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A Phase II Investigation of Vorinostat in Combination With Intravenous Fludarabine, Mitoxantrone, and Dexamethasone in Patients With Relapsed or Refractory Mantle Cell Lymphoma


Phase 2
20 Years
75 Years
Not Enrolling
Both
Mantle Cell Lymphoma

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Trial Information

A Phase II Investigation of Vorinostat in Combination With Intravenous Fludarabine, Mitoxantrone, and Dexamethasone in Patients With Relapsed or Refractory Mantle Cell Lymphoma


1. Objectives 1.1 Primary objective • To determine the efficacy of vorinostat plus FND as
an induction treatment

- Response rate of vorinostat/FND 1.2 Secondary objective

- Survival outcome

- Overall survival and progression-free survival

- To determine the efficacy of vorinostat maintenance treatment

- Relapse rate • Toxicity of vorinostat/FND

- Hematologic and non-hematologic toxicity


Inclusion Criteria:



- Histologically proven mantle cell lymphoma

- Adequate organ function as defined by the following criteria:

- Serum aspartate transaminase (AST; serum glutamic oxaloacetic transaminase
(SGOT)) and serum alanine transaminase (ALT; serum glutamic pyruvic transaminase
(SGPT)) ≤2.5 x local laboratory upper limit of normal (ULN), or AST and ALT less
than or equal to 5 x ULN if liver function abnormalities are due to underlying
malignancy

- Total serum bilirubin ≤1.5 x ULN

- Absolute neutrophil count (ANC) ≥1500/µL

- Platelets ≥100,000/µL

- Hemoglobin ≥9.0 g/dL (may be transfused or erythropoietin treated)

- Serum calcium ≤12.0 mg/dL

- Serum creatinine ≤1.5 x ULN

- Normal potassium and magnesium at baseline

- All patients should be relapsed patients after previous treatments including
chemotherapy

- At least one measurable lesion (lymph node or tumor mass)

- The size of lesion must be > 1.0cm in the greatest transverse diameter

- ECOG PS 0-2

- Serum HCG test: negative if a patient is female eligible for pregnancy

Exclusion Criteria:

- Major surgery or radiation therapy within 4 weeks of starting the study treatment.

- History of or known carcinomatous meningitis, or evidence of symptomatic
leptomeningeal disease or secondary CNS involvement on CT or MRI scan.

- Ongoing cardiac dysrhythmias of NCI CTCAE grade ≥2.

- Pregnancy or breastfeeding.

- Patients with HIV positive

- Patients with HBs antigen positive

- Patients with anti-HCV positive

- History of the use of another HDAC inhibitor: e.g. valproic acid

Type of Study:

Interventional

Study Design:

Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

To determine the efficacy of vorinostat plus FND as an induction treatment confirmed by CT or MRI (PET/CT as indicated)

Outcome Description:

B) Response criteria 1) Complete response (CR): Disappearance of all detectable clinical and radiographic evidence of disease 2) Partial response (PR): ≥50% decrease in sum of product diameter (SPD) of 6 nodes/nodal masses 3) Stable disease (SD): Disease status is less than PR, but is not PD 4) Progressive disease (PD): Appearance of any new lesions

Outcome Time Frame:

A) After 8weeks and 16 weeks of the treatment

Safety Issue:

Yes

Principal Investigator

Won Seog Kim, MD, PhD

Investigator Role:

Principal Investigator

Investigator Affiliation:

Samsung Meical Center

Authority:

South Korea: Korea Food and Drug Administration (KFDA)

Study ID:

SMC2011-11-102-001

NCT ID:

NCT01578343

Start Date:

January 2013

Completion Date:

September 2016

Related Keywords:

  • Mantle Cell Lymphoma
  • fludarabine
  • mitoxantrone
  • dexamethasone
  • relapsed or refractory mantle cell lymphoma
  • FND regimen
  • vorinostat
  • autologous stem cell transplantation
  • Lymphoma
  • Lymphoma, Mantle-Cell

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