Mantle Cell Lymphoma Clinical Trial
Official title:
A Phase I/II Trial to Evaluate the Safety, Feasibility and Efficacy of the Addition of Temsirolimus to a Regimen of Bendamustine and Rituximab for the Treatment of Patients With Follicular Lymphoma or Mantle Cell Lymphoma in First to Third Relapse
This is a multicenter, open label, single arm, phase I/II study. There will be no placebo
usage within this trial.
Phase I:
Primary: To establish a maximum tolerated dose of the addition of Temsirolimus to a regimen
of Bendamustine and Rituximab (BERT) in patients with relapsed follicular lymphoma and mantle
cell lymphoma.
Phase II:
Primary: To evaluate the ORR in patients with MCL or FL treated with the established BERT
dose Secondary: To determine the complete remission rate, progression free survival rate and
overall survival rate and to investigate safety and tolerability of BERT.
The first part of the study is a phase I study in which the maximum tolerated dose of the
combination of Temsirolimus, Bendamustine and Rituximab will be established. In the phase I
part of the trial 3 patients will be included in each dose level. After inclusion of 3
patients, each patient has to receive at least 2 complete cycles without DLT until the
enrolment into the next cohort can be initiated. In case of one DLT, 3 additional patients
will be added to the specific dose level. If a second DLT appears, the last dose level
without DLT will be considered the standard dose for the phase II trial. If the third dose
level is achieved without any DLT, there will be no further dose escalation.
In the phase II proportion of the trial, after establishment of a maximum tolerated dose, the
efficacy of the combination regimens in two different patient cohorts will be evaluated. In
the one cohort, 30 patients with relapsed mantle cell lymphoma will be treated; the second
cohort will be composed of 30 patients with relapsed follicular lymphoma.
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