- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02808091
Bortezomib With Combination of Gemcitabine, Ifosfamide and Oxaliplatin in Untreated NK/T Cell Lymphoma (Gifox-B)
September 2, 2016 updated by: National Cancer Centre, Singapore
Phase II Trial of Bortezomib With Combination of Gemcitabine, Ifosfamide and Oxaliplatin (GIFOX-B)in Untreated NK/T Cell Lymphoma
- Assess responses, progression free survival (PFS) and overall survival (OS) of the combination of GIFOX-B chemotherapy with intensity-modulated radiation therapy (IMRT) in Stage IB or bulky disease - II and without IMRT in Stage III - IV.
- Assess the toxicity and maximum tolerated dose of bortezomib administered in combination with GIFOX chemotherapy.
Study Overview
Status
Terminated
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
7
Phase
- Phase 2
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
-
Singapore, Singapore, 169610
- National Cancer Centre
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
21 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria
- Extranodal NK/T-cell lymphomas
- Confirmed pathological diagnosis by the Department of Pathology SGH/NUH/TTSH.
- Age more than or equals to 21 years.
- Stages IB or bulky disease, II - IV
- ECOG performance 0-2
- Laboratory tests: ANC more than or equals to 1000/mm3, platelet more than or equals to 75,000/mm3. Creatinine less than or equals to 2x ULN or creatinine clearance more than or equals to 50 ml/min; AST and ALT less than or equals to 3x ULN. Total bilirubin < 1.5x ULN except < 3x ULN in patients with Gilbert's (as defined as > 80% unconjugated hyperbilirubinemia without other known cause); unless impairment is due to organ involvement by lymphoma.
- Ability to understand and willingness to sign a written informed consent document.
Exclusion Criteria
- Had prior systemic chemotherapy. Patients may be entered if they have had prior limited-field radiotherapy or a short course of glucocorticoids or single agent chemotherapy for an urgent local problem at diagnosis (e.g. epidural cord compression, superior vena caval syndrome).
- History of peripheral neuropathy
- HIV positive
- Presence of CNS disease
- Hypersensitivity to bortezomib, boron, or mannitol
- Contraindication to any cytotoxic drug contained in the chemotherapy regimen.
- Female subject of child-bearing potential not willing to use an acceptable method of birth control (i.e. a hormonal contraceptive, intra-uterine device, diaphragm with spermicide, condom with spermicide, or abstinence) for the duration of the study and one year beyond treatment completion.
- Female subject pregnant or breast-feeding. Confirmation that the subject is not pregnant must be established by a negative serum β-human chorionic gonadotrophin (β-hCG) pregnancy test result obtained during screening. Pregnancy testing is not required for women without child-bearing potential.
- Invasive or active malignancy in past 2 years.
- Serious concomitant medical illnesses that would jeopardize the patient's ability to receive the regimen with reasonable safety.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Early stage (IB or bulky disease - II)
who will receive GIFOX-B chemotherapy followed by involved field radiotherapy.
|
GIFOX-Bortezomib will be given every 21 days for 4 cycles
GIFOX-Bortezomib will be given every 21 days for a total of 6 cycles.
a minimum of 50 Gy of IMRT to tumor bed and neck (5 weeks)
Other Names:
|
Experimental: Advanced stage (III - IV)
will receive only chemotherapy alone
|
GIFOX-Bortezomib will be given every 21 days for 4 cycles
GIFOX-Bortezomib will be given every 21 days for a total of 6 cycles.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Response rates of bortezomib in combination with GIFOX (GIFOX-B) chemotherapy with or without intensity-modulated radiation therapy (IMRT)
Time Frame: 3 years
|
Assess the response rates of bortezomib in combination with GIFOX (GIFOX-B) chemotherapy together with intensity-modulated radiation therapy (IMRT) in stage IB or bulky disease - II patients and chemotherapy alone in stage III - IV patients.
|
3 years
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Progression free survival (PFS) of the combination of GIFOX-B chemotherapy with IMRT in stage IB and III - IV patients
Time Frame: 3 years
|
3 years
|
|
Overall survival (OS) of the combination of GIFOX-B chemotherapy with IMRT in stage IB and III - IV patients
Time Frame: 5 years
|
5 years
|
|
Toxicity of bortezomib administered in combination with GIFOX chemotherapy
Time Frame: 3 years
|
Access the toxicity of treatment according to CTC AE 4.0
|
3 years
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Soon Thye LIM, National Cancer Centre, Singapore
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
March 1, 2011
Primary Completion (Actual)
November 1, 2013
Study Completion (Actual)
March 1, 2014
Study Registration Dates
First Submitted
June 9, 2016
First Submitted That Met QC Criteria
June 16, 2016
First Posted (Estimate)
June 21, 2016
Study Record Updates
Last Update Posted (Estimate)
September 5, 2016
Last Update Submitted That Met QC Criteria
September 2, 2016
Last Verified
September 1, 2016
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- NCC1004
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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