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Non-Germinal B-Cell-like (GCB) Diffuse Large B-cell Lymphoma (DLBCL)Phase 2NCT00931918

Study to Assess the Effectiveness of RCHOP With or Without VELCADE in Previously Untreated Non-Germinal Center B-Cell-like Diffuse Large B-Cell Lymphoma Patients

A Phase 2 study testing Bortezomib, Rituximab and Cyclophosphamide in people with Non-Germinal B-Cell-like (GCB) Diffuse Large B-cell Lymphoma (DLBCL), run by Millennium Pharmaceuticals, Inc. at 70 sites in United States.

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 a randomized, open-label, multi-center, phase 2 study of RCHOP with or without VELCADE in adult patients with previously untreated non-(Germinal B-Cell-like) GCB Diffuse Large B-cell Lymphoma (DLBCL). Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Bortezomib, Rituximab and Cyclophosphamide
Could I receive a placebo?
No, everyone receives an active treatment
How many people
206 participants
Where
70 sitesUnited States
Study dates
Oct 2009to Aug 2015
Phase
Phase 2
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

  • Patients with previously untreated DLBCL that has been sub classified as the non-GCB subtype.
  • At least 1 measurable tumor mass.
  • Availability of paraffin block with sufficient tumor tissue.
  • No evidence of central nervous system lymphoma.
  • Eastern Cooperative Oncology Group (ECOG) performance status of < or equal to 2.
  • Female patients who are post menopausal, surgically sterile, or agree to practice 2 effective methods of contraception or abstain from heterosexual intercourse.
  • Male patients who agree to practice effective barrier contraception or agree to abstain from heterosexual intercourse.
  • Patients meeting any of the following exclusion criteria are not to be enrolled in the study:

Who cannot join

  • Diagnosed or treated for a malignancy other than DLBCL within 2 years of first dose or evidence of active malignancy other than DLBCL.
  • Peripheral neuropathy of Grade 2 or greater.
  • Known history of human immunodeficiency virus (HIV) infection, unless receiving highly active antiretroviral therapy (HAART).
  • Active infection requiring systemic therapy.
  • Major surgery within 2 weeks before first dose.
  • Patients with a left ventricular ejection fraction (LVEF) or less than 45%.
  • Myocardial infarction with 6 months of enrollment or evidence of current uncontrolled cardiovascular conditions as described in the protocol.
  • History of allergic reaction/ hypersensitivity attributable to boron, mannitol, polysorbate 80 or sodium citrate dehydrate, or anaphylaxis or immunoglobulin E (IgE)-mediated hypersensitivity to murine proteins or to any component of rituximab.

Trial locations and contacts

70 sites in 1 country.

70 sites in 1 country

United States70 sites
  • Summa Health System

    Akron, Ohio, 44304

  • Winship Cancer Institute at Emory University

    Atlanta, Georgia, 30322

  • Georgia Cancer Specialists

    Atlanta, Georgia, 30341

  • Texas Oncology Cancer Center

    Austin, Texas, 78731

  • Sinai Hospital of Baltimore

    Baltimore, Maryland, 21215

  • St. Agnes Hospital of Baltimore

    Baltimore, Maryland, 21229

  • Tower Cancer Research Foundation

    Beverly Hills, California, 90211

  • Lahey Clinic Medical Center

    Burlington, Massachusetts, 01805

  • Iowa Blood and Cancer Care

    Cedar Rapids, Iowa, 52401

  • Chattanooga Oncology and Hematology Associates, PC

    Chattanooga, Tennessee, 37404

  • Rush University Medical Center

    Chicago, Illinois, 60612

  • Oncology Hematology Care

    Cincinnati, Ohio, 45267

  • Missouri Cancer Associates

    Columbia, Missouri, 65201

  • South Carolina Oncology Associates, PA

    Columbia, South Carolina, 29201

  • Rocky Mountain Cancer Center

    Denver, Colorado, 80218

  • Iowa Oncology Research Association

    Des Moines, Iowa, 50309

  • Barbara Ann Karmanos Cancer Institute

    Detroit, Michigan, 48201

  • Dublin Hematology and Oncology

    Dublin, Georgia, 31021

  • Duluth Clinic

    Duluth, Minnesota, 55805

  • St. Luke's Hospital Cancer Care Center

    Duluth, Minnesota, 55805

  • Hematology and Oncology Associates of NEPA

    Dunmore, Pennsylvania, 18512

  • Puget Sound Cancer Centers

    Edmonds, Washington, 98026

  • Central Indiana Cancer Centers

    Fishers, Indiana, 46227

  • Florida Cancer Specialists

    Fort Myers, Florida, 33619

  • US Oncology- Central Drug

    Fort Worth, Texas, 76177

  • US Oncology- Central Laboratory

    Fort Worth, Texas, 76177

  • Fountain Valley Regional Hospital

    Fountain Valley, California, 92708

  • St. Jude Heritage Healthcare

    Fullerton, California, 92835

  • Florida Cancer Specialists & Research Institute

    Gainsville, Florida, 32605

  • Hackensack University Medical Center

    Hackensack, New Jersey, 07601

  • Alves/ Domenech Oncology-Hematology Clinic

    Hollywood, Florida, 33019

  • Oncology Consultants P.A.

    Houston, Texas, 77024

  • Oncology Consultants

    Houston, Texas, 77030

  • Saint Luke's Cancer Institute

    Kansas City, Missouri, 64111

  • Moores Cancer Center- UCSD

    La Jolla, California, 92093

  • Antelope Valley Cancer Center

    Lancaster, California, 93534

  • Mid Michigan Physicians

    Lansing, Michigan, 48912

  • Loma Linda University Cancer Center

    Loma Linda, California, 92354

  • University of Southern California

    Los Angeles, California, 90033

  • Jonsson Comprehensive Cancer Center

    Los Angeles, California, 90095

  • TORI- Central Pharmacy

    Los Angeles, California

  • TORI- Central Regulatory

    Los Angeles, California

  • Oncology Care Medical Associates

    Montebello, California, 90640

  • Hematology/Oncology Associates of Northern New Jersey, P.A.

    Morristown, New Jersey, 07962

  • Hematology Oncology Associates of South Jersey

    Mount Holly, New Jersey, 08060

  • Tennessee Oncology

    Nashville, Tennessee, 37203

  • Cancer Care Center Inc. P.C.

    New Albany, Indiana, 47150

  • Florida Cancer Institute ATI

    New Port Richey, Florida, 34655

  • St. Luke's- Roosevelt Medical Center

    New York, New York, 10019

  • Cornell

    New York, New York

  • MD Anderson Cancer Center of Orlando

    Orlando, Florida, 32806

  • Coastal Oncology, PL

    Ormond Beach, Florida, 32174

  • Kansas City Cancer Center, LLC

    Overland Park, Kansas, 66210

  • UPMC Cancer Center

    Pittsburgh, Pennsylvania, 15232

  • Berkshie Hematology Oncology

    Pittsfield, Massachusetts, 01201

  • Bay Area Cancer Research Group

    Pleasant Hill, California, 94523

  • Kaiser Group Health

    Portland, Oregon, 97227

  • Raleigh Hematology Oncology Associates P.C.

    Raleigh, North Carolina, 27607

  • Wilshire Oncology Medical Group

    Rancho Cucamonga, California, 91730

  • Virginia Cancer Institute

    Richmond, Virginia, 23230

  • Sharp Healthcare

    San Diego, California, 32123

  • Central Coast Medical Oncology Corporation

    Santa Maria, California, 93454

  • Guthrie Clinic

    Sayre, Pennsylvania, 18840

  • Holy Cross Hospital

    Silver Spring, Maryland, 20910

  • Siouxland Hematology and Oncology Associates LLP

    Sioux City, Iowa, 51101

  • US Oncology- Central Regulatory

    The Woodlands, Texas, 77380

  • Tyler Cancer Center

    Tyler, Texas, 75702

  • Northwest Cancer Specialists PC

    Vancover, Washington, 98686

  • Berks Hematology Oncology Associates

    West Reading, Pennsylvania, 19611

  • Texoma Cancer Center

    Wichita Falls, Texas, 76310

Other trials in United States

About this study

Official title: An Open-Label, Randomized, Phase 2 Study to Assess the Effectiveness of RCHOP With or Without VELCADE in Previously Untreated Non-Germinal Center B-Cell-like Diffuse Large B-Cell Lymphoma Patients

This is a randomized, open-label, multi-center, phase 2 study of RCHOP with or without VELCADE in adult patients with previously untreated non-(Germinal B-Cell-like) GCB Diffuse Large B-cell Lymphoma (DLBCL). The study will determine whether the addition of VELCADE to RCHOP improves progression-free survival (PFS) in patients with non-GCB DLBCL.

Read the detailed description

The drug tested in this study is called bortezomib (VELCADE®). VELCADE® was tested in people who have Non-Germinal Center B-Cell-like Diffuse Large B-Cell Lymphoma. This study looked at the efficacy of RCHOP [rituximab, cyclophosphamide, doxorubicin, vincristine and prednisone] with or without VELCADE®.

The study enrolled 206 patients. Participants were enrolled in one of the two open label treatment groups:

  • RCHOP
  • Vc-RCHOP [bortezomib (VELCADE®), rituximab, cyclophosphamide, doxorubicin, vincristine and prednisone]

Participants received treatment for up to six, 21-day cycles.

This multi-center trial was conducted in the United States. The overall time to participate in this study was up to 48 months. Participants made multiple visits to the clinic, and were followed for progression free survival and overall survival until patient withdrawal, death, or 2 years after the last participant was enrolled.

Medical subject headings
Acromesomelic dysplasia, Maroteaux type, Lymphoma, Large B-Cell, Diffuse

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT00931918
Study groupRoleWhat they receive
RCHOPActive comparatorRCHOP [rituximab, cyclophosphamide, doxorubicin, prednisone] administered as follows: rituximab 375 mg/m^2 intravenous (IV) infusion, cyclophosphamide 750 mg/m^2 IV infusion, doxorubicin 50 mg/m^2 IV injection and vincristine 1.4 mg/m^2 (maximum total dose 2 mg) IV injection on Day 1 with prednisone orally on Days 1 through 5 of a 21-day (3-week) cycle for 6 cycles.
Receives: Drug: Rituximab; Drug: Cyclophosphamide; Drug: Doxorubicin; Drug: Vincristine; Drug: Prednisone
Vc-RCHOPExperimentalVc-RCHOP [bortezomib (VELCADE®), rituximab, cyclophosphamide, doxorubicin, prednisone] administered as follows: bortezomib (VELCADE ®) 1.3 mg/m^2 administered intravenous (IV) push on Days 1 and 4 of each cycle with RCHOP administered as follows: rituximab 375 mg/m^2 intravenous (IV) infusion, cyclophosphamide 750 mg/m^2 IV infusion, doxorubicin 50 mg/m^2 IV injection and vincristine 1.4 mg/m^2 (maximum total dose 2 mg) IV injection on Day 1 with prednisone orally on Days 1 through 5 of a 21-day (3-week) cycle for 6 cycles.
Receives: Drug: Bortezomib; Drug: Rituximab; Drug: Cyclophosphamide; Drug: Doxorubicin; Drug: Vincristine; Drug: Prednisone

What is being measured

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

  1. Progression-Free Survival (PFS) in Patients With Non-germinal Center B-cell-like (Non-GCB) Diffuse Large B-cell Lymphoma (DLBCL)

    PFS is defined as the time in months from the date of randomization to the date of first documentation of progressive disease (PD) or death from any cause. The date of progression is the earliest date of a computed tomography/positron emission tomography (CT/PET) scan that shows evidence of PD. For a participant that has not progressed and is alive at the end of his/her study follow-up or at the time of start of an alternate therapy (whichever is first), PFS is censored at the last overall response assessment that is stable disease or better, and which is prior to the start of the alternate therapy, if any. Disease response was assessed using International Working Group (IWG)-revised response criteria for malignant lymphoma. PD= any new lesion or increase by > 50% of previously involved sites from nadir.

    Measured: Median Follow-up of 34.3 months for RCHOP arm and 34.4 months for Vc-RCHOP arm

  2. Progression-Free Survival Rate

    PFS is defined as the time in months from the date of randomization to the date of first documentation of progressive disease (PD) or death from any cause. The date of progression is the earliest date of a computed tomography/positron emission tomography (CT/PET) scan that shows evidence of PD. For a participant that has not progressed and is alive at the end of his/her study follow-up or at the time of start of an alternate therapy (whichever is first), PFS is censored at the last overall response assessment that is stable disease or better, and which is prior to the start of the alternate therapy, if any. Disease response was assessed using International Working Group (IWG)-revised response criteria for malignant lymphoma. PD= any new lesion or increase by > 50% of previously involved sites from nadir. The progression-free survival rate is defined as the Kaplan-Meier (KM) estimate of progression-free survival at 2 years.

    Measured: 2 Years (Median Follow-up of 34.3 months for RCHOP arm and 34.4 months for Vc-RCHOP arm)

Secondary outcomes (8)
  1. Overall Survival

    Overall survival is defined as the time from the date of randomization to the date of death from any cause. A participant who is alive at the end of his/her study follow-up is censored at the date of last contact.

    Measured: Median Follow-up of 34.3 months for RCHOP arm and 34.4 months for Vc-RCHOP arm

  2. Overall Response Rate (ORR)

    ORR is defined as the percentage of participants with the best overall response complete response (CR) + partial response (PR). Disease response was assessed using International Working Group (IWG)-revised response criteria for malignant lymphoma. CR=disappearance of all evidence of disease and PR=regression of measurable disease and no new sites.

    Measured: End of Cycle 2, End of Treatment (Cycle 6) [Median of 16 weeks on treatment]

  3. Complete Response Rate

    Complete Response Rate is defined as the percentage of participants with the best response of Complete Response (CR). Disease response was assessed using International Working Group (IWG)-revised response criteria for malignant lymphoma. CR=Disappearance of all evidence of disease.

    Measured: End of Cycle 2, End of Treatment (Cycle 6) [Median of 16 weeks on treatment]

  4. Duration of Response

    Duration of response is defined as the time (in months) from the date of first documentation of confirmed complete response (CR) or partial response (PR) to the date of first documentation of progressive disease (PD), relapse from CR or death related to disease. For a participant who has not progressed and is not known to have died due to disease under study at the end of his/her study follow-up or at the time of start of an alternate therapy (whichever is first), duration of response is censored at the last overall response assessment that is stable disease or better, and which is prior to the start of the alternate therapy, if any. Disease response was assessed using IWG-revised response criteria for malignant lymphoma. CR=Disappearance of all evidence of disease and PR=Regression of measurable disease and no new sites and PD= any new lesion or increase by > 50% of previously involved sites from nadir.

    Measured: Median Follow-up of 34.3 months for RCHOP arm and 34.4 months for Vc-RCHOP arm

  5. Fluorodeoxyglucose Positron Emission Tomography (FDG-PET) Negative Rate

    FDG-PET negative rate is defined as the percentage of participants FDG-PET negative at the given time-point.

    Measured: End of Cycle 2 and End of Treatment (Cycle 6) [Median of 16 weeks on treatment]

  6. Time to Progression (TTP)

    TTP is defined as the time from the date of randomization to the date of first documentation of progressive disease, relapse from CR, or death related to disease under study if participant did not have any documentation of disease progression prior to death caused by lymphoma or complications thereof. For a participant who has not progressed and is not known to have died due to disease under study at the end of his/her study follow-up or at the time of start of an alternate therapy (whichever is first), TTP is censored at the last overall response assessment that is stable disease or better, and which is prior to the start of the alternate therapy, if any. Disease response was assessed using International Working Group (IWG)-revised response criteria for malignant lymphoma. PD= any new lesion or increase by > 50% of previously involved sites from nadir.

    Measured: Median Follow-up of 34.3 months for RCHOP arm and 34.4 months for Vc-RCHOP arm

  7. Percentage of Participants With Treatment Emergent Adverse Events (TEAEs) by Category

    Percentage of participants in the following categories: • At least 1 TEAE • Drug-related, TEAEs • Grade 3 or higher TEAEs. Grade 3 are AEs of Severe Intensity • Grade 3 or higher drug-related, TEAEs • TEAEs resulting in study drug discontinuation • Serious TEAEs An Adverse Event (AE) is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. A treatment-emergent adverse event (TEAE) is defined as an adverse event with an onset that occurs after receiving study drug. A Serious Adverse Event (SAE) is any experience that suggests a significant hazard, contraindication, side effect or precaution that: results in death, is life-threatening, required in-patient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect or is medically significant.

    Measured: First dose of study drug through 30 days after the last dose of study drug (Up to 26 Weeks)

  8. Percentage of Participants With Chemistry and Hematology Laboratory Values Grade 3 or Higher

    Percentage of participants who shifted from a National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) Grade 0, 1, or 2 at Baseline to a Grade 3 or higher on study (worst post-baseline grade). Grade 1=Mild, Grade 2=Moderate, Grade 3=Severe or medically significant but not immediately life-threatening, Grade 4=Life-threatening consequences and 5=Death related to AE.

    Measured: Days 1, 4 and 10 of each cycle and end of treatment visit (Median of 16 weeks on treatment)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 Jul 2009 (estimated)
  2. Study startOct 2009
  3. Primary completionAug 2015
  4. Study completionAug 2015

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
206 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00931918
Sponsor's protocol ID
C05013
Other IDs
U1111-1183-0186
Status last verified
Nov 2016
First submitted
1 Jul 2009
Last updated
11 Jan 2017
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Bortezomib, Rituximab and Cyclophosphamide in people with Non-Germinal B-Cell-like (GCB) Diffuse Large B-cell Lymphoma (DLBCL), run by Millennium Pharmaceuticals, Inc. at 70 sites in United States.

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 8 inclusion and 8 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 11 Jan 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 70 sites in United States. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 11 Jan 2017). 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) in Patients With Non-germinal Center B-cell-like (Non-GCB) Diffuse Large B-cell Lymphoma (DLBCL) (time frame: Median Follow-up of 34.3 months for RCHOP arm and 34.4 months for Vc-RCHOP arm). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 11 Jan 2017.

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