Clinical trial · Interventional
Epigenetic Modulation in Relapsed/Refractory Diffuse Large B-Cell Lymphoma (DLBCL)
A Phase 2 Study to Evaluate the Efficacy of Epigenetic Modulation in Relapsed/Refractory Diffuse Large B-Cell Lymphoma (DLBCL)
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Why stopped (as posted): The toxicity seemed to outweigh the benefit.
Summary
Brief summary (as posted)
The purpose of this study is evaluate the response, safety and tolerability in subjects receiving the investigational drugs, RAD001 and LBH589. Subjects in Part 1 will receive one drug for four cycles followed by 4 cycles of the second drug unless they achieve complete remission. Subjects in a complete remission may receive up to 6 cycles of study drug and will not receive the next study drug until there is evidence of disease progression. Subjects in Part 2 will receive both drugs together for at least 2 cycles and up to 13 if tolerated.
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 |
|---|---|---|---|
| Diffuse Large B-cell Lymphoma | Diffuse Large B-Cell Lymphoma | CURATED_BROADER | 0.80 |
Interventions
Interventions (3)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Doublet (RAD001 and LBH589) | Drug | — | UNRESOLVED |
| LBH589 | Drug | Panobinostat | ALIAS |
| RAD001 | Drug | Everolimus | ALIAS |
Design
Arms and outcomes
Arms (3)
- type
- EXPERIMENTAL
- label
- Arm 1a (RAD001 followed by LBH589)
- description
- Part 1a: Sequential single agent therapy with RAD001 and LBH589. Each agent will be given for four-six 28-day cycles. Subjects with less than a CR after 4 cycles of study drug should proceed to the next study drug(s) after the prescribed washout period. Subjects with a CR may receive up to 6 cycles of study drug and will not receive the next study drug(s) until there is evidence of progressive disease. There will be a 1-6 week 'washout' period between stopping and starting each agent in Part 1, unless rapid progression suggests holding therapy would not be in the patient's best interest.
- interventionNames
- Drug: RAD001
- Drug: LBH589
- type
- EXPERIMENTAL
- label
- Arm 1b (LBH589 followed by RAD001)
- description
- Part 1b: Sequential single agent therapy with LBH589 and RAD001 . Each agent will be given for four-six 28-day cycles. Subjects with less than a CR after 4 cycles of study drug should proceed to the next study drug(s) after the prescribed washout period. Subjects with a CR may receive up to 6 cycles of study drug and will not receive the next study drug(s) until there is evidence of progressive disease. There will be a 1-6 week 'washout' period between stopping and starting each agent in Part 1, unless rapid progression suggests holding therapy would not be in the patient's best interest.
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria:
1. de novo or transformed Diffuse large B cell non-Hodgkin lymphoma (DLBCL). DLBCL-like lymphomas allowed:
* Epstei-Barr virus (EBV)+ DLBCL in elderly,
* DLBCL with chronic inflammation,
* Primary cutaneous DLBCL, leg type,
* B cell lymphoma unclassifiable - between DLBCL and Burkitt lymphoma,
* B cell lymphoma unclassifiable - between large B cell lymphoma and classical Hodgkin lymphoma,
* Anaplastic lymphoma kinase (ALK)+ large B cell lymphoma,
* T cell histiocyte rich large B cell lymphoma
* Primary mediastinal B cell lymphoma
* Follicular grade 3 B cell lymphoma
2. Refractory or relapsed disease to \>/= 1 prior treatment regimen: should include autologous stem cell transplant unless patient refused or ineligible.
3. Age \> 18 years old
4. Eastern Cooperative Oncology Group (ECOG) performance status \<2.
5. Measurable or evaluable disease by physical exam, radiographs or bone marrow involvement
6. Frozen tumor or paraffin-embedded sample available.
7. 3-4 core fresh/fresh-frozen biopsy specimens available. Leukapheresis may be done for patients with leukocytosis.
8. Laboratory Values per protocol.
Exclusion Criteria:
1. Laboratory Values
* Grade 3 hyperlipidemia (Serum cholesterol \>400mg/dl or serum triglycerides \>5 x ULN)
* Serum Glucose \> 250mg/dl on \>/= 2 checks on 2 separate days
* Diabetics accepted if sugars controlled
2. Unlimited prior chemotherapy regimens, however:
* No prior exposure to RAD001 or LBH589 or drugs that target mTOR (sirolimus, temsirolimus, etc) or HDAC (vorinostat)
* No valproic acid during study or 5 days preceding start of first drug
* No chemotherapy, biologics or immunotherapy \< 2 weeks before registration (6 weeks if last received bis-chloroethylnitrosourea (BCNU) or mitomycin C). Subjects must be recovered from therapy-related non-hematological toxicities to \< grade 1 or baseline if started with \> grade 1 toxicity.
* No time limit for radiation prior to registration.
* No radioimmunotherapy \< 2 months prior to registration. Subjects must be recovered from therapy-related toxicities to \< grade 1 or baseline if started with \> grade 1 toxicity.
* No prior allogeneic stem cell transplantation unless allogeneic engraftment is \<2%.
* Subjects receiving chronic, systemic treatment with corticosteroids = to \>20mg of prednisone per day.
* Subjects receiving replacement for adrenal insufficiency allowed.
* Topical or inhaled corticosteroids allowed.
3. History of other primary malignancy \< 3 years ago, except inactive basal, squamous cell carcinoma of the skin or superficial melanoma only requiring excision, prostate cancer with a prostate specific antigen (PSA) stable for \>/=3 months, carcinoma in situ of cervix.
4. Major surgery \< 4 weeks before or Minor surgery \< 2 weeks before registration. Subjects must be recovered from toxicities to \< grade 1 or baseline if started with \> grade 1 toxicity.
5. Investigational drugs \< 4 weeks prior to registration.
6. Impaired Cardiac Function per protocol.
7. Pregnant or breastfeeding females or adults of reproductive potential not using effective birth control
8. Diffusing capacity or transfer factor of the lung for carbon monoxide (DLCO) \< 40% if tested (per protocol).
9. Impaired lung function: O2 saturation 88% or less at rest on room air by Pulse Oximetry.
10. Immunization with live attenuated vaccines \< 1 week of study entry
11. Impaired GI function or GI disease that may alter absorption of RAD001 or LBH589
12. Concurrent severe \&/or uncontrolled medical conditions
13. Medications with risk of prolonging QT interval or inducing torsade de pointes or interacting with LBH589 and RAD001 may be used per the protocol.
14. Active bleeding tendency
15. Positive for HIV.
16. Positive for Hepatitis C virus (HCV).
17. History of non-compliance to medical regimens.References
Publications (0)
Data not yet available