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A Phase II Study of Velcade and Temsirolimus for Relapsed or Refractory B-cell Non-Hodgkin Lymphoma

Phase 2
18 Years
Open (Enrolling)
Non-Hodgkins Lymphoma

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Trial Information

A Phase II Study of Velcade and Temsirolimus for Relapsed or Refractory B-cell Non-Hodgkin Lymphoma

Inclusion Criteria:

- Relapsed or refractory B-cell non-Hodgkin lymphoma which includes: diffuse large
B-cell lymphoma; primary mediastinal large B-cell lymphoma; follicular lymphoma
(grade 1, 2 or 3); mantle cell lymphoma; small lymphocytic lymphoma; marginal zone
lymphoma; lymphoplasmacytic lymphoma; B-cell lymphoblastic lymphoma; or Burkitt
lymphoma. "Grey-zone" lymphomas must be approved by the WON Study Chair or Principal
Investigator prior to enrollment.

- At least one measurable tumor mass (>1.5 cm in the long axis and > 1.0 cm in the
short axis) that has not been previously irradiated, or has grown since previous

- Documented relapse or progression following prior antineoplastic therapy.

- No clinical or documented radiographic evidence of central nervous system lymphoma.

- Eastern Cooperative Oncology Group [ECOG] performance status of 0-2.

- The following clinical laboratory values within 14 days prior to enrollment:

- Absolute neutrophil count (ANC) ≥ 1.5 x 109 cells / L

- Platelets ≥ 100 x 109 cells / L

- Alanine transaminase (ALT) and Aspartate transaminase (AST) ≤ 3X the upper limit of
normal (ULN)

- Total bilirubin ≤ 2X the upper limit of normal (ULN).

- Calculated creatinine clearance ≥40 mL/min (using the Cockcroft-Gault equation).

- Female subjects must be either post-menopausal for at least 1 year or surgically
sterilized, agree to practice 2 effective methods of contraception from the time of
signing the informed consent form through 30 days after the last dose of Velcade, or
agree to completely abstain from heterosexual intercourse.

- Male subjects, even if surgically sterilized (ie, status postvasectomy) must agree to
1 of the following: practice effective barrier contraception during the entire study
treatment period and through a minimum of 30 days after the last dose of study drug,
or completely abstain from heterosexual intercourse.


- Antineoplastic, experimental, or radiation therapy within 14 days prior to
enrollment, or 21 days prior to Day 1 of Cycle 1.

- Radioimmunoconjugates within 10 weeks of Day 1 of Cycle 1.

- Autologous stem cell transplant within 3 months before Day 1 of Cycle 1, or any prior
history of allogeneic stem cell transplant.

- Platelet transfusion within 7 days of Day 1 of Cycle 1.

- Ongoing therapy with glucocorticoids. Prednisone ≤15 mg per day or its equivalent is

- Patient has Grade 2 or greater peripheral neuropathy within 14 days before

- Myocardial infarction within 6 months prior to enrollment or has New York Heart
Association (NYHA) Class III or IV heart failure (see section 8.4), uncontrolled
angina, severe uncontrolled ventricular arrhythmias, or electrocardiographic evidence
of acute ischemia or active conduction system abnormalities.

- Patient has hypersensitivity to Velcade, boron or mannitol.

- Female subjects that are pregnant or breast-feeding.

- Serious medical or psychiatric illness that is likely to interfere with participation

- Diagnosed or treated for another malignancy within 2 years of enrollment, with the
exception of complete resection of basal cell carcinoma or squamous cell carcinoma of
the skin, an in situ malignancy, or low-risk prostate cancer after curative therapy.

- Prior therapy with both Velcade and temsirolimus. Patients who have previously been
treated with either Velcade or temsirolimus (but not both) are eligible.

- Radiation therapy within 3 weeks before randomization.

- Patients must not be taking the following strong CyP3A inducers at study entry:
phenytoin, phenobarbital, rifampin, carbamazepin, rifabutin, rifampicin, a one week
washout period is required.

Type of Study:


Study Design:

Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Overall Response Rate and Progression Free Survival

Outcome Description:

The primary objective of this study is to determine whether Velcade in combination with temsirolimus provides benefit to subjects with relapsed or refractory B-cell non-Hodgkin lymphoma as assessed by overall response rate (ORR) to therapy. ORR is the sum of patients with a Complete Response and Partial Response to therapy.

Outcome Time Frame:

60 months from start

Safety Issue:


Principal Investigator

Brad S Kahl, MD

Investigator Role:

Principal Investigator

Investigator Affiliation:

Universtity of Wisconsin- Madison


United States: Institutional Review Board

Study ID:




Start Date:

February 2011

Completion Date:

February 2017

Related Keywords:

  • Non-Hodgkins Lymphoma
  • velcade
  • temsirolimus
  • non-hodgkins lymphoma
  • Lymphoma
  • Lymphoma, Non-Hodgkin
  • Lymphoma, B-Cell



Marshfield Clinic Marshfield, Wisconsin  54449
Medical College of Wisconsin Milwaukee, Wisconsin  53226
Waukesha Memorial Hospital Waukesha, Wisconsin  53188
Aurora BayCare Medical Center Green Bay, Wisconsin  54311-6519
University of Wisconsin Cancer Center Madison, Wisconsin  53792
Aurora Medical Center in Summit Summit, Wisconsin  53066
Bellin Memorial Hospital, Inc Green Bay, Wisconsin  54313
St Vincent Regional Cancer Center CCOP Green Bay, Wisconsin  54301
UW Health Oncology- 1 S Park Madison, Wisconsin  53715
Columbia St Mary's, Inc Milwaukee, Wisconsin  53211
Aspirus Wausau Hospital Wausau, Wisconsin  54401
Rapid City Regional Hospital John T. Vucurevich Cancer Care Institute Rapid City, South Dakota  57701
Aurora Baycare Medical Center-GreenBay Green Bay, Wisconsin  54143
Gunderson Lutheran Health System LaCrosse, Wisconsin  54601
Aurora Sheboygan Memorial Medical Center Sheboygan, Wisconsin  53081
Aurora Medical Center in Two Rivers Two Rivers, Wisconsin  54241
Aurora Health Care Metro, Inc. Wauwatosa, Wisconsin  53226
UW Cancer Center-Riverview Wisconsin Rapids, Wisconsin  54494