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Study of Pralatrexate & Gemcitabine With B12 & Folic Acid to Treat Relapsed/Refractory Lymphoproliferative Malignancies
This study is currently recruiting participants.
Verified by Allos Therapeutics, March 2009
First Received: June 1, 2007   Last Updated: March 27, 2009   History of Changes
Sponsored by: Allos Therapeutics
Information provided by: Allos Therapeutics
ClinicalTrials.gov Identifier: NCT00481871
  Purpose

This is a Phase 1/2a, non-randomized, open-label, multi-center study designed to determine the Maximum Tolerated Dose (MTD) of Pralatrexate Injection and Gemcitabine with vitamin B12 and folic acid supplementation to patients with relapsed or refractory lymphoproliferative malignancies.


Condition Intervention Phase
Relapsed or Refractory Lymphoproliferative Malignancies
Drug: Pralatrexate Injection
Drug: Gemcitabine hydrochloride (HCl)
Phase I
Phase II

MedlinePlus related topics: Cancer Dietary Supplements Lymphoma
Drug Information available for: Folic acid Vitamin B 12 Hydroxocobalamin Gemcitabine Gemcitabine hydrochloride 10-Propargyl-10-deazaaminopterin
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment
Official Title: A Phase 1/2a Open-Label Study of Sequential Pralatrexate and Gemcitabine With Vitamin B12 and Folic Acid Supplementation in Patients With Relapsed or Refractory Lymphoproliferative Malignancies

Further study details as provided by Allos Therapeutics:

Primary Outcome Measures:
  • Phase 1: MTD and recommended phase 2 dose, safety and tolerability, and PK profile. Phase 2a: tolerability and preliminary efficacy (based on investigator assessment of response) in relapsed/refractory PTCL and B-Cell Lymphoma. [ Time Frame: Study duration ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 84
Study Start Date: May 2007
Estimated Study Completion Date: November 2010
Estimated Primary Completion Date: November 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
PDX/Gem: Experimental
Pralatrexate Injection and Gemcitabine
Drug: Pralatrexate Injection
Pralatrexate Injection will be administered via IV push and then followed by an infusion of Gemcitabine every other week. One cycle of treatment will be 4 weeks in duration. The total treatment duration will not exceed 12 months from first treatment.
Drug: Gemcitabine hydrochloride (HCl)
Following Pralatrexate Injection administration, Gemcitabine will be administered via IV infusion every other week. One cycle of treatment will be 4 weeks in duration. The total treatment duration will not exceed 12 months from first treatment.

  Eligibility

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

Inclusion Criteria:

  • Diagnosis per the REAL WHO disease classification.
  • Phase 1: Histologically/cytologically confirmed lymphoproliferative malignancy. Patients with Hodgkin's disease or non-Hodgkin's lymphoma are eligible, with the exceptions per exclusion criterion #1.
  • Phase 2a: Histologically/cytologically confirmed PTCL or B-cell lymphoma, with the exceptions per exclusion criterion #1.
  • Documented disease progression after at least 1 prior treatment, and progression after last prior treatment. Any number of prior therapies is allowed. Patient has recovered from the toxic effects of prior therapy. Patients treated with an FDA-approved monoclonal antibody therapy may be enrolled any time the therapy if they have progression of disease.
  • ECOG Performance Status ≤ 2.
  • At least 18 years of age.
  • Adequate hematological, hepatic, and renal function, including: MMA < 200 nmol/L and Hcy < 10 μmol/L, or receipt of 1 mg oral folic acid daily for at least 10 days prior to planned start of pralatrexate & 1 mg intramuscular vitamin B12 within 10 weeks of the planned start of pralatrexate.
  • Women of childbearing potential must agree to practice a medically acceptable contraceptive regimen from study treatment start until at least 30 days after the last administration of pralatrexate and must have a negative serum pregnancy test within 14 days prior to the first day of study treatment.
  • Men who are not surgically sterile must agree to practice a medically acceptable contraceptive regimen from study treatment start until at least 90 days after the last administration of pralatrexate.
  • Given written informed consent.

Exclusion Criteria:

  • Phase 1, B-cell:

    • Lymphoplasmacytic lymphoma (± Waldenström's macroglobulinemia)
    • Plasma cell myeloma/plasmacytoma
    • Hairy cell leukemia
  • Phase 2a, PTCL:

    • Precursor T/NK neoplasms, except blastic NK lymphoma
    • T-cell prolymphocytic leukemia
    • T-cell large granular lymphocytic leukemia
    • Mycosis fungoides, except transformed mycosis fungoides
    • Sézary syndrome
    • Primary cutaneous CD30+ disorders: Anaplastic large cell lymphoma and lymphomatoid papulosis
  • Phase 2a, B-cell:

    • Lymphoplasmacytic lymphoma (± Waldenström's macroglobulinemia)
    • Plasma cell myeloma/plasmacytoma
    • Hairy cell leukemia
  • Relapsed Hodgkin's disease or diffuse large B-cell lymphoma patients who are candidates for high dose therapy and autologous stem cell transplantation and for whom it is a standard curative option.
  • Active concurrent malignancy (except non-melanoma skin cancer or carcinoma in situ of the cervix). If there is a history of prior malignancy, must be disease-free for ≥ 5 years.
  • NYHA Functional Classification congestive heart failure Class III/IV.
  • Uncontrolled hypertension.
  • HIV-positive diagnosis and is receiving combination anti-retroviral therapy.
  • Central nervous system disease.
  • Undergone allogeneic stem cell transplant.
  • Relapsed < 100 days from time of an autologous stem cell transplant.
  • Patients with disease refractory to peripheral blood stem cell transplant or who have relapsed < 100 days after transplant.
  • Active uncontrolled infection or underlying medical condition including unstable cardiac disease, or other serious illness impairing the ability to receive protocol treatment.
  • Major surgery within 2 weeks of planned start of treatment.
  • Receipt of any conventional chemotherapy or radiation therapy (encompassing > 10% of bone marrow) within 4 weeks (6 weeks for nitrosoureas or mitomycin C) prior to study treatment or planned use during the study.
  • Receipt of systemic corticosteroids within 7 days of study treatment, unless on a continuous dose of ≤ 10 mg/day of prednisone for at least 1 month.
  • Use of investigational drugs, biologics, or devices within 4 weeks prior to study treatment or planned use during the study.
  • Received a monoclonal antibody within 3 months without evidence of progression.
  • Previous exposure to pralatrexate and/or gemcitabine if it was discontinued due to treatment-related toxicity.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00481871

Contacts
Contact: Shannon Wilroy 303-426-6262 swilroy@allos.com
Contact: Michelle Parent 303-426-6262 mparent@allos.com

Locations
United States, California
Stanford University School of Medicine Recruiting
Stanford, California, United States, 94305
Contact: Sipra Choudhury     650-736-2563     schoudhury@stanford.edu    
Principal Investigator: Ranjana Hira Advani, MD            
University of California at Los Angeles Recruiting
Los Angeles, California, United States, 90095-7077
Contact: Donna Fernando     310-794-4376     dfernando@mednet.ucla.edu    
Principal Investigator: Lauren Pinter-Brown, MD            
United States, Colorado
Rocky Mountain Cancer Center Recruiting
Denver, Colorado, United States, 80218
Contact: Karen Morris     303-285-5004     Karen.Morris@USONCOLOGY.com    
Principal Investigator: Jeffrey Matous, MD            
United States, Illinois
University of Chicago Hospital Recruiting
Chicago, Illinois, United States, 60637
Contact: Angela Cisneros     773-834-4075     acisnero@medicine.bsd.uchicago.edu    
Principal Investigator: Sonali Smith, MD            
United States, Massachusetts
Dana-Farber Cancer Institute Recruiting
Boston, Massachusetts, United States, 02115-6013
Contact: Shannon Kerivan     617-632-4591     skerivan@partners.org    
Principal Investigator: Eric Jacobsen, MD            
United States, Missouri
Washington University School of Medicine Recruiting
St. Louis, Missouri, United States, 63110
Contact: Justina First     314-362-4206     jfirst@im.wustl.edu    
Principal Investigator: Nancy Bartlett, MD            
United States, Nebraska
University of Nebraska Medical Center Recruiting
Omaha, Nebraska, United States, 68198
Contact: Maribeth Hohenstein     402-559-9053     mahohens@unmc.edu    
Principal Investigator: Julie Vose, MD            
United States, New York
Memorial Sloan-Kettering Cancer Center Recruiting
New York, New York, United States, 10017
Contact: Hanna Weissbrot     646-227-2139     weissbrh@mskcc.org    
Principal Investigator: Steven Horwitz, MD            
Columbia University Medical Center Recruiting
New York, New York, United States, 10032
Contact: Danielle Wright     212-342-3482     dw2316@columbia.edu    
Principal Investigator: Owen O'Connor, MD, PhD            
United States, Texas
Cancer Therapy & Research Center Recruiting
San Antonio, Texas, United States, 78229-4427
Contact: Tyson DeSutter     210-450-5595     desutter@uthscsa.edu    
Principal Investigator: Swaminathan Padmanabhan, MD            
UT MD Anderson Cancer Center Recruiting
Houston, Texas, United States, 77030
Contact: Shawn Morgan     713-745-2717     smorgan@MDAnderson.org    
Principal Investigator: Barbara Pro, MD            
United States, Washington
Fred Hutchinson Cancer Research Center Recruiting
Seattle, Washington, United States, 98109-1024
Contact: Fereshteh Assadian     206-667-7540     fassadia@fhcrc.org    
Principal Investigator: Andrei Shustov, MD, Ph.D            
Sponsors and Collaborators
Allos Therapeutics
Investigators
Study Chair: Steven M. Horwitz, MD Memorial Sloan-Kettering Cancer Center
  More Information

Additional Information:
No publications provided

Responsible Party: Allos Therapeutics, Inc. ( Medical Monitor )
Study ID Numbers: PDX-009
Study First Received: June 1, 2007
Last Updated: March 27, 2009
ClinicalTrials.gov Identifier: NCT00481871     History of Changes
Health Authority: United States: Food and Drug Administration

Keywords provided by Allos Therapeutics:
Lymphoproliferative malignancies
Lymphoma
Hodgkin's disease
Non-Hodgkin's lymphoma
PTCL
T/NK-cell leukemia/lymphoma
T-cell lymphoma/leukemia (HTLV 1+)
Angioimmunoblastic T-cell lymphoma
Blastic NK lymphoma
Anaplastic large cell lymphoma
T/NK-cell lymphoma
Enteropathy-type intestinal lymphoma
Hepatosplenic T-cell lymphoma
Extranodal peripheral T/NK-cell lymphoma
Subcutaneous panniculitis T-cell lymphoma
Transformed mycosis fungoides
PDX
Pralatrexate
Gemcitabine
Gemzar
Vitamin B12
Folic acid

Study placed in the following topic categories:
Antimetabolites
Immunologic Factors
Aminopterin
Sezary Syndrome
Mycosis Fungoides
Lymphoma, Small Cleaved-cell, Diffuse
Leukemia
Mycoses
Cutaneous T-cell Lymphoma
Lymphoma, T-Cell
Vitamins
Lymphoma, Large-Cell, Anaplastic
Micronutrients
Lymphoma, Large-cell
Gemcitabine
Hodgkin Disease
Lymphoma
Lymphoma, Large B-Cell, Diffuse
Vitamin B Complex
Hematinics
Hodgkin Lymphoma, Adult
Immunoblastic Lymphadenopathy
Hydroxocobalamin
Hodgkin's Disease
Vitamin B 12
Trace Elements
Folic Acid Antagonists
Intestinal Diseases
Immunosuppressive Agents
Antiviral Agents

Additional relevant MeSH terms:
Antimetabolites
Anti-Infective Agents
Antimetabolites, Antineoplastic
Molecular Mechanisms of Pharmacological Action
Immunologic Factors
Antineoplastic Agents
Hematologic Agents
Physiological Effects of Drugs
Aminopterin
Vitamins
Therapeutic Uses
Micronutrients
Gemcitabine
Vitamin B Complex
Hematinics
Growth Substances
Vitamin B 12
Enzyme Inhibitors
Folic Acid Antagonists
Antiviral Agents
Immunosuppressive Agents
Pharmacologic Actions
Folic Acid
Neoplasms
Radiation-Sensitizing Agents

ClinicalTrials.gov processed this record on May 07, 2009