ClinicalTrials.gg
CompletedNCT00243087Updated Dec 20, 2024

Investigation of Safety, Tolerability and Maximum Tolerated Dose (MTD) of BI 2536 in Patients With Recurrent Advanced Aggressive Non-Hodgkin's Lymphoma (NHL)

A Phase 1 interventional study of BI 2536 in Lymphoma, sponsored by Boehringer Ingelheim. Completed at 4 sites in United States. Open to participants aged 18 Years to 120 Years. Per ClinicalTrials.gov, last updated 2024-12-20.

Sponsored by Boehringer Ingelheim · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
41
Ages
18 Years to 120 Years
Sex
All
01

Study summary

RATIONALE: BI 2536 may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth.

PURPOSE: This phase I trial is studying the side effects and best dose of BI 2536 in treating patients with refractory or relapsed advanced non-Hodgkin's lymphoma.

Read the detailed description

OBJECTIVES:

Primary

  • Determine the maximum tolerated dose of BI 2536 in patients with refractory or relapsed advanced aggressive non-Hodgkin's lymphoma.
  • Determine the safety and tolerability of this drug in these patients.

Secondary

  • Determine the pharmacokinetic profile of this drug in these patients.
  • Determine, preliminarily, the antitumor activity of this drug in these patients.

OUTLINE: This is a dose-escalation, open-label, uncontrolled, multicenter study.

Patients receive BI 2536 IV over 1 hour on day 1. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.

Cohorts of 3-6 patients receive escalating doses of BI 2536 until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 6 patients experience dose-limiting toxicity during the first treatment course. Up to 24 patients are treated at the MTD.

After completion of study treatment, patients are followed periodically until disease progression or initiation of another cancer treatment.

PROJECTED ACCRUAL: A maximum of 50 patients will be accrued for this study.

02

Conditions studied

  • Lymphoma

Keywords

  • stage IV adult diffuse large cell lymphoma
  • recurrent adult diffuse large cell lymphoma
  • recurrent adult Burkitt lymphoma
  • stage IV adult Burkitt lymphoma
  • stage IV grade 3 follicular lymphoma
  • recurrent grade 3 follicular lymphoma
  • stage IV mantle cell lymphoma
  • recurrent mantle cell lymphoma
  • recurrent adult immunoblastic large cell lymphoma
  • stage IV adult immunoblastic large cell lymphoma
  • anaplastic large cell lymphoma
  • recurrent adult T-cell leukemia/lymphoma
  • stage IV adult T-cell leukemia/lymphoma
  • stage III adult Burkitt lymphoma
  • stage III adult diffuse large cell lymphoma
  • stage III adult immunoblastic large cell lymphoma
  • stage III adult T-cell leukemia/lymphoma
  • stage III grade 3 follicular lymphoma
  • stage III mantle cell lymphoma
03

In context

Lymphoma

5,623 studies on the registry are indexed under Lymphoma; 823 are open to participants now.

This study's enrollment of 41 is close to the median of 40 across 4,534 interventional studies indexed under Lymphoma.

Browse Lymphoma studies →

Lead sponsor

Boehringer Ingelheim is the lead sponsor of 2,297 studies on the registry; 56 are open to participants now.

Of its 166 completed or terminated interventional studies of FDA-regulated products, 121 (73%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 120 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Histologically or cytologically confirmed advanced aggressive non-Hodgkin's lymphoma (NHL), including any of the following subtypes:

    • B-cell NHL, including any of the following subtypes:

      • Diffuse large B-cell lymphoma
      • Primary mediastinal (thymic) B-cell lymphoma
      • Intravascular large B-cell lymphoma
      • Immunoblastic B-cell lymphoma
      • Mantle cell lymphoma
      • Burkitt's lymphoma
      • Follicular grade 3b lymphoma
    • T-cell NHL, including any of the following subtypes:

      • Anaplastic large cell lymphoma
      • Peripheral T-cell lymphoma, not otherwise specified
  • De novo or transformed disease
  • Refractory (i.e., disease not amenable to standard therapy) or relapsed disease, as evidenced by 1 of the following:

    • Refractory to OR relapsed after ≥ 1 prior combination chemotherapy regimen
    • Refractory to OR relapsed after prior CD20-based immunotherapy (for patients eligible to receive such therapy)
    • Refractory after prior high-dose chemotherapy and autologous stem cell transplantation AND ≥ 100 days post transplantation
  • At least 1 bidimensionally measurable lesion ≥ 1.5 cm by CT scan, MRI, x-ray, or clinical examination
  • No active CNS lymphoma

PATIENT CHARACTERISTICS:

Performance status

  • ECOG 0-2

Life expectancy

  • At least 3 months

Hematopoietic

  • Absolute neutrophil count ≥ 1,000/mm\^3
  • Platelet count ≥ 75,000/mm\^3
  • Hemoglobin ≥ 9 g/dL
  • No known coagulopathy

Hepatic

  • ALT and/or AST ≤ 2.5 times upper limit of normal (ULN) (\< 5 times ULN if due to hepatic lymphoma)
  • Bilirubin ≤ 1.5 times ULN

Renal

  • Creatinine ≤ 2.0 mg/dL

Immunologic

  • No known HIV infection
  • No serious active infection that requires IV antibiotics or antifungal or antiviral agents

Other

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective double-method contraception during and for 1 year after completion of study treatment
  • No known or suspected alcohol or drug abuse
  • No sensory or motor neuropathy ≥ grade 3
  • No other malignancy within the past 5 years except nonmelanoma skin cancer
  • No other life-threatening illness or organ dysfunction that would preclude study participation

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • See Disease Characteristics
  • See Radiotherapy
  • More than 3 weeks since prior and no concurrent immunotherapy
  • No prior allogeneic bone marrow transplantation

Chemotherapy

  • See Disease Characteristics
  • More than 3 weeks since prior and no concurrent chemotherapy (6 weeks for nitrosoureas or mitomycin)

Endocrine therapy

  • No concurrent hormonal therapy

Radiotherapy

  • No prior radiotherapy to the only site of measurable disease unless there is documented disease progression after completion of radiotherapy
  • More than 8 weeks since prior and no concurrent systemic radioimmunotherapy
  • More than 3 weeks since prior and no concurrent radiotherapy

    • Concurrent palliative radiotherapy to sites other than the only measurable target lesion allowed for symptom control provided the reason for radiotherapy does not reflect progressive disease

Other

  • No concurrent warfarin for therapeutic anticoagulation
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Masking
None (open label)
Enrollment
41 participants (actual)

Interventions

06

What researchers measure

Primary outcomes

  1. Maximum tolerated dose as measured by CTCAE v3.0 at days 1-22 of each course

    Time frame: up to 22 days of each course

  2. Dose-limiting toxicity as measured by CTCAE v3.0 at days 1-22 of each course

    Time frame: up to 22 days of each course

Secondary outcomes

  1. Objective tumor response by CT scan or MRI as measured by RECIST criteria on day 22 of each even numbered course

    Time frame: day 22 of every second course

  2. Pharmacokinetics as measured in blood samples at days 1, 2, 3, and 8 during first course and on day 1 of each subsequent course

    Time frame: day 22 of each course

07

Study locations

4 sites
  • Lombardi Comprehensive Cancer Center at Georgetown University Medical Center
    Washington D.C., District of Columbia 20007, United States
  • UNMC Eppley Cancer Center at the University of Nebraska Medical Center
    Omaha, Nebraska 68198-6805, United States
  • James P. Wilmot Cancer Center at University of Rochester Medical Center
    Rochester, New York 14642, United States
  • M. D. Anderson Cancer Center at University of Texas
    Houston, Texas 77030-4009, United States
08

References and documents

Individual participant data

Plan to share: Yes — Once the criteria in section "Time Frame" are fulfilled, researchers can use the following link https://www.mystudywindow.com/msw/datasharing to request access to the clinical study documents regarding this study, and upon a signed "Document Sharing Agreement". Furthermore, researchers can request access to the clinical study data, for this and other listed studies, after the submission of a research proposal and according to the terms outlined in the website.

Supporting information: Study protocol, Statistical analysis plan, Clinical study report

Time frame: One year after the approval has been granted by major Regulatory Authorities and after the primary manuscript has been accepted for publication, or after termination of the development program.

Access criteria: For study documents - upon signing of a "Document Sharing Agreement". For study data - 1. after the submission and approval of the research proposal (checks will be performed by the sponsor and/or the independent review panel, including checking that the planned analysis does not compete with sponsor's publication plan); 2. and upon signing of a legal agreement.

Data sharing details ↗ · www.mystudywindow.com

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Jul 2005 and a primary completion of Aug 2008. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 20, 2005
First posted
Oct 21, 2005
Start
Jul 2005
Primary completionActual
Aug 2008
Last update
Dec 20, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 20, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00243087
First posted
Oct 21, 2005
Start date
Jul 2005
Primary completion
Aug 2008
Last update
Dec 20, 2024

Study contacts

Julie M. Vose, MD
study chair · University of Nebraska
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2024. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: BI 2536

Start the discussion