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Lymphoma, Non-HodgkinPhase 1BRiMNCT02257242

Vincristine Sulfate Liposome Injection (Marqibo®), Bendamustine and Rituximab-Phase I Trial in Indolent B-cell Lymphoma

A Phase 1 study testing Rituximab, Bendamustine and Vincristine sulfate liposome injection in people with Lymphoma, Non-Hodgkin and Lymphoma, Follicular, run by Brown University at 1 site in United States.

Completed

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

Official record
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Trial summary

This study evaluates addition of Vincristine Sulfate Liposome Injection (Marqibo®) to the standard regimen of Bendamustine and Rituximab in adult patients with indolent B-cell lymphoma. This is a dose-escalation study. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Rituximab, Bendamustine and Vincristine sulfate liposome injection
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
11 participants
Where
1 siteUnited States
Study dates
10 May 2017to 18 Nov 2020
Phase
Phase 1
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

  • Histologically confirmed indolent B-cell non-Hodgkin lymphoma.
  • Radiological measurable disease.
  • Previous treatment for lymphoma is allowed, with the exception of use of bendamustine within 6 months or any prior use of vincristine sulfate liposome injection
  • Eastern Cooperative Oncology Group performance status 0 or 1;
  • Life expectancy of at least 6 months;
  • Adequate organ and marrow function;
  • Women of child-bearing potential and men must agree to use adequate contraception.
  • Ability to understand and the willingness to sign a written informed consent document.

Who cannot join

  • History of allergic reactions attributed to any drug used in the study.
  • Any lymphoma-directed therapy within 4 weeks.
  • Any prior treatment with vincristine sulfate liposome injection.
  • Prior treatment with bendamustine or vincristine sulfate within 180 days of enrollment.
  • Patients who are receiving any other investigational agents with the exception of endocrine therapy for breast or prostate cancer.
  • Central nervous system involvement.
Show all 15Show fewer
  • Peripheral sensory or motor neuropathy.
  • History of a demyelinating condition.
  • Positive test for the Human Anti-Chimeric Antibody (HACA).
  • Patients receiving any medications or substances that are strong inhibitors or inducers of Cytochrome P450, family 3, subfamily A (CYP3A) enzyme are ineligible.
  • Uncontrolled intercurrent illness.
  • Prisoners.
  • Pregnant or breast-feeding women.
  • Known Human Immunodeficiency Virus (HIV) or active Hepatitis B infection
  • Any prior or active cancer, which in the opinion of the investigator would preclude safe participation in this study.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Rhode Island Hospital and The Miriam Hospital

    Providence, Rhode Island, 02903

Other trials in United States

About this study

Official title: BrUOG 326: A Phase I Dose-Escalation Study of Vincristine Sulfate Liposome Injection (Marqibo®) in Combination With Bendamustine and Rituximab (BRiM) in Indolent Non-Hodgkin Lymphoma

This study evaluates addition of Vincristine Sulfate Liposome Injection (Marqibo®) to the standard regimen of Bendamustine and Rituximab in adult patients with indolent B-cell lymphoma. This is a dose-escalation study.

Read the detailed description

Bendamustine-rituximab is a standard chemotherapy regimen for treatment of many indolent B-cell lymphomas, but most patients experience a recurrence of the lymphoma. Vincristine sulfate has been a traditional component of chemotherapy regimens in non-Hodgkin lymphoma and it is possible that adding it to the bendamustine-rituximab regimen might provide a better quality of remissions or longer duration of remissions with acceptable toxicity.

This is a phase 1, single-center, open-label, single-arm trial in patients with indolent B-cell non-Hodgkin lymphoma otherwise appropriate for bendamustine-rituximab as initial or subsequent line of therapy. Patients will receive the of rituximab and bendamustine in combination with escalating doses of vincristine sulfate liposome injection (Marqibo®). The objective of this study is to assess safety of this combination by establishing the maximum tolerated dose of vincristine sulfate liposome injection (Marqibo®) in the combination.

Being tested
Rituximab, Bendamustine, Vincristine sulfate liposome injection
Keywords
Bendamustine, Rituximab, Vincristine sulfate, Vincristine sulfate liposome injection, Phase I, Escalation With Overdose Control
Medical subject headings
Lymphoma, Non-Hodgkin, Lymphoma, Follicular, Lymphoma, Mantle-Cell, Leukemia, Lymphocytic, Chronic, B-Cell, Waldenstrom Macroglobulinemia, Lymphoma, B-Cell, Marginal Zone

What participants receive

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

  • RituximabDrug

    Also called Rituxan, anti-CD20 antibody

    375 mg/m2 I.V. on Day 1 of each cycle

  • BendamustineDrug

    Also called Treanda

    90 mg/m2 I.V. on Day 1 and 2 of each cycle

  • Vincristine sulfate liposome injectionDrug

    Also called Marqibo

    Dose per dose escalation protocol, I.V. on Day 2 of each cycle

Study groups in NCT02257242
Study groupRoleWhat they receive
Vincristine sulfate liposome injection 1.8 mg/m^2ExperimentalTreatment with the combination of rituximab, bendamustine and vincristine sulfate liposome injection will be repeated every 4 weeks for a maximum of 6 cycles. Dose-limiting toxicities will be evaluated during the first cycle of therapy.
Receives: Drug: Rituximab; Drug: Bendamustine; Drug: Vincristine sulfate liposome injection
Vincristine sulfate liposome injection 1.95 mg/m^2ExperimentalTreatment with the combination of rituximab, bendamustine and vincristine sulfate liposome injection will be repeated every 4 weeks for a maximum of 6 cycles. Dose-limiting toxicities will be evaluated during the first cycle of therapy.
Receives: Drug: Rituximab; Drug: Bendamustine; Drug: Vincristine sulfate liposome injection
Vincristine sulfate liposome injection 1.98 mg/m^2ExperimentalTreatment with the combination of rituximab, bendamustine and vincristine sulfate liposome injection will be repeated every 4 weeks for a maximum of 6 cycles. Dose-limiting toxicities will be evaluated during the first cycle of therapy.
Receives: Drug: Rituximab; Drug: Bendamustine; Drug: Vincristine sulfate liposome injection
Vincristine sulfate liposome injection 2.04 mg/m^2ExperimentalTreatment with the combination of rituximab, bendamustine and vincristine sulfate liposome injection will be repeated every 4 weeks for a maximum of 6 cycles. Dose-limiting toxicities will be evaluated during the first cycle of therapy.
Receives: Drug: Rituximab; Drug: Bendamustine; Drug: Vincristine sulfate liposome injection
Vincristine sulfate liposome injection 2.10 mg/m^2ExperimentalTreatment with the combination of rituximab, bendamustine and vincristine sulfate liposome injection will be repeated every 4 weeks for a maximum of 6 cycles. Dose-limiting toxicities will be evaluated during the first cycle of therapy.
Receives: Drug: Rituximab; Drug: Bendamustine; Drug: Vincristine sulfate liposome injection
Vincristine sulfate liposome injection 2.14 mg/m^2ExperimentalTreatment with the combination of rituximab, bendamustine and vincristine sulfate liposome injection will be repeated every 4 weeks for a maximum of 6 cycles. Dose-limiting toxicities will be evaluated during the first cycle of therapy.
Receives: Drug: Rituximab; Drug: Bendamustine; Drug: Vincristine sulfate liposome injection
Vincristine sulfate liposome injection 2.19 mg/m^2ExperimentalTreatment with the combination of rituximab, bendamustine and vincristine sulfate liposome injection will be repeated every 4 weeks for a maximum of 6 cycles. Dose-limiting toxicities will be evaluated during the first cycle of therapy.
Receives: Drug: Rituximab; Drug: Bendamustine; Drug: Vincristine sulfate liposome injection
Vincristine sulfate liposome injection 2.22 mg/m^2ExperimentalTreatment with the combination of rituximab, bendamustine and vincristine sulfate liposome injection will be repeated every 4 weeks for a maximum of 6 cycles. Dose-limiting toxicities will be evaluated during the first cycle of therapy.
Receives: Drug: Rituximab; Drug: Bendamustine; Drug: Vincristine sulfate liposome injection
Vincristine sulfate liposome injection 2.24 mg/m^2ExperimentalTreatment with the combination of rituximab, bendamustine and vincristine sulfate liposome injection will be repeated every 4 weeks for a maximum of 6 cycles. Dose-limiting toxicities will be evaluated during the first cycle of therapy.
Receives: Drug: Rituximab; Drug: Bendamustine; Drug: Vincristine sulfate liposome injection

What is being measured

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

  1. Maximum Tolerated Dose

    Determined as the median of the marginal posterior distribution using data from all available patients

    Measured: Up to 6 cycles of treatment (approximately 6 months)

Secondary outcomes (3)
  1. Number of Participants Who Completed Six Cycles of Study Treatment

    Measured: Up to 6 cycles of treatment (approximately 6 months)

  2. Response Rate

    Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by CT: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR

    Measured: Up to 6 cycles of treatment (approximately 6 months)

  3. Complete Response Rate

    The number of patients achieving complete response during treatment on study

    Measured: Up to 6 cycles of treatment (approximately 6 months)

Timeline

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

  1. First posted6 Oct 2014 (estimated)
  2. Study start10 May 2017
  3. Primary completion22 Aug 2020
  4. Study completion18 Nov 2020

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 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
11 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02257242
Sponsor's protocol ID
BrUOG 326
Acronym
BRiM
Status last verified
May 2022
First submitted
30 Sep 2014
Last updated
9 Feb 2023
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Ollila T, Butera J, Egan P, Reagan J, Thomas A, Yakirevich I, MacKinnon K, Margolis J, McMahon J, Rosati V, Olszewski AJ. Vincristine Sulfate Liposome Injection with Bendamustine and Rituximab as First-Line Therapy for B-Cell Lymphomas: A Phase I Study. Oncologist. 2022 Jul 5;27(7):532-e542. doi: 10.1093/oncolo/oyab079.

    PubMed 35641232

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Rituximab, Bendamustine and Vincristine sulfate liposome injection in people with Lymphoma, Non-Hodgkin and Lymphoma, Follicular, run by Brown University at 1 site 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 15 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 9 Feb 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site 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?

Yes. Results are posted in the registry (first posted 9 Feb 2023). 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?

Maximum Tolerated Dose (time frame: Up to 6 cycles of treatment (approximately 6 months)). 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 NCT02257242, 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 9 Feb 2023.

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