Safety and Efficacy Study of Bendamustine to Treat Non-Hodgkin Lymphoma
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Purpose
The purpose of this study is to determine whether bendamustine HCl for injection is safe and effective in the treatment of Rituximab refractory or relapsed B-cell indolent lymphoma.
| Condition | Intervention | Phase |
|---|---|---|
|
Non-Hodgkin Lymphoma by Clinical Course |
Drug: Bendamustine |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Multicenter, Single Arm Clinical Trial in Patients With Rituximab Refractory B-cell Indolent Lymphoma |
- Overall response rate (ORR=CR+PR) of bendamustine hydrochloride in patients who are refractory to rituximab therapy. [ Time Frame: 18 months ] [ Designated as safety issue: No ]
- Safety profile of Bendamustine hydrochloride in this patient population [ Time Frame: 18 months ] [ Designated as safety issue: Yes ]
- Progression free survival (PFS) [ Time Frame: 18 months ] [ Designated as safety issue: No ]
- Overall survival (OS) [ Time Frame: 18 months ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 100 |
| Study Start Date: | April 2010 |
| Estimated Study Completion Date: | December 2012 |
| Estimated Primary Completion Date: | September 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Bendamustine
Dose of 120 mg/m2/day on Day 1 and Day 2 of each treatment cycle (every 21 days), to a maximum of 8 cycles.
|
Drug: Bendamustine
for injection
|
Detailed Description:
This is multicenter, open label study to evaluate the safety and efficacy of bendamustine HCl in patients with indolent Non-hodgkin's lymphoma and relapsed after rituximab treatment. This injection will be given through i.v. infusion in >= 60 minutes on days 1 and 2 of every 21-day treatment cycle. Patients will be treated for up to 8 cycles unless progressive disease or unacceptable toxicity take place. Patients will be followed for up to 1 year before evaluating progression free survival (PFS) and overall survival (OS).
Eligibility| Ages Eligible for Study: | 18 Years to 75 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- 18 to 75 years
- B-cell indolent lymphoma proved by biopsy, exclude CLL/SLL
- Rituximab refractory or relapsed lymphoma patients
- At least 1 measurable tumor with shortest diameter being of > 1.0cm and longest diameter being of > 1.5cm
- ECOG PS ≤ 2
- Anticipated Survival is more than 3 months
- Hematopoietic function is normal during 14 days before enrollment (unless those abnormities related to lymphoma aggression), including: hemoglobin (Hb) ≥ 8.0g/dl (5.0mmol/L); absolute neutrophil count (ANC) ≥ 1.5X109/L; Platelet count (PLT) ≥ 80X109/L. Acceptable range for abnormities related to lymphoma aggression: Platelet count (PLT) ≥ 50X109/L; White blood cell count (WBC) ≥ 3.5X109/L; Absolute neutrophil count (ANC) ≥ 1.0X109/L
- Female subjects should not be pregnant and breast-feed, should have contraceptive method during the clinical trial and 12 months thereafter.
- Subject (or his/her legal representative) agrees to participate the trial and sign the informed consent form
Exclusion Criteria:
- Those who can not tolerate bendamustine treatment according to investigators view
- Transferred to high grade malignant lymphoma (from low grade follicular lymphoma)
- 3b grade follicular lymphoma
- With central nervous system diseases or medical history (e.g., central nervous system lymphoma or lymphoma related meningitis )
- With other anticancer treatment during the last 4 weeks
- Regularly administrated corticosteroid during the last 4 weeks, unless the dose is less or equivalent to 20mg/d prednisone
- Had tumors or have other tumors, not including non-melanoma skin cancers and cervical carcinoma in situ be treated properly
- Underwent surgical operation within 28 days before enrollment (exclude lymph node biopsy)
- Renal disfunction: serum creatinine is more than 1.5 times of upper limit of normal value
- Hepatic insufficiency: serum total bilirubin is > 1.5 times of upper limit of normal value; AST, ALT is > 2.5 times of upper limit of normal value
- Known HIV infection or HBV, HCV related active infections; HBsAg is positive; HBcAb is positive and virus copy number is > 1000
- For patients with other severe medical diseases interfering with their participations of this study(e.g., infections and diabetes not controlled well, gastric ulcer, other lung diseases, active autoimmune diseases), the suitability of participation is judged by investigators
- Patients participated in other clinical studies and got medical treatments within 30 days prior to enrollment of this trial
- Other medical and psychological conditions that influence the patients participation or signing of informed consent form
Contacts and Locations| Contact: Huaqing Wang, Master | +86-022-2334-0123 |
| China, Tianjin | |
| Tianjin Medical University Cancer Institute and Hospital | Recruiting |
| Tianjin, Tianjin, China, 300060 | |
| Contact: Huaqing Wang, Master +86-022-2334-0123 | |
| Tianjin Medical University Cancer Institute and Hospital | Recruiting |
| Tianjin, Tianjin, China, 300060 | |
| Contact: Huaqing Wang, Master | |
| Contact: Jian J Yu, Master +8615336402751 yujj@lanjin.cn | |
| Principal Investigator: | Huaqing Wang, master | Tianjin Medical University Cancer Institute and Hospital |
More Information
No publications provided
| Responsible Party: | Shandong Lanjin Pharmaceuticals Co.,Ltd |
| ClinicalTrials.gov Identifier: | NCT01570049 History of Changes |
| Other Study ID Numbers: | RGB-NHL |
| Study First Received: | March 29, 2012 |
| Last Updated: | August 1, 2012 |
| Health Authority: | China: Food and Drug Administration |
Keywords provided by Shandong Lanjin Pharmaceuticals Co.,Ltd:
|
Single arm Open label Bendamustine HCl Non-hodgkin's lymphoma |
Additional relevant MeSH terms:
|
Lymphoma Lymphoma, Non-Hodgkin Neoplasms by Histologic Type Neoplasms Lymphoproliferative Disorders Lymphatic Diseases Immunoproliferative Disorders Immune System Diseases |
Bendamustine Nitrogen Mustard Compounds Antineoplastic Agents Therapeutic Uses Pharmacologic Actions Antineoplastic Agents, Alkylating Alkylating Agents Molecular Mechanisms of Pharmacological Action |
ClinicalTrials.gov processed this record on June 17, 2013