Efficacy and Safety Study of Fostamatinib Tablets to Treat B-cell Lymphoma

Not Recruiting

Trial ID: NCT00446095

Purpose

Patients: B-cell lymphoma, refractory, diffuse, nodular, mantle, other Phase I : Two groups of 6 patients, escalating dose tolerability- 28 days Phase II: Three groups of 16 patients (nodular, diffuse large cell, mantle cell plus others). Oral bid dosing with highest tolerable dose until toxicity, progression, or withdrawal

Official Title

A Phase I/II Multi-Center, Open Label Trial of the Safety and Efficacy of Fostamatinib in Patients With Relapsed/Refractory B-Cell Lymphoma

Eligibility


Inclusion Criteria:

   1. Patients must be > 18 years old.

   2. Patients must be willing and able to give written informed consent by signing an
   IRB-approved Informed Consent Form prior to admission to this study and must fully
   understand the requirements of the study and be willing to comply with all study
   visits and assessments.

   3. Patients with relapsed/refractory B-cell malignancy, (DLBCL, follicular lymphoma,
   mantle cell lymphoma, MALT lymphoma, marginal zone lymphoma, CLL or SLL), who have
   failed at least one prior treatment regimen and for whom no standard therapy exists;
   patients who are intolerant of standard therapy or who are not candidates for
   available standard therapy may also be included.

   4. Patients must have measurable disease.

   5. Patients may be male or female. Men, if sexually active, must agree to use at least
   one medically acceptable form of birth control for the duration of the study and for
   30 days thereafter. Sexually active women of childbearing potential must have a
   negative serum pregnancy test, and agree to use two independent methods of birth
   control for the duration of the study and for 30 days thereafter.

Exclusion Criteria:

   1. Patients with T-cell lymphoma or primary CNS lymphoma

   2. Patients with a history of malignancy other than lymphoma, except basal cell carcinoma
   of the skin and in situ cervical carcinoma, if < 2 years since curative treatment

   3. Chemotherapy within 4 weeks of Day 1 of treatment (6 weeks for mitomycin C and
   nitrosoureas)

   4. Antibody therapy or lymphoma vaccine therapy within 6 weeks of Day 1

   5. Radiotherapy within 2 weeks of Day 1, 4 weeks if to marrow-bearing sites (sternum,
   pelvis)

   6. Any other investigational therapy within 4 weeks of Day 1

   7. Significant gastrointestinal disease (Crohn's or ulcerative colitis) or major gastric
   or small bowel surgery

   8. Difficulty swallowing or malabsorption

   9. Patients with bone marrow impairment: Hgb < 9.0 g/dL; ANC < 1500/μL; platelets <
   75,000/μL

10. Patients with impairment of renal function: creatinine > 2.0 g/dL

11. Patients with abnormal liver function: AST/ALT > 3x ULN (up to 5x ULN with liver
   involvement); bilirubin > 1.5 mg/dL

12. Patients who have been treated with a CYP3A4 inducer/inhibitor within 1 week prior to
   Day 1 or who are expected to require treatment with CYP3A4 inducer/inhibitor during
   the course of the study (Appendix IV)

13. Patients with Karnofsky performance status < 60% (Appendix I)

14. Patients whose life expectancy is < 3 months

15. Patients who are known to be HIV positive

16. Patients who have a history of any other significant medical or physical condition
   that might impair the patient's well being or preclude full participation in the study

17. Pregnant or nursing females

18. Patients receiving systemic or chronic inhaled steroids, with the exception of
   intermittent dexamethasone for the treatment of emesis or intermittent steroid
   inhalers for exacerbations of asthma

Intervention(s):

drug: fostamatinib

Not Recruiting

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305
Susie Bawn
6507254968

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