Phase 2
Completed N=29
Study of Pralatrexate to Treat Participants With Relapsed or Refractory B-cell Non-Hodgkin's Lymphoma
Source: ClinicalTrials.gov NCT00998946 ↗Enrolled (actual)
29
Serious AEs
40.7%
Results posted
Nov 2021
Primary outcomePrimary: Objective Response Rate (ORR) — 4 percentage of participants
Summary
The purpose of this study is to determine whether pralatrexate, given with vitamin B12 and folic acid, is effective in the treatment of relapsed or refractory B-cell Non-Hodgkin's lymphoma (NHL). The study will also investigate the safety of pralatrexate with vitamin B12 and folic acid in this participant population. Additionally, this study includes the collection of blood samples to investigate the pharmacokinetics (PK) of pralatrexate in this participant population (PK is the activity of a drug in the body over a period of time, including how the drug is absorbed, distributed in the body, localized in the tissues, and excreted from the body).
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Objective Response Rate (ORR) |
4 | — |
| SECONDARY Duration of Response (DOR) |
NA | — |
| SECONDARY Progression Free Survival (PFS) |
3.6 | — |
| SECONDARY Overall Survival (OS) |
NA | — |
Eligibility Criteria
Inclusion Criteria
- Histologically/cytologically confirmed, measurable (lesion or node =2 cm by CT [at least 1 cm if by spiral CT]) B-cell Non-Hodgkin's Lymphoma, using the Revised European American Lymphoma (REAL) World Health Organization (WHO) disease classification
- Progressive or persistent disease after ≥ 1 prior treatment(s)
- Recovered from toxic effects of prior treatment
- At least 4 weeks since most recent cytotoxic therapy
- Easter Cooperative Oncology Group (ECOG) performance status ≤ 2
- Adequate blood, liver, and kidney functions as defined by laboratory levels
- 1.0 mg/day orally of folic acid for at least 7 days prior & 1 mg intramuscular of vitamin B12 within 10 weeks of the planned start of pralatrexate
- Females of childbearing potential must agree to use medically acceptable birth control from start of pralatrexate until at least 30 days after the last administration of pralatrexate and must have a negative serum pregnancy test within 14 days prior to the first day of study treatment
- Males who are not surgically sterile must agree to use medically acceptable birth control from start of pralatrexate until at least 90 days after the last administration of pralatrexate
- Available for repeat dosing and follow-up
- Able to give written informed consent
Exclusion Criteria
- Relapsed participants with diffuse large B-cell lymphoma (DLBCL) who are candidates for high-dose therapy and autologous stem cell transplantation (SCT) and for whom high-dose therapy and autologous SCT is a standard curative option
- Active concurrent malignancy (except non-melanoma skin cancer or carcinoma in situ of the cervix). If there is a history of prior malignancies other than those exceptions listed above, the participant must be disease-free for ≥ 5 years. Participants with other prior malignancies 10%] amount of bone marrow) within 4 weeks (6 weeks for nitrosoureas or mitomycin C) prior to study treatment or planned use during the course of the study
- Receipt of systemic corticosteroids within 1 week of study treatment, unless participant has been taking a continuous dose of no more than 10 mg/day of prednisone or its equivalent for at least 1 month
- Use of any investigational drugs, biologics, or devices within 4 weeks prior to study treatment or planned use during the course of the study
- Previous exposure to pralatrexate
- Females who are pregnant or breastfeeding
Data sourced from ClinicalTrials.gov (NCT00998946). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.