Non Hodgkin Lymphoma Clinical Trial

A Study Evaluating the Safety, Efficacy and Pharmacokinetics of Venetoclax Combined With Chemotherapy in Participants With B-Cell Non-Hodgkin’s Lymphoma (NHL) and DLBCL

Summary

This is a multicenter, open-label, dose-finding study of venetoclax administered orally in combination with rituximab (R) or obinutuzumab (G) and standard doses of cyclophosphamide, doxorubicin, vincristine and oral prednisone (CHOP) in participants with Non-Hodgkin's Lymphoma (NHL). The study consisted of 2 stages: a dose-finding Phase Ib stage and a Phase II expansion stage. In the Phase I portion of the study, participants were randomized to one of 2 treatment arms venetoclax in combination with R-CHOP (Arm A) and venetoclax in combination with G-CHOP (Arm B) and explored the doses of venetoclax in combination with R-CHOP and G-CHOP. The maximum tolerated dose (MTD) of venetoclax in combination with R-CHOP and G-CHOP was determined during the dose-finding stage. For the Phase II portion of the study, the venetoclax dose for venetoclax + R-CHOP was on a non-continuous dosing schedule as determined by the Phase Ib portion of the study based on safety and tolerability observed in participants treated in the dose escalation portion of the study. On 17 July 2016, Roche/Genentech as the sponsor of Study BO21005 (Goya study), a Phase III study that evaluated G CHOP versus R-CHOP in 1L DLBCL, informed through a press release that the primary endpoint of investigator-assessed PFS was not met. Given these results, Arm B (venetoclax + G-CHOP) was not expanded in Phase II in patients who are first-line with DLBCL.

View Eligibility Criteria

Eligibility Criteria

Inclusion Criteria:

General Inclusion Criteria:

At least one bi-dimensionally measurable lymphoma lesion on CT scan defined as > 1.5 cm in its longest dimension, which is also FDG avid by screening PET scan.
Confirmed availability of archival or freshly biopsied tumor tissue prior to study enrollment
Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1 or 2
Adequate hematologic function
For female participants of childbearing potential, agreement to use highly effective forms of contraception

Dose-Escalation Portion of the Study:

Participants must have histologically confirmed B-cell NHL, except MCL or SLL
Participants must have never received previous R-CHOP treatment
Any relapsed/refractory participants that are enrolled during the dose escalation should have received only a single previous treatment regimen

Expansion Portion of the Study:

Participants must have previously untreated CD20-positive DLBCL and IPI score must be 2-5

Exclusion Criteria:

General Exclusion Criteria:

History of severe allergic or anaphylactic reactions to humanized or murine monoclonal antibodies or known sensitivity or allergy to murine products
Contraindication to receive any of the individual components of CHOP, rituximab or obinutuzumab
Prior anthracycline therapy
Participants with ongoing corticosteroid use >30 mg per day of prednisone or equivalent
CNS lymphoma or primary mediastinal DLBCL
Vaccination with live vaccines within 28 days prior to randomization
Chemotherapy or other investigational therapy within 28 days prior to the start of Cycle 1
History of other malignancy that could affect compliance with the protocol or interpretation of results
Evidence of significant, uncontrolled concomitant disease
Significant cardiovascular disease or significant pulmonary disease
Left ventricular ejection fraction less than (<) 50% as defined by multiple-gated acquisition (MUGA)
Known active bacterial, viral, fungal, mycobacterial, parasitic, or other infection (excluding fungal infections of nail beds) at study enrollment, or any major episode of infection requiring treatment with IV antibiotics or hospitalization (relating to the completion of the course of antibiotics) within 4 weeks prior to Cycle 1 Day 1
Received the following agents within 7 days prior to the first dose of venetoclax: steroid therapy for anti-neoplastic intent; strong and moderate cytochrome P450 (CYP) 3A4 inhibitors or inducers; grapefruit/grapefruit products, seville oranges or star fruit within 3 days prior to the first dose of venetoclax
Clinically significant history of liver disease, including viral or other hepatitis, current alcohol abuse, or cirrhosis
Recent major surgery
Women who are pregnant or lactating

Dose-Escalation Portion of the Study:

Participants with confirmed mantle cell lymphoma (MCL) or small lymphocytic lymphoma (SLL)

Expansion Portion of the Study:

Participants with transformed lymphoma (participants with discordant bone marrow involvement (i.e., low grade histology in bone marrow) may be considered after discussion with the Medical Monitor)
Prior therapy for NHL

Study is for people with:

Non Hodgkin Lymphoma

Phase:

Phase 1

Estimated Enrollment:

267

Study ID:

NCT02055820

Recruitment Status:

Completed

Sponsor:

Hoffmann-La Roche

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There are 52 Locations for this study

See Locations Near You

St. Jude Heritage Healthcare
Fullerton California, 92835, United States
UCLA Jonsson Comprehensive Cancer Center
Los Angeles California, 90095, United States
Central Coast Medical Oncology
Santa Maria California, 93454, United States
The West Clinici
Saint Louis Missouri, 63129, United States
Hackensack University Medical Center; WFAN - Imus Pediatric Center
Hackensack New Jersey, 07601, United States
San Juan Oncology Associates
Farmington New Mexico, 87401, United States
Memorial Sloan-Kettering Cancer Center
New York New York, 10065, United States
Uni of Rochester Medical Center; Wilmot Cancer Center, Pharmacy Department
Rochester New York, 14642, United States
Tennessee Oncology
Nashville Tennessee, 37203, United States
Concord Repatriation General Hospital
Concord New South Wales, 2139, Australia
Princess Alexandra Hospital
Woolloongabba Queensland, 4102, Australia
Peter MacCallum Cancer Centre-East Melbourne
Melbourne Victoria, 3000, Australia
Royal Melbourne Hospital
Parkville Victoria, 3050, Australia
LKH - Universitätsklinikum der PMU Salzburg
Salzburg , 5020, Austria
Medizinische Universität Wien
Wien , 1090, Austria
Cross Cancer Institute
Edmonton Alberta, T6G 1, Canada
BC Cancer Agency, CSI
Kelowna British Columbia, V1Y 5, Canada
BC Cancer Agency Vancouver Centre - PARENT; BC Cancer Agency
Vancouver British Columbia, V5Z 4, Canada
Jewish General Hospital; Research Unit
Montréal Quebec, H3T 1, Canada
CHU de Quebec - Hôpital de l' Enfant Jésus
Quebec , G1J 1, Canada
Fakultni nemocnice Brno
Brno , 613 0, Czechia
Fakultni nemocnice Hradec Kralove
Hradec Kralove , 500 0, Czechia
Fakultni nemocnice Ostrava
Ostrava - Poruba , 708 5, Czechia
Vseobecna Fakultni Nemocnice v Praze, I. Interni Klinika - Klinika Hematoonkologie VFN a 1. LF UK
Praha 2 , 128 0, Czechia
Hopital Henri Mondor, Unite Hemopathies lymphoides
Creteil , 94010, France
Centre Hospitalier Départemental Les Oudairies
La Roche sur Yon , 85025, France
Clinique Victor Hugo; Pharmacie
Le Mans , 72015, France
Hopital Claude Huriez - CHU Lille
Lille , 59037, France
Hopital Saint Eloi
Montpellier , 34295, France
CHU Nantes - Hôtel Dieu; Service Assistance Medicale à la Procreation
Nantes , 44093, France
Hôpital Saint-Louis
Paris , 75475, France
Centre Hospitalier Lyon Sud
Pierre-Benite , 69495, France
CHU Rennes - Hopital Pontchaillou
Rennes cedex 09 , 35033, France
Centre Henri Becquerel; Hematologie
Rouen , 76038, France
Hôpital de Brabois Adultes
Vandoeuvre-les-nancy , 54511, France
Semmelweis Egyetem
Budapest , 1083, Hungary
Orszagos Onkologiai Intezet
Budapest , 1122, Hungary
Debreceni Egyetem; Belgyogyaszati Klinika Hematologiai Tanszek
Debrecen , 4032, Hungary
Istituto Nazionale per lo Studio e la Cura dei Tumori Fondazione G. Pascale
Napoli Campania, 80131, Italy
Azienda Ospedaliero Universitaria San Martino
Genova Liguria, 16132, Italy
Azienda Ospedaliera Città della Salute e della Scienza di Torino
Torino Piemonte, 10126, Italy
Azienda Ospedaliera Vincenzo Cervello
Palermo Sicilia, 90127, Italy
Azienda Ospedaliero Universitaria Pisana; U.O. Farmaceutica
Pisa Toscana, 56100, Italy
Amsterdam UMC Location VUMC
Amsterdam , 1081 , Netherlands
Erasmus Medisch Centrum
Rotterdam , 3015 , Netherlands
UMC Utrecht
Utrecht , 3508 , Netherlands
Hospital del Mar
Barcelona , 08003, Spain
Hospital Universitari Vall d'Hebron
Barcelona , 08035, Spain
ICO l´Hospitalet - Hospital Duran i Reynals; Hematology
Barcelona , 08907, Spain
Hospital Universitario La Paz
Madrid , 28014, Spain
Hospital Universitario Ramon y Cajal
Madrid , 28034, Spain
Hospital Universitario de Salamanca
Salamanca , 37007, Spain

How clear is this clinincal trial information?

Study is for people with:

Non Hodgkin Lymphoma

Phase:

Phase 1

Estimated Enrollment:

267

Study ID:

NCT02055820

Recruitment Status:

Completed

Sponsor:


Hoffmann-La Roche

How clear is this clinincal trial information?

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