cancer cell growth.
Detailed Description
PRIMARY OBJECTIVES: I. Determine the frequency and duration of complete and partial response rates in patients with grade I, II, or III follicular lymphoma or mantle cell lymphoma treated with bortezomib. SECONDARY OBJECTIVES: I. Determine the response of minimal residual disease by polymerase chain reaction (PCR) detectable or clonotypic PCR minimal residual disease in bone marrow of patients treated with this regimen. II. Determine the time to progression and overall survival of patients treated with this regimen. III. Determine the toxic effects of this regimen in these patients. OUTLINE: Patients are stratified according to disease type (follicular lymphoma vs mantle cell lymphoma). Patients receive an infusion of bortezomib over 3-5 seconds once weekly for 4 weeks. Treatment repeats every 6 weeks in the absence of disease progression or unacceptable toxicity. Patients who achieve at least a partial response lasting at least 6 months may receive retreatment. Patients are followed every 3 months for 1 year and then every 4 months for 2 years.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Recurrent Grade 1 Follicular Lymphoma, Recurrent Grade 2 Follicular Lymphoma, Recurrent Grade 3 Follicular Lymphoma, Recurrent Mantle Cell Lymphoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
103 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Arm I
Arm Type
Experimental
Arm Description
Patients receive an infusion of bortezomib (dose of 1.8 mg/m2) over 3-5 seconds once weekly for 4 weeks. Treatment repeats every 6 weeks in the absence of disease progression or unacceptable toxicity. Patients who achieve at least a partial response lasting at least 6 months may receive retreatment.
Intervention Type
Drug
Intervention Name(s)
bortezomib
Other Intervention Name(s)
LDP 341, MLN341, VELCADE
Intervention Description
Given IV
Primary Outcome Measure Information:
Title
Response Rate
Description
The response probability will be estimated. The 95% confidence interval will be provided.
Time Frame
Up to 3 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histologically or cytologically confirmed lymphoproliferative disorder of 1 of the following subtypes: * Relapsed or refractory grade I, II, or III follicular center cell lymphoma Relapsed or refractory mantle cell lymphoma Measurable disease for non-Hodgkin's lymphoma (NHL) only At least 1 unidimensionally measurable lesion At least 2 cm by conventional techniques OR at least 1 cm by spiral CT scan Lymph nodes no greater than 1 cm in short axis considered normal Absolute lymphocytosis greater than 5,000/mm^3 with B-cell phenotype (CD19, 20,or 23 positive) with more than 30% bone marrow lymphocytes for CLL or other leukemic forms of NHL No known brain metastases Performance status - Karnofsky 70-100% At least 3 months See Disease Characteristics Absolute neutrophil count greater than 1,500/mm^3 (500/mm^3 if lymphomatous involvement of bone marrow) Platelet count greater than 50,000/mm^3 Bilirubin less than 1.5 times upper limit of normal (ULN) AST and ALT no greater than 2.5 times ULN (4 times ULN in case of liver metastases) Creatinine less than 1.5 times ULN No symptomatic congestive heart failure No New York Heart Association class III or IV heart disease No unstable angina pectoris No cardiac arrhythmia No myocardial infarction within the past 6 months No cerebrovascular accident or transient ischemic attack within the past 6 months No history of orthostatic hypotension No evidence of acute ischemia or significant conduction abnormality (left anterior hemiblock in the presence of right bundle branch block or second or third degree atrioventricular blocks) on electrocardiogram No uncontrolled hypertension requiring antihypertensive medication Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception Febrile episodes up to 38.5°C allowed if no evidence of active infection No other uncontrolled concurrent illness No known or active HIV infection No ongoing or active infection No psychiatric illness or social situation that would preclude study entry At least 3 months since prior monoclonal antibody therapy (e.g., rituximab) No more than 3 prior regimens of conventional cytotoxic chemotherapy At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin) and recovered At least 1 week since prior steroid therapy At least 4 weeks since prior radiotherapy and recovered At least 4 weeks since prior major surgery No other concurrent investigational agents
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
John Gerecitano
Organizational Affiliation
Memorial Sloan Kettering Cancer Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Memorial Sloan-Kettering Cancer Center
City
New York
State/Province
New York
ZIP/Postal Code
10065
Country
United States

12. IPD Sharing Statement

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Bortezomib in Treating Patients With Lymphoproliferative Disorders

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