Phase II Study of Durvalumab in Combination With Lenalidomide in Relapsed/Refractory NK-T-cell Lymphoma

NCT03054532 | Unknown Phase 2 DMC FDA Drug

• 1 other identifier: SDBCC-LYM-16-01
• Study Type: interventional
• Target: 22
• Locations: 1 country
• Sites: 4

Brief Summary

This is a multi-center, open-label, phase II study of durvalumab in combination with lenalidomide for treatment of relapsed/refractory NK/T-cell lymphoma (NKTCL). The study will employ a 2-stage Simon Optimal design with 80% power and type 1 error rate (significance level) of 5%. Stage 1 will involve 8 patients and will require at least 2 patients to achieve the primary end point of overall response in order to proceed onto to stage 2, which will have a target enrolment of 14 patients.

Conditions

LYMPHOMA

Outcome Measures

Primary Outcomes (1)

• Efficacy as measured by overall response rate measured at the time of best response.

  Overall response rate (ORR) is defined as the proportion of patients with reduction in tumor burden of at least 50%.

  2 years

Secondary Outcomes (4)

• Progression-free survival (PFS)

  2 years

• Overall survival (OS)

  2 years

• Time-to-response (TTR)

  2 years

• Duration of response (DoR)

  2 years

Study Arms (1)

Durvalumab and lenalidomide

EXPERIMENTAL

Open-label use of 2 drugs: * Durvalumab 1500 mg intravenously on day 1 of a 28-day cycle until progressive disease or intolerance. * Lenalidomide orally on days 1 through 21 of each 28-day cycle for 6 cycles.

Drug: Durvalumab; Drug: Lenali

Interventions

Durvalumab DRUG

Durvalumab intravenous 1500 mg

Durvalumab and lenalidomide

Lenali DRUG

Lenalidomide oral 20 mg/day

Durvalumab and lenalidomide

Eligibility Criteria

• Age: 21 Years - 90 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Histologically proven NK/T-cell lymphoma that has relapsed after at least one cycle of induction chemotherapy.
• Eastern Cooperative Oncology Group (ECOG) performance status of 0-2.
• Previously treated with at least one cycle of chemotherapy that includes L-asparaginase or gemcitabine.
• Must be aged ≥ 21 years and able to sign informed consent form.
• Adequate hematological function (unless abnormalities are related to lymphoma infiltration of the bone marrow or hemophagocytic syndrome related to NKL) within 30 days prior to signing informed consent, including:
• Absolute neutrophil count (ANC) ≥ 1.0 x 109/L
• Platelet count ≥ 50 x 109/L
• Hemoglobin ≥ 8 g/dL
• Must be able to adhere to study visit schedules and other protocol requirements.
• Females of childbearing potential must:
• Have 2 negative pregnancy tests as verified by a Study Investigator prior to starting study therapy. She must agree to ongoing pregnancy testing during the course of the study, and after end of study therapy. This applies even if the patient practices complete abstinence from heterosexual contact.
• Either commit to complete abstinence from heterosexual contact or agree to use, and be able to comply with, effective contraception without interruption, 28 days prior to starting study drug, during the study therapy (including dose interruptions), and for 28 days after discontinuation of study therapy.
• Male patients must practice complete abstinence or agree to use a condom during sexual contact with a pregnant female or female of childbearing potential while participating in the study, during dose interruptions and for 28 days after discontinuation of study therapy, even if he has undergone successful vasectomy.
• All patients must:
• Have an understanding that the study drug could have a potential teratogenic risk.

You may not qualify if:

• Concomitant use of any other investigational agent.
• Known infection with human immunodeficiency virus (HIV).
• Patient has known clinically active hepatitis B; carriers of hepatitis B are permitted but need to be on appropriate anti-viral therapy or have regular hepatitis B DNA virus monitored as advised by a Gastroenterologist.
• Subject has a calculated or measured creatinine clearance of \< 30 mL/minute.
• Neuropathy \> Grade 2.
• Presence of CNS involvement by lymphoma.
• Myocardial infarction within 6 months prior to enrolment or has New York Hospital Association (NYHA) Class III or IV heart failure, uncontrolled angina, severe uncontrolled ventricular arrhythmias, or electrocardiographic evidence of acute ischemia or active conduction system abnormalities. Prior to study entry, any ECG abnormality at screening has to be documented by the investigator as not medically relevant.
• Clinically significant active infection or uncontrolled intercurrent illness.
• Pregnant or lactating females.
• Coexistent second malignancy or history of prior malignancy within the preceding 3 years (excluding non-melanoma skin tumors or in situ carcinoma of the cervix).
• Any significant medical or psychiatric condition that might prevent the patient from complying with all study procedures.

Sponsors & Collaborators

• Singapore General Hospital: lead
• Celgene: collaborator

Study Sites (4)

National University Hospital Singapore

Singapore, 119228, Singapore

Location

Singapore General Hospital

Singapore, 169608, Singapore

Location

National Cancer Centre Singapore

Singapore, 169610, Singapore

Location

Raffles Hospital Singapore

Singapore, 188770, Singapore

Location

MeSH Terms

Conditions

Lymphoma

Interventions

durvalumab

Condition Hierarchy (Ancestors)

Neoplasms by Histologic Type; Neoplasms; Lymphoproliferative Disorders; Lymphatic Diseases; Hemic and Lymphatic Diseases; Immunoproliferative Disorders; Immune System Diseases

Central Study Contacts

Colin Phipps, MD

CONTACT

6562223322; colin.phipps.diong@singhealth.com.sg

Study Design

• Study Type: interventional
• Phase: phase 2
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Open-label phase II study

Study Record Dates

• First Submitted: February 13, 2017
• First Posted: February 15, 2017
• Study Start: July 1, 2017
• Primary Completion: January 1, 2021
• Study Completion: July 1, 2021
• Last Updated: February 16, 2017

Record last verified: 2017-02

Data Sharing

• IPD Sharing: Will not share

Locations

SG (4)