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Safety & Efficacy Study of AT-101 in Combination w/ Rituximab in Previously Untreated Grade I-II Follicular Non-Hodgkin's Lymphoma

Primary Purpose

Follicular Lymphoma

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
AT-101
Rituximab
Sponsored by
Ascenta Therapeutics
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Follicular Lymphoma focused on measuring cancer, lymphoma, Non-Hodgkin's, Non-Hodgkins, AT-101, AT101, Rituxan, Rituximab

Eligibility Criteria

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

Inclusion Criteria:

  • Histologically confirmed, previously untreated Grade I-II follicular B-cell non-Hodgkin's lymphoma (stage I, II, III and IV). Patients may have received radiation therapy to one lymph node region; Stage I or II patients must have relapsed after prior radiation therapy to be eligible;
  • Patients with any FLIPI score may participate. Patients with FLIPI scores 3-5 may be enrolled with asymptomatic disease, or without worsening disease or disease related-symptoms; however patients with FLIPI scores of 0-2 must have evidence of worsening disease;
  • ECOG performance status 0-1;
  • Measurable disease;
  • Adequate hematological function as indicated by:

    • Absolute neutrophil count (ANC) >1,000/µL; +Hemoglobin >8 g/dL (It is acceptable to transfuse PRBC to achieve this criterion);
    • Platelet count >50 x 109/L.
  • Adequate hepatic and renal function as indicated by:

    • Serum creatinine ≤2.0 mg/dL;
    • Serum albumin ≥2.5 g/dL;
    • Total bilirubin ≤1.5 x upper limit of normal (ULN);
    • Serum AST and ALT ≤1.5 x ULN.
  • Able to swallow and retain oral medication

Exclusion Criteria:

  • Patients who have severe lymphoma-related symptoms requiring a rapid response to therapy (e.g., requirement for cytoreduction due to advanced disease or organ compromise, respiratory compromise because of large effusions or airway obstruction, bowel obstruction, ureteral obstruction, and chylous ascites);
  • Active symptomatic fungal, bacterial and/or viral infection including, but not limited to active HIV or viral hepatitis (A, B or C);
  • History of hepatitis B infection;
  • Any B-cell, T-cell or transformed lymphoma other than histologically confirmed follicular non-Hodgkin's lymphoma;
  • Central nervous system (CNS) lymphoma, CNS or leptomeningeal involvement by lymphoma (treated or in remission), HIV-related lymphoma, or patients with symptoms suggesting HIV infection;

Sites / Locations

  • University of Alabama at Birmingham
  • Hematology Oncology Associates
  • Rocky Mountain Cancer Center-Aurora
  • Florida Cancer Institute
  • Florida Cancer Institute
  • Cancer Care & Hematology Specialists of Chicagoland
  • Central Indiana Cancer Centers
  • University of Michigan Cancer Center
  • Minnesota Oncology Hematology, P.A.
  • Missouri Cancer Associates
  • Comprehensive Cancer Centers of Nevada
  • Hematology/Oncology Associates
  • New York Oncology Hematology, P.C.
  • Duke University Medical Center
  • Northwest Cancer Specialists
  • The Jones Clinic
  • Texas Oncology, P.A.
  • Texas Cancer Center at Medical City
  • Texas Oncology, P.A.
  • Allison Cancer Center
  • HOAST - New Braunfels
  • West Texas Cancer Center
  • Hematology Oncology Physicians of Texas
  • Tyler Cancer Center
  • Virginia Oncology Associates
  • Oncology and Hematology Associates of SW Virginia, Inc.
  • Cancer Care Northwest
  • St. Mary's Medical Center

Outcomes

Primary Outcome Measures

complete or partial remission of disease

Secondary Outcome Measures

duration of complete or partial remission of disease
number of participants with adverse events

Full Information

First Posted
February 23, 2007
Last Updated
August 24, 2010
Sponsor
Ascenta Therapeutics
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1. Study Identification

Unique Protocol Identification Number
NCT00440388
Brief Title
Safety & Efficacy Study of AT-101 in Combination w/ Rituximab in Previously Untreated Grade I-II Follicular Non-Hodgkin's Lymphoma
Official Title
An Open-label, Multicenter, Phase II Study of AT-101 in Combination With Rituximab in Patients With Untreated, Grade I-II, Follicular Non-Hodgkin's Lymphoma
Study Type
Interventional

2. Study Status

Record Verification Date
August 2010
Overall Recruitment Status
Completed
Study Start Date
October 2006 (undefined)
Primary Completion Date
November 2008 (Actual)
Study Completion Date
November 2008 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Ascenta Therapeutics

4. Oversight

5. Study Description

Brief Summary
This is a phase II clinical trial in patients who have not received systemic treatment for follicular non-Hodgkin's lymphoma. The study combines rituximab, an approved drug for this disease, with AT-101, an experimental drug. The hypothesis is that by adding AT-101 to the rituximab regimen, improvement to patients' response to the treatment will be observed verses rituximab alone.
Detailed Description
Further Study Details provided by Ascenta.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Follicular Lymphoma
Keywords
cancer, lymphoma, Non-Hodgkin's, Non-Hodgkins, AT-101, AT101, Rituxan, Rituximab

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
23 (Actual)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
AT-101
Intervention Description
AT-101 30 mg orally for 21 of 56 days, every cycle. Cycle = 56 days; Max of 5 cycles.
Intervention Type
Drug
Intervention Name(s)
Rituximab
Intervention Description
Rituximab 375mg/m2 IV once per week for four weeks during 1st cycle, 375mg/m2 IV once per cycle for cycles 2-5. Cycle = 56 days; Max of 5 cycles.
Primary Outcome Measure Information:
Title
complete or partial remission of disease
Time Frame
8 weeks
Secondary Outcome Measure Information:
Title
duration of complete or partial remission of disease
Time Frame
10 months
Title
number of participants with adverse events
Time Frame
10 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histologically confirmed, previously untreated Grade I-II follicular B-cell non-Hodgkin's lymphoma (stage I, II, III and IV). Patients may have received radiation therapy to one lymph node region; Stage I or II patients must have relapsed after prior radiation therapy to be eligible; Patients with any FLIPI score may participate. Patients with FLIPI scores 3-5 may be enrolled with asymptomatic disease, or without worsening disease or disease related-symptoms; however patients with FLIPI scores of 0-2 must have evidence of worsening disease; ECOG performance status 0-1; Measurable disease; Adequate hematological function as indicated by: Absolute neutrophil count (ANC) >1,000/µL; +Hemoglobin >8 g/dL (It is acceptable to transfuse PRBC to achieve this criterion); Platelet count >50 x 109/L. Adequate hepatic and renal function as indicated by: Serum creatinine ≤2.0 mg/dL; Serum albumin ≥2.5 g/dL; Total bilirubin ≤1.5 x upper limit of normal (ULN); Serum AST and ALT ≤1.5 x ULN. Able to swallow and retain oral medication Exclusion Criteria: Patients who have severe lymphoma-related symptoms requiring a rapid response to therapy (e.g., requirement for cytoreduction due to advanced disease or organ compromise, respiratory compromise because of large effusions or airway obstruction, bowel obstruction, ureteral obstruction, and chylous ascites); Active symptomatic fungal, bacterial and/or viral infection including, but not limited to active HIV or viral hepatitis (A, B or C); History of hepatitis B infection; Any B-cell, T-cell or transformed lymphoma other than histologically confirmed follicular non-Hodgkin's lymphoma; Central nervous system (CNS) lymphoma, CNS or leptomeningeal involvement by lymphoma (treated or in remission), HIV-related lymphoma, or patients with symptoms suggesting HIV infection;
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Lance Leopold, MD
Organizational Affiliation
Ascenta Therapeutics, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
University of Alabama at Birmingham
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35296
Country
United States
Facility Name
Hematology Oncology Associates
City
Phoenix
State/Province
Arizona
Country
United States
Facility Name
Rocky Mountain Cancer Center-Aurora
City
Aurora
State/Province
Colorado
Country
United States
Facility Name
Florida Cancer Institute
City
Hudson
State/Province
Florida
ZIP/Postal Code
34667
Country
United States
Facility Name
Florida Cancer Institute
City
New Port Richey
State/Province
Florida
ZIP/Postal Code
34655
Country
United States
Facility Name
Cancer Care & Hematology Specialists of Chicagoland
City
Arlington Heights
State/Province
Illinois
Country
United States
Facility Name
Central Indiana Cancer Centers
City
Fishers
State/Province
Indiana
Country
United States
Facility Name
University of Michigan Cancer Center
City
Ann Arbor
State/Province
Michigan
ZIP/Postal Code
48109
Country
United States
Facility Name
Minnesota Oncology Hematology, P.A.
City
Minneapolis
State/Province
Minnesota
Country
United States
Facility Name
Missouri Cancer Associates
City
Columbia
State/Province
Missouri
Country
United States
Facility Name
Comprehensive Cancer Centers of Nevada
City
Henderson
State/Province
Nevada
Country
United States
Facility Name
Hematology/Oncology Associates
City
Albuquerque
State/Province
New Mexico
ZIP/Postal Code
87106
Country
United States
Facility Name
New York Oncology Hematology, P.C.
City
Albany
State/Province
New York
Country
United States
Facility Name
Duke University Medical Center
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27707
Country
United States
Facility Name
Northwest Cancer Specialists
City
Portland
State/Province
Oregon
Country
United States
Facility Name
The Jones Clinic
City
Germantown
State/Province
Tennessee
ZIP/Postal Code
38138
Country
United States
Facility Name
Texas Oncology, P.A.
City
Bedford
State/Province
Texas
Country
United States
Facility Name
Texas Cancer Center at Medical City
City
Dallas
State/Province
Texas
Country
United States
Facility Name
Texas Oncology, P.A.
City
Fort Worth
State/Province
Texas
Country
United States
Facility Name
Allison Cancer Center
City
Midland
State/Province
Texas
Country
United States
Facility Name
HOAST - New Braunfels
City
New Braunfels
State/Province
Texas
Country
United States
Facility Name
West Texas Cancer Center
City
Odessa
State/Province
Texas
Country
United States
Facility Name
Hematology Oncology Physicians of Texas
City
Richardson
State/Province
Texas
ZIP/Postal Code
75080
Country
United States
Facility Name
Tyler Cancer Center
City
Tyler
State/Province
Texas
Country
United States
Facility Name
Virginia Oncology Associates
City
Chesapeake
State/Province
Virginia
Country
United States
Facility Name
Oncology and Hematology Associates of SW Virginia, Inc.
City
Salem
State/Province
Virginia
ZIP/Postal Code
24153
Country
United States
Facility Name
Cancer Care Northwest
City
Spokane
State/Province
Washington
ZIP/Postal Code
99202
Country
United States
Facility Name
St. Mary's Medical Center
City
Huntington
State/Province
West Virginia
ZIP/Postal Code
25701
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Safety & Efficacy Study of AT-101 in Combination w/ Rituximab in Previously Untreated Grade I-II Follicular Non-Hodgkin's Lymphoma

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