RecruitingPhase 1Phase 2NCT03223610

Venetoclax, Ibrutinib, Prednisone, Obinutuzumab, and Revlimid (ViPOR) in Relapsed/Refractory B-cell Lymphoma

Phase 1b/2 Study of Venetoclax, Ibrutinib, Prednisone, Obinutuzumab, and Revlimid (ViPOR) in Relapsed/Refractory B-cell Lymphoma


Sponsor

National Cancer Institute (NCI)

Enrollment

155 participants

Start Date

Feb 9, 2018

Study Type

INTERVENTIONAL

Conditions

Summary

Background: B-cell lymphoma is a cancer of white blood cells found in the lymph nodes. It affects the system that fights infections and disease. Researchers want to learn how certain drugs work together to treat B-cell lymphomas. The drugs are venetoclax, ibrutinib, prednisone, obinutuzumab, and lenalidomide (ViPOR). Objective: To study the safety of ViPOR for people with B-cell lymphoma. Eligibility: People ages 18 and older with B-cell lymphoma whose cancer has returned or not improved after treatment Design: Participants will be screened with: * Medical history * Physical exam * Blood, urine, and heart tests * Tissue sample from previous procedure * Imaging scans * Registration for counseling on the risks of lenalidomide. They must get counseling at least every 28 days. Participants will have a bone marrow aspiration before treatment. Participants may have tumor samples taken. Participants will get ViPOR in 21-day cycles. For up to 6 cycles: * Participants will get one drug by IV on days 1 and 2. * Participants will take the other four drugs by mouth on most days. After their first dose of venetoclax, they will stay in the clinic for at least 8 hours and return the next day for monitoring. They may be admitted for more drugs or monitoring. Participants will keep a drug diary. Participants will have a physical exam and blood and urine tests at least once per cycle. They will have scans 4 times over 6 cycles. Participants will have a visit about 1 month after their last dose of study drug. They will then have visits every few months for 3 years, and once a year for years 4 and 5. Visits include a physical exam, blood tests, and scans....


Eligibility

Min Age: 18 YearsMax Age: 120 Years

Plain Language Summary

Simplified for easier understanding

This trial is testing a combination of five drugs — venetoclax, ibrutinib, prednisone, obinutuzumab, and lenalidomide (known as ViPOR) — for patients with aggressive B-cell lymphoma (a type of blood cancer) that has come back or has not responded to prior treatments. **You may be eligible if...** - You have been diagnosed with an aggressive B-cell lymphoma (such as diffuse large B-cell lymphoma, transformed lymphoma, Burkitt lymphoma, or high-grade B-cell lymphoma) confirmed by a specialist pathologist - Your lymphoma has relapsed (come back) or is refractory (has not responded to treatment) - You have received prior treatment for your lymphoma **You may NOT be eligible if...** - You have CLL or SLL (which is excluded due to different approved dosing) - Your lymphoma type is not an aggressive B-cell lymphoma - You have serious organ problems or infections that make this 5-drug combination unsafe Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGVenetoclax

Administered orally, days 2-14, at varying doses of 200-800 mg (based upon assigned dose level); every 21 days for up to 6 cycles, or until disease progression or unacceptable toxicity

DRUGIbrutinib

Administered orally, days 1-14, at a dose of 560 mg; every 21 days for up to 6 cycles, or until disease progression or unacceptable toxicity

DRUGPrednisone

Administered orally, days 1-7, at a dose of 100 mg; every 21 days for up to 6 cycles, or until disease progression or unacceptable toxicity

BIOLOGICALObinutuzumab

Administered intravenously, days 1 and 2, at a dose of 1000 mg; every 21 days for up to 6 cycles, or until disease progression or unacceptable toxicity

DRUGRevlimid (lenalidomide)

Administered orally, days 1-15, at a dose of 15 mg; every 21 days for up to 6 cycles, or until disease progression or unacceptable toxicity


Locations(1)

National Institutes of Health Clinical Center

Bethesda, Maryland, United States

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NCT03223610


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