Phase I/II Investigation of Temsirolimus Plus Lenalidomide in Relapsed Non-Hodgkin Lymphomas
PRIMARY OBJECTIVES:
I. To determine the safety, toxicity, and maximum tolerated dose of lenalidomide when
combined with temsirolimus in patients with relapsed lymphomas. (Phase I) II. To determine
complete and overall response rate of lenalidomide plus temsirolimus in patients with
relapsed lymphomas as stratified by histology: follicular lymphoma, diffuse large B-cell
lymphoma, and lymphoma NOS (including Hodgkin lymphoma, T-NHL, lymphoplasmacytic lymphoma,
mantle cell lymphoma). (Phase II) III. To determine duration of response, progression-free
survival, and overall survival of lenalidomide plus temsirolimus in patients with relapsed
lymphomas as stratified by histology: diffuse large B-cell lymphoma, follicular lymphoma,
and lymphoma NOS (including Hodgkin lymphoma, T-NHL, lymphoplasmacytic lymphoma, mantle cell
lymphoma). (Phase II)
SECONDARY OBJECTIVES:
I. To determine mTOR pathway activation in pre-treatment tumor tissue. II. To determine
angiogenic and microenvironmental status of pre-treatment tissue and peripheral blood
samples, and to evaluate changes following treatment with temsirolimus and lenalidomide.
III. To determine differentially expressed genes associated with differences in clinical
response and in progression-free survival (PFS) in patients with DLBCL and FL (Groups A and
B, respectively).
IV. To determine a methylation signature predictive of clinical response and PFS in patients
with DLBCL and FL (Groups A and B, respectively).
OUTLINE: This is a multicenter, phase I, dose-escalation study of lenalidomide followed by a
phase II study.
Patients in the phase II portion are stratified according to non-Hodgkin lymphoma (NHL)
histology (diffuse large-B-cell lymphoma vs follicular lymphoma vs lymphoma not otherwise
specified [Hodgkin lymphoma, T-NHL, marginal zone lymphoma, and lymphoplasmacytic
lymphoma]).
Patients receive lenalidomide orally (PO) on days 1-21 and temsirolimus intravenously (IV)
over 30 minutes on days 1, 8, 15, and 22. Treatment repeats every 28 days for 2 courses in
the absence of disease progression or unacceptable toxicity. Patients with stable disease
after 2 courses may continue therapy for up to 52 weeks.
Some patients undergo blood samples collection at baseline and periodically during study for
laboratory analysis by ELISA and flow cytometry. Tumor tissues from biopsies are also
analyzed.
Interventional
Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Safety and tolerability of the combination of lenalidomide and temsirolimus (Phase I)
28 days
Yes
Sonali Smith
Principal Investigator
University of Chicago Phase 2 Consortium
United States: Food and Drug Administration
NCI-2011-01456
NCT01076543
April 2010
Name | Location |
---|---|
Medical University of South Carolina | Charleston, South Carolina 29425-0721 |
Loyola University Medical Center | Maywood, Illinois 60153 |
Ingalls Memorial Hospital | Harvey, Illinois 60426 |
Central Illinois Hematology Oncology Center | Springfield, Illinois 62701 |
Northwestern University | Chicago, Illinois 60611 |
Indiana University Medical Center | Indianapolis, Indiana 46202 |
Decatur Memorial Hospital | Decatur, Illinois 62526 |
University of Chicago Comprehensive Cancer Center | Chicago, Illinois 60637-1470 |
Northern Indiana Cancer Research Consortium | South Bend, Indiana |
Froedtert and the Medical College of Wisconsin | Milwaukee, Wisconsin 53226 |
Evanston CCOP-NorthShore University HealthSystem | Evanston, Illinois 60201 |
Illinois CancerCare-Peoria | Peoria, Illinois 61615 |
Fort Wayne Medical Oncology and Hematology Inc - State Boulevard | Fort Wayne, Indiana 46845 |
Saint John's Mercy Medical Center | Saint Louis, Missouri 63141 |
University of Maryland Greenebaum Cancer Center | Baltimore, Maryland 21201 |
Oncology Care Associates PLLC | St. Joseph, Michigan 49085 |
University of Michigan University Hospital | Ann Arbor, Michigan 48109 |
Southern Illinois University | Springfield, Illinois 62702 |