Study of Rituximab and Bendamustine With or Without Brentuximab Vedotin for CD30 Positive Diffuse Large B-cell Lymphoma



Status:Terminated
Conditions:Lymphoma, Lymphoma
Therapuetic Areas:Oncology
Healthy:No
Age Range:18 - Any
Updated:10/18/2018
Start Date:October 2015
End Date:September 2017

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A Randomized, Open Label, Phase 2 Study of Rituximab and Bendamustine With or Without Brentuximab Vedotin for Relapsed or Refractory CD30-Positive Diffuse Large B-Cell Lymphoma

This is a randomized, open-label, multicenter, Phase 2 clinical trial designed to evaluate
the efficacy and safety of brentuximab vedotin in combination with rituximab and bendamustine
for the treatment of patients with relapsed or refractory CD30-positive diffuse large B-cell
lymphoma (DLBCL) after failure of second-line salvage therapy or as second-line treatment in
patients ineligible for autologous stem cell transplant (ASCT).

Patients will be randomized in a 1:1 manner to receive rituximab plus bendamustine with or
without brentuximab vedotin. Patients who respond to combination treatment containing
brentuximab vedotin and do not experience excessive toxicity may receive additional
single-agent brentuximab vedotin following combination treatment, for up to an additional 10
cycles (up to 16 total cycles of treatment).

Inclusion Criteria:

1. Patients with confirmed CD30-positive DLBCL or grade 3b follicular non-Hodgkin
lymphoma (NHL).

2. Patients must have relapsed or refractory disease following:

1. second-line or greater salvage systemic therapy, or

2. frontline cytotoxic systemic therapy, for patients who are ineligible for stem
cell transplant (SCT).

3. Age 18 years and older.

4. Fluorodeoxyglucose (FDG)-avid disease by positron emission tomography (PET).

5. An Eastern Cooperative Oncology Group (ECOG) performance status score of 0-2.

6. Acceptable blood test results.

7. Females of childbearing potential must have a negative pregnancy test result within 7
days prior to the first dose of study drug.

8. Females of childbearing potential and males who have partners of childbearing
potential must agree to use an effective contraceptive method during the study and for
6 months following the last dose of brentuximab vedotin or 12 months following the
last dose of rituximab, whichever is later.

9. Patients must provide written informed consent.

Exclusion Criteria:

1. History of another invasive malignancy that has not been in remission for at least 1
year. (Exceptions are nonmelanoma skin cancer, curatively treated localized prostate
cancer, ductal carcinoma, and cervical carcinoma or a squamous intraepithelial lesion
on PAP smear).

2. History of progressive multifocal leukoencephalopathy (PML).

3. Cerebral/meningeal disease related to the underlying malignancy, unless definitively
treated.

4. Viral, bacterial, or fungal infection within 2 weeks prior to the first dose of
treatment.

5. Chemotherapy, radiotherapy, biologics, and/or other antitumor treatment with
immunotherapy that is not completed 4 weeks prior to first dose of study drug.

6. Females who are pregnant or breastfeeding.

7. Known allergy to any study drug or ingredient contained in the drug formulation of any
of the study drugs.

8. Known to be positive for hepatitis B. Known to have active hepatitis C infection or on
antiviral therapy for hepatitis C within the last 6 months.

9. Known to be positive for human immunodeficiency virus (HIV).

10. Patients with previous allogeneic stem cell transplant.

11. Previous treatment with brentuximab vedotin or bendamustine.

12. Intolerable toxicity to prior rituximab therapy.

13. Current therapy with other investigational agents.

14. Lung disease unrelated to underlying malignancy.

15. History of a stroke or transient ischemic attack, unstable angina, myocardial
infarction, or cardiac symptoms within 6 months prior to the first dose of treatment.

16. Congestive heart failure.

17. Significant peripheral sensory or motor neuropathy at the start of the study.
We found this trial at
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Saint Louis, Missouri 63110
Principal Investigator: Mark Fesler
Phone: 314-577-8854
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Aurora, Colorado 80012
Principal Investigator: John Burke, MD
Phone: 303-386-7609
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450 Brookline Ave
Boston, Massachusetts 2215
617-632-3000
Principal Investigator: Eric Jacobsen, MD
Phone: 617-632-7970
Dana-Farber Cancer Institute Since it’s founding in 1947, Dana-Farber has been committed to providing adults...
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Brno, 62500
Phone: 00 420 532 233 641
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2201 Inwood Rd
Dallas, Texas 75235
(214) 645-8300
Principal Investigator: Madhuri Vusirikala
Phone: 214-648-7030
U.T. Southwestern Medical Center The story of UT Southwestern Medical Center is one of commitment...
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Denton, Texas 76210
Principal Investigator: Dennis Costa, MD
Phone: 972-537-4100
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Detroit, Michigan 48201
Principal Investigator: Radhakrishnan Ramchandren
Phone: 313-576-8624
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Duarte, California 91010
Principal Investigator: Elizabeth Budde
Phone: 626-256-4673
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Grand Island, Nebraska 68803
Principal Investigator: Mehmet Copur
Phone: 308-398-6783
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Grand Island, NE
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Greenville, South Carolina 29601
Principal Investigator: Howland Crosswell, MD
Phone: 864-449-0444
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Greenville, South Carolina 29605
Principal Investigator: Suzanne Fanning, DO
Phone: 864-241-6251
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Lonetree, Colorado 80124
Principal Investigator: Alexander Menter
Phone: 303-649-5281
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Louisville, Kentucky 40207
Principal Investigator: Don Stevens
Phone: 502-629-3673
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Morristown, New Jersey 07962
Principal Investigator: Charles Farber, MD, PhD
Phone: 973-538-3593
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Niles, Illinois 60714
Phone: 847-827-9060
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5900 Lake Wright Dr
Norfolk, Virginia 23502
(757) 466-8683
Principal Investigator: Scott Cross, MD
Phone: 757-466-8683
Virginia Oncology Associates Virginia Oncology Associates is an oncology and hematology practice of physicians, specializing...
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Roanoke, Virginia 24014
Principal Investigator: Jennifer Vaughn, MD
Phone: 540-982-0237
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Santa Barbara, California 93105
Principal Investigator: Daniel Greenwald, MD
Phone: 805-563-5800
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Seattle, Washington 98101
Principal Investigator: David Aboulafia
Phone: 206-342-6920
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Springfield, Oregon 97477
Principal Investigator: Christopher Yasenchak, MD
Phone: 541-741-3451
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Torrance, California 90501
Principal Investigator: Lasika Seneviratne, MD
Phone: 310-989-7757
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Waukesha, Wisconsin 53188
Principal Investigator: Timothy Wassenaar
Phone: 262-928-5539
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Whittier, California 90606
Principal Investigator: Richy Agajanian, MD
Phone: 562-693-4477
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