Clinical trial · Interventional
Bortezomib and Rituximab in Treating Patients With Non-Hodgkin's Lymphoma
A Phase II Study of VELCADE With Rituximab in Subjects With Relapsed or Refractory Indolent B-Cell Lymphoma
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
RATIONALE: Bortezomib may stop the growth of cancer cells by blocking the enzymes necessary for their growth. Monoclonal antibodies such as rituximab can locate cancer cells and either kill them or deliver tumor-killing substances to them without harming normal cells. Giving bortezomib together with rituximab may kill more cancer cells. PURPOSE: This randomized phase II trial is studying how well giving bortezomib together with rituximab works in treating patients with relapsed or refractory non-Hodgkin's lymphoma.
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Lymphoma | Lymphoma | ONTOLOGY_EXACT | 0.90 |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| bortezomib + rituximab | Drug | — | UNRESOLVED |
Design
Arms and outcomes
Arms (1)
- type
- EXPERIMENTAL
- label
- bortezomib + rituximab
- description
- Arm I: Patients receive bortezomib IV over 3-5 seconds on days 1, 4, 8, and 11. Patients also receive rituximab IV on days 1, 8, and 15 of course 1 only and on day 1 of course 2 only. Treatment with repeats every 21 days for up to 5 courses in the absence of disease progression or unacceptable toxicity. Arm II: Patients receive bortezomib IV over 3-5 seconds on days 1, 8, 15 and 22. Patients also receive rituximab IV on days 1, 8, 15, and 22 of course 1 only. Treatment repeats every 35 days for up to 3 courses in the absence of disease progression or unacceptable toxicity. Patients in either arm may crossover to the other arm if treatment is found to be ineffective.
- interventionNames
- Drug: bortezomib + rituximab
Primary outcomes (1)
- measure
- Response rate (complete response [CR], CR-unconfirmed [CRu], and partial response [PR])
- timeFrame
- 12 weeks
Secondary outcomes (3)
- measure
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
DISEASE CHARACTERISTICS:
* Diagnosis of indolent B-cell non-Hodgkin's lymphoma of 1 of the following subtypes:
* Follicular (grade 1, 2, or 3)
* Marginal zone (extranodal, nodal, or splenic)
* CD20-positive disease
* Relapsed or progressive disease after prior anti-neoplastic therapy, as indicated by 1 of the following:
* New lesions
* Objective evidence of progression of existing lesions
* Complete response ≥ 6 months in duration after prior rituximab therapy\* NOTE: \*For patients who were previously treated with a regimen that included rituximab
* At least 1 measurable lymph node mass \> 1.5 cm in 2 perpendicular dimensions that has not been irradiated OR that has progressed since prior radiotherapy
* No active CNS lymphoma
PATIENT CHARACTERISTICS:
Age
* 18 and over
Performance status
* Karnofsky 50-100% OR
* ECOG 0-2
Life expectancy
* Not specified
Hematopoietic
* Absolute neutrophil count ≥ 1,000/mm\^3
* Platelet count ≥ 50,000/mm\^3
Hepatic
* AST and ALT ≤ 3 times upper limit of normal (ULN)
* Bilirubin ≤ 2 times ULN
Renal
* Creatinine ≤ 2 mg/dL OR
* Creatinine clearance ≥ 30 mL/min
Immunologic
* No known anaphylaxis or immunoglobulin E-mediated hypersensitivity to murine proteins or to any component of rituximab, including polysorbate 80 and sodium citrate dihydrate
* No active systemic infection requiring treatment
* No history of allergic reaction attributable to compounds containing boron or mannitol
Other
* No peripheral neuropathy or neuropathic pain ≥ grade 2
* No other malignancy within the past 5 years except completely resected basal cell or squamous cell skin cancer or an in situ malignancy
* Previously diagnosed prostate cancer allowed provided the following criteria are met:
* T1-2a, N0, M0 disease AND Gleason score ≤ 7 AND prostate specific antigen (PSA) ≤ 10 ng/mL before initial therapy
* Treated with definitive curative therapy (i.e., prostatectomy or radiotherapy) within the past 2 years
* No clinical evidence of prostate cancer AND undetectable PSA (for prostatectomy patients) or PSA \< 1 ng/mL (for patients who did not undergo prostatectomy)
* No serious medical or psychiatric illness that would preclude study participation
* Not pregnant or nursing
* Negative pregnancy test
* Fertile patients must use effective contraception
PRIOR CONCURRENT THERAPY:
Biologic therapy
* See Disease Characteristics
* More than 10 weeks since prior radioimmunoconjugates or toxin immunoconjugates (e.g., ibritumomab tiuxetan or iodine I 131 tositumomab)
* More than 4 weeks since prior rituximab, alemtuzumab, or other unconjugated therapeutic antibody
* No concurrent prophylactic bone marrow growth factors (e.g., filgrastim \[G-CSF\], sargramostim \[GM-CSF\], or epoetin alfa) during course 1 of study therapy
Chemotherapy
* More than 6 weeks since prior nitrosoureas
* No concurrent cisplatin
Endocrine therapy
* No concurrent corticosteroids (e.g., dexamethasone) except prednisone ≤ 15 mg/day or equivalent for adrenal insufficiency
Radiotherapy
* See Disease Characteristics
* See Biologic therapy
* More than 3 weeks since prior radiotherapy
* No concurrent radiotherapy
Surgery
* More than 2 weeks since prior major surgery
Other
* Recovered from all prior therapy
* No prior bortezomib
* More than 3 weeks since prior antineoplastic therapy
* More than 3 weeks since prior experimental therapy
* No other concurrent antineoplastic therapy
* No other concurrent investigational agents
* Concurrent participation in a non-treatment study allowed provided it does not interfere with participation in this studyReferences
Publications (1)
- RESULTde Vos S, Goy A, Dakhil SR, Saleh MN, McLaughlin P, Belt R, Flowers CR, Knapp M, Hart L, Patel-Donnelly D, Glenn M, Gregory SA, Holladay C, Zhang T, Boral AL. Multicenter randomized phase II study of weekly or twice-weekly bortezomib plus rituximab in patients with relapsed or refractory follicular or marginal-zone B-cell lymphoma. J Clin Oncol. 2009 Oct 20;27(30):5023-30. doi: 10.1200/JCO.2008.17.7980. Epub 2009 Sep 21. PMID 19770386