Non-Hodgkin's LymphomaPhase 3NCT00312845
Study of VELCADE and Rituximab in Patients With Relapsed or Refractory B-cell Non-Hodgkin's Lymphoma
A Phase 3 study testing Bortezomib + Rituximab and Rituximab in people with Non-Hodgkin's Lymphoma, run by Millennium Pharmaceuticals, Inc. at 206 sites in 32 countries.
Trial summary
The purpose of this study is to determine if the combination of VELCADE and rituximab improves progression free survival relative to rituximab alone in patients with relapsed or refractory B-cell non-Hodgkin's lymphoma (B-NHL) who never received rituximab or who have previously responded to rituximab. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Non-Hodgkin's Lymphoma
- What is being tested?
- Bortezomib + Rituximab and Rituximab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 676 participants
- Where
- 206 sitesin 32 countries
- Study dates
- Mar 2006to Jul 2010
- Phase
- Phase 3
- 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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subjects must satisfy the following criteria to be enrolled in the study:
- Man or woman and age 18 years or older
- Diagnosis of follicular B-NHL of the following subtypes (World Health Organization [WHO] classification 1997): follicular lymphoma (FL) (Grades 1 and 2).
- Documented relapse or progression following prior antineoplastic treatment. New lesions or objective evidence of progression of existing lesions must document relapse or progression following the previous therapy.
- If any prior regimen included rituximab, the subject must have responded (complete response [CR], unconfirmed complete response [CRu], partial response [PR]), and the time to progression (TTP) from the first dose of rituximab must have been 6 months or more.
- At least 1 measurable tumor mass (greater than 1.5 cm in the longest dimension and greater than 1.0 cm in the short axis) that has not been previously irradiated, or has grown since previous irradiation
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- In the opinion of the investigator the decision to initiate treatment is justified to manage the subject's lymphoma
- No active central nervous system lymphoma
- Eastern Cooperative Oncology Group [ECOG] status ≤ 2
- Female subjects must be postmenopausal (for at least 6 months), surgically sterile, abstinent, or, if sexually active, be practicing an effective method of birth control (e.g., prescription oral contraceptives, contraceptive injections, intrauterine device, double-barrier method, contraceptive patch, male partner sterilization) before entry and throughout the study; and have a negative serum beta-human chorionic gonadotropin (β-hCG) pregnancy test at screening.
- Subjects (or their legally acceptable representatives) must have signed an informed consent document indicating that they understand the purpose of and procedures required for the study and are willing to participate in the study.
- In countries where health authorities have approved the pharmacogenomic testing, subjects or their legally acceptable representatives must have signed a separate informed consent that they agree to participate in the genetic part and protein testing part of the study; participation in the genetic and protein testing component is mandatory for pharmacogenomics testing, but optional for serum protein testing and future testing.
Who cannot join
- Potential subjects who meet any of the following criteria will be excluded from participating in the study:
- Diagnosed or treated for a malignancy other than NHL within 1 year of randomization, or who were previously diagnosed with a malignancy other than NHL and have any radiographic or biochemical marker evidence of malignancy. Subjects with completely resected basal cell carcinoma, squamous cell carcinoma of the skin, or in situ malignancy are not excluded.
- Clinical evidence of a transformation from indolent NHL to a more aggressive form of NHL.
- History of disallowed therapies:
- Prior treatment with VELCADE
- Antineoplastic (including unconjugated therapeutic antibodies), experimental, or radiation therapy within 3 weeks before randomization
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- Nitrosoureas within 6 weeks before randomization
- Radioimmunoconjugates or toxin immunoconjugates within 10 weeks before randomization
- Stem cell transplant within 6 months before randomization
- Major surgery within 2 weeks before randomization
- Residual toxic effects of previous therapy or surgery of Grade 3 or worse
- Peripheral neuropathy or neuropathic pain of Grade 2 or worse
- Have received an experimental drug or used an experimental medical device within 21 days before the planned start of treatment.
- History of allergic reaction attributable to compounds containing boron or mannitol
- Known anaphylaxis or immunoglobulin E (IgE)-mediated hypersensitivity to murine proteins or to any component of rituximab including polysorbate 80 and sodium citrate dihydrate
- Concurrent treatment with another investigational agent
- Female subject who is pregnant or breast-feeding
Trial locations and contacts
206 sites in 32 countries.
206 sites in 32 countries
United States41 sites
Central Hematology Oncology Medical Group, Inc
Alhambra, California, 91801
Emory Univeersity ,Winship Cancer Institute
Atlanta, Georgia
Comprehensive Blood and Cancer Center
Bakersfield, California, 93309
Sinai Hospital
Baltimore, Maryland
Providence Saint Joseph Medical Center
Burbank, California, 91505
North Idaho Cancer Center
Coeur d'Alene, Idaho
South Carolina Oncology Associates, PA
Columbia, South Carolina, 29210
South Carolina Oncology Associates
Columbia, South Carolina
The Center for Cancer and Blood Disorders
Fort Worth, Texas
St. Jude Heritage Medical Group
Fullerton, California, 92835
Southeastern Medical Oncology Center
Goldsboro, North Carolina, 27530
Hattiesburg Clinic
Hattesburg, Missouri
Oncology Consultants
Houston, Texas, 777024
Investigative Clinical Research of Indiana
Indianapolis, Indiana
Integrated Community Oncology Network
Jacksonville, Florida
Kansas City Cancer Center, LLC
Kansas City, Kansas, 66210
Wilshire Oncology Medical Group, Inc.
La Verne, California, 91790
Lancaster Cancer Center, Ltd.
Lancaster, Pennsylvania, 17601
Suburban Hematology-Oncology Associates
Lawrenceville, Georgia, 30045
Pacific Shores Medical Group
Long Beach, California, 90813
University of Southern California
Los Angeles, California, 90033
University of California, Los Angeles
Los Angeles, California, 90095
Louisville Oncology
Louisville, Kentucky
Northwest Georgia Oncology Centers, P.C.
Marietta, Georgia, 30060
Hematology & Oncology Specialists
Metairie, Louisiana
Innovative Clinical Research of South Florida
Miami, Florida
Medical College of Wisconsin Milwaukee
Milwaukee, Wisconsin
North Valley Hematology Oncology
Mission Hills, California, 91345
Vanderbilt University
Nashville, Tennessee, 37232
Norwalk Medical Group
Norwalk, Connecticut
East Alabama Medical Center
Opelika, Alabama
University of California, Irvine Medical Center
Orange, California, 92868
Ventura County Hematology-Oncology Specialists
Oxnard, California, 93030
The Western Pennsylvania Hospital
Pittsburgh, Pennsylvania
Oregon Health & Science University
Portland, Oregon
Cancer Care Associates Medical Group, Inc.
Redondo Beach, California, 90277
South Texas Oncology and Hematology
San Antonio, Texas
Central Coast Medical Oncology Corporation
Santa Maria, California, 93454
Siouxland Hematolgoy-Oncology Associates
Sioux City, Iowa
Hematology Oncology PC
Stamford, Connecticut
Palm Beach Cancer Institute
West Palm Beach, Florida
Russia22 sites
Arkhangelsk Region Clinical Hospital
Arghangelsk, 163045
Altay Regional Oncology Dispensary
Barnaul, 656049
Belgorod Regional Oncology Center
Belgorod, 308010
Cheliabinsk Regional Oncology Dispensary
Chelyabinsk, 454087
1st Republican Clinical Hospital of Udmurtia
Izhevsk, 426039
Cancer Research Center
Moscow, 115478
S.P. Botkin Moscow City Clinical Hospital
Moscow, 125101
Moscow Region Clinical Research Institute
Moscow, 129110
Semashko Central Clinical Hospital #2
Moscow, 129128
City Oncology Hospital #62
Moscow, 143423
Nizhniy Novgorod Region Clinical Hospital
Nizhny Novgorod, 603129
Novosibirsk State Regional Clinical Hospital
Novosibirsk, 630087
Novosibirsk State Medical University
Novosibirsk, 630091
Medical Scientifical Radiology Center
Obninsk, 249020
Republikan Hospital named after V.A. Baranov
Petrozavodsk, 185019
St. Petersburg Clinical Research Institute of Hematology and Transfusiology
Saint Petersburg, 191024
Saint Petersburg Pavlov State Medical University
Saint Petersburg, 197022
St. Petersburg City Hospital #31
Saint Petersburg, 197110
Saratov State Medical University
Saratov, 410028
Tomsk Research Oncology Institute
Tomsk, 634028
Republican Clinical Hospital of Bashkorkostan
Ufa, 450005
Ekaterinburg City Clinical Hospital #7
Yekaterinburg, 620137
Belgium11 sites
ULB Erasme
Anderlecht, 1070
AZ Stuivenberg
Antwerp, 2060
AZ Sint Jan
Bruges, 8000
Institute J. Bordet
Brussels, 1000
Clinique Notre Dame
Charleroi, 6000
UZ Antwerpen - Universitair Ziekenhuis Antwerpen
Edegem, 2650
UZ Gent - Universitair Ziekenhuis Gent
Ghent, 9000
Virga Jesse Ziekenhuis, Dienst Hematologie
Hasselt, 3500
CHR La Citadelle
Liège, 4000
CHU Sart Tilman
Liège, 4000
Heilig Hart Roeselare
Roeselare, 8800
India10 sites
Institution Manipal Hospital
Bangalore
Postgraduate Institute of Medical Education and Research
Chandigarh, 160 012
Apollo Speciality Hospital
Chennai, 6000035
Nizam's Institute of Medical Sciences
Hyderabaad, 500 082
SMS Medical College Hospital
Jaipur, 302 004
Apollo Hospitals, Hyderabad Apollo Hospital Complex
Jubilee Hills
Shirdi Saibaba Cancer Hospital
Karnataka, 576 104
Department of Medical Oncology - Regional Cancer Centre
Kerala
Regional Cancer Centre
Kerala
Tata Memorial Centre
Mumbai, 400 012
Ukraine10 sites
Cherkassy Regional Oncology Dispensary
Cherkassy, 18009
Dnepropetrovsk Regional Clinical Oncology Dispensary
Dnipro, 46055
Institute for Emergency and Urgent Medical Assistance named after V.K. Gusak of AMS of Ukraine
Donetsk, 83045
Khmelnitskiy Regional Hopsital
Khmelnitsky, 29000
Kiev Center of Marrow Transplantaion
Kiev, 03115
Krivoy Rog Oncology Dispensary
Kryvyi Rih
Institute of Blood Pathology and Transfusional Medicine of AMS of Ukraine, Lviv Clinical Hospital #5
Lviv, 79044
Ukrainian Medical Stomatological Academy, Poltava Regional Dispensary
Poltava, 36024
Crimean Republic Clinical Oncology Dispensary
Simferopol
Zhitomir Gerbachevsky Regional Clinical Hospital
Zhytomyr, 10002
China9 sites
Cancer Hospital (Institute), CAMS&PUMC
Beijing, 100021
Beijing Cancer Hospital
Beijing, 100036
Peking University People's Hospital
Beijing, 100044
Affiliated Hospital of the Academy of Military Medical Sciences
Beijing, 100071
West China Hospital of Sichuan
Chengdu, Sichuan, 610041
Cancer Center, Sun Yat-Sen University
Guangzhou, 510060
Peking University Third Hospital
Haidian District Beijing, 100083
RuiJin Hospital
Shanghai, 200025
Cancer Hospital - FuDan University
Shanghai, 200032
Poland9 sites
Klinika Hematologii Instytut Chorob Wewnetrznych
Gdansk, 80-952
Klinika Hematologii CMUJ
Krakow, 31-501
Klinika Hematologii - Uniwersytetu Medycznego
Lodz, 93-510
Klinika Hematologii i Transplantologii Szpiku AM
Lublin, 20-081
Wojskowy Instytut Medyczny - Klinika Hematologii
Warsaw, 00-909
Instytut Hematologii i Transfuzjologii
Warsaw, 00-957
Klinika Hematologii AM
Warsaw, 02-097
Klinika Nowotworow Ukladu Chlonnego
Warsaw, 02-781
Katedra i Klinika Hematologii, Nowotworow Krwi i Transplantacji Szpiku
Wroclaw, 50-367
France7 sites
Institut Bergonie
Bordeaux, 33076
Clinique Victor Hugo
Le Mans, 72015
Hopital Claude Huriez
Lille, 59037
Centre Léon Bérard
Lyon, 69373
Hopital Hotel Dieu
Nantes, 44098
Service des Maladies due sang - Hopital haut Leveque
Pessac, 33604
Centre Hospitalier Lyon Sud
Pierre-Bénite, 69495
Australia6 sites
Royal Adelaide Hospital
Adelaide, South Australia, 5000
Peter MacCallum Cancer Institute
East Melbourne, Victoria, 3002
Fremantle Hospital
Fremantle, Western Australia, 6160
Alfred Hospital
Melbourne, Victoria, 3004
Royal Melbourne Hospital
Parkville, Victoria, 3050
Princess Alexandra Hospital
Woolloongabba, Queensland, 4102
Israel6 sites
Soroka Medical Center
Beersheba
Rambam Medical Center
Haifa
Hadassah Medical Center
Jerusalem
Rabin Medical Center
Petah Tikva
Sorraski Tel Aviv Medical Center
Tel Aviv
Sheba Medical Center
Tel HaShomer
South Korea6 sites
Lung Cancer Center - National Cancer Center
Gyeonggi-do, 411-769
Samsung Medical Center - Division of Hematology-Oncology, Department of Medicine
Ilmon-Dong, Kangnam-Ku, Seoul, 135-710
Hematology-Oncology Clinic, Center for Specific Organs Cancer - National Cancer Center
Ilsandong-Gu, Goyang-Si, and Gyeonggi-Do, 410-769
Samsung Medical Center - Department of Internal Medicine
Ilwon Dong, Kangnam-Ku, Seoul, 135-710
Severance Hospital, Yonsei University College of Medicine
Seoul, 120-752
Asan Medical Center
Seoul, 138-736
United Kingdom6 sites
Aberdeen Royal Infirmary - Department of Haematology
Aberdeen
Addenbrooke's Hospital - Department of Haematology
Cambridge, CB2 2QQ
University Hospital of Wales
Cardiff, CF14 4XN
Guy's & St. Thomas Hospital
London, SE1 9RT
Derriford Hospital - Department of Haematology
Plymouth, PL6 8DH
Taunton & Somerset Hospital
Taunton, TA1 5DA
Romania5 sites
Spitalul clinic de urgenta
Brasov
Institutul Clinic Fundeni Clinica de Hematologie
Bucharest
Spitalul Universitar de Urgenta Hematologie
Bucharest
Spitalul Clinic judetean de urgenta "Sf. Spiridon, Clinica Hematologie
Iași
Spitalul Clinic judetean de urgenta Mures
Târgu Mureş
Brazil4 sites
Servico de Oncologia do Hospital Sao Lucas da PUC do rio Grande do Sul
Porto Alegre, Rio Grande do Sul, 90610-00
Instituto Nacional de Cancer
Rio de Janeiro, 20231-050
Hospital Brigadeiro
São Paulo, 01404-901
Faculdade de Medicina do ABC
São Paulo, 09060-650
Czechia4 sites
Fakultni nemocnice Brno
Brno, 625 00
Fakultni nemocnice Hradec Kralove
Hradec Králové, 500 05
Fakultni nemocnice Olomouc
Olomouc, 775 20
Vseobecna Fakultni Nemocnice
Prague, 2
Italy4 sites
Azienda Ospedaliero Universitaria di Bologna
Bologna, 40138
Universita degli Studi di Perugia
Perugia, 06122
Azienda Ospedallera Universitaria Policlinico Tor Vergata
Roma, 00133
Azienda Sanitaria Ospedaliera Molinette S. Giovanni Battista
Torino, 10126
Portugal4 sites
Servico de Hematologia - Hospital de Dia - Hospital Da Universidade de Coimbra
Coimbra, 3000-075
Instituto Portugues de Oncologia de Lisboa Francisco Gentil, E.P.E. - Departmento de Hematologia
Lisbon, 1099-023
Hospital de Dia de Hematologia - Hospital de Santa Maria E.P.E.
Lisbon, 1649-035
Serviço de Onco-hematologia, Instituto Português de Oncologia do Porto Franscisco Gentil, EPE
Porto, 4200-072
Slovakia4 sites
FN F.D. Roosevelt - Oddelenie hematologie
Banska Bysterica, 97517
Fakultna nemocnica L. Pasteura - Klinika hematologie a onkohematologie
Košice, 040 11
Vychodoslovensky Onkologicky Ustave, a.s.
Košice, 041 90
Martinska FN, Klinika hematologie a transfuziologie
Martin, 036 59
South Africa4 sites
Mary Potter Oncology Centre - Little Company of Mary Hospital
Groenkloof, Pretoria, 0181
Chris Hani Baragwanath Hospital
Johannesburg
GVI Oncology Clinical Trial Unit
Panorama, Cape Town
East Cape Oncology Centre - St. Georges Hospital
Port Elizabeth
Spain4 sites
Hospital Durans I Reynals - Institut Catala d'Oncologia
Barcelona, 08907
Hospital Germans Trias i Pujol Institut Catala d'Oncologia
Barcelona, 08916
Hospital Universitario La Paz
Madrid, 28046
Hospital Universitario de Salamanca
Salamanca, 37007
Thailand4 sites
King Chulalongkorn Memorial Hospital
Bangkok, 10330
Ramathibodi Hospital, Mahidol University
Bangkok, 10400
Siriraj Hospital, Mahidol University
Bangkok, 10700
Maharaj Nakorn Chiang Mai Hospital, Chiang Mai University
Chiang Mai, 50200
Argentina3 sites
Higa San Martin
La Plata - Buenos Aires
Hospital Professor Rodolfo Rossi
La Plata - Buenos Aires
Centro Oncologico Integracion Regional
Mendoza
Canada3 sites
Juravinski Cancer Centre
Hamilton
Toronto Sunnybrook Regional Cancer Centre
Toronto, Ontario
University Health Network - Princess Margaret Hospital
Toronto, Ontario
Germany3 sites
Onkologische Schwerpunktpraxis
Herrsching am Ammersee, 82211
Universitatsklinikum Munster - Klinik fur Innere Medizin
Münster
Praxis für Hämetologie und Oncologie
Würzburg, 97070
Greece3 sites
Laiko General Hospital of Athens - 1st Internist Clinic - Hematology Department
Athens, 11527
University General Hospital Attikon - 2nd Department of Internal Medicine - Propedeutic & Research Institute
Athens, 12462
University Hospital of Patras - Department of Internal Medicine - Hematology Division
Rio Patras, 26500
Hungary3 sites
Debreceni Egyetem, Orvos- es Egeszsegtudomanyl Centrum, iii. Belgyogyaszati Klinika
Debrecen, H-4004
Petz Aladar County Hospital
Győr, 9024
SZEgedi Tudomanyegyetem, II Belgyaszati Klinika
Szeged, H-6720
Mexico3 sites
Instituto Nacional De Ciencias Medicas Y Nutricion Salvador Zubiran
Delagacion Tlalpan, 14000
Instituto Nacional De Cancerologia Incan
Delagacion Tlalpan, 14080
Hospital Universitario Dr. Jose Eleuterio Gonzalez UANL
Monterrey, Nuevo Leon, 64460
Sweden3 sites
Onkologiska kliniken Universitetssjukhuset
Lund
Centrum for Hematologi Karolinska University Hospital
Stockholm
Hematologiska kliniken M54 Karolinska University Hospital
Stockholm
Finland2 sites
Paijat - Hameen Keskussairaala
Lahti, 15850
Satakunnan Keskussairaala
Pori, 28500
About this study
Official title: A Randomized, Open-Label, Multicenter Study of VELCADE With Rituximab or Rituximab Alone in Subjects With Relapsed or Refractory, Rituximab Naive or Sensitive Follicular B-cell Non-Hodgkin's Lymphoma
The purpose of this study is to determine if the combination of VELCADE and rituximab improves progression free survival relative to rituximab alone in patients with relapsed or refractory B-cell non-Hodgkin's lymphoma (B-NHL) who never received rituximab or who have previously responded to rituximab. This is an international study being conducted in the United States and in many countries around the world. A complete list of study locations is listed below.
- Conditions
- Non-Hodgkin's Lymphoma
- Being tested
- Bortezomib + Rituximab, Rituximab
- Keywords
- B-cell Non-Hodgkin's Lymphoma
- Medical subject headings
- Lymphoma, Non-Hodgkin, Lymphoma, B-Cell
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Bortezomib + RituximabDrug
VELCADE for Injection will be administered weekly on Days 1,8,15, and 22 of a 35-day cycle in combination with 4 doses of rituximab once a week on Days 1,8,15, and 22 of Cycle 1 and in combination with a single dose of rituximab on Day 1 of Cycles 2 to 5.
RituximabDrug
rituximab once a week on Days 1,8,15, and 22 of Cycle 1, and as a single dose on Day 1 of Cycles 2 to 5 (for a total of 8 doses).
| Study group | Role | What they receive |
|---|---|---|
| Bortezomib + Rituximab | Experimental | Not described Receives: Drug: Bortezomib + Rituximab |
| Rituximab | Active comparator | Not described Receives: Drug: Rituximab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression Free Survival
Progression free survival is defined as time from randomization to progressive disease or death due to any cause, whichever occurs first.
Measured: Subjects are followed until progressive disease/death or the end of the study. The median follow up time is 33.9 months.
Secondary outcomes (1)
Overall Response Rate
Overall response rate is defined as Complete Response (CR) + Complete Response Unconfirmed (CRu) + Partial Response (PR) using International Working Group Criteria (IWGC) and Independent Radiographic Review results and clinical results. The IWGC CR requires complete disappearance of all detectable clinical and radiographic evidence of disease and disappearance of all disease-related symptoms, and normalization of lactic dehydrogenase and bone marrow involvement. CRu requires more than 75% reduction in sum of product of nodes (SPD). PR requires moer than 50% reduction in SPD.
Measured: Subjects are followed until progressive disease/death or the end of the study. The median follow up time is 33.9 months.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Apr 2006 (estimated)
- Study startMar 2006
- Primary completionJun 2010
- Study completionJul 2010
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Non-Hodgkin's LymphomaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 676 participants (actual)
Sponsor and investigators
- Lead sponsor
- Millennium Pharmaceuticals, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
- Responsible party
- Sponsor
- Investigators
- Medical Monitor, Study director, Millennium Pharmaceuticals, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00312845
- Sponsor's protocol ID
- 26866138-LYM-3001
- Status last verified
- Jun 2012
- First submitted
- 7 Apr 2006
- Last updated
- 25 Jun 2012
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Zinzani PL, Khuageva NK, Wang H, Garicochea B, Walewski J, Van Hoof A, Soubeyran P, Caballero D, Buckstein R, Esseltine DL, Theocharous P, Enny C, Zhu E, Elsayed YA, Coiffier B. Bortezomib plus rituximab versus rituximab in patients with high-risk, relapsed, rituximab-naive or rituximab-sensitive follicular lymphoma: subgroup analysis of a randomized phase 3 trial. J Hematol Oncol. 2012 Oct 22;5:67. doi: 10.1186/1756-8722-5-67.
PubMed 23088650Coiffier B, Osmanov EA, Hong X, Scheliga A, Mayer J, Offner F, Rule S, Teixeira A, Walewski J, de Vos S, Crump M, Shpilberg O, Esseltine DL, Zhu E, Enny C, Theocharous P, van de Velde H, Elsayed YA, Zinzani PL; LYM-3001 study investigators. Bortezomib plus rituximab versus rituximab alone in patients with relapsed, rituximab-naive or rituximab-sensitive, follicular lymphoma: a randomised phase 3 trial. Lancet Oncol. 2011 Aug;12(8):773-84. doi: 10.1016/S1470-2045(11)70150-4. Epub 2011 Jul 1.
PubMed 21724462
Study at a glance
From the registry record, last updated by the sponsor on 25 Jun 2012. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Open-Label, Multicenter Study of VELCADE With Rituximab or Rituximab Alone in Subjects With Relapsed or Refractory, Rituximab Naive or Sensitive Follicular B-cell Non-Hodgkin's Lymphoma
- ClinicalTrials.gov ID
- NCT00312845
- Acronym / sponsor ID
- 26866138-LYM-3001
- Conditions
- Non-Hodgkin's Lymphoma
- Keywords
- B-cell Non-Hodgkin's Lymphoma
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 676 participants (actual)
- Lead sponsor
- Millennium Pharmaceuticals, Inc.Industry (pharma, biotech, devices)
- Collaborators
- Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
- Study start
- Mar 2006
- Primary completion
- Jun 2010 (actual)
- Study completion
- Jul 2010 (actual)
- First posted
- 11 Apr 2006 (estimated)
- Results
- Posted 26 Jul 2011
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to determine if the combination of VELCADE and rituximab improves progression free survival relative to rituximab alone in patients with relapsed or refractory B-cell non-Hodgkin's lymphoma (B-NHL) who never received rituximab or who have previously responded to rituximab. This is an international study being conducted in the United States and in many countries around the world. A complete list of study locations is listed below.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Bortezomib + Rituximab | Experimental | Drug: Bortezomib + Rituximab |
| Rituximab | Active comparator | Drug: Rituximab |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (12 listed)
- Man or woman and age 18 years or older
- Diagnosis of follicular B-NHL of the following subtypes (World Health Organization [WHO] classification 1997): follicular lymphoma (FL) (Grades 1 and 2).
- Documented relapse or progression following prior antineoplastic treatment. New lesions or objective evidence of progression of existing lesions must document relapse or progression following the previous therapy.
- If any prior regimen included rituximab, the subject must have responded (complete response [CR], unconfirmed complete response [CRu], partial response [PR]), and the time to progression (TTP) from the first dose of rituximab must have been 6 months or more.
- At least 1 measurable tumor mass (greater than 1.5 cm in the longest dimension and greater than 1.0 cm in the short axis) that has not been previously irradiated, or has grown since previous irradiation
Key exclusion criteria (17 listed)
- Potential subjects who meet any of the following criteria will be excluded from participating in the study:
- Diagnosed or treated for a malignancy other than NHL within 1 year of randomization, or who were previously diagnosed with a malignancy other than NHL and have any radiographic or biochemical marker evidence of malignancy. Subjects with completely resected basal cell carcinoma, squamous cell carcinoma of the skin, or in situ malignancy are not excluded.
- Clinical evidence of a transformation from indolent NHL to a more aggressive form of NHL.
- History of disallowed therapies:
- Residual toxic effects of previous therapy or surgery of Grade 3 or worse
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Bortezomib + RituximabVELCADE for Injection will be administered weekly on Days 1,8,15, and 22 of a 35-day cycle in combination with 4 doses of rituximab once a week on Days 1,8,15, and 22 of Cycle 1 and in combination with a single dose of rituximab on Day 1 of Cycles 2 to 5. | Drug | Bortezomib + Rituximab |
| Rituximabrituximab once a week on Days 1,8,15, and 22 of Cycle 1, and as a single dose on Day 1 of Cycles 2 to 5 (for a total of 8 doses). | Drug | Rituximab |
Primary outcome
Progression Free Survival
Time frame: Subjects are followed until progressive disease/death or the end of the study. The median follow up time is 33.9 months.
Progression free survival is defined as time from randomization to progressive disease or death due to any cause, whichever occurs first.
1 secondary outcome
Overall Response Rate
Time frame: Subjects are followed until progressive disease/death or the end of the study. The median follow up time is 33.9 months.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Jun 2012.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 23088650Zinzani PL, Khuageva NK, Wang H, Garicochea B, Walewski J, Van Hoof A, Soubeyran P, Caballero D, Buckstein R, Esseltine DL, Theocharous P, Enny C, Zhu E, Elsayed YA, Coiffier B. Bortezomib plus rituximab versus rituximab in patients with high-risk, relapsed, rituximab-naive or rituximab-sensitive follicular lymphoma: subgroup analysis of a randomized phase 3 trial. J Hematol Oncol. 2012 Oct 22;5:67. doi: 10.1186/1756-8722-5-67.
- Derived from this study: PubMed 21724462Coiffier B, Osmanov EA, Hong X, Scheliga A, Mayer J, Offner F, Rule S, Teixeira A, Walewski J, de Vos S, Crump M, Shpilberg O, Esseltine DL, Zhu E, Enny C, Theocharous P, van de Velde H, Elsayed YA, Zinzani PL; LYM-3001 study investigators. Bortezomib plus rituximab versus rituximab alone in patients with relapsed, rituximab-naive or rituximab-sensitive, follicular lymphoma: a randomised phase 3 trial. Lancet Oncol. 2011 Aug;12(8):773-84. doi: 10.1016/S1470-2045(11)70150-4. Epub 2011 Jul 1.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Medical Monitor study director
Millennium Pharmaceuticals, Inc.
206 sites in 32 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Bortezomib + Rituximab and Rituximab in people with Non-Hodgkin's Lymphoma, run by Millennium Pharmaceuticals, Inc. at 206 sites in 32 countries.
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 12 inclusion and 17 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 25 Jun 2012. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 206 sites in United States, Russia, Belgium, India, Ukraine and 27 more countries. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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 26 Jul 2011). 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?
Progression Free Survival (time frame: Subjects are followed until progressive disease/death or the end of the study. The median follow up time is 33.9 months.). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00312845, which also lists 2 linked publications.
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 25 Jun 2012.