Hemotrial Un proyecto de SEHH

Ensayo clínico

A Phase II Multicenter,Open-Label, Clinical And Pharmacokinetic Study Of Aplidin® As A 1-Hour Weekly IV Infusion, In Patients With Relapsed Or Refractory aggressive non-Hodgkin’s Lymphoma.

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A Phase II Multicenter,Open-Label, Clinical And Pharmacokinetic Study Of Aplidin® As A 1-Hour Weekly IV Infusion, In Patients With Relapsed Or Refractory aggressive non-Hodgkin’s Lymphoma.


Resumen

2017-03-15 03:55:25
2004-001117-34
APL-B-013-02
A Phase II Multicenter,Open-Label, Clinical And Pharmacokinetic Study Of Aplidin® As A 1-Hour Weekly IV Infusion, In Patients With Relapsed Or Refractory aggressive non-Hodgkin’s Lymphoma.
APL-B-013-02

PROMOTORES DEL ENSAYO
Nombre del promotor Organización Persona de contacto País
Pharma Mar S.A. Spain

Fármacos

  INFORMACIÓN DE FÁRMACOS USADOS:
  FÁRMACO 1:
Test
Aplidin
APLD Powder and solvent for solution for infusion
Intravenous use

Detalles del Fármaco (Principio Activo):

APLD

Concentración del fármaco:

mg/ml milligram equal

0.5
APLD

Concentración del fármaco:

mg/ml milligram equal

2

Contenido del fármaco


Si
Information no disponible en EudraCT

No
Information no disponible en EudraCT

No
No

Information no disponible en EudraCT
Information no disponible en EudraCT

Information no disponible en EudraCT
No

No
No

Information no disponible en EudraCT
  INFORMACIÓN DE PLACEBOS USADOS:

No hay placebos asignados al ensayo

Información General



Linfomas y otros Síndromes Linfoproliferativos

Aggressive non-Hodgkin’s Lymphoma.For aggressive NHL patient cure is still the target of therapy and a CR is a prerequisite to achieve this goal. Salvage therapy needs more aggressive experimental treatment approaches including high-dose chemo-immunothera


To assess the anti-tumor activity of Aplidin® given as a 1-hour weekly IV infusion, in patients with aggressive non-Hodgkin’s Lymphoma, relapsing or refractory to a prior therapy.

To further investigate the safety profile of Aplidin® given as 1-hour weekly IV infusion in this patient population.To obtain additional pharmacokinetic information for Aplidin® given as 1-hour weekly IV infusion in patients with aggressive non-Hodgkin’s Lymphoma.

Information no disponible en EudraCT


1.Written informed consent obtained before starting any study-specific procedure.2. Histologically confirmed aggressive lymphomas, including the following: 2.1 B-Cell neoplasms.2.1.1 Precursor B-cell neoplasm2.1.1.1.1 Precursor B-lymphoblastic lymphoma 2.1.2 Mature (peripheral) B-cell neoplasms2.1.2.1. 1 Follicular lymphoma (histologic conversion)2.1.2.1. 2 Mantle-cell lymphoma (diffuse pattern or blastic variant)2.1.2.1. 3 Diffuse large B-cell lymphoma2.1.2.1. 4 Mediastinal large B-cell lymphoma2.1.2.1. 5 Burkitt’s lymphoma/Burkitt cell leukemia2.2 T-cell and NK-cell neoplasms2.2.1 Precursor T-cell neoplasm2.2.1.1.1 Precursor T-lymphoblastic lymphoma2.2.2 Mature (peripheral) T-cell neoplasms2.2.2.1.1 Aggressive NK-cell leukemia2.2.2.1.2 Adult T-cell lymphoma/leukemia (HTLV1)2.2.2.1.3 Extranodal NK/T-cell lymphoma, nasal type2.2.2.1.4 Enteropathy-type T-cell lymphoma2.2.2.1.5 Hepatosplenic gamma-delta T-cell lymphoma2.2.2.1.6 Subcutaneous panniculitis-like T-cell lymphoma2.2.2.1.7 Anaplastic large-cell lymphoma, T/null cell, primary cutaneous type2.2.2.1.8 Peripheral T-cell lymphoma, not otherwise characterized2.2.2.1.9 Angioimmunoblastic T-cell lymphoma2.2.2.1.10 Anaplastic large-cell lymphoma, T/null cell, primary systemic type3. Patient requires treatment because NHL relapses following a response to standard chemotherapy or high dose chemotherapy , or NHL is refractory (i.e. failure to achieve al least CR, PR or SD) to its more recent chemotherapy.4. Prior autologous and/or allogeneic stem cell transplantation is allowed. In case of allogeneic hematopoietic stem cell transplantation (HSCT), patient has to be off immunosuppressive agents before he can enrolled. 5. Disease is measurable: existence of a bidimensional lesion greater than 2 cm in its longer diameter or malignant lymphocytosis greater than 5000 x 109/L6. Recovery from any non-hematological toxicity derived from previous treatments. The presence of alopecia and NCI-CTC grade < 2 symptomatic peripheral neuropathy is allowed.7. Age > 18 years.8. Performance status (ECOG) < 2 (Appendix 2)9. Adequate renal, hepatic, and bone marrow function (assessed < 14 days before inclusion in the study): o Neutrophil count ³ 1.5 x 109/Lo Platelet count ³ 100 x 109/Lo Haemoglobin ³ 8.0 g/dLo Creatinine clearance ³ 40 ml/min (calculated from the Cockcroft and Gault formula, Appendix 3)o Serum bilirubin * 1.5 mg/dL and alkaline phosphatase * 2.5 x ULN (< 5 x ULN in case of extensive bone involvement)o AST, ALT < 2.5 x ULN (< 5 x ULN in case of liver involvement).o Albumin > 25 g/L10. Left ventricular ejection fraction within normal limits.

1. Prior therapy with Aplidin®.2. Concomitant therapy with any anti-lymphoproliferative agent, including glucocorticoids at a daily dose greater than 10 mg prednisone or equivalent, except when they were indicated for symptom control and disease progression was documented while on esteroids. 3. Acute lymphoblastic leukemia.4. CNS lymphoma.5. HIV-associated lymphoma.6. Prior gene therapy with viral vectors.7. More than three previous lines of systemic biological agents or chemotherapies. (Bone marrow or stem cell transplantation as consolidation therapy of a previous response is understood as one line of chemotherapy).8. Wash-out periods since the end of the precedent therapy less than:o 6 weeks for nitroso-urea or high dose chemotherapyo 4 weeks for other chemotherapies or biological agentso 4 weeks for radiation or radionuclide therapy (6 weeks in case of prior extensive external beam radiation (more than 25% of bone marrow distribution).o 4 weeks for major prior surgeryo 30 days for any investigational producto 4 weeks for immunosuppressive therapy after allogeneic hematopoietic stem cell transplantation.9. Pregnant or lactating women. 10. Men and women of reproductive potential who are not using effective contraceptive methods (one or more of the following):· Complete abstinence from intercourse from 2 weeks prior to administration of the study drug, throughout the study, and for at least 6 months after completion or premature discontinuation from the study to account for elimination of the investigational drug; or,· Patient or patient’s partner physical sterilization; or,· One of the following, for female patients or female partner of male patients:o Implants of levonorgestrel; or,o Injectable progestogen; or,o Oral contraceptive (combined or progestogen only; subject taking oral contraceptives should have been on a stable regimen for at least 2 months prior to screening),or,o Any intrauterine device (IUD) with published data showing that the lowest expected failure rate is less than 1% per year (not all IUDs meet this criterion); or,o Double barrier method (2 physical barriers or 1 physical barrier plus spermicide); or, o Any other method with published data showing that the lowest expected failure rate for that method is less than 1% per year.11. History of another neoplastic disease. The exceptions are:o Non-melanoma skin cancer o Carcinoma in situ of any siteo Any other cancer curatively treated and no evidence of disease for at least 10 years.12. Known cerebral or leptomeningeal involvement.13. Other relevant diseases or adverse clinical conditions:o Congestive heart failure or angina pectoris, myocardial infarction within 12 months before inclusion in the study.o Uncontrolled arterial hypertension (i.e. current arterial diastolic blood pressure over 100 mmHg).o Uncontrolled cardiac supraventricular arrhythmias (i.e. requiring a change in medication within the last 3 months or a hospital admission within the past 6 months).o Cardiac ventricular arrhythmia.o History of significant neurological or psychiatric disorderso Active infection; infection by HIV, HBV or HCVo Myopathy or any clinical situation that causes significant and persistent elevation of CK (>2.5 ULN in two different determinations performed with one week appart)o Significant non-neoplastic liver disease (e.g., cirrhosis, active chronic hepatitis)o Uncontrolled endocrine diseases (e.g. diabetes mellitus, hypothyroidism or hyperthyroidism) (i.e. requiring relevant changes in medication within the last month, or hospital admission within the last 3 months).14. Treatment with any investigational product in the 30 days period before inclusion in the study.15. Known hypersensitivity to Aplidin®, mannitol, cremophor EL, or ethanol16. Limitation of the patient’s ability to comply with the treatment or follow-up protocol.

Objective response rate (CR/CRu+PR)

Fase II
  DISEÑO DEL ENSAYO:

No
No

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  COMPARADOR DEL ENSAYO CONTROLADO:

No
No

No
Information no disponible en EudraCT

Si

Centros participantes:


Si
Information no disponible en EudraCT
  TIEMPO ESTIMADO DURACIÓN DEL ENSAYO:

2
6
  TIEMPO ESTIMADO DURACIÓN DEL ENSAYO EN ESPAÑA:


  POBLACIÓN DE PACIENTES EN EL ESTUDIO:
  Población de pacientes: 1

Rango de edad:


0
1

1

Sexo:


1
1

Número planeado de pacientes a incluir:


20

Para estudios internacionales:


41
45

Investigadores

  INVESTIGADORES QUE PARTICIPAN EN EL ESTUDIO

Estado actual


Por Determinar



En Marcha