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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.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

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
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

Other trials in United States

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

Other trials in Canada

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

Other trials in France

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

Other trials in China

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

Other trials in Spain

Belgium4 sites
  • Pfizer Investigational Site

    Bruges, 8000

  • Pfizer Investigational Site

    Ghent, Belgium, 9000

  • Pfizer Investigational Site

    Ghent, 9000

  • Pfizer Investigational Site

    Leuven, 3000

Other trials in Belgium

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

Other trials in Germany

Italy4 sites
  • Pfizer Investigational Site

    Bologna, Italy, 40128

  • Pfizer Investigational Site

    Catania, 95124

  • Pfizer Investigational Site

    Milan, 20132

  • Pfizer Investigational Site

    Roma, Italy, 00161

Other trials in Italy

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

Other trials in United Kingdom

Argentina3 sites
  • Pfizer Investigational Site

    Buenos Aires, Buenos Aires, C1406FWZ

  • Pfizer Investigational Site

    Buenos Aires, C1405BWU

  • Pfizer Investigational Site

    Córdoba, Córdoba Province, 5000

Other trials in Argentina

Brazil2 sites
  • Pfizer Investigational Site

    Porto Alegre - RS, 90610-000

  • Pfizer Investigational Site

    Vila Buarque, São Paulo, 01221-010

Other trials in Brazil

Poland2 sites
  • Pfizer Investigational Site

    Lublin, 20-081

  • Pfizer Investigational Site

    Warsaw, 02-781

Other trials in Poland

Sweden2 sites
  • Pfizer Investigational Site

    Lund, 221 85

  • Pfizer Investigational Site

    Uppsala, 751 85

Other trials in Sweden

Australia1 site
  • Pfizer Investigational Site

    East Melbourne, Victoria, 3000

Other trials in Australia

Austria1 site
  • Pfizer Investigational Site

    Vienna, A-1090

Other trials in Austria

Chile1 site
  • Pfizer Investigational Site

    Providencia, Santiago Metropolitan

Other trials in Chile

Netherlands1 site
  • Pfizer Investigational Site

    Rotterdam, 3015 GD

Other trials in Netherlands

Switzerland1 site
  • Pfizer Investigational Site

    Aarau, 5001

Other trials in Switzerland

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:

    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
Study groups in NCT00117598
Study groupRoleWhat they receive
AExperimentalNot described
Receives: Drug: Temsirolimus (CCI-779)
BExperimentalNot described
Receives: Drug: Temsirolimus (CCI-779)
CActive comparatorNot described
Receives: Drug: Investigator's choice

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. 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)
  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.

  1. First posted7 Jul 2005 (estimated)
  2. Study startMay 2005
  3. Primary completionAug 2007
  4. Study completionJan 2011

Resources

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)
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
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

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.

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