Trial Outcomes & Findings for Fludarabine, Velcade and Rituximab for Relapsed or Refractory Follicular Non-Hodgkin Lymphoma (NCT NCT01186458)

NCT ID: NCT01186458

Last Updated: 2016-10-24

Results Overview

To determine the overall response rate and frequency of complete and partial responses in patients with relapsed or refractory follicular non-Hodgkin lymphoma (NHL) who receive therapy with fludarabine, Velcade, and rituximab administered every 28 days.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

4 participants

Primary outcome timeframe

6 months

Results posted on

2016-10-24

Participant Flow

Participant milestones

Participant milestones
Measure
Fludarabine, Velcade and Rituximab
Fludarabine, Velcade and Rituximab Fludarabine: Fludarabine 25 mg/m2 IV over 30 minutes on days 1, 2, 4. Cycle = 28 days; maximum of 6 cycles of therapy. Velcade: Velcade (given after fludarabine)1.3 mg/m2 IV push over 3 to 5 seconds on days 1, 4, 8, 11. Cycle = 28 days; maximum of 6 cycles of therapy. Rituximab: Rituximab given after Velcade) 375 mg/m2 IV piggyback on day 1. Cycle = 28 days; maximum of 6 cycles of therapy.
Overall Study
STARTED
4
Overall Study
COMPLETED
3
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Fludarabine, Velcade and Rituximab
Fludarabine, Velcade and Rituximab Fludarabine: Fludarabine 25 mg/m2 IV over 30 minutes on days 1, 2, 4. Cycle = 28 days; maximum of 6 cycles of therapy. Velcade: Velcade (given after fludarabine)1.3 mg/m2 IV push over 3 to 5 seconds on days 1, 4, 8, 11. Cycle = 28 days; maximum of 6 cycles of therapy. Rituximab: Rituximab given after Velcade) 375 mg/m2 IV piggyback on day 1. Cycle = 28 days; maximum of 6 cycles of therapy.
Overall Study
Adverse Event
1

Baseline Characteristics

Fludarabine, Velcade and Rituximab for Relapsed or Refractory Follicular Non-Hodgkin Lymphoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Fludarabine, Velcade and Rituximab
n=4 Participants
Fludarabine, Velcade and Rituximab Fludarabine: Fludarabine 25 mg/m2 IV over 30 minutes on days 1, 2, 4. Cycle = 28 days; maximum of 6 cycles of therapy. Velcade: Velcade (given after fludarabine)1.3 mg/m2 IV push over 3 to 5 seconds on days 1, 4, 8, 11. Cycle = 28 days; maximum of 6 cycles of therapy. Rituximab: Rituximab given after Velcade) 375 mg/m2 IV piggyback on day 1. Cycle = 28 days; maximum of 6 cycles of therapy.
Age, Continuous
59.50 years
STANDARD_DEVIATION 14.01 • n=99 Participants
Sex: Female, Male
Female
1 Participants
n=99 Participants
Sex: Female, Male
Male
3 Participants
n=99 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=99 Participants
Race (NIH/OMB)
White
4 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
Region of Enrollment
United States
4 participants
n=99 Participants

PRIMARY outcome

Timeframe: 6 months

Population: Data for this primary objective was not collected or analyzed due to the termination of the study.

To determine the overall response rate and frequency of complete and partial responses in patients with relapsed or refractory follicular non-Hodgkin lymphoma (NHL) who receive therapy with fludarabine, Velcade, and rituximab administered every 28 days.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 6 months

Population: Data for this secondary objective was not collected or analyzed due to the termination of the study.

To evaluate the progression-free survival and event-free survival in patients who receive therapy with fludarabine, Velcade, and rituximab.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 6 months

To evaluate the toxicity profile of this regimen. Adverse event counts by grade are presented.

Outcome measures

Outcome measures
Measure
Fludarabine, Velcade and Rituximab
n=4 Participants
Fludarabine, Velcade and Rituximab Fludarabine: Fludarabine 25 mg/m2 IV over 30 minutes on days 1, 2, 4. Cycle = 28 days; maximum of 6 cycles of therapy. Velcade: Velcade (given after fludarabine)1.3 mg/m2 IV push over 3 to 5 seconds on days 1, 4, 8, 11. Cycle = 28 days; maximum of 6 cycles of therapy. Rituximab: Rituximab given after Velcade) 375 mg/m2 IV piggyback on day 1. Cycle = 28 days; maximum of 6 cycles of therapy.
Toxicity
Total Adverse Events
122 number of adverse events
Toxicity
Grade 1 Adverse Events
77 number of adverse events
Toxicity
Grade 2 Adverse Events
35 number of adverse events
Toxicity
Grade 3 Adverse Events
9 number of adverse events
Toxicity
Grade 4 Adverse Events
1 number of adverse events
Toxicity
Grade 5 Adverse Events
0 number of adverse events

SECONDARY outcome

Timeframe: 6 months

Population: Data for this secondary objective was not collected or analyzed due to the termination of the study.

To explore the biologic interaction between fludarabine and Velcade and determine if Velcade can potentiate the DNA-damaging effect of fludarabine.

Outcome measures

Outcome data not reported

Adverse Events

Fludarabine, Velcade and Rituximab

Serious events: 1 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Fludarabine, Velcade and Rituximab
n=4 participants at risk
Fludarabine, Velcade and Rituximab Fludarabine: Fludarabine 25 mg/m2 IV over 30 minutes on days 1, 2, 4. Cycle = 28 days; maximum of 6 cycles of therapy. Velcade: Velcade (given after fludarabine)1.3 mg/m2 IV push over 3 to 5 seconds on days 1, 4, 8, 11. Cycle = 28 days; maximum of 6 cycles of therapy. Rituximab: Rituximab given after Velcade) 375 mg/m2 IV piggyback on day 1. Cycle = 28 days; maximum of 6 cycles of therapy.
Blood and lymphatic system disorders
BLOOD/BONE MARROW - OTHER (SPECIFY, __)
25.0%
1/4 • Number of events 1 • 6 months

Other adverse events

Other adverse events
Measure
Fludarabine, Velcade and Rituximab
n=4 participants at risk
Fludarabine, Velcade and Rituximab Fludarabine: Fludarabine 25 mg/m2 IV over 30 minutes on days 1, 2, 4. Cycle = 28 days; maximum of 6 cycles of therapy. Velcade: Velcade (given after fludarabine)1.3 mg/m2 IV push over 3 to 5 seconds on days 1, 4, 8, 11. Cycle = 28 days; maximum of 6 cycles of therapy. Rituximab: Rituximab given after Velcade) 375 mg/m2 IV piggyback on day 1. Cycle = 28 days; maximum of 6 cycles of therapy.
Immune system disorders
ALLERGIC REACTION/HYPERSENSITIVITY (INCLUDING DRUG FEVER)
25.0%
1/4 • Number of events 1 • 6 months
Investigations
ALT, SGPT (SERUM GLUTAMIC PYRUVIC TRANSAMINASE)
25.0%
1/4 • Number of events 1 • 6 months
Gastrointestinal disorders
ANOREXIA
25.0%
1/4 • Number of events 2 • 6 months
Investigations
AST, SGOT(SERUM GLUTAMIC OXALOACETIC TRANSAMINASE)
25.0%
1/4 • Number of events 1 • 6 months
Nervous system disorders
ATAXIA (INCOORDINATION)
25.0%
1/4 • Number of events 1 • 6 months
Skin and subcutaneous tissue disorders
BRUISING (IN ABSENCE OF GRADE 3 OR 4 THROMBOCYTOPENIA)
25.0%
1/4 • Number of events 1 • 6 months
Gastrointestinal disorders
CONSTIPATION
75.0%
3/4 • Number of events 12 • 6 months
General disorders
CONSTITUTIONAL SYMPTOMS
25.0%
1/4 • Number of events 1 • 6 months
Respiratory, thoracic and mediastinal disorders
COUGH
25.0%
1/4 • Number of events 1 • 6 months
Investigations
CREATININE
25.0%
1/4 • Number of events 3 • 6 months
Respiratory, thoracic and mediastinal disorders
DYSPNEA (SHORTNESS OF BREATH)
75.0%
3/4 • Number of events 6 • 6 months
General disorders
FATIGUE (ASTHENIA, LETHARGY, MALAISE)
100.0%
4/4 • Number of events 14 • 6 months
General disorders
FEVER (IN THE ABSENCE OF NEUTROPENIA, WHERE NEUTROPENIA IS DEFINED AS ANC <1.0 X 10E9/L)
25.0%
1/4 • Number of events 1 • 6 months
Gastrointestinal disorders
GASTRITIS (INCLUDING BILE REFLUX GASTRITIS)
25.0%
1/4 • Number of events 1 • 6 months
Skin and subcutaneous tissue disorders
HAIR LOSS/ALOPECIA (SCALP OR BODY)
50.0%
2/4 • Number of events 3 • 6 months
Blood and lymphatic system disorders
HEMOGLOBIN
75.0%
3/4 • Number of events 6 • 6 months
Respiratory, thoracic and mediastinal disorders
HICCOUGHS (HICCUPS, SINGULTUS)
25.0%
1/4 • Number of events 1 • 6 months
Cardiac disorders
HYPERTENSION
25.0%
1/4 • Number of events 1 • 6 months
Infections and infestations
INFECTION - OTHER
25.0%
1/4 • Number of events 1 • 6 months
Infections and infestations
INFECTION WITH NORMAL ANC OR GRADE 1 OR 2 NEUTROPHILS / UPPER AERODIGESTIVE NOS
25.0%
1/4 • Number of events 1 • 6 months
Blood and lymphatic system disorders
LEUKOCYTES (TOTAL WBC)
25.0%
1/4 • Number of events 1 • 6 months
Nervous system disorders
LEUKOENCEPHALOPATHY (RADIOGRAPHIC FINDINGS)
25.0%
1/4 • Number of events 1 • 6 months
Blood and lymphatic system disorders
LYMPHOPENIA
25.0%
1/4 • Number of events 7 • 6 months
Investigations
MAGNESIUM, SERUM-HIGH (HYPERMAGNESEMIA)
25.0%
1/4 • Number of events 2 • 6 months
Psychiatric disorders
MOOD ALTERATION / AGITATION
25.0%
1/4 • Number of events 1 • 6 months
Psychiatric disorders
MOOD ALTERATION / ANXIETY
50.0%
2/4 • Number of events 2 • 6 months
Surgical and medical procedures
MUCOSITIS/STOMATITIS (CLINICAL EXAM) / ORAL CAVITY
25.0%
1/4 • Number of events 1 • 6 months
Gastrointestinal disorders
NAUSEA
50.0%
2/4 • Number of events 8 • 6 months
Nervous system disorders
NEUROPATHY: MOTOR
25.0%
1/4 • Number of events 1 • 6 months
Nervous system disorders
NEUROPATHY: SENSORY
50.0%
2/4 • Number of events 10 • 6 months
Blood and lymphatic system disorders
NEUTROPHILS/GRANULOCYTES (ANC/AGC)
25.0%
1/4 • Number of events 4 • 6 months
Eye disorders
NYSTAGMUS
25.0%
1/4 • Number of events 1 • 6 months
Gastrointestinal disorders
PAIN / ABDOMEN NOS
25.0%
1/4 • Number of events 1 • 6 months
General disorders
PAIN / BACK
25.0%
1/4 • Number of events 1 • 6 months
Musculoskeletal and connective tissue disorders
PAIN / EXTREMITY-LIMB
25.0%
1/4 • Number of events 2 • 6 months
General disorders
PAIN / HEAD/HEADACHE
25.0%
1/4 • Number of events 2 • 6 months
Musculoskeletal and connective tissue disorders
PAIN / JOINT
25.0%
1/4 • Number of events 2 • 6 months
Blood and lymphatic system disorders
PAIN / LYMPH NODE
25.0%
1/4 • Number of events 1 • 6 months
General disorders
PAIN - OTHER
25.0%
1/4 • Number of events 1 • 6 months
Blood and lymphatic system disorders
PLATELETS
75.0%
3/4 • Number of events 6 • 6 months
General disorders
RIGORS/CHILLS
50.0%
2/4 • Number of events 4 • 6 months
Reproductive system and breast disorders
SEXUAL/REPRODUCTIVE FUNCTION - OTHER
25.0%
1/4 • Number of events 1 • 6 months
General disorders
SWEATING (DIAPHORESIS)
25.0%
1/4 • Number of events 1 • 6 months
Eye disorders
WATERY EYE (EPIPHORA, TEARING)
25.0%
1/4 • Number of events 1 • 6 months

Additional Information

Clinical Data Coordinator

Hoosier Cancer Research Network, Inc.

Phone: 317-921-2050

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place