A Study Evaluating the Safety and Efficacy of Venetoclax (GDC-0199) Plus Bendamustine + Rituximab (BR) in Comparison With BR or Venetoclax Plus Rituximab in Participants With Relapsed and Refractory Follicular Non-Hodgkin's Lymphoma (fNHL)



Status:Completed
Conditions:Lymphoma, Lymphoma
Therapuetic Areas:Oncology
Healthy:No
Age Range:18 - Any
Updated:3/27/2019
Start Date:December 1, 2014
End Date:March 16, 2018

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A Phase II, Open-Label Study Evaluating the Safety and Efficacy of GDC-0199 (ABT-199) Plus Bendamustine Plus Rituximab (BR) in Comparison With BR Alone or GDC-0199 Plus Rituximab (R) in Patients With Relapsed and Refractory Follicular Non-Hodgkin's Lymphoma

This open-label, international, multicenter study will investigate the safety and efficacy of
venetoclax (GDC-0199) in combination with bendamustine plus rituximab (venetoclax + BR)
compared with BR alone in participants with relapsed and refractory fNHL, comparing two
chemotherapy-containing regimens (Chemotherapy-Containing Cohort). In addition, an
exploratory analysis of the safety and efficacy of venetoclax in combination with rituximab
(venetoclax + rituximab), a chemotherapy-free regimen, will be performed (Chemotherapy-Free
Cohort). Assignment to the Chemotherapy-Containing or Chemotherapy-Free Cohort will be
decided at the discretion of the Investigator, unless one of the cohorts is not open to
enrollment; in which case, participants may be enrolled only to the open cohort. The first 6
participants enrolled in the Chemotherapy-Containing Cohort (or more if required) will
comprise the Safety Run-In group for Treatment Arm B, dosing venetoclax at 600 milligrams
(mg) in combination with BR. Once a dose has been chosen from the Safety Run-In Period,
randomization to the two treatment arms of the Chemotherapy-Containing Cohort (Arms B and C)
will begin.


Inclusion Criteria:

- Participants must have histologically confirmed follicular lymphoma (FL) of Grade 1,
2, or 3a

- Participants must have received at least one prior therapy for FL

- For participants potentially receiving chemotherapy: if the participant has received
prior bendamustine, response duration must have been greater than (>) 1 year

- At least one bi-dimensionally measurable lesion on imaging scan defined as >1.5
centimeters (cm) in its longest dimension

- Eastern Cooperative Oncology Group (ECOG) Performance Status of 0, 1, or 2

- Adequate hematologic function

- For female participants of childbearing potential and male participants with female
partners of childbearing potential, agreement to use one highly effective form of
non-hormonal contraception or two effective forms of non-hormonal contraception
throughout the course of study treatment and for at least 30 days after the last dose
of venetoclax and 12 months after the last dose of rituximab, whichever is longer

- Confirmed availability of archival or freshly biopsied tumor tissue meeting
protocol-defined specifications prior to study enrollment

Exclusion Criteria:

- History of severe allergic or anaphylactic reactions to humanized or murine monoclonal
antibodies or known sensitivity or allergy to murine products

- Contraindication to potential treatment agents

- Ongoing corticosteroid use >30 milligrams per day (mg/day) of prednisone or
equivalent. Participants receiving corticosteroid treatment with less than equal to
( of at least 4 weeks duration prior to randomization (Cycle 1 Day 1)

- Primary central nervous system (CNS) lymphoma

- Vaccination with live vaccines within 28 days prior to treatment

- Chemotherapy or other investigational therapy within five half-lives of a biologic
agent with a minimum of 28 days prior to the start of Cycle 1

- History of other malignancy that could affect compliance with the protocol or
interpretation of results

- Evidence of significant, uncontrolled concomitant diseases that could affect
compliance with the protocol or interpretation of results or that could increase risk
to the participant

- Significant cardiovascular disease (such as New York Heart Association Class III or IV
cardiac disease, congestive heart failure, myocardial infarction within the previous 6
months, unstable arrhythmias, or unstable angina) or significant pulmonary disease
(including obstructive pulmonary disease and history of bronchospasm)

- Known active bacterial, viral, fungal, mycobacterial, parasitic, or other infection
(excluding fungal infections of nail beds) at study enrollment or any major episode of
infection requiring treatment with intravenous antibiotics or hospitalization
(relating to the completion of the course of antibiotics) within 4 weeks prior to
Cycle 1 Day 1

- Requires the use of warfarin

- Clinically significant history of liver disease, including viral or other hepatitis,
current alcohol abuse, or cirrhosis

- Presence of positive test results for hepatitis B surface antigen or hepatitis C virus
(HCV) antibody

- Participants who are positive for HCV antibody must be negative for HCV by polymerase
chain reaction (PCR) to be eligible for study participation

- Participants with occult or prior hepatitis B virus (HBV) infection may be included if
HBV deoxyribonucleic acid (DNA) is undetectable at screening. These participants must
be willing to undergo monthly HBV DNA test until at least 12 months after the last
treatment cycle

- Known infection with human immunodeficiency virus (HIV) or human T-cell leukemia virus
1 (HTLV-1)

- Pregnant or lactating

- Recent major surgery (within 6 weeks before the start of Cycle 1 Day 1), other than
for diagnosis
We found this trial at
18
sites
4200 Fifth Ave
Pittsburgh, Pennsylvania 15260
(412) 624-4141
University of Pittsburgh The University of Pittsburgh is a state-related research university, founded as the...
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1700 Hospital North Drive
Austell, Georgia 30106
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401 North Broadway
Baltimore, Maryland 21231
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143 Missenden Road
Camperdown, New South Wales 2050
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Charlottesville, Virginia 22903
(434) 924-0311
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303 East Superior Street
Chicago, Illinois 60611
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30 Prospect Ave
Hackensack, New Jersey 07601
(201) 996-2000
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71 Ald Taylor Way
Harvey, Illinois 60426
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Los Angeles, California 90095
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Mobile, Alabama 36608
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1 Medical Center Dr # 1000
Morgantown, West Virginia 26506
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Philadelphia, Pennsylvania 19104
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320 E North Ave
Pittsburgh, Pennsylvania 15212
(412) 359-3131
Allegheny General Hospital At Allegheny General Hospital, our physicians and healthcare staff have earned an...
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Richmond, Virginia 23298
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Rochester, New York 14642
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Tucson, Arizona
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2650 Shawnee Mission Parkway
Westwood, Kansas 66205
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Westwood, KS
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