Clinical Trials /

Phase I/II Trial of R-CHOP + Azacytidine in Diffuse Large B Cell Lymphoma

NCT01004991

Description:

This is a phase I/II open label, multi-center study of azacytidine in combination with standard RCHOP therapy in patients with DLBCL. Patients will be treated with azacytidine at escalating doses on days 1-5, followed by standard dose rituximab plus CHOP chemotherapy on day 8, every 21 days. Patients will be treated for a total 6 cycles. The phase II portion will then evaluate efficacy of the combination at the established MTD.

Related Conditions:
  • Diffuse Large B-Cell Lymphoma
Recruiting Status:

Completed

Phase:

Phase 1/Phase 2

Trial Eligibility

Document

Title

  • Brief Title: Phase I/II Trial of R-CHOP + Azacytidine in Diffuse Large B Cell Lymphoma
  • Official Title: Phase I/II Trial of Azacytidine + R-CHOP in Diffuse Large B-Cell Lymphoma

Clinical Trial IDs

  • ORG STUDY ID: 0907010513
  • NCT ID: NCT01004991

Conditions

  • Diffuse Large B Cell Lymphoma

Interventions

DrugSynonymsArms
rituximabAll patients
cyclophosphamideAll patients
vincristineAll patients
doxorubicinAll patients
prednisoneAll patients
azacytidineAll patients

Purpose

This is a phase I/II open label, multi-center study of azacytidine in combination with standard RCHOP therapy in patients with DLBCL. Patients will be treated with azacytidine at escalating doses on days 1-5, followed by standard dose rituximab plus CHOP chemotherapy on day 8, every 21 days. Patients will be treated for a total 6 cycles. The phase II portion will then evaluate efficacy of the combination at the established MTD.

Trial Arms

NameTypeDescriptionInterventions
All patientsExperimentalsubjects will receive azacytidine dose dependent on dose-escalation schedule at time of enrollment - all will receive standard dose RCHOP
  • rituximab
  • cyclophosphamide
  • vincristine
  • doxorubicin
  • prednisone
  • azacytidine

Eligibility Criteria

        Inclusion Criteria:

          -  Patients must have histologically confirmed DLBCL with characteristic immunophenotypic
             profiles. Tumor tissue must be confirmed to express the CD20 antigen by flow cytometry
             or immunohistochemistry.

          -  Patients must have at least one site of measurable disease, 1.5 cm in diameter or
             greater.

          -  Patient has not had any previous treatment.

          -  Stage II (not appropriate for abbreviated chemoimmunotherapy and radiotherapy), III or
             IV disease

          -  Able to adhere to the study visit schedule and other protocol requirements.

          -  Patients must have laboratory test results within these ranges:

               -  Absolute neutrophil count > = 1500/mm³

               -  Platelet count > = 75,000/mm³

               -  Serum creatinine < = 1.5X upper limit of normal (ULN)

               -  Total bilirubin < = 1.5X ULN. Higher levels are acceptable if these can be
                  attributed to active hemolysis or ineffective erythropoiesis.

               -  AST (SGOT) and ALT (SGPT) < = 2 x ULN

          -  Disease free of prior malignancies for > = 5 years with exception of currently treated
             basal cell, squamous cell carcinoma of the skin, or carcinoma "in situ" of the cervix
             or breast.

          -  Women of childbearing potential must have a negative serum pregnancy test prior to
             azacitidine treatment.

          -  Women of childbearing potential should be advised to avoid becoming pregnant and men
             should be advised to not father a child while receiving treatment with azacitidine.
             The effects of azacytidine on the developing human fetus at the recommended
             therapeutic dose are unknown. For this reason, women of child-bearing potential and
             men must agree to use adequate contraception (hormonal or barrier method of birth
             control; abstinence) prior to study entry and for the duration of study participation.
             Should a woman become pregnant or suspect she is pregnant while participating in this
             study, she should inform her treating physician immediately.

          -  Age >18 years.

          -  Ability to understand and the willingness to sign a written informed consent document.

          -  ECOG performance status of 0-2

        Exclusion Criteria:

          -  Patients must not have any serious medical condition, laboratory abnormality,or
             psychiatric illness that would prevent the subject from signing the informed consent
             form.

          -  Patients must not have any condition, including the presence of laboratory
             abnormalities, which places the subject at unacceptable risk if he/she were to
             participate in the study or confounds the ability to interpret data from the study.

          -  Use of any other experimental drug or therapy within 28 days of baseline.

          -  Concurrent use of other anti-cancer agents or treatments.

          -  Known positive for HIV or infectious hepatitis B.

          -  Known central nervous system involvement by lymphoma.

          -  Known or suspected hypersensitivity to azacitidine or mannitol.

          -  Patients must not have advanced malignant hepatic tumors.

          -  Pregnant and lactating women are excluded from the study because the risks to an
             unborn fetus or potential risks in nursing infants are unknown.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Complete Response
Time Frame:13 months
Safety Issue:
Description:Complete Response

Details

Phase:Phase 1/Phase 2
Primary Purpose:Interventional
Overall Status:Completed
Lead Sponsor:Weill Medical College of Cornell University

Last Updated

April 10, 2017