A Study of Navitoclax in Addition to Bendamustine and Rituximab in Patients With Relapsed Diffuse Large B-Cell Lymphoma (NAVIGATE)
Primary Purpose
Diffuse Large B-Cell Lymphoma
Status
Withdrawn
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
bendamustine
navitoclax
rituximab
Sponsored by
About this trial
This is an interventional treatment trial for Diffuse Large B-Cell Lymphoma
Eligibility Criteria
Inclusion Criteria:
- Histologically documented diagnosis of diffuse large B-cell lymphoma
- Patients must have relapsed or developed progressive disease following salvage therapy, or must have relapsed or progressed following initial therapy and in the opinion of the investigator are medically unfit to receive high dose chemotherapy with autologous stem cell transplant (SCT) or other salvage therapy of higher priority
- Eastern cooperative Oncology Group (ECOG) performance status 0, 1 or 2
- Patients who have undergone STC must be more than 100 days from autologous stem cell infusion prior to first dose of study drug, must have recovered from any transplant related toxicity and must have adequate bone marrow function as defined by protocol independent of any growth factor support
- Patients who have not undergone SCT must have adequate bone marrow function as defined by protocol independent of any growth factor support
- Adequate coagulation, renal and hepatic function
Exclusion Criteria:
- Refractory DLBCL
- History of other malignancies within 2 years prior to initiation of study treatment except for adequately treated carcinoma in situ of the cervix, basal or squamous cell skin carcinoma, low-grade localized prostate cancer treated surgically with curative intent or one that carries a good prognosis, in situ ductal carcinoma of the breast treated with lumpectomy (with and without radiation) with curative intent
- Active infection requiring parenteral antibiotics or antiviral or antifungal agents
- Inherited or acquired bleeding diathesis, anticoagulant drugs or drugs that inhibit platelet function, underlying conditions that predisposes to abnormal bleeding, or refractoriness to platelet transfusions
- Clinically significant cardiovascular disease, New York Heart Association Grade II or greater congestive heart failure, or ventricular tachyarrhythmias requiring medication within 1 year prior to the initiation of study treatment
- Positive for hepatitis B, hepatitis C or HIV infection
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Experimental
Arm Label
A
B
Arm Description
Outcomes
Primary Outcome Measures
Progression-free survival (time from randomization to progression, relapse or death of any cause)
Secondary Outcome Measures
Clinical response rates (complete response/partial response/stable disease)
Duration of response
Overall survival
Safety: Incidence of adverse events
Full Information
NCT ID
NCT01423539
First Posted
August 24, 2011
Last Updated
November 1, 2016
Sponsor
Genentech, Inc.
Collaborators
AbbVie (prior sponsor, Abbott)
1. Study Identification
Unique Protocol Identification Number
NCT01423539
Brief Title
A Study of Navitoclax in Addition to Bendamustine and Rituximab in Patients With Relapsed Diffuse Large B-Cell Lymphoma (NAVIGATE)
Official Title
A Phase II, Multicenter, Randomized, Controlled, Open-Label Study of Bendamustine + Rituximab With or Without Navitoclax in Patients With Relapsed Diffuse Large B-Cell Lymphoma
Study Type
Interventional
2. Study Status
Record Verification Date
November 2016
Overall Recruitment Status
Withdrawn
Why Stopped
The NAVIGATE study has been terminated due to non-safety related reasons.
Study Start Date
October 2011 (undefined)
Primary Completion Date
February 2014 (Anticipated)
Study Completion Date
February 2014 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Genentech, Inc.
Collaborators
AbbVie (prior sponsor, Abbott)
4. Oversight
5. Study Description
Brief Summary
This randomized, open-label, multicenter study will evaluate the efficacy and safety of navitoclax in addition to bendamustine and rituximab in patients with relapsed diffuse large B-cell lymphoma. Patients will be randomized to receive navitoclax in addition to bendamustine and rituximab or bendamustine and rituximab alone for 6 cycles.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diffuse Large B-Cell Lymphoma
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
0 (Actual)
8. Arms, Groups, and Interventions
Arm Title
A
Arm Type
Active Comparator
Arm Title
B
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
bendamustine
Intervention Description
Intravenous repeating dose\n
Intervention Type
Drug
Intervention Name(s)
navitoclax
Intervention Description
Oral repeating dose\n
Intervention Type
Drug
Intervention Name(s)
rituximab
Intervention Description
Intravenous repeating dose\n
Primary Outcome Measure Information:
Title
Progression-free survival (time from randomization to progression, relapse or death of any cause)
Time Frame
up to approximately 33 months
Secondary Outcome Measure Information:
Title
Clinical response rates (complete response/partial response/stable disease)
Time Frame
approximately 33 months
Title
Duration of response
Time Frame
approximately 33 months
Title
Overall survival
Time Frame
approximately 33 months
Title
Safety: Incidence of adverse events
Time Frame
approximately 33 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Histologically documented diagnosis of diffuse large B-cell lymphoma
Patients must have relapsed or developed progressive disease following salvage therapy, or must have relapsed or progressed following initial therapy and in the opinion of the investigator are medically unfit to receive high dose chemotherapy with autologous stem cell transplant (SCT) or other salvage therapy of higher priority
Eastern cooperative Oncology Group (ECOG) performance status 0, 1 or 2
Patients who have undergone STC must be more than 100 days from autologous stem cell infusion prior to first dose of study drug, must have recovered from any transplant related toxicity and must have adequate bone marrow function as defined by protocol independent of any growth factor support
Patients who have not undergone SCT must have adequate bone marrow function as defined by protocol independent of any growth factor support
Adequate coagulation, renal and hepatic function
Exclusion Criteria:
Refractory DLBCL
History of other malignancies within 2 years prior to initiation of study treatment except for adequately treated carcinoma in situ of the cervix, basal or squamous cell skin carcinoma, low-grade localized prostate cancer treated surgically with curative intent or one that carries a good prognosis, in situ ductal carcinoma of the breast treated with lumpectomy (with and without radiation) with curative intent
Active infection requiring parenteral antibiotics or antiviral or antifungal agents
Inherited or acquired bleeding diathesis, anticoagulant drugs or drugs that inhibit platelet function, underlying conditions that predisposes to abnormal bleeding, or refractoriness to platelet transfusions
Clinically significant cardiovascular disease, New York Heart Association Grade II or greater congestive heart failure, or ventricular tachyarrhythmias requiring medication within 1 year prior to the initiation of study treatment
Positive for hepatitis B, hepatitis C or HIV infection
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Trials
Organizational Affiliation
Genentech, Inc.
Official's Role
Study Director
Facility Information:
City
Fountain Valley
State/Province
California
ZIP/Postal Code
92708
Country
United States
City
Hudson
State/Province
Florida
ZIP/Postal Code
34667
Country
United States
City
Lawrenceville
State/Province
Georgia
ZIP/Postal Code
30045
Country
United States
City
Centralia
State/Province
Illinois
ZIP/Postal Code
62801
Country
United States
City
Harvey
State/Province
Illinois
ZIP/Postal Code
60426
Country
United States
City
Terre Haute
State/Province
Indiana
ZIP/Postal Code
47802
Country
United States
City
Hazard
State/Province
Kentucky
ZIP/Postal Code
41701
Country
United States
City
Paducah
State/Province
Kentucky
ZIP/Postal Code
42003
Country
United States
City
Rockville
State/Province
Maryland
ZIP/Postal Code
20850
Country
United States
City
Jefferson City
State/Province
Missouri
ZIP/Postal Code
65109
Country
United States
City
Great Falls
State/Province
Montana
ZIP/Postal Code
59405
Country
United States
City
Newark
State/Province
Ohio
ZIP/Postal Code
43055
Country
United States
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
12. IPD Sharing Statement
Learn more about this trial
A Study of Navitoclax in Addition to Bendamustine and Rituximab in Patients With Relapsed Diffuse Large B-Cell Lymphoma (NAVIGATE)
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