Belinostat Combined With Azacitidine/Gemcitabine/Busulfan/Melphalan With Autologous Stem-Cell Transplantation in Refractory or Relapsed Lymphoma
NCT02701673 · Status: WITHDRAWN · Phase: PHASE1/PHASE2 · Type: INTERVENTIONAL
Last updated 2016-05-04
Summary
The goal of this clinical research study is to find the highest tolerable dose of belinostat that can be given in combination with azacitidine, gemcitabine, busulfan, and melphalan to patients who are scheduled to have a stem cell transplant. If you have diffuse large B-cell lymphoma (DLBCL), you will also receive rituximab. Researchers also want to learn about the safety and effectiveness of this combination.
Conditions
Interventions
- DRUG
-
Busulfan
Busulfan "test dose" administered by vein on Day -10. Test dose of 32 mg/m2 based on actual body weight. Busulfan pharmacokinetics performed with the test dose and the first dose on Day -8. Doses on Days -6 and -5 subsequently adjusted to target an AUC of 4,000 microMol.min-1.
- DRUG
-
Caphosol
Caphosol oral rinses 30 mL four times a day used from Day -8.
- DRUG
-
Glutamine
Oral Glutamine, 15 g swished, gargled and swallowed four times a day starting on Day -8.
- DRUG
-
Pyridoxine
Pyridoxine 100 mg by vein or mouth three times a day staring on Day -1
- DRUG
-
Belinostat
Starting dose of Belinostat 100 mg/ m2/day by vein on Day -9 through Day -2.
- DRUG
-
Azacitidine 15 mg/m2/day by vein on Day -9 through Day -2.
- DRUG
-
Gemcitabine 75 mg/m2 by vein administered as a loading dose followed by prolonged infusion on Days -8 and -3.
- DRUG
-
Melphalan
Melphalan 60 mg/m2 by vein on Days -3 and -2.
- PROCEDURE
-
Stem Cell Transplant
Stem cell transplant performed on Day 0.
Sponsors & Collaborators
-
M.D. Anderson Cancer Center
lead OTHER
Principal Investigators
-
Yago Nieto, MD, PHD · M.D. Anderson Cancer Center
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 15 Years
- Max Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-06-30
- Primary Completion
- 2019-06-30
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