Japanese Phase Ib/II Copanlisib in Relapsed, Indolent B-cell NHL
Open-label, Uncontrolled, Single-arm, Phase Ib/II Study of Intravenous Copanlisib in Japanese Patients With Indolent B-cell Non Hodgkin's Lymphomas Relapsed After or Refractory to Standard Therapy
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Locations
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Fukuoka, Japan, 812-8582
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Fukuoka, Japan, 811-1395
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Kyoto, Japan, 602-8566
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Aichi
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Nagoya, Aichi, Japan, 460-0001
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Nagoya, Aichi, Japan, 466-8650
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Nagoya, Aichi, Japan, 466-8560
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Nagoya, Aichi, Japan, 467-8602
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Nagoya, Aichi, Japan, 464-8681
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Gunma
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Maebashi, Gunma, Japan, 371-8511
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Hyogo
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Kobe, Hyogo, Japan, 650-0017
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Miyagi
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Sendai, Miyagi, Japan, 980-8574
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Tokyo
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Chuo-ku, Tokyo, Japan, 104-0045
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Koto-ku, Tokyo, Japan, 135-8550
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Histologically confirmed diagnosis of indolent B-cell NHL, with histological subtype limited to the following:
Follicular lymphoma (FL) grade 1-2-3a Small lymphocytic lymphoma (SLL) with absolute lymphocyte count < 5 x 109/L at the time of diagnosis and at study entry Lymphoplasmacytoid lymphoma/Waldenström macroglobulinemia (LPL/WM) Marginal zone lymphoma (MZL) (splenic, nodal, or extra-nodal)
- Relapsed or refractory after ≥ 2 prior lines of therapy (refractory defined as not responding to a standard regimen or progressing within 6 months of the last course of a standard regimen). Patients must have previously received rituximab and alkylating agent(s).
- Japanese patients ≥ 20 years of age
- ECOG performance status ≤ 2 (Eastern Cooperative Oncology Group:ECOG)
- Life expectancy of at least 3 months
- Adequate bone marrow, liver and renal function as assessed within 7 days before starting study treatment
- Left ventricular ejection fraction (LVEF) ≥ lower limit of normal (LLN) for the Institution
- Availability of fresh or archival tumor tissue
Exclusion Criteria:
- Uncontrolled hypertension (blood pressure ≥ 150/90 mmHg, defined as systolic blood pressure > 150 mmHg and/or diastolic blood pressure > 90 mmHg, despite optimal medical management)
- Patients with evidence or history of bleeding diathesis. Any hemorrhage or bleeding event ≥ CTCAE Grade 3 (NCI-CTC version 4.0) within 4 weeks of start of study medication (CTCAE: Common Terminology Criteria for Adverse Events, NCI: National Cancer Institute).
- History or concurrent condition of interstitial lung disease or severely impaired pulmonary function
- Unresolved toxicity higher than CTCAE grade 1 attributed to any prior therapy/procedure excluding alopecia.
- Prior treatment with PI3K inhibitors
- Systemic corticosteroid therapy (ongoing)
- Type I or II diabetes mellitus with HbA1c > 8.5% or fasting plasma glucose > 160 mg/dL at Screening
- Known history of human immunodeficiency virus (HIV) infection.
- Hepatitis B or C requiring treatment
- Cytomegalovirus (CMV) PCR positive at baseline
- Known lymphomatous involvement of the central nervous system
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Copanlisib (BAY80-6946)
Dose escalation/safety evaluation cohort and objective tumor response (OR) expansion cohort
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Dosing is weekly for the first 3 weeks (on Days 1, 8, and 15) of a 28-day cycle, followed by a 1-week break (i.e., no infusion on Day 22).
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of participants with Adverse Events
Time Frame: Up to 18 months
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Up to 18 months
|
|
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Intensity of AE
Time Frame: Up to 18 months
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The NCI Common Terminology Criteria for Adverse Events (CTCAE, Version 4.0) will be used to assess the intensity of AE
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Up to 18 months
|
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Objective Tumor Response (OR)
Time Frame: Up to 18 Years
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OR: Best response rating of complete response or partial response according to the criteria defined in the Revised Response Criteria for Malignant Lymphoma(JClin Oncol.2007
Feb)
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Up to 18 Years
|
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Recommended dose determined in the dose escalation/safety evaluation
Time Frame: Up to 18 months
|
Up to 18 months
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 17792
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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