Description:
This is a study to test how safe the combination of the drugs Romidepsin and Pralatrexate are
in patients with lymphoid malignancies and to determine the dose of the combination of drugs
that is safest. If the combination is determined to be safe, the study will continue accrual
patients with peripheral T-Cell lymphoma (PTCL).
Title
- Brief Title: Pralatrexate + Romidepsin in Relapsed/Refractory Lymphoid Malignancies
- Official Title: Phase I/IIA Study of the Novel Antifolate Agent Pralatrexate in Combination With the Histone Deacetylase Inhibitor Romidepsin for the Treatment of Patients With Peripheral T-cell Lymphoma
Clinical Trial IDs
- ORG STUDY ID:
AAAJ5656
- NCT ID:
NCT01947140
Conditions
- Lymphoid Malignancies
- Multiple Myeloma
- Lymphoma
- Hodgkin Lymphoma
- Non-hodgkin Lymphoma
Interventions
Drug | Synonyms | Arms |
---|
Pralatrexate | Folotyn | Phase I: Schedule A |
Romidepsin | Istodax | Phase I: Schedule A |
Purpose
This is a study to test how safe the combination of the drugs Romidepsin and Pralatrexate are
in patients with lymphoid malignancies and to determine the dose of the combination of drugs
that is safest. If the combination is determined to be safe, the study will continue accrual
patients with peripheral T-Cell lymphoma (PTCL).
Detailed Description
The non- Hodgkin lymphomas (NHL) represent a heterogeneous group of malignancies. Under the
rubric of lymphoma exist some of the fastest growing cancers known to science, (Burkett's
lymphoma, lymphoblastic lymphoma/leukemia), as well as some of the most indolent (small
lymphocytic lymphoma, follicular lymphoma, and marginal zone lymphoma). This remarkable
diversity of biology imposes significant challenges. Researchers are seeking to understand
the cell of origin and differentiate what are sometimes subtle differences between the
related sub-types of disease; and to identify the best treatments for these subtypes, with
the ever-increasing likelihood that new understanding of the molecular pathogenesis of these
diseases will result in an increase in new drugs for specific target populations.
Trial Arms
Name | Type | Description | Interventions |
---|
Phase I: Schedule A | Experimental | Subjects will receive dose escalation of pralatrexate and romidepsin, receiving both infusions on days 1 and 8 of each 21 day cycle | |
Phase I: Schedule B | Experimental | Subjects will receive dose escalation of pralatrexate and romidepsin, receiving both infusions on days 1 and 15 of each 28 day cycle | |
Phase II | Experimental | Subjects will receive Pralatrexate 25 mg/m2 and Romidepsin 12 mg/m2 will be given intravenously once weekly on days 1 and 15 on a 28 day cycle | |
Eligibility Criteria
Inclusion Criteria:
Phase I: Patients must have histologically confirmed relapsed or refractory Non-Hodgkin's
lymphoma, Hodgkin's Disease or multiple myeloma (defined by World Health Organization (WHO)
criteria).
Phase II: Patients must have histologically confirmed relapsed or refractory T-Cell
Lymphoma (as defined by WHO criteria).
- Must have received first line chemotherapy. No upper limit for the number of prior
therapies
- Evaluable Disease
- Age ≥18 years
- Eastern Cooperative Oncology Group (ECOG) performance status ≤2
- Patients must have adequate organ and marrow function as defined in the protocol
- Adequate Contraception
- Ability to understand and the willingness to sign a written informed consent document
- Inclusion Criteria for Multiple Myeloma patients specified in the protocol
Exclusion Criteria:
- Prior Therapy
- Exposure to chemotherapy or radiotherapy within 2 weeks (6 weeks for nitrosureas
or mitomycin C) prior to entering the study or those who have not recovered from
adverse events due to agents administered more than 2 weeks earlier
- Systemic steroids that have not been stabilized to the equivalent of ≤10 mg/day
prednisone prior to the start of the study drugs
- No other investigational agents are allowed
- Central nervous system metastases, including lymphomatous meningitis
- History of allergic reactions to Pralatrexate or Romidepsin
- Uncontrolled intercurrent illness
- Pregnant women
- Nursing women
- Current malignancy or history of a prior malignancy, as outlined in the protocol
- Patient known to be Human Immunodeficiency Virus (HIV)-positive
- Active Hepatitis A, Hepatitis B, or Hepatitis C infection
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Maximum tolerated dose (MTD) of the combination of pralatrexate and romidepsin |
Time Frame: | Up to 1.5 years |
Safety Issue: | |
Description: | For Phase I |
Secondary Outcome Measures
Measure: | Maximum number of cycles received |
Time Frame: | Up to 1.5 years |
Safety Issue: | |
Description: | For Phase II |
Measure: | Number of dose delays at the MTD |
Time Frame: | Up to 1.5 years |
Safety Issue: | |
Description: | For Phase I |
Measure: | Overall response rate (ORR) of the study population |
Time Frame: | Up to 1.5 years |
Safety Issue: | |
Description: | For Phase I |
Measure: | Duration of response (DOR) of the combination in patients with T-Cell Lymphoma |
Time Frame: | Up to 3 years |
Safety Issue: | |
Description: | For Phase II |
Measure: | Overall survival (OS) of patients with T-Cell Lymphoma on study |
Time Frame: | Up to 3 years |
Safety Issue: | |
Description: | For Phase II |
Measure: | Progression free survival (PFS) of the combination in patients with T-Cell Lymphoma |
Time Frame: | Up to 3 years |
Safety Issue: | |
Description: | For Phase II |
Measure: | Number of dose reductions at the MTD |
Time Frame: | Up to 1.5 years |
Safety Issue: | |
Description: | For Phase I |
Measure: | Progression free survival (PFS) of the study population |
Time Frame: | Up to 1.5 years |
Safety Issue: | |
Description: | For Phase I |
Measure: | Duration of response (DOR) of the study population. |
Time Frame: | Up to 1.5 years |
Safety Issue: | |
Description: | For Phase I |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Jennifer Amengual |
Trial Keywords
- Lymphoid Malignancies
- Multiple Myeloma
- Lymphoma
- Hodgkin Lymphoma
- Non-hodgkin Lymphoma
- Follicular Lymphoma
- Diffuse Large B-Cell Lymphoma
- Anaplastic Large Cell Lymphoma
- Chronic Lymphocytic Leukemia
- Small Lymphocytic Lymphoma
- Mantle Cell Lymphoma
- Marginal Zone Lymphoma
- Burkitt Lymphoma
- Waldenstrom Macroglobulinemia
- Peripheral T-cell Lymphoma
- Cutaneous T-cell Lymphoma
Last Updated
February 7, 2020