Study of AEB071 (a Protein Kinase C Inhibitor) in Patients With CD79-mutant Diffuse Large B-Cell Lymphoma
Status: | Completed |
---|---|
Conditions: | Lymphoma |
Therapuetic Areas: | Oncology |
Healthy: | No |
Age Range: | 18 - Any |
Updated: | 11/8/2014 |
Start Date: | November 2011 |
End Date: | July 2014 |
Contact: | Novartis Pharmaceuticals |
Phone: | 1-888-669-6682 |
An Open-Label, Single-arm, Phase I Study of AEB071 (a Protein Kinase C Inhibitor) in Patients With CD79-mutant Diffuse Large B-Cell Lymphoma
This study has two phases, a dose escalation phase and a dose expansion phase. For dose
escalation, the primary objective is to estimate the maximum tolerated dose of AEB071 in
patients with diffuse large b-cell lymphoma. The endpoint for this objective will be
occurrence of Dose Limiting Toxicity. For dose expansion, the primary objective is to
characterize the safety and tolerability of the maximum tolerated dose or recommended phase
2 dose of AEB071 in patients with diffuse large b-cell lymphoma. The endpoints for this
objective will be occurrence of Adverse Events (AEs), Serious Adverse Events (SAEs),
assessment of clinical laboratory values, and vital sign measurements.
escalation, the primary objective is to estimate the maximum tolerated dose of AEB071 in
patients with diffuse large b-cell lymphoma. The endpoint for this objective will be
occurrence of Dose Limiting Toxicity. For dose expansion, the primary objective is to
characterize the safety and tolerability of the maximum tolerated dose or recommended phase
2 dose of AEB071 in patients with diffuse large b-cell lymphoma. The endpoints for this
objective will be occurrence of Adverse Events (AEs), Serious Adverse Events (SAEs),
assessment of clinical laboratory values, and vital sign measurements.
Inclusion Criteria:
- Diffuse large B-cell lymphoma (DLBCL) with activating mutations in CD79 (A or B
subunits). DLBCL that arose from transformed indolent lymphoma is allowed.
- Prior treatment and relapse following anthracycline-based chemotherapy and autologous
bone marrow or stem cell transplant. Patients who are not transplant eligible may be
considered for the study following a single regimen of chemotherapy such as R-CHOP or
R-EPOCH alone. There is no limit to prior therapy allowed.
- Patients may be treated with localized radiation to as many as two sites of
disease, so long as measurable or evaluable disease remains at untreated sites.
- Patients may be treated with corticosteriods immediately prior to enrollment and
during the course of the study treatment as long as steriod treatment is tapered
to a toal daily dosage of 10mg or less of prednisone (or it's equivalent) prior
to AEB071 administration
- WHO performance status of ≤2
Exclusion Criteria:
- Patients at screening who are treated with strong inducers or inhibitors of
cytochrome P450 3A4 (CYP3A4) that can not be discontinued.
- Impaired cardiac function or clinically significant cardiac diseases, including any
of the following:
- History or presence of ventricular tachyarrhythmia
- Presence of unstable atrial fibrillation (ventricular response > 100 bpm); Patients
with stable atrial fibrillation are eligible, provided they do not meet any of the
other cardiac exclusion criteria.
- Angina pectoris or acute myocardial infarction ≤ 3 months prior to starting study
drug
- Other clinically significant heart disease (e.g., symptomatic congestive heart
failure; uncontrolled arrhythmia or hypertension; history of labile hypertension or
poor compliance with an antihypertensive regimen)
- Patients with another malignancy that was treated within the last three years with
the exceptions of localized basal cell carcinoma and cervical carcinoma.
- Patients with impairment of GI function or GI disease that could interfere with the
absorption of AEB071.
- Patients with a known history of Human Immunodeficiency Virus (HIV)
- HIV testing is not required as part of this study
- Patients with a known history of active hepatitis B or C infection unless they are on
antiviral therapy
- The determination of active hepatitis status should be as per standard of care
at each site
- Hepatitis B and C testing is not required as part of this study
Time since the last prior therapy for treatment of underlying malignancy**:
- Cytotoxic chemotherapy: ≤ than the duration of the most recent cycle of the previous
regimen (with a minimum of 2 weeks for all)
- Biologic therapy (e.g., antibodies): ≤ 4 weeks
- ≤ 5 x t1/2 of a small molecule therapeutic, not otherwise defined above
**Patients must have recovered or stabilized from all toxicities related to their
previous treatment except for alopecia
- Patients with any history of significant coagulopathy or a medical condition
requiring long term systemic anticoagulation that would interfere with biopsies.
- Patients having undergone major surgery less than 4 weeks prior to enrollment or that
have not fully recovered from prior surgery.
- Pregnant or nursing (lactating) women
Other protocol-defined inclusion/exclusion criteria may apply
We found this trial at
6
sites
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1500 East Duarte Road
Duarte, California 91010
Duarte, California 91010
626-256-HOPE (4673)
City of Hope National Medical Center City of Hope is dedicated to making a difference...
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St. Louis, Missouri 63110
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