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LymphomaPhase 2NCT03127020

Phase 2 Study With PQR309 in Relapsed or Refractory Lymphoma Patients

A Phase 2 study testing PQR309 in people with Lymphoma and Non-Hodgkin Lymphoma, run by PIQUR Therapeutics AG at 1 site in Germany.

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

The main goal of this study is to determine the Maximum Tolerated Dose (MTD) and the Recommended Phase II Dose (RP2D) as well as preliminary antitumor activity of PQR309 administered orally, as once daily capsules continuously and on intermittent schedule, in patients with relapsed or refractory lymphomas. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Lymphoma, Non-Hodgkin Lymphoma
What is being tested?
PQR309
Could I receive a placebo?
No, everyone receives an active treatment
How many people
9 participants
Where
1 siteGermany
Study dates
Jun 2016to 21 Mar 2019
Phase
Phase 2
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

  • Histologically confirmed diagnosis* of relapsed or refractory lymphoma, received at least two prior lines of therapy regardless of transformation status. Patients with relapsed chronic lymphoid leukemia (CLL) are eligible if they have received one or more prior lines of any approved standard therapy * archival biopsies may be used if obtained up to a year prior to enrollment; re-biopsy is strongly recommended if last biopsy was obtained more than a year ago.
  • Only for patients in the Phase 2 part: At least one measurable nodal or extra-nodal lesion defined as follows: Clearly measurable (i.e. well-defined boundaries) in at least two perpendicular dimensions on imaging scan with > 1.5 cm in longest transverse diameter.
  • Age ≥ 18 years
  • Eastern Cooperative Oncology Group (ECOG) Performance Score of 0-1 (See Appendix 2).
  • Adequate organ system functions defined as:
  • Absolute neutrophil count (ANC) ≥1.0x109/l
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  • Platelets ≥ 75x109/l
  • Haemoglobin ≥ 85g/L
  • Adequate hepatic function, defined as total bilirubin ≤ 1.5 times the upper limit of normal (ULN) and alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤ 2.5 times ULN
  • Adequate renal function, defined as serum creatinine ≤ 1.5 times ULN
  • Fasting glucose < 7.0 mmol/L
  • Ability and willingness to swallow and retain oral medication.
  • Willingness and ability to comply with the trial procedures
  • Female and male patients with reproductive potential must agree to use effective contraception from screening until 90 days after discontinuation of PQR309
  • Signed informed consent1.5 cm in longest transverse diameter.
  • 3. Age >18 years 4. Eastern Cooperative Oncology Group (ECOG) Performance Score of 0-1 5. Adequate organ system functions defined as:
  • Absolute neutrophil count (ANC) >1.0x109/l
  • Platelets > 75x109/l

Who cannot join

  • Any of the following conditions precludes enrollment of a patient:
  • Immunosuppression due to:
  • Allogeneic hematopoietic stem cell transplant (HSCT)
  • Any immune-suppressive therapy within 4 weeks prior to trial treatment start
  • Autologous stem cell transplant within 3 months prior to trial treatment start.
  • Concomitant anticancer therapy (e.g. chemotherapy, radiotherapy, hormonal therapy, immunotherapy, biological response modifier, signal transduction inhibitors and steroids (steroids as maintenance for adrenal insufficiency are allowed)).
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  • Concomitant treatment with medicinal products that increase the pH (reduce acidity) of the upper gastrointestinal tract, including, but not limited to, proton-pump inhibitors (e.g. omeprazole), H2-antagonists (e.g. ranitidine) and antacids. Patients may be enrolled in the study after a wash-out period sufficient to terminate their effect (section 11.1.3.7).
  • Use of any investigational drug within 21 days prior to trial treatment start.
  • Patients who experienced National Cancer Institute (NCI) Common Terminology Criteria For Adverse Events (CTCAE) grade 4 on PI3K/mTOR inhibitors
  • Any major surgery, chemotherapy or immunotherapy within 21 days prior to trial treatment start.
  • Symptomatic or progressing central nervous system (CNS) involvement. Exception: Patients with meningeal involvement can be included upon discussion between the sponsor and the investigator.
  • Persisting toxicities NCI CTCAE ≥2 related to prior anticancer therapy
  • Presence of gastrointestinal disease or any other condition that could interfere significantly with the absorption of the study drug.
  • Severe/unstable angina, myocardial infarction or coronary artery bypass within the last 3 years prior to trial treatment start, symptomatic congestive heart failure New York Heart Association (NYHA) Class 3 or 4, hypertension BP>150/100mmHg
  • A serious active infection (e.g. chronic active hepatitis) at the time of treatment, or another serious underlying medical condition that could impair the ability of the patient to receive treatment.
  • Lack of appropriate contraceptive measures (male and female)
  • Pregnant or lactating women
  • Known HIV infection
  • Significant medical conditions which could jeopardize compliance with the protocol.
  • Uncontrolled diabetes mellitus; patients with controlled diabetes may be enrolled (see fasting glucose levels in inclusion criteria).

Trial locations and contacts

1 site in 1 country.

Germany1 site
  • Medizinische Klinik und Poliklinik III

    Munich, Bavaria, 81377

Other trials in Germany

About this study

Official title: Open-Label, Non-Randomized Phase 2 Study With Safety Run-in Evaluating Efficacy and Safety of PQR309 in Patients With Relapsed or Refractory Lymphoma

The main goal of this study is to determine the Maximum Tolerated Dose (MTD) and the Recommended Phase II Dose (RP2D) as well as preliminary antitumor activity of PQR309 administered orally, as once daily capsules continuously and on intermittent schedule, in patients with relapsed or refractory lymphomas.

Read the detailed description

Open-label, non-randomized, multicentre phase 2 study with a safety run-in evaluating efficacy and safety of PQR309 in patients with relapsed or refractory lymphoma.

The maximum tolerated dose (MTD) of PQR309 in patients with advanced solid tumours was defined as 80 mg once daily given continuously (q.d. schedule) in a previous phase 1 study [8]. The safety run-in of this study will follow a modified 3 + 3 design to evaluate the safety of 60 and 80 mg PQR309 in patients with relapsed or refractory lymphoma administered p.o. once daily during a DLT (dose-limiting toxicity) period of 28 days.

In the safety run-in, three patients will be treated at 60 mg PQR309 for 28 days. Enrollment and treatment of all three patients may occur simultaneously as 80 mg PQR309 p.o. qd was established as the MTD maximum tolerated dose in solid tumours. Unless a DLT (dose-limiting toxicity) is observed in any of the three patients during the first 28 days of treatment, the investigators and the sponsor will decide to escalate the dose to 80 mg.Intermittent dosing schedules may be evaluated if, based on the overall evaluation of all the clinical and PK (pharmacokinetic) data from this and other studies with PQR309, data emerge during the step 1 of the phase 2 expansion in this PQR309 002A study, indicating that daily dosing of PQR309 is not adequately tolerated or inefficacious.

Intermittent dosing schedules may be evaluated if, based on the overall evaluation of all the clinical and PK (pharmacokinetic) data from this and other studies with PQR309, data emerge during the step 1 of the phase 2 expansion in this PQR309 002A study, indicating that daily dosing of PQR309 is not adequately tolerated or inefficacious.

Being tested
PQR309
Medical subject headings
Lymphoma, Lymphoma, Non-Hodgkin

What participants receive

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

  • PQR309Drug

    Also called PI3K Inhibitor (phosphatidylinositol 3-kinase)

    taken continuously on daily basis (60mg, 80mg) or intermittent dosing (120mg, 140mg, 160mg)

Study groups in NCT03127020
Study groupRoleWhat they receive
PQR309ExperimentalPQR309 being taken continuously on daily basis (60,80mg) or intermittent (120mg, 140mg, 160mg) dosing
Receives: Drug: PQR309

What is being measured

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

  1. Assessment of Change of Tumor Response Criteria in lymphoma patients During Treatment with PQR309 in patients with relapsed or refractory lymphoma according to Cheston Criteria (5)

    Radiological lymphoma Evaluation (CT or other indicated according to institutional Standard practice), clinical examination and bone marrow biopsy

    Measured: 28 days prior to first treatment (baseline), during study treatment every 8 weeks during first 6 months and every 6 months afterwards up to 48 months

Secondary outcomes (19)
  1. Incidence of serious adverse events (SAEs), incidence and severity of all adverse events (AEs)

    Continuous and intermittent dosing

    Measured: During treatment on Day 1, 2, 8, 15, 22, 36 and 50; at the endof treatment and 30 days after last dose.

  2. Change in pulse rate

    Continuous and intermittent dosing

    Measured: Before treatment on Day 1,2 and after treatment started on Day 1,2, 8, 15, 22, 36, 50 and subsequently every 4 weeks , at the end of treatment and 30 days after last treatment

  3. Change in blood pressure

    Continuous and intermittent dosing

    Measured: Before treatment on Day 1,2 and after treatment started on Day 1,2, 8, 15, 22, 36, 50 and subsequently every 4 weeks , at the end of treatment and 30 days after last treatment

  4. Change in body temperature

    Continuous and intermittent dosing

    Measured: Before treatment on Day 1,2 and after treatment started on Day 1, 8, 15, 22, 36, 50 and subsequently every 4 weeks , at the end of treatment and 30 days after last treatment

  5. Change in ECOG (Eastern Cooperative Oncology Group) Performance Status

    Continuous and intermittent dosing

    Measured: Before treatment on Day 1,2 and after treatment started on Day 1,8, 15, 22, 36, 50 and subsequently every 4 weeks , at the end of treatment and 30 days after last treatment

  6. Change in bodyweight/kg

    Continuous and intermittent dosing

    Measured: Before treatment on Day 1,2 and after treatment started on Day 1,2, 8, 15, 22, 36, 50 and subsequently every 4 weeks , at the end of treatment and 30 days after last treatment

  7. Change in haematology

    Continuous and intermittent dosing

    Measured: Before treatment on Day 1,2 and after treatment started on Day 1, 8, 15, 22, 36, 50 and subsequently every 4 weeks , at the end of treatment and 30 days after last treatment

  8. Change in blood chemistry

    Continuous and intermittent dosing

    Measured: Before treatment on Day 1and after treatment started on Day 1, 22, 50 and subsequently every 4 weeks and at the end of treatment

  9. Change in haemostasis

    Continuous and intermittent dosing

    Measured: Before treatment on Day 1and after treatment started on Day 1, 22, 50 and subsequently every 4 weeks and at the end of treatment

  10. Change in ECG (electrocardiogram)

    Continuous and intermittent dosing

    Measured: Before treatment on Day 1and after treatment started on Day 1, 22, 50 and subsequently every 4 weeks and at the end of treatment

  11. Change in urine analysis

    Continuous and intermittent dosing

    Measured: Before treatment on Day 1and after treatment started on Day 1, 22, 50 and subsequently every 4 weeks and at the end of treatment

  12. Change in HbA1c

    Continuous and intermittent dosing

    Measured: Before treatment on Day 1and after treatment started on Day 1, 22, 50 and subsequently every 4 weeks and at the end of treatment

  13. Change in Cmax

    Continuous and intermittent dosing

    Measured: During treatment on Day1, 2,8, 15,22 and 50

  14. Change in tmax

    Continuous and intermittent dosing

    Measured: During treatment on Day1, 2, 8, 15,22 and 50

  15. Change in AUC0-24 •

    Continuous and intermittent dosing

    Measured: During treatment on Day1, 2, 8, 15,22 and 50

  16. Change in AUClast,

    Continuous and intermittent dosing

    Measured: During treatment on Day1, 2, 8, 15,22 and 50

  17. Change in AUC0-∞,

    Continuous and intermittent dosing

    Measured: During treatment on Day1, 2, 8, 15,22 and 50

  18. Change in t1/2 •

    Continuous and intermittent dosing

    Measured: During treatment on Day1, 2, 8, 15,22 and 50

  19. Change in RAC •

    Continuous and intermittent dosing

    Measured: During treatment on Day1, 2, 8, 15,22 and 50

Timeline

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

  1. First posted25 Apr 2017
  2. Study startJun 2016
  3. Primary completion21 Mar 2019

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
9 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03127020
Sponsor's protocol ID
PQR309-002A
Status last verified
Jun 2019
First submitted
14 Apr 2016
Last updated
28 Jun 2019
Results posted
No
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 2 study testing PQR309 in people with Lymphoma and Non-Hodgkin Lymphoma, run by PIQUR Therapeutics AG at 1 site in Germany.

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 18 inclusion and 20 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 28 Jun 2019. 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 Germany. 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?

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?

Assessment of Change of Tumor Response Criteria in lymphoma patients During Treatment with PQR309 in patients with relapsed or refractory lymphoma according to Cheston Criteria (5) (time frame: 28 days prior to first treatment (baseline), during study treatment every 8 weeks during first 6 months and every 6 months afterwards up to 48 months). 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 28 Jun 2019.

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