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An Open-Label Study to Evaluate the Efficacy and Safety of Treatment With Bendamustine in Combination With Ofatumumab in Previously Untreated Patients With Indolent B-Cell Non-Hodgkin's Lymphoma (NHL)


Phase 2
18 Years
N/A
Not Enrolling
Both
Non-Hodgkin's Lymphoma (NHL)

Thank you

Trial Information

An Open-Label Study to Evaluate the Efficacy and Safety of Treatment With Bendamustine in Combination With Ofatumumab in Previously Untreated Patients With Indolent B-Cell Non-Hodgkin's Lymphoma (NHL)


Key

Inclusion Criteria:



- The patient has histopathologic confirmation of one of the protocol-specific CD20+
B-cell non-Hodgkin's lymphomas. Tissue diagnostic procedures must be performed
within 6 months of study entry and with biopsy material available for review.

- The patient meets 1 of the following need-for-treatment criteria:

1. Presence of at least 1 of the following B-symptoms:

- fever (>38ºC) of unclear etiology

- night sweats

- weight loss of greater than 10% within the prior 6 months

2. large tumor mass (bulky disease) characterized by lymphomas with a diameter of
more than 3 cm in 3 or more regions or by a lymphoma with a diameter of more
than 7 cm in 1 region

3. presence of lymphoma-related complications

4. hyperviscosity syndrome due to monoclonal gammopathy

- The patient's tumor is verified to be CD20+ positive from current or previous
excisional or incisional tissue diagnostic procedures performed within 6 months of
study entry.

- The screening phase CT scan (based on local evaluation) shows:

- 2 or more clearly demarcated lesions with a largest diameter ≥1.5 cm, or

- 1 clearly demarcated lesion with a largest diameter ≥2.0 cm

- The patient was not previously treated for indolent lymphoma (with the exception of a
single course of local radiation therapy not exceeding 2 adjacent lymph node
regions).

- The patient has adequate hematologic and hepatic function.

- The patient has Eastern Cooperative Oncology Group (ECOG) performance status 0, 1, or
2.

- The patient has serum creatinine of 2.0 mg/dL or less or creatinine clearance of 30
mL/min or more, based on the Cockcroft-Gault method, or from a 24-hour urine
collection.

- The patient is willing to comply with contraception requirements.

Key Exclusion Criteria:

The patient:

- Has small lymphocytic lymphoma or mantle cell lymphoma.

- Has documented history of central nervous system (CNS) lymphomatous involvement.

- Has or has had an active malignancy, other than NHL, within the past 3 years except
for localized prostate cancer without evidence of bone metastases, bladder, cervical,
or breast carcinoma in-situ, or non-melanoma skin cancer .

- Has New York Heart Association (NYHC) Class III or IV heart failure, uncontrolled
arrythmias or unstable angina, electrocardiographic evidence of active ischemia or
active conduction system abnormalities, or myocardial infarction within the last 6
months.

- Has known human immunodeficiency virus (HIV) infection.

- Has acute or chronic hepatitis B or hepatitis C infection.

- Is a pregnant or lactating woman. (Any women becoming pregnant during the study will
be withdrawn from the study.)

- Has any serious uncontrolled, medical or psychological disorder that would impair the
ability of the subject to receive study drugs.

- Has received another investigational agent within 30 days of study entry.

- Has known hypersensitivity to mannitol.

- Has Ann Arbor stage I disease.

Type of Study:

Interventional

Study Design:

Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Percentage of Participants With a Best Overall Response of Complete Response (CR) or Partial Response (PR), as Determined by the International Working Group (IWG) Criteria As Assessed by Investigators

Outcome Description:

The IWG criteria (Cheson et al 2007) for a CR is a complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present before therapy. A PR is at least a 50% decrease in sum of the product of the diameters (SPD) of up to 6 of the largest dominant nodes or nodal masses, no increase should be observed in the size of other nodes, liver or spleen, and no new sites of disease should be observed.

Outcome Time Frame:

up to Week 32

Safety Issue:

No

Principal Investigator

Sponsor's Medical Expert

Investigator Role:

Study Director

Investigator Affiliation:

Cephalon

Authority:

United States: Food and Drug Administration

Study ID:

C18083/2048

NCT ID:

NCT01108341

Start Date:

May 2010

Completion Date:

October 2011

Related Keywords:

  • Non-Hodgkin's Lymphoma (NHL)
  • Lymphoma
  • Lymphoma, Non-Hodgkin
  • Lymphoma, B-Cell

Name

Location

MD Anderson Cancer Center Houston, Texas  77030-4096
Roswell Park Cancer Institute Buffalo, New York  14263
Texas Oncology, P.A. Dallas, Texas  75246
Columbia Comprehensive Cancer Care Clinic Columbia, Missouri  65201
Cancer Centers of the Carolinas Greenville, South Carolina  29605
Georgia Cancer Specialists Decatur, Georgia  30033
Hematology Oncology, P.C. Stamford, Connecticut  06902
University of Alabama at Birmingham Birmingham, Alabama  35294-3300
Oregon Health Sciences University Portland, Oregon  
Tower Cancer Research Foundation Beverly Hills, California  90211
Mid Dakota Clinic Bismarck, North Dakota  58501
Texas Oncology Dallas, Texas  
Somerset Hematology Oncology Associates Somerset, New Jersey  08873
The West Clinic Memphis, Tennessee  38120
Kentucky Cancer Clinic Pikeville, Kentucky  41501
Nevada Cancer Institute Las Vegas, Nevada  89135
Longview Cancer Center Longview, Texas  75601
Birmingham Hematology and Oncology Associates, LLC Birmingham, Alabama  35235
Cancer Care Centers of South Texas San Antonio, Texas  78229
Monter Cancer Center Lake Success, New York  11042
Carroll County Cancer Center Westminster, Maryland  21157
Florida Cancer Institute - New Hope New Port Richey, Florida  34655
Northwest Georgia Oncology Center Marietta, Georgia  30060
Cancer Care and Hematology Specialists of Chicagoland Niles, Illinois  60714
Fairfax/Northern Virginia Hematology/Oncology Fairfax, Virginia  22031
University Cancer Institute Boyton Beach, Florida  33426
Dublin Hematology Oncology Care P.C. Dublin, Georgia  31021
Siouxland Hematology-Oncology Assoc. LLP Sioux City, Iowa  51101
University of Pittsburgh Medical Center - Cancer Institute Pittsburgh, Pennsylvania  15232
Joe Arrington Cancer Research Lubbock, Texas  79410
US Oncology Research - Texoma Cancer Center Wichita Falls, Texas  76310
Yakima Valley Memorial Hospital/North Start Lodge Yakima, Washington  98902