- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT00338494
Dose Escalation Study of Clofarabine in Patients With Relapsed or Refractory Low Grade or Intermediate-Grade B-Cell Lymphoma
Dose Escalation Study of Clofarabine in Patients With Relapsed or Refractory Low Grade or Intermed.Grade B-Cell/T-Cell Lymphoma
Clofarabine is a new chemotherapy drug which was FDA approved for the treatment of acute lymphocytic leukemia in children. This study is being done to see if Clofarabine works in adult patients with B-cell types of lymphoma.
This research is being done to develop new treatments for patients with lymphoma whose cancer has returned or resisted treatment with previous chemotherapy.
Studieoversigt
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Fase 1
Kontakter og lokationer
Studiesteder
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Connecticut
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New Haven, Connecticut, Forenede Stater, 06520
- Yale Comprehensive Cancer Center at Yale University School of Medicine
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Adult patients who are at least 18 years old
- Histologically confirmed low grade or intermediate-grade B-cell lymphoma
- Relapsed or refractory to at least one standard chemotherapy regimen. Patients who have received Rituximab alone without having received a cytotoxic agent are not eligible.
- Measurable disease, defined by the Cheson lymphoma criteria.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2
- Life expectancy greater than 12 weeks
Laboratory values obtained ≤2 weeks prior to entry
- Absolute neutrophil count (ANC) ≥ 1000 x 10 9/L
- White blood cell (WBC) count > 2.5 x 10 9/L
- Platelets ≥ 75 x 10 9/L
- Hemoglobin (Hg) > 9.0 g/dL
- Total bilirubin ≤2.0 mg/dL
- Aspartate transaminase (AST)/alanine transaminase (ALT) ≤3 × upper limit of normal (ULN)
- Serum creatinine ≤2.0 mg/dL
- Normal cardiac function, defined as an ejection fraction ≥45% determined by pretreatment radionuclide ventriculography (RVG) or echocardiogram.
- Capable of understanding the investigational nature, potential risks and benefits of the study, and able to provide valid informed consent.
- Female patients of childbearing potential must have a negative serum pregnancy test within 2 weeks prior to enrollment.
- Male and female patients must use an effective contraceptive method during the study and for a minimum of 6 months after study treatment.
Exclusion Criteria:
- Previously untreated B-cell lymphoma.
- Received previous treatment with clofarabine.
- Patients with known AIDS-related or HIV-positive lymphoma.
- Autologous bone marrow or stem cell transplant within 6 months of study entry.
- Prior radiotherapy to the only site of measurable disease.
- Any medical condition that requires chronic use of oral high-dose corticosteroids greater than 20 mg/day prednisone.
- Active autoimmune thrombocytopenia.
- Use of investigational agents within 30 days or any anticancer therapy within 3 weeks before study entry. The patient must have recovered from all acute toxicities from any previous therapy.
- Patients with an active, uncontrolled systemic infection considered to be opportunistic, life threatening, or clinically significant at the time of treatment or with a known or suspected fungal infection (ie, patients on parenteral antifungal therapy).
- Active secondary malignancy.
- Pregnant or lactating patients.
- Any significant concurrent disease, illness, or psychiatric disorder that would compromise patient safety or compliance, interfere with consent, study participation, follow up, or interpretation of study results.
- Patients with active or untreated central nervous system (CNS) lymphoma.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Ikke-randomiseret
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
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Eksperimentel: 1
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The starting dose of clofarabine will be 10 mg/m2 once a week for 3 weeks repeated every 4 weeks with dose escalations to 15, 20 , 30 and 40 mg/m2/week.
Andre navne:
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Tidsramme |
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tolerated dose (MTD) of clofarabine
Tidsramme: at the completion of dose escalation
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at the completion of dose escalation
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characterize and quantify the toxicity profile associated with clofarabine
Tidsramme: upon completion of the study
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upon completion of the study
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determine the overall response rate, plus partial response of clofarabine
Tidsramme: upon completion of the study
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upon completion of the study
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Samarbejdspartnere og efterforskere
Sponsor
Samarbejdspartnere
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Sygdomme i immunsystemet
- Neoplasmer efter histologisk type
- Neoplasmer
- Lymfoproliferative lidelser
- Lymfesygdomme
- Immunproliferative lidelser
- Lymfom, Non-Hodgkin
- Lymfom
- Lymfom, B-celle
- Molekylære mekanismer for farmakologisk virkning
- Antimetabolitter, Antineoplastisk
- Antimetabolitter
- Antineoplastiske midler
- Clofarabin
Andre undersøgelses-id-numre
- 0506000158
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
Kliniske forsøg med B-celle lymfom
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Universitaire Ziekenhuizen KU LeuvenUkendtLymfom | Hodgkin lymfom | Non-Hodgkin lymfom (follikulært, diffust B-cel lymfom, PTLD og Mantle Cel lymfom)Belgien
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University of BolognaNovartisUkendtMyeloproliferative lidelser | Hypereosinofilt syndrom | Kronisk eosinofil leukæmi (CEL)Italien
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AHS Cancer Control AlbertaCross Cancer InstituteAfsluttetOmfattende Stage Small Cel Lung CancerCanada
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Northwestern UniversityNational Cancer Institute (NCI)Aktiv, ikke rekrutterendeDiffust storcellet B-celle lymfom | Diffust storcellet B-celle lymfom, ikke andet specificeret | Højgradig B-celle lymfom, ikke andet specificeret | T-celle/histiocyt-rig stort B-celle lymfom | Højgradig B-celle lymfom med MYC og BCL2 og/eller BCL6 omlejringer | Diffus stort B-celle lymfom aktiveret... og andre forholdForenede Stater
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Lapo AlinariRekrutteringTilbagevendende højgradig B-celle lymfom med MYC, BCL2 og BCL6 omlejringer | Refraktært højgradigt B-cellelymfom med MYC-, BCL2- og BCL6-omlejringer | Tilbagevendende højgradig B-celle lymfom med MYC og BCL2 eller BCL6 omlejringer | Refraktært højgradigt B-celle lymfom med MYC og BCL2 eller... og andre forholdForenede Stater
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Nathan DenlingerBristol-Myers SquibbRekrutteringB-celle non-Hodgkin lymfom - tilbagevendende | Diffust stort B-cellet lymfom - tilbagevendende | Follikulært lymfom - tilbagevendende | Højgradig B-celle lymfom - tilbagevendende | Primært mediastinalt stort B-cellet lymfom - tilbagevendende | Transformeret indolent B-celle non-Hodgkin lymfom til... og andre forholdForenede Stater
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Ohio State University Comprehensive Cancer CenterRekrutteringDiffust storcellet B-celle lymfom | Højgradig B-celle lymfom | Diffust storcellet B-celle lymfom, ikke andet specificeret | Diffust stor B-celle lymfom germinal center B-celle typeForenede Stater
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Athenex, Inc.RekrutteringB-celle lymfom | CLL/SLL | ALT, barndom | DLBCL - Diffust storcellet B-celle lymfom | B-celle leukæmi | NHL, tilbagefald, voksen | ALLE, voksen B-celleForenede Stater
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Northwestern UniversityNational Cancer Institute (NCI)RekrutteringTilbagevendende primært mediastinalt (tymisk) stort B-cellet lymfom | Refraktært primært mediastinalt (tymisk) stort B-cellet lymfom | Tilbagevendende højgradig B-celle lymfom med MYC, BCL2 og BCL6 omlejringer | Refraktært højgradigt B-cellelymfom med MYC-, BCL2- og BCL6-omlejringer | Tilbagevendende... og andre forholdForenede Stater
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National Cancer Institute (NCI)RekrutteringHøjgradig B-celle lymfom | Diffust storcellet B-celle lymfom, ikke andet specificeret | Transformeret indolent B-cellet non-Hodgkin lymfom til diffust stort B-cellet lymfomForenede Stater
Kliniske forsøg med Clofarabine
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-
Genzyme, a Sanofi CompanyAfsluttetAkut myelogen leukæmiForenede Stater
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Omar MianRekrutteringAdenocarcinom | Karcinom | Metastatisk kræftForenede Stater
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Indiana University School of MedicineGenzyme, a Sanofi CompanyAfsluttetNon Hodgkins lymfomForenede Stater
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Genzyme, a Sanofi CompanyAfsluttetFaste tumorer | Leukæmi, Myelocytisk, Akut, Pædiatrisk | Leukemia, Lymphocytic, Acute, Pediatric | Leukemia, Lymphocytic, Acute, Adult | Leukemia, Myelocytic, Acute, Adult | Myelodysplastiske syndromer, voksenForenede Stater
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Memorial Sloan Kettering Cancer CenterNational Cancer Institute (NCI); The Cleveland Clinic; University of RochesterAfsluttetLymfom | Leukæmi | TyndtarmskræftForenede Stater
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Genzyme, a Sanofi CompanyAfsluttetLeukæmi, lymfoblastisk, akut, pædiatriskForenede Stater
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Genzyme, a Sanofi CompanyAfsluttetLeukæmi, Myelocytisk, Akut, PædiatriskForenede Stater