Phase I/II Multi-site Study Evaluating the MTD, Safety and Efficacy of the Combination Venetoclax, Lenalidomide and Rituximab in Patients With Previously Untreated Mantle Cell Lymphoma
Summary
The purpose of this study is to determine if giving an experimental drug called venetoclax in combination with lenalidomide and rituximab is safe and effective for treating people with Mantle Cell Lymphoma (MCL).
Arms & interventions
- DrugVenetoclax
PO days 8 - 28 cycles during cycle 1 only. Starting with ramp-up dose as follows (50 mg x 7 days then 100mg x 7 days then 200 mg x 7 days then 400 mg for remainder of therapy). Will be given days 1-28 at a dose of 400 mg cycle 2-12.
- DrugLenalidomide
10 mg day 1-7 of and 15 mg day 8-14 cycle #1. 20 mg PO day day 15-21 of cycle #1 and days 1-21 cycles 2-12.
- DrugRituximab
375 mg/m2 IV day 1, 8, 15, 22 of 1st cycle then on day 1 for cycles 2, 4, 6, 8, 10, 12
Outcome measures
Primary
Maximum Tolerated Dose (MTD) of the combination of lenalidomide, venetoclax and rituximab
Time frame: 42 Days
Secondary
The proportion of patients with a Complete Response (CR)
Time frame: Up to 4 Years
The proportion of patients that respond to treatment
Time frame: Up to 4 Years
Eligibility criteria
Study locations (4)
City of Hope Medical center
Duarte, California, 91010
University of Michigan
Ann Arbor, Michigan, 48109
The Ohio State University Comprehensive Cancer Center
Columbus, Ohio, 43210
University of Virginia Cancer Center
Charlottesville, Virginia, 22903
References
- Phillips TJ, Bond D, Takiar R, Kump K, Kandarpa M, Boonstra P, Mayer TL, Nachar V, Wilcox RA, Carty SA, Karimi YH, Nikolovska-Coleska Z, Kaminski MS, Herrera AF, Maddocks K, Popplewell L, Danilov AV. Adding venetoclax to lenalidomide and rituximab is safe and effective in patients with untreated mantle cell lymphoma. Blood Adv. 2023 Aug 22;7(16):4518-4527. doi: 10.1182/bloodadvances.2023009992.(PubMed)