Patients With Relapsed or Refractory Diffuse Large B Cell Non Hodgkin Lymphomas

Stopped early · Phase 2

Conditions studied: Non-Hodgkin Lymphomas

In brief

This is a phase II open label study that looks at the efficacy and toxicity of Ofatumumab monotherapy in patients with relapsed and/or refractory diffuse large B-cell lymphoma (DLBCL). Patients will receive weekly infusions of Ofatumumab of 1000 mg each for 8 weeks (induction phase) followed by continuing the study drugs every other week in subsequent cycles (maintenance phase). Each 4 weeks of therapy will be calculated as one cycle. Treatment will continue until disease progression, toxicity, patient's withdrawal, or investigator's discretion.

Key facts

Study ID

NCT01078922

Run by

Oncology Specialists, S.C.

People needed

11

Starts

2010-02-01

Expected to finish

2013-10-01

Last updated by the study team

2014-07-16

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Relapsed and/or refractory DLBCL,not HSCT candidates. Pts must have failed standard of care (SOC) therapy w/rituximab plus CHOP or its equivalent \& not considered hematopoietic stem cell transplant (HSCT) candidates based on investigator's discretion
• Pts must have measurable disease radiographically on CT and/or PET scans and/or bone marrow biopsy.
• Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2
• Age ≥18 years. No upper limit of age
• Life expectancy of 6 months or more based on investigator's best estimate.
• Pts able to read, understand, \& sign informed consent
• Evidence of CD20 positivity in treated pts, using flow or immunohistochemistry.
• Pts will be stratified based on bulk of disease (bulk defined as any area w/ more than 5cm in greatest dimension)
• Pts must agree to an acceptable form of birth control

You may not qualify if…

• Other histologies of non-Hodgkin's lymphoma (NHL)
• Known central nervous system (CNS) involvement with NHL
• Known HIV positive status
• Chronic or current active infectious disease requiring systemic antibiotics, antifungal, or antiviral treatment.
• Corticosteroid use is allowed as long as it is for non-lymphoma related causes such as rheumatoid arthritis and chronic obstructive pulmonary disease (COPD).
• Pts w/prior malignancies are allowed as long as they are in remission \& their last treatment for such malignancy is 2 years prior to enrollment or more. Pts w/non-melanoma skin cancers that have received adequate therapy prior to enrollment \& women w/history of cervical cancers are allowed.
• Significant concurrent uncontrolled medical condition including, but not limited to, renal, hepatic, hematological, gastrointestinal, endocrine, pulmonary, neurologic, cerebral, or psychiatric disease.
• Current active liver or biliary disease (with the exception of Gilbert's syndrome or asymptomatic gallstones, liver metastases, or otherwise stable chronic liver disease per the investigator's assessment).
• Adequate bone marrow function by virtue of having Platelets >50,000/ul \& absolute neutrophil count (ANC) >1000/ul is required unless low counts are attributed to diffuse bone marrow infiltration with NHL as documented with a bone marrow biopsy exam.
• Pts with creatinine >2.0 times the upper limit of normal will be excluded unless they have a normal creatinine clearance-estimated or measure 12 or 24 hour creatinine clearance of <60 mL/min
• Pts w/total bilirubin >1.5 times upper limit of normal will be excluded, unless due to DLBCL involvement of liver or a known history of Gilbert's disease.
• Pts with aspartate aminotransferase (AST)/alanine aminotransferase (ALT)/Alkaline phosphatase (Alk Phos) >2.5 times upper limit of normal
• Previous tx with Ofatumumab
• Prior exposure to an investigational agent within 4-weeks from starting Ofatumumab
• History of significant cerebrovascular disease or event w/significant symptoms or sequelae
• Clinically significant cardiac disease including unstable angina, acute myocardial infarction within 6 months prior to randomization, congestive heart failure (NYHA III-IV), \& arrhythmia unless controlled by therapy, w/exception of extra systoles or minor conduction abnormalities.
• Positive serology for hepatitis B (HB) defined as a positive test for HBsAg. In addition, if negative for HBsAg but HBcAb positive \& regardless of HBsAb status, a HB DNA test will be performed and if positive the subject to be excluded. Note: If HBcAb positive and HBsAb positive, which is indicative of a past infection, subject can be included
• Positive serology for hepatitis C (HC) defined as a positive test for HCAb, in which case reflexively perform a HC RIBA immunoblot assay on the same sample to confirm the result.
• Pregnant or lactating women. Women of childbearing potential must have a negative pregnancy test at screening, including women whose last menstrual period was less than 1 year prior to screening, unable or unwilling to use adequate contraception from study start to 1 year after the last dose of protocol therapy. Adequate contraception is defined as hormonal birth control, intrauterine device, double barrier method or total abstinence.

Where it is running

• University of Illinois at Chicago — Chicago, Illinois, United States
• Oncology Specialists, S.C — Niles, Illinois, United States
• Oncology Specialists, S.C. — Park Ridge, Illinois, United States

Full record on ClinicalTrials.gov

Trial information comes from ClinicalTrials.gov and is refreshed daily. TrialsForMe does not provide medical care and does not run the studies it lists.