Indolent Non-Hodgkin LymphomaPhase 1NCT01410513
Study Combining SAR245409 With Rituximab or Bendamustine Plus Rituximab in Patients With Indolent Lymphoma, Mantle Cell Lymphoma and Chronic Lymphocytic Leukemia
A Phase 1 study testing SAR245409 in people with Indolent Non-Hodgkin Lymphoma and Mantle Cell Lymphoma, run by Sanofi at 3 sites in United States.
Trial summary
Primary Objective: To determine the maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D) for SAR245409 when administered in combination with rituximab or bendamustine plus rituximab Secondary Objectives: To determine the safety and tolerability of SAR245409 in combination with rituximab or bendamustine… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Indolent Non-Hodgkin Lymphoma, Mantle Cell Lymphoma, Chronic Lymphocytic Leukemia
- What is being tested?
- SAR245409
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 37 participants
- Where
- 3 sitesUnited States
- Study dates
- Dec 2011to May 2014
- Phase
- Phase 1
- Are there results?
- None posted in the registry
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
- A confirmed diagnosis of indolent non-Hodgkin lymphoma, mantle cell lymphoma or chronic lymphocytic leukemia
- Evaluable disease or measurable disease
- Transfusion independent
- Able to take oral medication
- Male and Female subjects > 18 years
- Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2
- Women of childbearing potential using adequate contraception
Who cannot join
- Prior therapy with a PI3K, mTOR or dual PI3K/mTOR inhibitor resulting in adverse events necessitating treatment discontinuation
- Eligible for a hematopoietic stem cell transplant (HSCT)
- The subject has received investigational or non-investigational cytotoxic chemotherapy (i.e., cyclophosphamide), small molecule cancer therapy (i.e., imatinib), biologic cancer therapies other than rituximab (i.e., alemtuzumab, cytokines, vaccines or other monoclonal antibodies) hormonal therapy, radio- or immuno- conjugates (e.g. ibritumomab tiuxetan, tositumomab) or immunosuppressants to treat malignancy within 4 weeks prior to Cycle 1, Day 1
- Radiation therapy within 2 weeks prior to Cycle 1, Day 1
- Autologous Hematopoietic Stem Cell Transplant (HSCT) within the past 16 weeks
- Prior allogeneic HSCT
Show all 16Show fewer
- Active central nervous system (CNS) metastases or leptomeningeal involvement
- Positive Hepatitis B surface antigen (HBsAg) or Hepatitis C Antibody (anti-HCV)
- Hereditary or acquired immunodeficiency syndrome or human immunodeficiency virus (HIV) infection
- Active peptic ulcer disease requiring treatment with proton pump inhibitors (e.g. pantoprazole) or Type 2 histamine antagonists (e.g. cimetidine)
- Diagnosis or treatment for another malignancy within 3 years of enrollment with the exception of complete resection of basal cell or squamous cell carcinoma of the skin, an in situ malignancy or low-risk prostate cancer after curative therapy
- Inadequate bone marrow function
- Abnormal liver function
- Abnormal renal function
- Abnormal coagulation
- The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Trial locations and contacts
3 sites in 1 country.
United States3 sites
Investigational Site Number 840006
Augusta, Georgia, 30912
Investigational Site Number 840004
Aurora, Colorado, 80045
Investigational Site Number 840002
Charleston, South Carolina, 29406
About this study
Official title: A Phase 1b, Multicenter, Open-Label, Dose Escalation Study of SAR245409 to Evaluate the Safety, Tolerability and Clinical Activity of SAR245409 in Combination With Rituximab or Bendamustine Plus Rituximab in Patients With Relapsed or Refractory Indolent B-cell Non-Hodgkin Lymphoma, Mantle Cell Lymphoma or Chronic Lymphocytic Leukemia
Primary Objective:
- To determine the maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D) for SAR245409 when administered in combination with rituximab or bendamustine plus rituximab
Read more
Secondary Objectives:
- To determine the safety and tolerability of SAR245409 in combination with rituximab or bendamustine plus rituximab in subjects with indolent Hon-Hodgkin Lymphoma (iNHL) Mantle Cell Lymphoma (MCL) or Chronic Lymphocytic Leukemia (CLL)
- To determine the pharmacokinetics (PK) of SAR245409, bendamustine and rituximab when used in combination in subjects with iNHL, MCL or CLL
- To determine the pharmacodynamic (PD) effects of SAR245409 in combination with rituximab or bendamustine plus rituximab in subjects with iNHL, MCL or CLL
- To determine the antitumor activity of SAR245409 in combination with rituximab or bendamustine plus rituximab in subjects with iNHL, MCL or CLL
Read the detailed description
All subjects will take SAR245409 twice daily. All subjects will receive SAR245409 as long as there is clinical benefit.
Combination therapy with SAR245409, bendamustine and rituximab , will be administered over a 28 day cycle for up to 6 to 8 cycles.
Subjects receiving the doublet combination , SAR245409 plus rituximab will receive weekly rituximab for 4 - 8 weeks. Monthly Rituximab may be continued beyond 8 weeks.
- Being tested
- SAR245409
- Medical subject headings
- Lymphoma, Mantle-Cell, Leukemia, Lymphocytic, Chronic, B-Cell
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SAR245409Drug
Pharmaceutical form:capsule Route of administration: oral
| Study group | Role | What they receive |
|---|---|---|
| SAR245409 + rituximab | Experimental | Subjects will receive oral SAR245409 twice daily continuously and weekly rituximab intravenously Receives: Drug: SAR245409 |
| SAR245409 + rituximab + bendamustine (iNHL, MCL) | Experimental | Subjects will receive oral SAR245409 twice daily continuously and monthly bendamustine intravenously. Receives: Drug: SAR245409 |
| SAR245409 + rituximab+ bendamustine (CLL) | Experimental | Subjects will receive oral SAR245409 twice daily continuously and monthly bendamustine and rituximab intravenously Receives: Drug: SAR245409 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Identification Of Dose-Limiting Toxicity (DLT) and Maximum Tolerated Dose (MTD)
Measured: 4 weeks to 8 weeks
Secondary outcomes (15)
Number of subjects with treatment emergent adverse events
Measured: Time from receiving first dose of SAR245409 until 30 days after the last dose
Pharmacokinetics (Cmax) of SAR245409
Measured: up to 2 months
Pharmacokinetics (tmax) of SAR245409
Measured: up to 2 months
Pharmacokinetics (AUC0-12h) of SAR245409
Measured: up to 2 months
Pharmacokinetics (Ctrough) of SAR245409
Measured: up to 2 months
Pharmacokinetics (AUC) of bendamustine
Measured: up to 2 months
Pharmacokinetics (AUClast) of bendamustine
Measured: up to 2 months
Pharmacokinetics (Ceoi) of bendamustine
Measured: up to 2 months
Pharmacokinetics (tmax) of bendamustine
Measured: up to 2 months
Pharmacokinetics (Cl) of bendamustine
Measured: up to 2 months
Pharmacokinetics (Vss) of bendamustine
Measured: up to 2 months
Pharmacokinetics (AUC0-7h) of rituximab
Measured: up to 2 months
Pharmacokinetics (Ceoi) of rituximab
Measured: up to 2 months
Pharmacokinetics (tmax) of rituximab
Measured: up to 2 months
Efficacy as determined by objective response rate (ORR)
Measured: up to 4 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Aug 2011 (estimated)
- Study startDec 2011
- Primary completionMay 2014
- Study completionMay 2014
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Indolent Non-Hodgkin LymphomaStudies of the same condition, open and under way.
- More trials run by SanofiThe 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 1
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 37 participants (actual)
Sponsor and investigators
- Lead sponsor
- Sanofi
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Sciences & Operations, Study director, Sanofi
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01410513
- Sponsor's protocol ID
- TCD12012
- Other IDs
- U1111-1119-2906
- Status last verified
- Sep 2014
- First submitted
- 26 Jul 2011
- Last updated
- 1 Apr 2016
- Results posted
- No
Study at a glance
From the registry record, last updated by the sponsor on 1 Apr 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 1b, Multicenter, Open-Label, Dose Escalation Study of SAR245409 to Evaluate the Safety, Tolerability and Clinical Activity of SAR245409 in Combination With Rituximab or Bendamustine Plus Rituximab in Patients With Relapsed or Refractory Indolent B-cell Non-Hodgkin Lymphoma, Mantle Cell Lymphoma or Chronic Lymphocytic Leukemia
- ClinicalTrials.gov ID
- NCT01410513
- Acronym / sponsor ID
- TCD12012
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 37 participants (actual)
- Lead sponsor
- SanofiIndustry (pharma, biotech, devices)
- Study start
- Dec 2011
- Primary completion
- May 2014 (actual)
- Study completion
- May 2014 (actual)
- First posted
- 5 Aug 2011 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Primary Objective:
- To determine the maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D) for SAR245409 when administered in combination with rituximab or bendamustine plus rituximab
Secondary Objectives:
- To determine the safety and tolerability of SAR245409 in combination with rituximab or bendamustine plus rituximab in subjects with indolent Hon-Hodgkin Lymphoma (iNHL) Mantle Cell Lymphoma (MCL) or Chronic Lymphocytic Leukemia (CLL)
- To determine the pharmacokinetics (PK) of SAR245409, bendamustine and rituximab when used in combination in subjects with iNHL, MCL or CLL
- To determine the pharmacodynamic (PD) effects of SAR245409 in combination with rituximab or bendamustine plus rituximab in subjects with iNHL, MCL or CLL
- To determine the antitumor activity of SAR245409 in combination with rituximab or bendamustine plus rituximab in subjects with iNHL, MCL or CLL
Detailed description
All subjects will take SAR245409 twice daily. All subjects will receive SAR245409 as long as there is clinical benefit.
Combination therapy with SAR245409, bendamustine and rituximab , will be administered over a 28 day cycle for up to 6 to 8 cycles.
Subjects receiving the doublet combination , SAR245409 plus rituximab will receive weekly rituximab for 4 - 8 weeks. Monthly Rituximab may be continued beyond 8 weeks.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| SAR245409 + rituximab | Experimental | Drug: SAR245409Subjects will receive oral SAR245409 twice daily continuously and weekly rituximab intravenously |
| SAR245409 + rituximab + bendamustine (iNHL, MCL) | Experimental | Drug: SAR245409Subjects will receive oral SAR245409 twice daily continuously and monthly bendamustine intravenously. |
| SAR245409 + rituximab+ bendamustine (CLL) | Experimental | Drug: SAR245409Subjects will receive oral SAR245409 twice daily continuously and monthly bendamustine and rituximab intravenously |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- A confirmed diagnosis of indolent non-Hodgkin lymphoma, mantle cell lymphoma or chronic lymphocytic leukemia
- Evaluable disease or measurable disease
- Transfusion independent
- Able to take oral medication
- Male and Female subjects > 18 years
Key exclusion criteria (16 listed)
- Prior therapy with a PI3K, mTOR or dual PI3K/mTOR inhibitor resulting in adverse events necessitating treatment discontinuation
- Eligible for a hematopoietic stem cell transplant (HSCT)
- The subject has received investigational or non-investigational cytotoxic chemotherapy (i.e., cyclophosphamide), small molecule cancer therapy (i.e., imatinib), biologic cancer therapies other than rituximab (i.e., alemtuzumab, cytokines, vaccines or other monoclonal antibodies) hormonal therapy, radio- or immuno- conjugates (e.g. ibritumomab tiuxetan, tositumomab) or immunosuppressants to treat malignancy within 4 weeks prior to Cycle 1, Day 1
- Radiation therapy within 2 weeks prior to Cycle 1, Day 1
- Autologous Hematopoietic Stem Cell Transplant (HSCT) within the past 16 weeks
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 |
|---|---|---|
| SAR245409Pharmaceutical form:capsule Route of administration: oral | Drug | SAR245409 + rituximab, SAR245409 + rituximab + bendamustine (iNHL, MCL), SAR245409 + rituximab+ bendamustine (CLL) |
Primary outcome
Identification Of Dose-Limiting Toxicity (DLT) and Maximum Tolerated Dose (MTD)
Time frame: 4 weeks to 8 weeks
15 secondary outcomes
Number of subjects with treatment emergent adverse events
Time frame: Time from receiving first dose of SAR245409 until 30 days after the last dose
Pharmacokinetics (Cmax) of SAR245409
Time frame: up to 2 months
Pharmacokinetics (tmax) of SAR245409
Time frame: up to 2 months
Pharmacokinetics (AUC0-12h) of SAR245409
Time frame: up to 2 months
Pharmacokinetics (Ctrough) of SAR245409
Time frame: up to 2 months
Pharmacokinetics (AUC) of bendamustine
Time frame: up to 2 months
Pharmacokinetics (AUClast) of bendamustine
Time frame: up to 2 months
Pharmacokinetics (Ceoi) of bendamustine
Time frame: up to 2 months
Pharmacokinetics (tmax) of bendamustine
Time frame: up to 2 months
Pharmacokinetics (Cl) of bendamustine
Time frame: up to 2 months
Pharmacokinetics (Vss) of bendamustine
Time frame: up to 2 months
Pharmacokinetics (AUC0-7h) of rituximab
Time frame: up to 2 months
Pharmacokinetics (Ceoi) of rituximab
Time frame: up to 2 months
Pharmacokinetics (tmax) of rituximab
Time frame: up to 2 months
Efficacy as determined by objective response rate (ORR)
Time frame: up to 4 years
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 Apr 2016.
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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.
Clinical Sciences & Operations study director
Sanofi
3 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing SAR245409 in people with Indolent Non-Hodgkin Lymphoma and Mantle Cell Lymphoma, run by Sanofi at 3 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 7 inclusion and 16 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 1 Apr 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 3 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Identification Of Dose-Limiting Toxicity (DLT) and Maximum Tolerated Dose (MTD) (time frame: 4 weeks to 8 weeks). 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 1 Apr 2016; AzTrials last refreshed its copy on 31 Oct 2026.