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Phase II Study of Ofatumumab Plus ICE or DHAP Chemotherapy Regimen in Relapsed/ Refractory DLBCL
This study is currently recruiting participants.
Verified by GlaxoSmithKline, July 2009
First Received: January 8, 2009   Last Updated: July 30, 2009   History of Changes
Sponsored by: GlaxoSmithKline
Information provided by: GlaxoSmithKline
ClinicalTrials.gov Identifier: NCT00823719
  Purpose

The purpose of this study is to evaluate the safety and efficacy of ofatumumab used in combination with ICE or DHAP salvage chemotherapy regimens in subjects with relapsed or refractory DLBCL who are eligible for autologous stem cell transplant.


Condition Intervention Phase
Diffuse Large B Cell Lymphoma (DLBCL)
Non-Hodgkin's Lymphoma
Grade 3b Follicular Lymphoma
Transformed Follicular Lymphoma
Drug: ofatumumab + DHAP
Drug: ofatumumab + ICE
Phase II

Study Type: Interventional
Study Design: Treatment, Open Label, Single Group Assignment, Safety/Efficacy Study
Official Title: A Single Arm, Safety and Efficacy Study of Ofatumumab in Combination With ICE or DHAP Chemotherapy in Relapsed or Refractory Aggressive Lymphoma Prior to Autologous Stem Cell Transplantation

Resource links provided by NLM:


Further study details as provided by GlaxoSmithKline:

Primary Outcome Measures:
  • Overall response rate after completion of salvage chemotherapy. [ Time Frame: 9 weeks ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Complete response rate after completion of salvage chemotherapy. [ Time Frame: 9 weeks ] [ Designated as safety issue: No ]
  • Ability to mobilize ≥2x10^6 CD34+ cells/ kg from peripheral blood. [ Time Frame: 9 weeks ] [ Designated as safety issue: Yes ]
  • Safety, tolerability, and pharmacokinetics [ Time Frame: 9 weeks ] [ Designated as safety issue: Yes ]
  • Progression free survival [ Time Frame: Up to approximately 1 year. ] [ Designated as safety issue: No ]
  • Overall survival [ Time Frame: Up to approximately 1 year. ] [ Designated as safety issue: No ]

Estimated Enrollment: 48
Study Start Date: May 2009
Estimated Study Completion Date: July 2010
Estimated Primary Completion Date: July 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
ofatumumab + DHAP or ICE chemotherapy regimen: Experimental
This study is a single arm study, but the Investigators are required to prospectively choose to treat all of their subjects with either ICE or DHAP chemotherapy regimens in combination with ofatumumab. Regardless of whether the subject receives ICE or DHAP chemotherapy, all subjects will receive the same ofatumumab regimen and dose.
Drug: ofatumumab + DHAP

3 cycles of treatment will be administered. Each cycle will last 21 days. ofatumumab dose: cycle 1, day 1 - 300 mg; cycle 1, day 8 - 1000 mg; cycle 2, day 1 and cycle 3, day 1 - 1000 mg.

DHAP regimen:

dexamethasone - 40 mg on days 1, 2, 3, and 4 of dosing cycle; cisplatin - 100 mg/m2/24hrs continuous on day 1 of dosing cycle; cytarabine - 2g/m2 q12 hrs (2 doses) on day 2 of dosing cycle.

Drug: ofatumumab + ICE

3 cycles of treatment will be administered. Each cycle will last 21 days. ofatumumab dose: cycle 1, day 1 - 300 mg; cycle 1, day 8 - 1000 mg; cycle 2, day 1 and cycle 3, day 1 - 1000 mg

ICE regimen:

ifosfamide + mesna - 5 g/m2/24h continuous on day 2 of dosing cycle; carboplatin - AUC 5 (800 mg maximum) on day 2 of dosing cycle; etoposide - 100 mg/m2 on days 1, 2 and 3 of dosing cycle.


Detailed Description:

Rituximab combined with anthracycline based chemotherapy is the most common first-line treatment for subjects with diffuse large B cell lymphoma (DLBCL). Subjects requiring second-line therapy will most often receive rituximab in combination with salvage chemotherapy as an induction therapy prior to autologous stem cell transplant. With rituximab being in first-line therapy, the response rates for subjects receiving rituximab plus salvage chemotherapy has significantly decreased. Treatment with ofatumumab may be able to overcome the resistance to rituximab in the second-line setting and offer improved response rates. The objective of this study is to evaluate the overall response rate of ofatumumab in combination with ICE or DHAP chemotherapy prior to autologous stem cell transplant. Additional objectives are to evaluate the complete response rate, ability to mobilize CD34+ cells, progression-free survival (PFS) and overall survival.

  Eligibility

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

Inclusion Criteria:

  • Subjects with CD20 positive aggressive NHL including DLBCL, transformed FL & grade 3b FL.

Refractory to, or relapsed following, first-line treatment with rituximab combined with anthracycline-based chemotherapy as defined by the protocol.

  • CT with involvement of 2 or more clearly demarcated lesions with a largest diameter ≥1.5 cm or 1 clearly demarcated lesion with a largest diameter ≥2.0 cm.
  • Baseline FDG-PET scans must demonstrate positive lesions compatible with CT defined anatomical tumor sites.
  • Age 18 yrs or older.
  • ECOG performance status of 0, 1 or 2.
  • Eligible for high dose chemotherapy and ASCT.
  • Resolution of toxicities from first-line therapy to grade ≥1.
  • Signed written informed consent.

Exclusion Criteria:

  • Previous cancer therapy for lymphoma, with the exception of required rituximab/ anthracycline-based chemotherapy or limited field radiotherapy.
  • Any anti-cancer therapy, except limited field radiotherapy, within 4 weeks prior to start of study therapy.
  • Chronic Glucocorticoid use (limited acute use is allowed and defined by the protocol).
  • History of significant cerebrovascular disease.
  • Abnormal/ inadequate WBC count, liver, and kidney function.
  • Clinically significant cardiac disease, active or chronic infections, serious significant diseases, other cancer within last 5 years.
  • Known or suspected hypersensitivity to study treatments.
  • Prior treatment with anti-CD20 monoclonal antibodies, at any time, or treated with other monoclonal antibodies within 3 months prior to start of study therapy, with the exception of rituximab in both instances.
  • Inability to comply with the protocol activities.
  • Pregnant or lactating women or female patients of child-bearing potential (or male patients with such partners) not willing to use adequate contraception during and up to 1 year following dosing completion.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00823719

Contacts
Contact: US GSK Clinical Trials Call Center 877-379-3718

Locations
United States, Florida
GSK Investigational Site Recruiting
Tampa, Florida, United States, 33612-9497
GSK Investigational Site Recruiting
Miami, Florida, United States, 33136
United States, Massachusetts
GSK Investigational Site Recruiting
Boston, Massachusetts, United States, 02215
United States, New York
GSK Investigational Site Not yet recruiting
Buffalo, New York, United States, 14263
United States, North Carolina
GSK Investigational Site Not yet recruiting
Chapel Hill, North Carolina, United States, 27599
Sponsors and Collaborators
GlaxoSmithKline
Investigators
Study Director: GSK Clinical Trials GlaxoSmithKline
  More Information

No publications provided

Responsible Party: GSK ( Study Director )
Study ID Numbers: 110927
Study First Received: January 8, 2009
Last Updated: July 30, 2009
ClinicalTrials.gov Identifier: NCT00823719     History of Changes
Health Authority: United States: Food and Drug Administration;   United States: Institutional Review Board

Keywords provided by GlaxoSmithKline:
relapsed
refractory
Oncology
safety
efficacy
ofatumumab
ICE
DHAP
Salvage chemotherapy

Study placed in the following topic categories:
Dexamethasone
Lymphoma, Large B-Cell, Diffuse
Immunoproliferative Disorders
Lymphoma, Follicular
Carboplatin
Etoposide phosphate
Follicular Lymphoma
Lymphoma, B-Cell
Lymphoma, Small Cleaved-cell, Diffuse
Lymphatic Diseases
Ifosfamide
Cisplatin
B-cell Lymphomas
Lymphoma, Non-Hodgkin
Aggression
Lymphoproliferative Disorders
Lymphoma, Large-cell
Mesna
Etoposide
Lymphoma
Dexamethasone acetate
Cytarabine
Isophosphamide mustard

Additional relevant MeSH terms:
Lymphoma, B-Cell
Lymphatic Diseases
Neoplasms
Lymphoma, Large B-Cell, Diffuse
Immunoproliferative Disorders
Neoplasms by Histologic Type
Immune System Diseases
Lymphoma, Follicular
Lymphoproliferative Disorders
Lymphoma, Non-Hodgkin
Lymphoma

ClinicalTrials.gov processed this record on September 01, 2009