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Study of Brentuximab Vedotin Combined With Bendamustine in Patients With Hodgkin Lymphoma

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT01874054
Recruitment Status : Completed
First Posted : June 10, 2013
Results First Posted : April 6, 2017
Last Update Posted : February 12, 2019
Sponsor:
Information provided by (Responsible Party):
Seagen Inc.

Study Description
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Brief Summary:
The purpose of this study is to assess safety and efficacy of brentuximab vedotin in combination with bendamustine in patients with relapsed or refractory Hodgkin lymphoma. It is an open-label, 2-stage study designed to determine the recommended dose level of bendamustine in combination with brentuximab vedotin. The study will assess the safety profile of the combination treatment and determine what proportion of patients achieve a complete remission.

Condition or disease Intervention/treatment Phase
Hodgkin Disease Drug: brentuximab vedotin Drug: bendamustine Phase 1 Phase 2

Study Design
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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 55 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Phase 1/2 Single-arm, Open-label Study to Evaluate the Safety and Efficacy of Brentuximab Vedotin in Combination With Bendamustine in Patients With Relapsed or Refractory Hodgkin Lymphoma (HL)
Study Start Date : June 2013
Actual Primary Completion Date : December 2015
Actual Study Completion Date : February 20, 2018

Resource links provided by the National Library of Medicine


Arms and Interventions
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Arm Intervention/treatment
Experimental: Brentuximab Vedotin + Bendamustine
Brentuximab vedotin 1.8 mg/kg every 3 weeks for up to 16 cycles by IV infusion and bendamustine 90 mg/m2 on Days 1 and 2 every 3 weeks by IV infusion for up to 6 cycles
 Drug: brentuximab vedotin
1.8 mg/kg every 3 weeks by intravenous (IV) infusion
Other Name: Adcetris; SGN-35

Drug: bendamustine
90 mg/m2 on Days 1 and 2 of 3-week cycles


Outcome Measures
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Primary Outcome Measures :
  1. Complete Remission Rate [ Time Frame: Up to 4.6 months ]
    Complete remission rate among all subjects (Phase 1 and 2 combined) treated at the dose level selected for Phase 2. Complete remission (CR) per Cheson 2007 Revised Response Criteria for Malignant Lymphoma is a disappearance of all evidence of disease.

  2. Incidence of Adverse Events (AEs) [ Time Frame: Up to 13.8 months ]
    All AEs reported after initiation of treatment and pre-existing conditions that worsen after initiation of treatment will be considered treatment-emergent AEs (TEAEs). All AEs will be coded by system organ class, MedDRA preferred term, and severity grade using NCI CTCAE V4.03. All recorded AEs will be included in the data listings.


Secondary Outcome Measures :
  1. Incidence of Dose-limiting Toxicities [ Time Frame: Up to 3 weeks; first cycle of therapy through the first day of Cycle 2 ]
    Incidence of dose-limiting toxicity (DLT) was evaluated in an initial safety cohort of 10 patients who were followed for protocol-defined DLT events until Cycle 2 Day 1.

  2. Overall Best Response Rate [ Time Frame: Up to 4.6 months ]
    Percentage of participants who achieved a best response of complete remission (CR, disappearance of all evidence of disease), partial remission (PR, regression of greater than or equal to 50% of measurable disease and no new sites), stable disease (SD, failure to obtain a complete or partial response or progressive disease), or progressive disease (PD, any new lesion or increase by 50% or more of previously involved sites from nadir) per Cheson 2007 Revised Response Criteria for Malignant Lymphoma

  3. Duration of Response [ Time Frame: Up to 47.8 months ]
    The time from first observation of remission to disease progression/relapse or death from any cause, whichever occurs first.

  4. Progression-free Survival [ Time Frame: Up to 49 months ]
    The time from first dose of study medication to first documentation of disease progression/relapse, or to death due to any cause, whichever occurs first.


Eligibility Criteria
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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Histopathological diagnosis of classical Hodgkin lymphoma
  • Failed standard front-line therapy
  • Measurable disease of at least 1.5 cm as documented by radiographic technique
  • Eastern Cooperative Oncology Group performance status less than or equal to 2

Exclusion Criteria:

  • Received prior salvage therapy, including radiotherapy
  • Chemotherapy, radiotherapy, biologics, and/or other treatment with immunotherapy not completed 4 weeks prior to first dose of study drug
  • Concurrent use of other investigational agents
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01874054


Locations
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United States, Alabama
University of Alabama at Birmingham
Birmingham, Alabama, United States, 35294
United States, California
Pacific Hematology Oncology Associates
San Francisco, California, United States, 94115
Stanford Cancer Center
Stanford, California, United States, 94305
Oncology Institute of Hope & Innovation, The
Whittier, California, United States, 90603
United States, Colorado
Colorado Blood Cancer Institute
Denver, Colorado, United States, 80218
United States, Massachusetts
Dana Farber Cancer Institute
Boston, Massachusetts, United States, 02215
United States, Minnesota
Mayo Clinic Minnesota
Rochester, Minnesota, United States, 55905
United States, Nebraska
University of Nebraska Medical Center
Omaha, Nebraska, United States, 68198-7680
United States, New York
Columbia University Medical Center
New York, New York, United States, 10022
United States, Ohio
Jewish Hospital, The
Cincinnati, Ohio, United States, 45236
Case Western Reserve University / University Hospitals Case Medical Center
Cleveland, Ohio, United States, 44106
United States, South Carolina
Saint Francis Hospital / Bon Secours
Greenville, South Carolina, United States, 29601
United States, Texas
Charles A. Sammons Cancer Center / Baylor University Medical Center
Dallas, Texas, United States, 75246
Sponsors and Collaborators
Seagen Inc.
Investigators
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Study Director: Neil Josephson, MD Seagen Inc.
More Information
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Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

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Responsible Party: Seagen Inc.
ClinicalTrials.gov Identifier: NCT01874054    
Other Study ID Numbers: SGN35-016
First Posted: June 10, 2013    Key Record Dates
Results First Posted: April 6, 2017
Last Update Posted: February 12, 2019
Last Verified: January 2019
Keywords provided by Seagen Inc.:
Antibody-Drug Conjugate
Antibodies, Monoclonal
Hodgkin Disease
Hematologic Diseases
Drug Therapy
 Immunotherapy
Antigens, CD30
Lymphoma
monomethylauristatin E
Additional relevant MeSH terms:
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Lymphoma
Hodgkin Disease
Neoplasms by Histologic Type
Neoplasms
Lymphoproliferative Disorders
Lymphatic Diseases
Immunoproliferative Disorders
Immune System Diseases
 Bendamustine Hydrochloride
Brentuximab Vedotin
Antineoplastic Agents, Alkylating
Alkylating Agents
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Antineoplastic Agents, Immunological