LymphomaPhase 3OPTIMALNCT00117598
Study Evaluating Temsirolimus (CCI-779) In Mantle Cell Lymphoma (MCL)
A Phase 3 study testing Temsirolimus (CCI-779) and Investigator's choice in people with Lymphoma, run by Pfizer at 73 sites in 18 countries.
Trial summary
This is an open-label, randomized trial in relapsed refractory subjects with mantle cell lymphoma (MCL). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Lymphoma
- What is being tested?
- Temsirolimus (CCI-779) and Investigator's choice
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 169 participants
- Where
- 73 sitesin 18 countries
- Study dates
- May 2005to Jan 2011
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Mantle cell lymphoma (MCL) confirmed with histology, immunophenotype, and cyclin D1 analysis
- Received 2 to 7 prior therapies which may include hematopoietic stem cell transplant (i.e. induction + consolidation + maintenance)
- Prior treatment with an alkylating agent and an anthracycline, rituximab, individually or in combination, and status that is at least one of the following:
- Primary disease refractory to at least 2 regimens;
- Refractory to at least 1 regimen after first relapse;
- Refractory or untreated after second or greater relapse;
- Refractory to first line and relapsed after second line. Chemotherapy combinations may include, but are not limited to: CHOP (Cyclophosphamide, doxorubicin, vincristine, prednisone), R-CHOP (Rituximab, Cyclophosphamide, doxorubicin, vincristine, prednisone), FCM (Fludarabine, cyclophosphamide, mitoxantrone), R-FCM (Rituximab,Fludarabine, cyclophosphamide, mitoxantrone), ICE(Ifosfamide, carboplatin, etoposide), DHAP (Dexamethasone, cisplatin, cytarabine) and hyper-CVAD (Cyclophosphamide, doxorubicin, vincristine, dexamethasone).
Who cannot join
- Subjects who are less than or equal to six month from allogeneic hematopoietic stem cell transplant and who are on immunosuppressive therapy or have evidence of graft versus host disease
- Prior investigational therapy within 3 weeks of first dose. Investigational therapy is defined as treatment that is not approved for any indication.
- Active central nervous system (CNS) metastases, as indicated by clinical symptoms, cerebral edema, requirement for corticosteroids and/or progressive growth. (Treated CNS metastases must be stable for > 2 weeks prior to Day 1.)
Trial locations and contacts
73 sites in 18 countries.
73 sites in 18 countries
United States19 sites
Pfizer Investigational Site
Austin, Texas, 78705
Pfizer Investigational Site
Boca Raton, Florida, 33428
Pfizer Investigational Site
Buffalo, New York, 14263
Pfizer Investigational Site
Chicago, Illinois, 60612
Pfizer Investigational Site
Fountain Valley, California, 92708
Pfizer Investigational Site
Grapevine, Texas, 76051
Pfizer Investigational Site
Honolulu, Hawaii, 96813
Pfizer Investigational Site
Houston, Texas, 77030-4009
Pfizer Investigational Site
Little Rock, Arkansas, 72205
Pfizer Investigational Site
Los Angeles, California, 90024-2828
Pfizer Investigational Site
Morristown, New Jersey, 07960
Pfizer Investigational Site
New Milford, Connecticut, 06776
Pfizer Investigational Site
New York, New York, 10029-6574
Pfizer Investigational Site
Portland, Oregon, 97227
Pfizer Investigational Site
Rochester, New York, 14642-8668
Pfizer Investigational Site
Seattle, Washington, 98101
Pfizer Investigational Site
Temple, Texas, 76508
Pfizer Investigational Site
Upland, Pennsylvania, 19013
Pfizer Investigational Site
Washington D.C., District of Columbia, 20007
Canada8 sites
Pfizer Investigational Site
Edmonton, Alberta, T6G 1Z2
Pfizer Investigational Site
Greenfield Park, Quebec, J4V 2H1
Pfizer Investigational Site
London, Ontario, N6A 4L5
Pfizer Investigational Site
Montreal, Quebec, H1T2M4
Pfizer Investigational Site
Montreal, Quebec, H4J 1C5
Pfizer Investigational Site
Ottawa, Ontario, K1H 8L6
Pfizer Investigational Site
Toronto, Ontario, M5G 2C4
Pfizer Investigational Site
Vancouver, British Columbia, V6Z 1Y6
France6 sites
Pfizer Investigational Site
Lyon, 69008
Pfizer Investigational Site
Paris, 75475
Pfizer Investigational Site
Paris, 75747
Pfizer Investigational Site
Pierre-Bénite, 69495
Pfizer Investigational Site
Strasbourg, 67098
Pfizer Investigational Site
Villejuif, 94805
China5 sites
Pfizer Investigational Site
Beijing, 100021
Pfizer Investigational Site
Beijing, 100036
Pfizer Investigational Site
Shanghai, 2000025
Pfizer Investigational Site
Shanghai, 200032
Pfizer Investigational Site
Shanghai, 200433
Spain5 sites
Pfizer Investigational Site
Barcelona, Barcelona, 08035
Pfizer Investigational Site
L'Hospitalet de Llobregat, Barcelona, 08907
Pfizer Investigational Site
Madrid, Madrid, 28041
Pfizer Investigational Site
Madrid, 28006
Pfizer Investigational Site
Pamplona, Navarre, 31008
Belgium4 sites
Pfizer Investigational Site
Bruges, 8000
Pfizer Investigational Site
Ghent, Belgium, 9000
Pfizer Investigational Site
Ghent, 9000
Pfizer Investigational Site
Leuven, 3000
Germany4 sites
Pfizer Investigational Site
Heidelberg, 69120
Pfizer Investigational Site
Mainz, 55131
Pfizer Investigational Site
Ulm, Baden-Wurttemberg, 89070
Pfizer Investigational Site
Ulm, Baden-Wurttemberg, 89081
Italy4 sites
Pfizer Investigational Site
Bologna, Italy, 40128
Pfizer Investigational Site
Catania, 95124
Pfizer Investigational Site
Milan, 20132
Pfizer Investigational Site
Roma, Italy, 00161
United Kingdom4 sites
Pfizer Investigational Site
Plymouth, Devon, PL6 8DH
Pfizer Investigational Site
Southampton, Hants, SO16 6YD
Pfizer Investigational Site
Sutton, Surrey, SM2 5PT
Pfizer Investigational Site
Tooting, London, SW17 0QT
Argentina3 sites
Pfizer Investigational Site
Buenos Aires, Buenos Aires, C1406FWZ
Pfizer Investigational Site
Buenos Aires, C1405BWU
Pfizer Investigational Site
Córdoba, Córdoba Province, 5000
Brazil2 sites
Pfizer Investigational Site
Porto Alegre - RS, 90610-000
Pfizer Investigational Site
Vila Buarque, São Paulo, 01221-010
Poland2 sites
Pfizer Investigational Site
Lublin, 20-081
Pfizer Investigational Site
Warsaw, 02-781
Sweden2 sites
Pfizer Investigational Site
Lund, 221 85
Pfizer Investigational Site
Uppsala, 751 85
About this study
Official title: An Open-Label, Randomized, Phase 3 Trial Of Intravenous Temsirolimus (CCI-779) At Two Dose Levels Compared To Investigator's Choice Therapy In Relapsed, Refractory Subjects With Mantle Cell Lymphoma (MCL)
This is an open-label, randomized trial in relapsed refractory subjects with mantle cell lymphoma (MCL).
- Conditions
- Lymphoma
- Being tested
- Temsirolimus (CCI-779), Investigator's choice
- Keywords
- Lymphoma
- Medical subject headings
- Lymphoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Temsirolimus (CCI-779)Drug
Temsirolimus 175 mg IV once a week for 3 weeks; followed by 75 mg IV once a week
Temsirolimus (CCI-779)Drug
Temsirolimus 175 mg IV once a week for 3 weeks; followed by 25 mg IV once a week
Investigator's choiceDrug
Any of the following single agent treatments:
- Fludarabine 25 mg/m2 IV over 30 minutes daily for 5 consecutive days, every 28 days or oral administration, as appropriate.
- Chlorambucil 0.1 (0.1-0.2) mg/kg PO daily for 3 to 6 weeks as required OR 0.4 (0.3 0.8) mg/kg PO every 21 to 28 days
- Gemcitabine 1 gm/m2 IV over 30 minutes on days 1, 8 and 15 every 28 days or day 1 and day 8 every 21 days
- Cyclophosphamide 300 (200-450) mg/m2 PO daily for 5 consecutive days every 21 to 28 days, OR 600 (400-1200) mg/m2 IV every 21 to 28 days
- Cladribine 5 mg/m2 IV daily for 5 consecutive days, every 28 days for 2-6 cycles depending on response,
- Etoposide 50 (50-150) mg/m2 IV daily for 3-5 days every 21 to 28 days OR 100 (50 300) mg/m2 PO daily for 3-5 days every 21 to 28 days
- Prednisone 40 (20-60) mg/m2 PO daily or every other day
- Dexamethasone 20(20-40) mg PO/IV daily for 5 consecutive days, every 14 - 28 day
| Study group | Role | What they receive |
|---|---|---|
| A | Experimental | Not described Receives: Drug: Temsirolimus (CCI-779) |
| B | Experimental | Not described Receives: Drug: Temsirolimus (CCI-779) |
| C | Active comparator | Not described Receives: Drug: Investigator's choice |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-Free Survival (PFS)
The period from randomization until disease progression, death or date of last contact.
Measured: Baseline, every 8 weeks up to Year 1, then every 12 weeks up to Year 2, and then every 6 months until tumor progression or death (up to Year 5)
Secondary outcomes (1)
Percentage of Participants With Objective Response
Assessment of complete or partial response (CR, PR) or uncomplete response (CRu) using Response Evaluation Criteria in Solid Tumors. CR: 1) No disease evident. 2) Lymph node, nodal mass regressed to normal size. 3) Previously enlarged organ ↓ size. 4) Bone marrow clear on repeat aspirate, biopsy. CRu: CR 1 and 3, at least 1 of following: Lymph node regressed >75%. Bone marrow ↑ number or aggregate size, no cytologic/architectural atypia. PR: ≥50% ↓ index lesion, no size ↑ in other nodes, liver, spleen. Splenic and hepatic nodule regressed ≥50%. No new disease.
Measured: Baseline, every 8 weeks up to Year 1, then every 12 weeks up to Year 2, and then every 6 months until tumor progression or death (up to Year 5)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Jul 2005 (estimated)
- Study startMay 2005
- Primary completionAug 2007
- Study completionJan 2011
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for LymphomaStudies of the same condition, open and under way.
- More trials run by PfizerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 169 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pfizer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Pfizer CT.gov Call Center, Study director, Pfizer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00117598
- Sponsor's protocol ID
- 3066K1-305
- Acronym
- OPTIMAL
- Status last verified
- Mar 2015
- First submitted
- 30 Jun 2005
- Last updated
- 30 Mar 2015
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Hess G, Coiffier B, Crump M, Gisselbrecht C, Offner F, Romaguera J, Kang L, Moran PJ. Effect of prognostic classification on temsirolimus efficacy and safety in patients with relapsed or refractory mantle cell lymphoma: a retrospective analysis. Exp Hematol Oncol. 2015 Apr 11;4:11. doi: 10.1186/s40164-015-0006-1. eCollection 2015.
PubMed 25938001
Study at a glance
From the registry record, last updated by the sponsor on 30 Mar 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open-Label, Randomized, Phase 3 Trial Of Intravenous Temsirolimus (CCI-779) At Two Dose Levels Compared To Investigator's Choice Therapy In Relapsed, Refractory Subjects With Mantle Cell Lymphoma (MCL)
- ClinicalTrials.gov ID
- NCT00117598
- Acronym / sponsor ID
- OPTIMAL / 3066K1-305
- Conditions
- Lymphoma
- Keywords
- Lymphoma
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 169 participants (actual)
- Lead sponsor
- PfizerIndustry (pharma, biotech, devices)
- Study start
- May 2005
- Primary completion
- Aug 2007 (actual)
- Study completion
- Jan 2011 (actual)
- First posted
- 7 Jul 2005 (estimated)
- Results
- Posted 6 Mar 2012
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is an open-label, randomized trial in relapsed refractory subjects with mantle cell lymphoma (MCL).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| A | Experimental | Drug: Temsirolimus (CCI-779) |
| B | Experimental | Drug: Temsirolimus (CCI-779) |
| C | Active comparator | Drug: Investigator's choice |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Mantle cell lymphoma (MCL) confirmed with histology, immunophenotype, and cyclin D1 analysis
- Received 2 to 7 prior therapies which may include hematopoietic stem cell transplant (i.e. induction + consolidation + maintenance)
- Prior treatment with an alkylating agent and an anthracycline, rituximab, individually or in combination, and status that is at least one of the following:
- Primary disease refractory to at least 2 regimens;
- Refractory to at least 1 regimen after first relapse;
Key exclusion criteria (3 listed)
- Subjects who are less than or equal to six month from allogeneic hematopoietic stem cell transplant and who are on immunosuppressive therapy or have evidence of graft versus host disease
- Prior investigational therapy within 3 weeks of first dose. Investigational therapy is defined as treatment that is not approved for any indication.
- Active central nervous system (CNS) metastases, as indicated by clinical symptoms, cerebral edema, requirement for corticosteroids and/or progressive growth. (Treated CNS metastases must be stable for > 2 weeks prior to Day 1.)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Temsirolimus (CCI-779)Temsirolimus 175 mg IV once a week for 3 weeks; followed by 75 mg IV once a week | Drug | A |
| Temsirolimus (CCI-779)Temsirolimus 175 mg IV once a week for 3 weeks; followed by 25 mg IV once a week | Drug | B |
| Investigator's choiceAny of the following single agent treatments: 1. Fludarabine 25 mg/m2 IV over 30 minutes daily for 5 consecutive days, every 28 days or oral administration, as appropriate. 2. Chlorambucil 0.1 (0.1-0.2) mg/kg PO daily for 3 to 6 weeks as required OR 0.4 (0.3 0.8) mg/kg PO every 21 to 28 days 3. Gemcitabine 1 gm/m2 IV over 30 minutes on days 1, 8 and 15 every 28 days or day 1 and day 8 every 21 days 4. Cyclophosphamide 300 (200-450) mg/m2 PO daily for 5 consecutive days every 21 to 28 days, OR 600 (400-1200) mg/m2 IV every 21 to 28 days 5. Cladribine 5 mg/m2 IV daily for 5 consecutive days, every 28 days for 2-6 cycles depending on response, 6. Etoposide 50 (50-150) mg/m2 IV daily for 3-5 days every 21 to 28 days OR 100 (50 300) mg/m2 PO daily for 3-5 days every 21 to 28 days 7. Prednisone 40 (20-60) mg/m2 PO daily or every other day 8. Dexamethasone 20(20-40) mg PO/IV daily for 5 consecutive days, every 14 - 28 day | Drug | C |
Primary outcome
Progression-Free Survival (PFS)
Time frame: Baseline, every 8 weeks up to Year 1, then every 12 weeks up to Year 2, and then every 6 months until tumor progression or death (up to Year 5)
The period from randomization until disease progression, death or date of last contact.
1 secondary outcome
Percentage of Participants With Objective Response
Time frame: Baseline, every 8 weeks up to Year 1, then every 12 weeks up to Year 2, and then every 6 months until tumor progression or death (up to Year 5)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Mar 2015.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 25938001Hess G, Coiffier B, Crump M, Gisselbrecht C, Offner F, Romaguera J, Kang L, Moran PJ. Effect of prognostic classification on temsirolimus efficacy and safety in patients with relapsed or refractory mantle cell lymphoma: a retrospective analysis. Exp Hematol Oncol. 2015 Apr 11;4:11. doi: 10.1186/s40164-015-0006-1. eCollection 2015.
- To obtain contact information for a study center near you, click here.Link provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Pfizer CT.gov Call Center study director
Pfizer
73 sites in 18 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Temsirolimus (CCI-779) and Investigator's choice in people with Lymphoma, run by Pfizer at 73 sites in 18 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 30 Mar 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 73 sites in United States, Canada, France, China, Spain and 13 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 6 Mar 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression-Free Survival (PFS) (time frame: Baseline, every 8 weeks up to Year 1, then every 12 weeks up to Year 2, and then every 6 months until tumor progression or death (up to Year 5)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00117598, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Mar 2015; AzTrials last refreshed its copy on 6 Nov 2026.