Lymphoma, B-Cell
Conditions
Keywords
Cancer, Relapsed, Refractory, B cell lymphoma, Proteasome Inhibitor, PS-341
Brief summary
Purpose of Phase II study for B-cell lymphoma using PS341: Evaluate efficacy and toxicity of bortezomib in patients with relapsed or refractory B-cell non-Hodgkin's lymphoma.
Detailed description
Patients were stratified, based on preclinical data, into arm A (mantle-cell lymphoma) or arm B (other B-cell lymphomas) without limitation in number of prior therapies. Bortezomib was administered as an intravenous push (1.5 mg/m2) on days 1, 4, 8, and 11 every 21 days for a maximum of six cycles.
Interventions
1.5 mg/m2 intravenous (IV) bolus push over 3 to 5 seconds on days 1, 4, 8, and 11, followed by a 10-day rest for a 21-day cycle.
Sponsors
Study design
Eligibility
Inclusion criteria
INCLUSION: * Relapsed or Refractory B cell lymphoma. * Zubrod status \</= 3. * Measurable disease. * No anti-cancer treatment within past 3 weeks. * ANC \>= 1500/uL, Plt \>/= 50,000, Bilirubin \<2 mg/dL, SGPT \<2.5xULN, creatinine \<2. Patients with ANC\>/1000, PLT\>/30000 will be eligible if due to massive splenomegaly and/or BM involvement. * HIV negative. * No active CNS lymphoma. * No serious intercurrent illness, active infections or cancer except basal cell carcinoma of the skin or in situ cervical carcinoma. * Not eligible for treatment of a higher priority. Patients may be entered before BMT. * No pregnancy & age bearing females must be practicing adequate contraception. * Age \> 16. EXCLUSION: * Patients with platelets \<30x10(9)/L within 14 days before enrollment. * Patients with ANC\<1.0 x10(9)/L within 14 days before enrollment. * Patients with peripheral neuropathy \>/= grade 3 within 14 days before enrollment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Patients with Response to PS-341 | Every two 21-day cycles | Patient response evaluated according to criteria of Cheson et al. Endoscopy obtained every two cycles to evaluate response using Complete Response (CR), Partial Response (PR), Progressive Disease, or Stable Disease. |
Countries
United States