AzTrials
AzTrials

Cutaneous T-Cell LymphomaPhase 2NCT00425555

Study of Oral LBH589 in Adult Patients With Refractory Cutaneous T-Cell Lymphoma

A Phase 2 study testing Panobinostat in people with Cutaneous T-Cell Lymphoma, run by Novartis Pharmaceuticals at 42 sites in 12 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This study will evaluate the safety and efficacy of LBH489B in adult patients with refractory Cutaneous T-Cell Lymphoma. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Cutaneous T-Cell Lymphoma
What is being tested?
Panobinostat
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
139 participants
Where
42 sitesin 12 countries
Study dates
Jan 2007to Jun 2013
Phase
Phase 2
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

  • Written informed consent obtained prior to any screening procedures
  • Age ≥ 18 years old
  • Patients with biopsy-confirmed stages IB-IVA mycosis fungoides or Sézary syndrome. Patients with SS who have bone marrow involvement are also eligible.
  • Patients must have received at least two prior treatment regimens at least one of which was a systemic therapy regimen. Systemic regimens include oral bexarotene, PUVA, photophoresis, oral corticosteroids, total skin electron bean therapy, chemotherapy such as methotrexate, and interferon. Topical steroids alone are not considered as a treatment regimen.
  • Patients must have had disease progression on or following their most recent treatment regimen or an inadequate response to their most recent treatment regimen.
  • Patients will be accrued to one of two groups: Patients previously treated with oral bexarotene and patients who have not had prior oral bexarotene treatment.

Who cannot join

  • Prior treatment with an HDAC inhibitor.
  • Patients with visceral disease including CNS involvement (i.e. stage IVB CTCL). Note; Patients with SS who have bone marrow involvement are eligible.
  • Impaired cardiac function
  • Concomitant use of drugs with a risk of causing torsades de pointes
  • Patients who have received chemotherapy or any investigational drug or undergone major surgery < 4 weeks prior to starting study drug or who have not recovered from side effects of such therapy
  • Less than 3 months since prior electron beam therapy
Show all 15Show fewer
  • Female patients who are pregnant or breast feeding, or patients of reproductive potential not using an effective method of birth control, and male patients whose sexual partners are women of childbearing potential not using effective birth control
  • Uncontrolled hypertension
  • Concomitant use of any anti-cancer therapy or radiation therapy. Low potency topical steroid use is permitted. Topical bexarotene use is prohibited during the trial
  • Concomitant use of CYP3A4/5 inhibitors.
  • Patients with unresolved diarrhea > CTCAE grade 1
  • Impairment of gastrointestinal (GI) function or GI disease that may significantly alter the absorption of oral LBH589
  • Other concurrent severe and/or uncontrolled medical conditions
  • Patients who would need to receive valproic acid for any reason during the study or ≤ 5 days prior to starting study drug.
  • Other protocol-defined inclusion/exclusion criteria may apply

Trial locations and contacts

42 sites in 12 countries.

42 sites in 12 countries

United States16 sites
  • University of Michigan Health System Michigan HouseClinTrialsOffice

    Ann Arbor, Michigan, 48109

  • Emory University School of Medicine/Winship Cancer Institute Dept. of Hematology (2)

    Atlanta, Georgia, 30322

  • Georgia Health Sciences University Dept.ofMedicalCollegeOfGeorgia

    Augusta, Georgia, 30912

  • University of Alabama at Birmingham/ Kirklin Clinic Kirklin Clinic

    Birmingham, Alabama, 35294-0006

  • Boston Medical Center StudyCoordinator:CLBH589B2201

    Boston, Massachusetts, 02118

  • Dana Farber Cancer Institute Deptof DanaFarberCancerInst(3)

    Boston, Massachusetts, 02215

  • NorthwesternUniv.Med.School/Robert H. Lurie Comp.Cancer Ctr Dept. of NorthwesterUMed

    Chicago, Illinois, 60611

  • University Dermatology Consultants

    Cincinnati, Ohio, 45219

  • City of Hope National Medical Center

    Duarte, California, 91010-3000

  • MD Anderson Cancer Center/University of Texas StudyCoordinator:CLBH589B2201

    Houston, Texas, 77030

  • Indiana University Dept. of IU Cancer Center

    Indianapolis, Indiana, 46202

  • University of California at Los Angeles Dept. of Hematology-Oncology

    Los Angeles, California, 90095

  • Florida Academic Dermatology Center

    Miami, Florida, 33136

  • University of Pittsburgh Medical Center Department of Dermatology

    Pittsburgh, Pennsylvania, 15213

  • Oregon Health & Science University Dept. of OHSU Cancer Institute

    Portland, Oregon, 97239

  • Wake Forest University Baptist Medical Center OutpatientCmprehensivCancerCtr

    Winston-Salem, North Carolina, 27157

Other trials in United States

Italy5 sites
  • Novartis Investigative Site

    Ancona, AN, 60126

  • Novartis Investigative Site

    Bologna, BO, 40138

  • Novartis Investigative Site

    Florence, FI, 50129

  • Novartis Investigative Site

    Naples, 80131

  • Novartis Investigative Site

    Torino, TO, 10126

Other trials in Italy

Belgium3 sites
  • Novartis Investigative Site

    Ghent, 9000

  • Novartis Investigative Site

    Leuven, 3000

  • Novartis Investigative Site

    Yvoir, 5530

Other trials in Belgium

France3 sites
  • Novartis Investigative Site

    Créteil, 94010

  • Novartis Investigative Site

    Lyon, Cedex 02, 69288

  • Novartis Investigative Site

    Paris, 75010

Other trials in France

Germany3 sites
  • Novartis Investigative Site

    Berlin, 13353

  • Novartis Investigative Site

    Minden, 32423

  • Novartis Investigative Site

    Würzburg, 97080

Other trials in Germany

Spain3 sites
  • Novartis Investigative Site

    Barcelona, Catalonia, 08036

  • Novartis Investigative Site

    Madrid, 28006

  • Novartis Investigative Site

    Madrid, 28041

Other trials in Spain

Argentina2 sites
  • Novartis Investigative Site

    Buenos Aires, C1425AUM

  • Novartis Investigative Site

    CABA, Buenos Aires, C1221ADC

Other trials in Argentina

Australia2 sites
  • Novartis Investigative Site

    Parkville, Victoria, 3050

  • Novartis Investigative Site

    South Brisbane, Queensland, 4101

Other trials in Australia

Canada2 sites
  • Novartis Investigative Site

    Montreal, Quebec, H3T 1E2

  • Novartis Investigative Site

    Ottawa, Ontario, K1H 8L6

Other trials in Canada

Finland1 site
  • Novartis Investigative Site

    Helsinki, 00250 HUS

Other trials in Finland

Hungary1 site
  • Novartis Investigative Site

    Budapest, H-1085

Other trials in Hungary

Switzerland1 site
  • Novartis Investigative Site

    Zurich, 8091

Other trials in Switzerland

About this study

Official title: A Phase II Study of Oral LBH589 in Adult Patients With Refractory Cutaneous T-Cell Lymphoma

This study will evaluate the safety and efficacy of LBH489B in adult patients with refractory Cutaneous T-Cell Lymphoma.

Being tested
Panobinostat
Keywords
Cutaneous T-Cell Lymphoma, adults, Mycosis Fungoides, Sézary Syndrome, CTCL
Medical subject headings
Lymphoma, T-Cell, Cutaneous, Mycosis Fungoides, Sezary Syndrome

What participants receive

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

  • PanobinostatDrug

    Also called LBH589

Study groups in NCT00425555
Study groupRoleWhat they receive
Previously treated with oral bexaroteneExperimentalParticipants received Panobinostat 20 milligrams per day (mg/day) capsule orally, once a day (OD) on 3 days per week. (Monday, Wednesday and Friday or alternative Day 1, 3 and 5).
Receives: Drug: Panobinostat
No prior oral bexarotene treatmentExperimentalParticipants received Panobinostat 20 milligrams per day (mg/day) capsule orally, once a day (OD) on 3 days per week. (Monday, Wednesday and Friday or alternative Day 1, 3 and 5).
Receives: Drug: Panobinostat

What is being measured

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

  1. Overall Response Rate of Participants Using the Modified Severity-Weighted Assessment Tool (mSWAT)

    Skin response was primarily classified based on an assessment using mSWAT, provided there was documented evidence of stable disease or better in lymph node/viscera.The mSWAT is a tool specifically developed to evaluate the extent of skin disease in CTCL (Olsen et al 2007).

    Responses in the skin based on SWAT are defined as:

    • Complete Response (CR): no evidence of skin disease
    • Partial Response (PR): ≥ 50% decrease of the modified SWAT score compared with baseline
    • Stable Disease (SD): Neither CR, PR, or PD as compared with baseline, i.e. change from baseline is less than a 50% decrease but also less than a 25 % increase in the modified SWAT score
    • Progressive Disease (PD): ≥ 25% increase in the modified SWAT score compared with baseline.

    Measured: Baseline up to 6 Months of Follow up

Secondary outcomes (12)
  1. The Overall Response Rate Using mSWAT Skin Score

    Estimate of the response rate of participants with resistant cutaneous T-cell lymphoma (CTCL) treated with Panobinostat using the mSWAT skin scores and 95% CI will be analyzed.

    Measured: Baseline up to Cycle 12, an average of 12 months

  2. Time to Response for Responders

    Time to response were summarized. A Kaplan-Meier analysis of time to progression was performed, including estimation and 95% confidence interval of the median time to progression and progression-free survival.

    Measured: Baseline up to Cycle 12, an average of 12 months

  3. Duration of Response (DOS)

    Duration of response and time to response were summarized. A Kaplan-Meier analysis of time to progression was performed, including estimation and 95% confidence interval of the median time to progression and progression-free survival.

    Measured: Baseline up to Cycle 12, an average of 12 months

  4. Progression-free Survival (PFS)

    PFS is defined as time from first dose of study treatment to progression or death due to any cause, based on modified European Society for Bone and Marrow Transplantation (EBMT) criteria per Investigator's assessment

    Measured: Baseline up to Cycle 12, an average of 12 months

  5. Skindex-29 Measurements of Average Sub-scores for Emotions From Baseline up to Cycle 12

    Skin index measurement (Skindex-29) was a self-administered 29-item dermatology patient-reported outcome measure that explores the domains of Functioning, Emotions and Symptoms. Data from the Skindex-29 came from the "Dermatology Survey" page. Scoring of the Skindex-29 was performed as per the developers' scoring algorithms. The score for each dimension was found by adding responses of 1 to 5 for each question, with higher scores indicating worse quality of life. The Skindex-29 yields three scale scores that assess emotions scores range from 29 to 116, with higher scores indicating worse health-related quality of life. Average sub-scores for emotions, physical symptoms, and functioning was displayed.

    Measured: Baseline up to Cycle 12, an average of 12 months

  6. Skindex-29 Measurements of Average Sub-scores for Functioning From Baseline up to Cycle 12

    Skindex-29 was a self-administered 29-item dermatology patient-reported outcome measure that explores the domains of Functioning, Emotions and Symptoms. Data from the Skindex-29 came from the "Dermatology Survey" page. Scoring of the Skindex-29 was performed as per the developers' scoring algorithms. The score for each dimension was found by adding responses of 1 to 5 for each question, with higher scores indicating worse quality of life. The Skindex-29 yields three scale scores that assess functioning scores range from 29 to 116, with higher scores indicating worse health-related quality of life. Average sub-scores for emotions, physical symptoms, and functioning was displayed.

    Measured: Baseline up to Cycle 12, an average of 12 months

  7. Skindex-29 Measurements of Average Sub-scores for Physical Symptoms From Baseline up to Cycle 12

    Skindex-29 was a self-administered 29-item dermatology patient-reported outcome measure that explores the domains of Functioning, Emotions and Symptoms. Data from the Skindex-29 came from the "Dermatology Survey" page. Scoring of the Skindex-29 was performed as per the developers' scoring algorithms. The score for each dimension was found by adding responses of 1 to 5 for each question, with higher scores indicating worse quality of life. The Skindex-29 yields three scale scores that assess physical symptoms scores range from 29 to 116, with higher scores indicating worse health-related quality of life. Average sub-scores for emotions, physical symptoms, and functioning was displayed.

    Measured: Baseline up to Cycle 12, an average of 12 months

  8. Maximum Plasma Concentration (Cmax) of Panobinostat

    Cmax is defined as the maximum observed drug concentration observed in plasma over all PK sample concentrations. It will be obtained from the Cmax parameter calculated by WinNonlin®. If there is no measurable concentration in the subject's PK profile, then Cmax will be missing for that subject. Cmax will be reported in units of ng/mL.

    Measured: Pre-dose, 0.25, 1-2, and 3-4 hours post dose on Day 1 and Day 8

  9. Time to Peak Concentration (Tmax) of Panobinostat

    Tmax is defined as the time at which the Cmax occurs. It will be obtained from the Tmax parameter calculated by WinNonlin®. If there is no measurable Cmax in the subject's PK profile, then Tmax will be missing for that subject. Tmax will be reported in units of h.

    Measured: Pre-dose, 0.25, 1-2, and 3-4 hours post dose on Day 1 and Day 8

  10. Area Under the Plasma Concentration AUC0-24, AUC0-48 and AUC 0-infinity of Panobinostat

    AUC is defined as the area under concentration-time curve as a measure of drug exposure. The area under the plasma concentration-time curve from time zero to 24 hours. The area under the plasma concentration-time curve from time zero to 48 hours. AUC (0-inf) is defined as the area under the concentration-time curve from time zero (pre-dose) extrapolated to infinite time.

    Measured: Pre-dose, 0.25, 1-2, and 3-4 hours post dose on Day 1 and Day 8

  11. Time of Clast (Tlast) of Panobinostat

    Time of Clast (Tlast) will be obtained from the Tlast parameter calculated by WinNonlin®. If there is no measurable concentration in the subject's PK profile, then Tlast will be missing for that participants. Tlast will be reported in units of h.

    Measured: Pre-dose, 0.25, 1-2, and 3-4 hours post dose on Day 1 and Day 8

  12. Last Observed Plasma Concentration (Clast) of Panobinostat

    Clast is defined as the Last observed (quantifiable) plasma concentration (Clast), in units of ng/mL. Blood samples were collected to assess Clast.

    Measured: Pre-dose, 0.25, 1-2, and 3-4 hours post dose on Day 1 and Day 8

Timeline

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

  1. First posted23 Jan 2007 (estimated)
  2. Study startJan 2007
  3. Primary completionJun 2013
  4. Study completionJun 2013

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
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
139 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00425555
Sponsor's protocol ID
CLBH589B2201
Other IDs
2006-000880-27
Status last verified
Aug 2021
First submitted
22 Jan 2007
Last updated
20 Aug 2021

Publications

  • Duvic M, Dummer R, Becker JC, Poulalhon N, Ortiz Romero P, Grazia Bernengo M, Lebbe C, Assaf C, Squier M, Williams D, Marshood M, Tai F, Prince HM. Panobinostat activity in both bexarotene-exposed and -naive patients with refractory cutaneous T-cell lymphoma: results of a phase II trial. Eur J Cancer. 2013 Jan;49(2):386-94. doi: 10.1016/j.ejca.2012.08.017. Epub 2012 Sep 13.

    PubMed 22981498

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Panobinostat in people with Cutaneous T-Cell Lymphoma, run by Novartis Pharmaceuticals at 42 sites in 12 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 6 inclusion and 15 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 20 Aug 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 42 sites in United States, Italy, Belgium, France, Germany and 7 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 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?

Yes. Results are posted in the registry (first posted 16 Aug 2021). 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?

Overall Response Rate of Participants Using the Modified Severity-Weighted Assessment Tool (mSWAT) (time frame: Baseline up to 6 Months of Follow up). 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 NCT00425555, which also lists 1 linked publication.

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 20 Aug 2021.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in