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Relapsed or Refractory B-cell Non-Hodgkin's LymphomaPhase 1NCT03009344

A Study of Tazemetostat in Participants With Relapsed or Refractory B-cell Non-Hodgkin's Lymphoma

A Phase 1 study testing Tazemetostat in people with Relapsed or Refractory B-cell Non-Hodgkin's Lymphoma, run by Eisai Co., Ltd. at 2 sites in Japan.

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 is a multicenter, single-arm, open-label, Phase 1 study to assess the tolerability, safety, pharmacokinetics, and preliminary anti-tumor activity of tazemetostat in participants with relapsed or refractory B-cell non-Hodgkin's lymphoma (NHL). Read more about this study

Who is it for?
Ages 20 years and older
What is being tested?
Tazemetostat
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
7 participants
Where
2 sitesJapan
Study dates
10 Jan 2017to 17 Jun 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 20 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Participants with histological diagnosis of B-cell non-Hodgkin's lymphoma
  • Participant who has measurable disease
  • Participant who had previous therapy with systemic chemotherapy and/or antibody therapy
  • Participant who had progressive disease (PD) or did not have a response (complete response [CR] or partial response [PR]) in previous systemic therapy, or relapsed or progressed after previous systemic therapy
  • Participant with Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1
  • Participant with life expectancy of ≥3 months from starting study drug administration
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  • Participant with adequate renal, bone marrow, and liver function
  • Participant with left ventricular ejection fraction (LVEF) > 50%
  • Male and female participant ≥20 years of age at the time of informed consent
  • Participant who has provided written consent to participate in the study

Who cannot join

  • Participant with prior exposure to EZH2 inhibitor
  • Participant with a history or a presence of central nerves invasion
  • Participant with allogeneic stem cell transplantation
  • Participant with medical need for the continued use of potent or moderate inhibitors of CYP3A or P-gp, or potent or moderate inducer of CYP3A (including St. John's wort).
  • Participant with significant cardiovascular impairment
  • Participant with prolongation of corrected QT interval using Fridericia's formula (QTcF) to > 480 milliseconds (msec)
Show all 12Show fewer
  • Participant with venous thrombosis or pulmonary embolism within the last 3 months before starting study drug
  • Participant with complications of hepatic cirrhosis, interstitial pneumonia, or pulmonary fibrosis
  • Participant with active infection requiring systemic therapy
  • Women of childbearing potential or man of impregnate potential who don't agree to use a medically effective method for contraception for periods from before informed consent to during the clinical study and 30 days later from last administration of study drug
  • Woman who are pregnant or breastfeeding
  • Participant who were deemed as inappropriate to participate in the study by the investigator or sub-investigator

Trial locations and contacts

2 sites in 1 country.

Japan2 sites
  • Eisai Trial Site

    Chuo-ku, Tokyo

  • Eisai Trial Site

    Isehara, Kanagawa

Other trials in Japan

About this study

Official title: A Phase 1 Study of Tazemetostat in Patients With Relapsed or Refractory B-cell Non-Hodgkin's Lymphoma

This is a multicenter, single-arm, open-label, Phase 1 study to assess the tolerability, safety, pharmacokinetics, and preliminary anti-tumor activity of tazemetostat in participants with relapsed or refractory B-cell non-Hodgkin's lymphoma (NHL).

Being tested
Tazemetostat
Keywords
relapsed or refractory B-cell non-Hodgkin's lymphoma, tazemetostat, Japan, E7438
Medical subject headings
Recurrence, Lymphoma, B-Cell

What participants receive

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

  • TazemetostatDrug

    Tazemetostat tablets.

Study groups in NCT03009344
Study groupRoleWhat they receive
Tazemetostat 800 mgExperimentalParticipants will receive oral tazemetostat at a starting dose of 800 milligrams (mg) as a single dose (Cycle 0) and 800 mg twice a day as continuous dosing (Cycle 1 and later) (Cycle 0 duration=4 days) (Cycle 1 and later duration= 28 days).
Receives: Drug: Tazemetostat

What is being measured

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

  1. Number of Participants With Dose-limiting Toxicities (DLTs)

    DLTs as per National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.03 (NCI CTCAE v4.03) were defined as: 1) Grade 4 neutropenia for greater than (>) 7 days; 2) greater than or equal to (>=) Grade 3 febrile neutropenia; 3) Grade 4 thrombocytopenia and Grade 3 thrombocytopenia with bleeding; 4) Grade 4 anemia or anemia requiring erythrocyte transfusion; 5) >=Grade 3 nausea, vomiting, or diarrhea that persisted >7 days despite maximal medical therapy; 6) >=Grade 3 non-hematological laboratory abnormalities with clinical symptoms that persisted >7 days; 7) Other Grade 3 toxicity lasting >7 days or Grade 4 non-hematological toxicity of any duration; 8) Failure to administer >=75 percent (%) of the planned administration number of study drug in Cycle 1 as a result of treatment-related toxicity. Here, number of participants who had DLT were reported.

    Measured: Cycle 0 and Cycle 1 (Cycle 0=4 days, Cycle 1=28 days)

Secondary outcomes (25)
  1. Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)

    TEAE was defined as an adverse event (AE) that emerged during time from first dose to 30 days following last dose of drug, having been absent at pretreatment or reemerged during treatment, having been present at pretreatment but stopped before treatment, or worsened in severity during treatment relative to pretreatment state, when AE was continuous. Number of participants with TEAEs were reported based on their safety assessments of laboratory tests, physical examination, regular measurement of vital signs, body weight, echocardiograms/multigated acquisition (MUGA) scans to assess left ventricular ejection fraction, eastern cooperative oncology group-performance status (ECOG-PS) and electrocardiograms parameter values. SAE was defined as untoward medical occurrence that at any dose resulted in death; was life threatening; resulted in persistent or significant disability; was congenital anomaly or medically important due to other reasons than above mentioned criteria.

    Measured: From the date of first dose up to 30 days after the last dose of study drug (up to 40 months)

  2. Cmax: Maximum Plasma Concentration of Tazemetostat and Its Metabolite ER-897387

    Measured: Cycle 0 Day 1: 0-72 hours post-dose (Cycle 0 length=4 days)

  3. Tmax: Time to Reach Maximum Plasma Concentration (Cmax) of Tazemetostat and Its Metabolite ER-897387

    Measured: Cycle 0 Day 1: 0-72 hours post-dose (Cycle 0 length=4 days)

  4. AUC(0-12 Hours): Area Under the Plasma Concentration-time Curve From Time Zero to 12 Hours Post-dose of Tazemetostat and Its Metabolite ER-897387

    Measured: Cycle 0 Day 1: 0-12 hours post-dose (Cycle 0 length=4 days)

  5. AUC(0-t Hours): Area Under the Plasma Concentration-time Curve From Time Zero to Time of Last Quantifiable Concentration of Tazemetostat and Its Metabolite ER-897387

    Measured: Cycle 0 Day 1: 0-72 hours post-dose (Cycle 0 length=4 days)

  6. AUC(0-infinity): Area Under the Plasma Concentration-time Curve From Time 0 to Infinity of Tazemetostat and Its Metabolite ER-897387

    Measured: Cycle 0 Day 1: 0-72 hours post-dose (Cycle 0 length=4 days)

  7. Lambda z: Terminal Phase Elimination Rate Constant of Tazemetostat and Its Metabolite ER-897387

    Lambda z was determined from the terminal slope of the log-transformed plasma concentration curve using linear regression method.

    Measured: Cycle 0 Day 1: 0-72 hours post-dose (Cycle 0 length=4 days)

  8. T1/2: Terminal Half-life of Tazemetostat and Its Metabolite ER-897387

    Measured: Cycle 0 Day 1: 0-72 hours post-dose (Cycle 0 length=4 days); Cycle 1 Day 15: 0-12 hours post-dose (Cycle 1 length=28 days)

  9. CL/F: Apparent Total Body Clearance of Tazemetostat

    Measured: Cycle 0 Day 1: 0-72 hours post-dose (Cycle 0 length=4 days)

  10. Vz/F: Apparent Volume of Distribution at Terminal Phase of Tazemetostat

    Vz/F for Cycle 0 Day 1 was calculated as Dose divided by ([lambda z]*[AUC0-infinity]) and for Cycle 1 Day 15 was calculated as Dose divided by ([lambda z]*[AUC0-tau]).

    Measured: Cycle 0 Day 1: 0-72 hours post-dose (Cycle 0 length=4 days); Cycle 1 Day 15: 0-12 hours post-dose (Cycle 1 length=28 days)

  11. MRT: Mean Residence Time of Tazemetostat and Its Metabolite ER-897387

    MRT of tazemetostat and its metabolite ER-897387 was calculated as MRT=AUMC(0-infinity)/AUC(0-infinity), where AUMC(0-infinity) was the area under the first moment curve extrapolated to infinity and AUC(0-infinity) was area under the concentration-time curve from zero time extrapolated to infinite time.

    Measured: Cycle 0 Day 1: 0-72 hours post-dose (Cycle 0 length=4 days)

  12. AUC(0-tau): Area Under the Plasma Concentration-time Curve Over the Dosing Interval of Tazemetostat and Its Metabolite ER-897387

    Measured: Cycle 1 Day 15: 0-12 hours post-dose (Cycle 1 length=28 days)

  13. Css,Av: Average Steady State Plasma Concentration of Tazemetostat and Its Metabolite ER-897387

    Measured: Cycle 1 Day 15: 0-12 hours post-dose (Cycle 1 length=28 days)

  14. Css,Max: Maximum Steady State Plasma Concentration of Tazemetostat and Its Metabolite ER-897387

    Measured: Cycle 1 Day 15: 0-12 hours post-dose (Cycle 1 length=28 days)

  15. Css,Min: Minimum Steady State Plasma Concentration of Tazemetostat and Its Metabolite ER-897387

    Measured: Cycle 1 Day 15: 0-12 hours post-dose (Cycle 1 length=28 days)

  16. PTF: Peak-trough Fluctuation Ratio of Tazemetostat and Its Metabolite ER-897387

    The PTF within complete dosing interval at steady state, calculated as PTF (%) = ([Cmax - Cmin]/Cav) multiplied by 100. Here, Cmin means the minimum plasma concentration, Cmax means the maximum plasma concentration and Cav means the average plasma concentration of drug and metabolite.

    Measured: Cycle 1 Day 15: 0-12 hours post-dose (Cycle 1 length=28 days)

  17. Tss,Max: Time to Reach the Maximum Plasma Concentration (Cmax) at Steady State of Tazemetostat and Its Metabolite ER-897387

    Measured: Cycle 1 Day 15: 0-12 hours post-dose (Cycle 1 length=28 days)

  18. CLss/F: Apparent Total Body Clearance of Tazemetostat at Steady State

    Measured: Cycle 1 Day 15: 0-12 hours post-dose (Cycle 1 length=28 days)

  19. Rac (Cmax): Accumulation Ratio of Cmax for Tazemetostat and Its Metabolite ER-897387

    Rac (Cmax) was calculated as the ratio of maximum observed concentration at steady state (Css,max) on Cycle 1 Day 15 divided by Cmax on Cycle 0 Day 1.

    Measured: Cycle 0 Day 1: 0-72 hours post-dose (Cycle 0 length=4 days) and Cycle 1 Day 15: 0-12 hours post-dose (Cycle 1 length=28 days)

  20. Rac (AUC): Accumulation Ratio of AUC for Tazemetostat and Its Metabolite ER-897387

    Rac (AUC) was calculated as the ratio of AUC(0-tau) on Cycle 1 Day 15 divided by AUC(0-12 hours) on Cycle 0 Day 1.

    Measured: Cycle 0 Day 1: 0-72 hours post-dose (Cycle 0 length=4 days) and Cycle 1 Day 15: 0-12 hours post-dose (Cycle 1 length=28 days)

  21. Rss: Steady State Accumulation Ratio of Tazemetostat and Its Metabolite ER-897387

    Rss was calculated as the ratio of AUC(0-tau) on Cycle 1 Day 15 divided by AUC(0-infinity) on Cycle 0 Day 1.

    Measured: Cycle 0 Day 1: 0-72 hours post-dose (Cycle 0 length=4 days) and Cycle 1 Day 15: 0-12 hours post-dose (Cycle 1 length=28 days)

  22. Ae: Amount of Unchanged Drug Tazemetostat Excreted in Urine

    Measured: Cycle 0 Day 1: 0-72 hours post-dose (Cycle 0 length=4 days); Cycle 1 Day 15: 0-12 hours post-dose (Cycle 1 length=28 days)

  23. Fe: Fraction of Tazemetostat Dose Excreted in Urine

    The fraction of dose excreted in urine was calculated as: Cumulative amount of unchanged drug excreted in urine (Ae)/Dose*100.

    Measured: Cycle 0 Day 1: 0-72 hours post-dose (Cycle 0 length=4 days); Cycle 1 Day 15: 0-12 hours post-dose (Cycle 1 length=28 days)

  24. CLR: Renal Clearance of Tazemetostat

    Measured: Cycle 0 Day 1: 0-72 hours post-dose (Cycle 0 length=4 days); Cycle 1 Day 15: 0-12 hours post-dose (Cycle 1 length=28 days)

  25. Percentage of Participants With Objective Response

    Objective response was assessed by investigator based on the Lugano Classification (CT-Based) response criteria. Objective response rate was defined as the percentage of participants who had a Best Overall Response (BOR) of complete response (CR) or partial response (PR). CR was defined as the disappearance of all target and non-target lesions (non-lymph nodes). All pathological lymph nodes (whether target or non-target) must have a reduction in their short axis to less than (<) 10 millimeters (mm). PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

    Measured: From the date of first dose of study drug to the date of first documentation of disease progression or death, whichever occurred first (up to 39 months)

Timeline

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

  1. First posted4 Jan 2017 (estimated)
  2. Study start10 Jan 2017
  3. Primary completion12 Jul 2017
  4. Study completion17 Jun 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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
7 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03009344
Sponsor's protocol ID
E7438-J081-106
Status last verified
Apr 2022
First submitted
30 Dec 2016
Last updated
10 Nov 2022
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Tazemetostat in people with Relapsed or Refractory B-cell Non-Hodgkin's Lymphoma, run by Eisai Co., Ltd. at 2 sites in Japan.

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 10 inclusion and 12 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 10 Nov 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Japan. 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 10 Nov 2022). 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?

Number of Participants With Dose-limiting Toxicities (DLTs) (time frame: Cycle 0 and Cycle 1 (Cycle 0=4 days, Cycle 1=28 days)). 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 10 Nov 2022.

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