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Brentuximab Vedotin and Imatinib in Patients With Relapsed or Refractory ALK+ ALCL

Information source: Arbeitsgemeinschaft medikamentoese Tumortherapie
ClinicalTrials.gov processed this data on August 23, 2015
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: ALK+ Anaplastic Large Cell Lymphoma

Intervention: Brentuximab vedotin (Drug); Imatinib (Drug)

Phase: Phase 1/Phase 2

Status: Not yet recruiting

Sponsored by: Arbeitsgemeinschaft medikamentoese Tumortherapie

Overall contact:
Ulrich Jäger, Univ.Prof.Dr, Phone: + 43 1 40400, Ext: 44100, Email: ulrich.jaeger@meduniwien.ac.at


This is an open label pilot study of combining BV in a licensed indication with imatinib in patients with ALCL. It is intended as a "window of opportunity" trial in which the study drugs will be given as an initial substitute for conventional chemotherapy with the intention to achieve a remission enabling the patients to proceed to autologous or allogeneic stem cell transplantation, if eligible.

Clinical Details

Official title: A "Window of Opportunity" Trial With Brentuximab Vedotin and Imatinib in Patients With Relapsed or Refractory ALK+ Anaplastic Large Cell Lymphoma or Patients Ineligible for Chemotherapy

Study design: Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Primary outcome: Safety of brentuximab vedotin and imatinib regime as measured by type, frequency and severity of adverse events (AEs) and their relationship to study treatment

Secondary outcome:

Efficacy of brentuximab vedotin and imatinib regime as measured by proportion of patients responding to treatment

Ability to receive further Treatment as measured by number of patients being able to receive transplantation

Progression-free survival as measured by proportion of patients displaying progressive disease

Overall survival as measured by documentation of deaths

Detailed description: Patients will be included in this trial if they have relapsed or refractory ALK+ ALCL after at least one line of conventional chemotherapy or if they are ineligible for conventional chemotherapy. Imatinib will be given continuously starting from day 1 of the first cycle at an oral dose of 100mg daily. The dose will be increased to 200mg daily starting from day 1 of the second cycle if no DLT occurs during the first cycle. BV will be given 3 weekly starting on day 1 at a dose of 1. 8 mg/kg body weight. In the absence of a dose limiting toxicity (DLT) i. e. haematological toxicity ≥ grade 2, non- haematological toxicity ≥ grade 3, after 3 weeks of therapy, and in the presence of a clinical response (CR or PR) after cycle 1, the BV dose will continue every 3 weeks for 48 weeks. Dose modifications and stopping rules will be introduced as described in chapter 6. In case of progression at any time during the study the patient will go off trial and receive salvage treatment.


Minimum age: 18 Years. Maximum age: N/A. Gender(s): Both.


Inclusion Criteria:

- Patients ≥ 18 years of age


- Histologically confirmed relapse after having achieved a PR or CR with conventional


- Refractoriness to conventional chemotherapy (SD or PD after conventional


- Not able to receive conventional chemotherapy (e. g. due to comorbidities)

- Adequate organ function, defined as the following:

- Absolute neutrophil count ≥ 1,500/μL unless there is known hematologic/solid

tumor marrow involvement

- Platelet count ≥ 75,000/ μL unless there is known marrow involvement of the


- Total bilirubin must be < 1. 5 x the upper limit of the normal (ULN) unless the

elevation is known to be due to Gilbert syndrome.

- ALT or AST must be < 3 x the upper limit of the normal range. AST and ALT may be

elevated up to 5 times the ULN if their elevation can be reasonably ascribed to the presence of hematologic/solid tumor in liver.

- Serum creatinine must be < 2. 0 mg/dL and/or creatinine clearance or calculated

creatinine clearance > 40 mL/minute.

- Hemoglobin must be ≥ 8g/dL.

- Written, voluntarily signed informed consent

- Female patient is either post-menopausal for at least 1 year before the screening

visit or surgically sterile or if of childbearing potential, must practice 2 effective methods of contraception, at the same time, from the time of signing the informed consent until 6 months after the last doses of BV and until last doses of imatinib, whatever occurs later, or agrees to completely abstain from heterosexual intercourse.

- Male patients, even if surgically sterilized, (i. e., status post vasectomy) agree to

practice effective barrier contraception during the entire study period and through 6 months after the last dose of BV, or agrees to completely abstain from heterosexual intercourse. Exclusion Criteria:

- Patient has received any other investigational treatment within 28 days before study


- Known hypersensitivity to recombinant proteins, murine proteins, or to any excipient

contained in the drug formulation of brentuximab vedotin or imatinib

- ECOG performance status ≥ 3

- Acute or chronic infections

- Female patients who are pregnant or breast-feeding

- Known diagnosis of HIV

- Known hepatitis B surface antigen-positive, or known or suspected active hepatitis C


- Any serious medical or psychiatric illness that could, in the investigator's opinion,

potentially interfere with the completion of treatment according to the protocol.

- Known cerebral or meningeal disease (HL or any other etiology), including signs or

symptoms of PML

- Symptomatic neurologic disease compromising normal activities of daily living or

requiring medications

- Any sensory or motor peripheral neuropathy greater than or equal to Grade 2

- Known history of any of the following cardiovascular conditions

- Myocardial infarction within 2 years of study entry

- New York Heart Association (NYHA) Class III or IV heart failure

- Evidence of current uncontrolled cardiovascular conditions, including cardiac

arrhythmias, congestive heart failure (CHF), angina, or electrocardiographic evidence of acute ischemia or active conduction system abnormalities

- Recent evidence (within 6 months before first dose of study drug) of a

left-ventricular ejection fraction <50%

- Any active systemic viral, bacterial, or fungal infection requiring systemic

antibiotics within 2 weeks prior to first study drug dose

- Diagnosed or treated for another malignancy within 3 years before the first dose or

previously diagnosed with another malignancy and have evidence of residual disease. Patients with nonmelanoma skin cancer or carcinoma in situ of any type are not excluded if they have undergone complete resection.

Locations and Contacts

Ulrich Jäger, Univ.Prof.Dr, Phone: + 43 1 40400, Ext: 44100, Email: ulrich.jaeger@meduniwien.ac.at

Universitätsklinik für Innere Medizin V, Innsbruck A-6020, Austria; Not yet recruiting
Angelina Rauth, Phone: 0043512504, Ext: 23382, Email: studienambulanz.haematologie@uki.at
Wolfgang Willenbacher, Dr, Principal Investigator

AKH Linz, Innere Medizin 3, Zentrum f. Haematologie u. med. Onkologie, Linz A-4021, Austria; Not yet recruiting
Bettina Pfleger, Phone: +43 7327806, Ext: 6207, Email: bettina.pfleger@akh.linz.at
Elisabeth Morbitzer, Phone: +43 7327806, Ext: 6204, Email: elisabeth.morbitzer@akh.linz.at
Michael A. Fridrik, Univ.Doz.Dr, Principal Investigator

Universitätsklinik der PMU, Universitätsklinik für Innere Medizin III, Salzburg 5020, Austria; Not yet recruiting
Michaela Schachner, Mag., Phone: +43 662 4482, Ext: 2847, Email: m.schachner@salk.at
Richard Greil, Univ.Prof.Dr, Principal Investigator

Universitätsklinik f. Innere Medizin I, AKH Wien, Klinische Abteilung für Hämatologie und Hämostaseologie, Wien 1090, Austria; Not yet recruiting
Natascha Vydra, Phone: + 43 1 40400, Ext: 44100, Email: natascha.vydra@meduniwien.ac.at
Ulrich Jäger, Univ.Prof.Dr, Principal Investigator

Additional Information

Starting date: June 2015
Last updated: June 2, 2015

Page last updated: August 23, 2015

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