UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000012122
Receipt number R000014173
Scientific Title Phase I/II study of bendamustine, fludarabine and cyclophosphamide conditioning for allogeneic stem cell transplantation in refractory follicular lymphoma (KSGCT1301 / FL benda)
Date of disclosure of the study information 2013/11/01
Last modified on 2023/06/08 19:59:14

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Basic information

Public title

Phase I/II study of bendamustine, fludarabine and cyclophosphamide conditioning for allogeneic stem cell transplantation in refractory follicular lymphoma
(KSGCT1301 / FL benda)

Acronym

KSGCT1301 / FL benda

Scientific Title

Phase I/II study of bendamustine, fludarabine and cyclophosphamide conditioning for allogeneic stem cell transplantation in refractory follicular lymphoma
(KSGCT1301 / FL benda)

Scientific Title:Acronym

KSGCT1301 / FL benda

Region

Japan


Condition

Condition

follicular lymphoma(FL)

Classification by specialty

Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To analyze efficacy and safety of bendamustine, fludarabine and cyclophosphamide conditioning regimen in refractory follicular lymphoma.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Explanatory

Developmental phase

Phase I,II


Assessment

Primary outcomes

Phase I study: Incidence of dose-limiting toxicity
Phase II study: Overall survival at 1 year

Key secondary outcomes

(1) Engraftment at 30 days
(2) Incidence of grade 3-4 toxicity at 30 days
(3) Response rate
(4) Progression free survival at 1 year
(5) Non-relapse mortality at 1 year
(6) Incidence of infection
(7) Incidence of acute GVHD, chronic GHVD
(8) Influence of cardiac function


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Dose comparison

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

A standard 3+3 trail is designed. Three patients are enrolled on the first bendamustine dose level. Dose limiting toxicity (DLT) is defined as any grade 3 or 4 non-hematologic toxicity (except alopecia, nausea and vomiting, mucositis, and fatigue) that does not resolve to grade 2 by day 30. If no DLT is observed in any of the three patients or in one of the six patients, the dose is escalated to the next level. If two or more patients experience DLT, the maximum tolerated dose (MTD) is exceeded, and three additional patients are to be treated at the next lower dose. If none of the three patients or one of the six patients experiences DLT at the lower dose, this dose defines MTD. If two or more patients experiences DLT, three additional patients are to be treated at the next lower dose. If no DLT is observed in any of the three patients or in one of the six patients at the lower dose, this dose defines MTD.
The first bendamustine dose is 80mg/m2.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

16 years-old <=

Age-upper limit

65 years-old >=

Gender

Male and Female

Key inclusion criteria

(1)Patient must be diagnosed follicular lymphoma, and age must be equal and over 16 years or less than 66 years.
(2)Patient must have relapsed, primary refractorylymphoma.
(3)Patient may have chemoresistant refractory disease.
(4)Patient should not receive chemotherapy except rituximab within 4 weeks before transplantation.
(5)Patiens should not have pathologically transformed disease.
(6)Patients must have HLA identical sibling donor, HLA one antigen mismatched sibling donor, HLA identical unrelated donor or HLA DRB1 allele one mismatched unrelated donor.
(7)Patients must have an Eastern Cooperative Oncology Group performance status of 0 or 1.
(8)
1)Saturation of oxygen >= 94%
2)DLCO >= 50%
3)Serum creatinine <= 1.5mg/dl
4)Total bilirubin <= 1.5mg/dl
5)AST, ALT, r-GTP <= 3 times upper limit of normal
6)No evidence of active cardiac disease
7)Left ventricular ejection fraction >= 55%
(9)All patients must be informed of the investigational nature of the study and have given written consent.

Key exclusion criteria

(1) Patients should not have controllable disease by chemotherapy
(2) Uncontrolled diabetes mellitus
(3) Uncontrolled hypertension
(4) Active infection
(5) Positive for TPHA, HBs Ag, HBe Ag, or HCV Ab
(6) Positive for HIV Ab
(7) Patients should be expected that they survive over 100 days after transplantation.
(8) Patients should not have other active malignant diseases.
(9) Pregnant or nursing women
(10) Mental disorder
(11) Previous allogeneic transplantation
(12) Other inappropriate symptoms

Target sample size

35


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Shinichiro Okamoto

Organization

Kanto Study Group for Cell Therapy
(KSGCT)

Division name

Chairman

Zip code


Address

Tokyo

TEL

03-6225-2040

Email

ksgctdc@ksgct.net


Public contact

Name of contact person

1st name
Middle name
Last name Shingo Yano

Organization

Kanto Study Group for Cell Therapy

Division name

Trial Office

Zip code


Address

Tokyo

TEL

03-6225-2040

Homepage URL


Email

yano@jikei.ac.jp


Sponsor or person

Institute

Kanto Study Group for Cell Therapy
(KSGCT)

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2013 Year 11 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2013 Year 10 Month 15 Day

Date of IRB

2015 Year 07 Month 11 Day

Anticipated trial start date

2013 Year 11 Month 01 Day

Last follow-up date

2016 Year 10 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2013 Year 10 Month 25 Day

Last modified on

2023 Year 06 Month 08 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000014173


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name