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Dose Ranging Trial for Pixantrone in the FND-R Variant Regimen in Indolent Non-Hodgkin's Lymphoma
This study has been completed.
First Received: May 9, 2003   Last Updated: September 18, 2008   History of Changes
Sponsored by: Cell Therapeutics
Information provided by: Cell Therapeutics
ClinicalTrials.gov Identifier: NCT00060684
  Purpose

The aim of this trial is to determine the appropriate dose of pixantrone to be used in this combination and obtain data on the combination's safety and activity profile.


Condition Intervention Phase
Lymphoma, Low-Grade
Lymphoma, Small Lymphocytic
Lymphoma, Mixed-Cell, Follicular
Lymphoma, Small Cleaved-Cell, Follicular
Drug: Pixantrone (BBR 2778)
Drug: fludarabine
Drug: dexamethasone
Drug: rituximab
Phase I

MedlinePlus related topics: Lymphoma
Drug Information available for: Dexamethasone Fludarabine Dexamethasone acetate Fludarabine monophosphate Doxiproct plus 6,9-Aea-biqdo BBR 2778 Rituximab Dexamethasone Sodium Phosphate
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Safety/Efficacy Study
Official Title: A Phase I Trial of BBR 2778 in Combination With Fludarabine, Dexamethasone and Rituximab in the Treatment of Patients With Relapsed or Refractory Indolent Non-Hodgkin's Lymphoma

Further study details as provided by Cell Therapeutics:

Primary Outcome Measures:
  • Determine MTD [ Time Frame: Per cycle ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Establish safety profile [ Time Frame: per cycle ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 30
Study Start Date: December 2001
Study Completion Date: May 2007
Primary Completion Date: January 2005 (Final data collection date for primary outcome measure)
Detailed Description:

The FND-R regimen is commonly used in the treatment of indolent Non-Hodgkin's lymphoma (NHL) and contains the chemotherapy agents mitoxantrone, fludarabine, dexamethasone (a steroid) and the monoclonal antibody rituximab. In this trial we are replacing mitoxantrone with pixantrone, an agent with a similar chemical structure (both agents are DNA intercalators). The trial is being run in patients with relapsed or refractory indolent NHL and aims to define the appropriate dose of pixantrone to be used in this combination, as well as to obtain data on pixantrone's safety and activity profile in combination with these drugs.

This trial is expected to recruit up to 30 patients in the USA. Patients will be treated with the drug combination for up to eight months and then followed closely in the four-week period after the last administration. After that, patients will receive physician check-ups every three months.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion criteria

  • Patients with relapsed or refractory indolent (low-grade) NHL
  • Who have received 1-3 prior treatments with chemotherapy

Exclusion criteria

  • Patients previously treated with fludarabine
  • Prior treatment with rituximab (Rituxan), unless there was a complete response (CR) or partial response (PR) to that treatment
  • Patients known to have an allergic reaction to rituximab, or to murine proteins.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00060684

Locations
United States, Arizona
Arizona Clinical Research Center
Tucson, Arizona, United States, 85712
United States, Maryland
Greater Baltimore Medical Center
Baltimore, Maryland, United States, 21204
United States, New Mexico
New Mexico Onc/Hem Consultants, Inc.
Albuquerque, New Mexico, United States, 87109
United States, Texas
MD Anderson Cancer Center
Houston, Texas, United States, 77030
Sponsors and Collaborators
Cell Therapeutics
Investigators
Study Director: Scott Stromatt, MD Cell Therapeutics
  More Information

No publications provided

Responsible Party: Cell Therapeutics, Inc. ( Gabriella Camboni, M.D. )
Study ID Numbers: AZA I-06
Study First Received: May 9, 2003
Last Updated: September 18, 2008
ClinicalTrials.gov Identifier: NCT00060684     History of Changes
Health Authority: United States: Food and Drug Administration

Keywords provided by Cell Therapeutics:
Pixantrone
BBR 2778
chemotherapy
DNA Intercalator
mitoxantrone
fludarabine
dexamethasone
Rituximab
Rituxan
Mabthera
monoclonal antibody
antibody
NHL
Non-Hodgkin's lymphoma
indolent
low grade
Novuspharma

Study placed in the following topic categories:
Antimetabolites
Anti-Inflammatory Agents
Dexamethasone
Leukemia, Lymphoid
Immunologic Factors
Hormone Antagonists
Hormones, Hormone Substitutes, and Hormone Antagonists
Lymphoma, Follicular
Antiemetics
Hormones
Follicular Lymphoma
Lymphoma, Small Cleaved-cell, Diffuse
Antibodies, Monoclonal
Leukemia
Lymphoma, Small Cleaved-cell, Follicular
Leukemia, Lymphocytic, Chronic, B-Cell
Lymphoma
Dexamethasone acetate
Immunoglobulins
Immunoproliferative Disorders
Antineoplastic Agents, Hormonal
Rituximab
Fludarabine monophosphate
Immunosuppressive Agents
Glucocorticoids
Lymphatic Diseases
Chronic Lymphocytic Leukemia
Antibodies
Fludarabine
Mitoxantrone

Additional relevant MeSH terms:
Antimetabolites
Anti-Inflammatory Agents
Dexamethasone
Leukemia, Lymphoid
Antimetabolites, Antineoplastic
Molecular Mechanisms of Pharmacological Action
Immunologic Factors
Antineoplastic Agents
Physiological Effects of Drugs
Hormones, Hormone Substitutes, and Hormone Antagonists
Lymphoma, Follicular
Antiemetics
Hormones
Leukemia
Leukemia, Lymphocytic, Chronic, B-Cell
Therapeutic Uses
Lymphoma
Dexamethasone acetate
Immunoproliferative Disorders
Neoplasms by Histologic Type
Antineoplastic Agents, Hormonal
Immune System Diseases
Rituximab
Gastrointestinal Agents
Fludarabine monophosphate
Immunosuppressive Agents
Glucocorticoids
Pharmacologic Actions
Lymphatic Diseases
Neoplasms

ClinicalTrials.gov processed this record on May 06, 2009