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Lenalidomide, Vorinostat and Dexamethasone in Relapsed Patients With Peripheral T-Cell Non-Hodgkin's Lymphoma (PTCL)

Information source: Arbeitsgemeinschaft medikamentoese Tumortherapie
Information obtained from ClinicalTrials.gov on October 19, 2009
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Peripheral T-Cell Non-Hodgkin's Lymphoma

Intervention: Vorinostat, Lenalidomide (Drug)

Phase: Phase 1/Phase 2

Status: Not yet recruiting

Sponsored by: Arbeitsgemeinschaft medikamentoese Tumortherapie

Official(s) and/or principal investigator(s):
Georg Hopfinger, MD, Principal Investigator, Affiliation: Hanusch Krankenhaus Wien

Overall contact:
Daniela Wolkersdorfer, PhD, Phone: +43 664 1422504, Email: d.wolkersdorfer@agmt.at

Summary

A standard therapy is neither established in first-line patients nor in relapsed patients with PTCL, and there is still an unmet medical need to identify novel efficacious and safe therapy regimens.

The aim of this study is to evaluate the potential of a Lenalidomide plus Vorinostat and Dexamethasone combination therapy as an effective and safe therapeutic regimen, in the treatment of relapsed PTCL following failure of prior regimens.

Clinical Details

Official title: Phase I/II Trial of Lenalidomide in Combination With Vorinostat and Dexamethasone as Therapy in Relapsed Patients With Peripheral T-Cell Non-Hodgkin's Lymphoma (PTCL)

Study design: Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Safety Study

Primary outcome: The primary objective of this study is to determine the maximum tolerated dose (MTD) of a Lenalidomide, Vorinostat, and Dexamethasone combination regimen in terms of occurrence of dose-limiting toxicities (DLT) at any dose level.

Secondary outcome: Remission rate of a combination therapy with Lenalidomide, Vorinostat, and Dexamethasone in a treatment refractory or relapsed population, defined as the percentage of patients achieving a complete response (CR) or partial response (PR)

Eligibility

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

Criteria:

Inclusion Criteria:

- Patients with relapsed PTCL according to WHO criteria who have received max. two

previous treatments for PTCL

- Age ≥ 18 years.

- Adequate bone marrow function i. e. absolute neutrophile count of > 1000/µl and

thrombocytes > 75,000/µl.

- Alkaline phosphatase and transaminases ≤ 2,5 x upper limit of normal (ULN)

- Total bilirubin ≤ 2,5 x ULN

- Creatinine clearance ≥ 50 ml/min

- Female subjects of childbearing potential† must: Understand that the study medication

could have an expected teratogenic risk and agree to use, and be able to comply with, effective contraception and agree to have a medically supervised pregnancy test

- Male subjects must agree to use condoms and agree not to donate semen

Exclusion Criteria:

- Prior history of malignancies, other than PTCL, unless the subject has been free of

the disease for ≥ 3 years

- Prior allogeneic bone marrow transplant or plans to undergo autologous/ allogeneic

bone marrow transplant within 4 weeks of the initiation of vorinostat administration

- Prior treatment with a HDAC inhibitor

- Prior treatment with Lenalidomide (patients previously treated with Thalidomide may

be enrolled)

- Known history of Deep Vein Thrombosis (DVT) and/ or pulmonary embolism (PE)

Locations and Contacts

Daniela Wolkersdorfer, PhD, Phone: +43 664 1422504, Email: d.wolkersdorfer@agmt.at

Hanusch Krankenhaus, Vienna A-1140, Austria

Krankenhaus der Elisabethinen Linz, Linz A-4010, Austria

Krankenhaus der Stadt Linz, Linz A-4020, Austria

Universitaetsklinik f. Innere Medizin III, Salzburg A-5020, Austria

Medizinische Universitaet Innsbruck, Abtlg. f. Haematologie und Onkologie, Innsbruck, Tirol A-6020, Austria

Additional Information

Starting date: September 2009
Ending date: June 2011
Last updated: September 8, 2009

Page last updated: October 19, 2009

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