A Comparison of Three Chemotherapy Regimens for Patients with Newly Diagnosed Mantle Cell Lymphoma
- Baseline measurements and evaluations must be obtained within 42 days prior to randomization to the study. Abnormal PET or CT scans may constitute evaluable disease. Patient must have at least one objective measurable disease parameter by PET or CT. CT objectives measurable criteria includes measured dominant lesions are defined as nodes, nodal masses, and extranodal lesions that are clearly measurable in two diameters and PET objective measurable criteria includes an area of fludeoxyglucose F-18 (FDG) uptake as measured by standardized uptake value (SUV) and a Deauville score of 4 or 5. Measurable disease in the liver is required if the liver is the only site of lymphoma.
- MIPI score must be calculated and entered in Oncology Patient Enrollment Network (OPEN)
- Patient must have an Eastern Cooperative Oncology Group (ECOG) performance status score of 0-2.
- Patient must have untreated histologically confirmed mantle cell lymphoma, with cyclin D1 (BCL1) expression by immunohistochemical stains and/or t(11;14) by cytogenetics or fluorescent in situ hybridization (FISH) as confirmed by the enrolling center. The diagnosis must be confirmed by formal hematopathology review at the enrolling center.
- Patients being treated with gastric reducing agent proton pump inhibitors must be switched to an alternative drug before starting acalabrutinib.
- Absolute neutrophil count (ANC) >= 1,000/mcL (obtained within 14 days prior to randomization). If disease includes marrow involvement or hypersplenism, please reference the below revised ANC requirement: * ANC >= 500/mcL
- Platelets >= 75,000 mcL (obtained within 14 days prior to randomization). If disease includes involvement or hypersplenism, please reference the below revised platelet requirement: * Platelets >= 25,000/mcL
- Total bilirubin =< 2 x institutional upper limit of normal (ULN) (obtained within 14 days prior to randomization). If disease includes hepatic infiltration or is causing biliary obstruction, or if elevated bilirubin is due to Gilbert's disease, please reference the below revised bilirubin requirements: * Bilirubin =< 3 x institutional ULN
- Aspartate aminotransferase (AST) and alanine transaminase (ALT) =< 2.5 x institutional ULN (obtained within 14 days prior to randomization). If disease includes hepatic infiltration or is causing biliary obstruction, or if elevated bilirubin is due to Gilbert's disease, please reference the below revised AST/ALT requirements: * AST/ALT =< 5 x institutional ULN
- Prothrombin time (PT)/international normalized ratio (INR) and activated partial thromboplastin time (aPTT) in the absence of lupus anticoagulant) < 2 x institutional ULN (obtained within 14 days prior to randomization). Patients receiving anticoagulant therapy (other than warfarin or equivalent vitamin K antagonists which are excluded), higher INR/aPTT may be permitted to enroll to this study after discussion with the study chair and discussion must be uploaded and documented on the baseline forms within Medidata Rave.
- Creatinine =< institutional ULN, OR glomerular filtration rate (GFR) >= 40 mL/min/1.73 m^2 (obtained within 14 days prior to randomization).
- Human immunodeficiency virus (HIV)-infected patients on effective anti-retroviral therapy with undetectable viral load within 6 months are eligible for this trial.
- For patient with evidence of chronic hepatitis B virus (HBV) infection, the HBV viral load must be undetectable on suppressive therapy, if indicated. Per the Centers for Disease Control (CDC), chronic is defined as (positive [+]) hepatitis B surface antigen (HepBsag), (+) hepatitis core antibody (HepBcab), (negative [-]) IgM hepatitis B core antibody (Hepbcab), and (-) hepatitis B surface antibody (HepBsab).
- Patient with a history of hepatitis C virus (HCV) infection must have been treated and cured. For patients with HCV infection who are currently on treatment, they are eligible if they have an undetectable HCV viral load.
- Patient with a prior or concurrent malignancy whose natural history or treatment does not have the potential to interfere with the safety or efficacy assessment of the study supplied regimen are eligible for this trial.
- Patient with known history or current symptoms of cardiac disease, or history of treatment with cardiotoxic agents, should have a clinical risk assessment of cardiac function using the New York Heart Association Functional classification. To be eligible for this trial, patients should be class 2B or better.
- Women of childbearing potential and sexually active males must agree to use accepted and effective method(s) of contraception or to abstain from sexual intercourse for the duration of their participation in the study and for 12 months after treatment ends.
- Patient must be able to fulfill one of the following eligibility requirements pertaining to biospecimen availability for submission following randomization: * Archived formalin-fixed paraffin-embedded (FFPE) tumor tissue specimen from the original diagnostic biopsy (i.e. lymph node [LN] bone marrow core biopsy and aspiration [BM Bx], etc). is available for submission OR, * If tumor tissue is not available and patient has circulating mantle cells in the peripheral blood, then peripheral blood collected prior to initiation of protocol therapy may be submitted. ** NOTE: Biospecimens must be submitted within 60 days following randomization to Adaptive Biotechnologies for ClonoSEQ ID molecular marker identification of unique clonal immunoglobulin DNA sequence. If peripheral blood will be submitted, Adaptive Biotechnologies should be contacted prior to patient randomization for guidance pertaining to collection and submission requirements.
- Women must not be pregnant or breast-feeding due to the potential harm to an unborn fetus and possible risk for adverse events in nursing infants with the treatment regimens being used. Patients must also not expect to conceive or father children from the time of randomization, while on study treatment, and until 12 months after the last dose of study treatment. All females of childbearing potential must have a blood test or urine study within 2 weeks prior to randomization to rule out pregnancy. A female of childbearing potential is defined as any woman, regardless of sexual orientation or whether they have undergone tubal ligation, who meets the following criteria: 1) has achieved menarche at some point, 2) has not undergone a hysterectomy or bilateral oophorectomy; or 3) has not been naturally postmenopausal (amenorrhea following cancer therapy does not rule out childbearing potential) for at least 24 consecutive months (i.e., has had menses at any time in the preceding 24 consecutive months).
- Patient is not eligible if he/she requires treatment with a strong cytochrome P450 (CYP) 3A inhibitor.
- Patient may not have received the following within 7 days prior to the first dose of study drug: * Strong and moderate CYP3A inhibitors * Strong and moderate CYP3A inducers
- Patient is ineligible if they have any of the following: * Malabsorption syndrome or disease significantly affecting gastrointestinal function. * Active bleeding or history of bleeding diathesis (e.g. hemophilia or von Willebrand disease). * Uncontrolled AIHA (autoimmune hemolytic anemia) or ITP (idiopathic thrombocytopenia purpura). * Requires or receiving anticoagulation with warfarin or equivalent vitamin K antagonists (e.g. phenprocoumon) within 7 days prior to first dose of study drug. * History of significant cerebrovascular disease/event, including stroke or intracranial hemorrhage, within 6 months before the first dose of study drug. * Known active bacterial, viral, fungal, mycobacterial, parasitic, or other infections at study enrollment (defined as exhibiting ongoing signs/symptoms related to the infection and without improvement, despite appropriate antibiotics or other treatment). * History of severe allergic reaction attributed to compounds of similar chemical or biologic composition to rituximab, bendamustine, cytarabine, or acalabrutinib.
San Luis Obispo
District of Columbia
West Des Moines
Saint Louis Park
Thief River Falls
Salt Lake City
Fond Du Lac
I. Positron mission tomography (PET)/computed tomography (CT) complete response (CR)/peripheral blood minimal residual disease (MRD) negative rate.
I. Progression-free survival at 36 months.
II. Toxicity rates (incidence of grade 3/4 infections, renal and neurologic toxicities, cumulative dose of cytarabine & acalabrutinib, dose reduction, and treatment discontinuation due to toxicity).
III. Objective response rate (ORR).
IV. Overall survival at 36 months.
V. Mobilization failure rate (defined as a yield < 2 x 10^6 CD34+ stem cells/kg with a maximum of 4 courses of apheresis).
VI. To compare PET/CT negative rate between the three arms.
VII. To evaluate the association between baseline PET quantitative assessment (qPET) and MRD status at end of treatment (EOT).
VIII. To evaluate the association between the change of qPET parameters from baseline to EOT and MRD, and compare this association across all 3 arms.
IX. To determine the incremental prognostic value of baseline qPET to standard risk markers (Mantle Cell Lymphoma International Prognostic Index [MIPI]) in predicting MRD status at EOT.
X. To determine the prognostic value of baseline, interim and EOT PET in predicting progression-free survival (PFS).
EXPLORATORY IMAGING OBJECTIVES:
I. Interim PET status both qualitatively (Deauville) and quantitatively will be correlated with MRD status at EOT (end of induction).
II. Explore the incremental prognostic value of interim qPET to standard risk markers (MIPI) in predicting MRD status at EOT.
III. Explore the incremental prognostic value of interim qPET to Ki67 in predicting MRD status at EOT.
IV. Explore the association of interim and EOT PET with overall survival (OS).
OUTLINE: Patients are randomized to 1 of 3 arms.
ARM A: Patients receive bendamustine hydrochloride intravenously (IV) on days 1 and 2 and rituximab IV or rituximab and hyaluronidase human subcutaneously (SC) on day 1 or 2. Treatment repeats every 28 days for up to 3 cycles in the absence of disease progression or unacceptable toxicity. Beginning cycle 4, patients receive rituximab IV or rituximab and hyaluronidase human SC on day 1 and cytarabine IV every 12 hours (Q12 hours) on days 1 and 2. Treatment repeats every 28 days for up to 3 cycles in the absence of disease progression or unacceptable toxicity.
ARM B: Patients receive acalabrutinib orally (PO) twice daily (BID) on days 1-28, bendamustine hydrochloride IV on days 1 and 2, and rituximab IV or rituximab and hyaluronidase human SC on day 1 or 2. Treatment repeats every 28 days for up to 3 cycles in the absence of disease progression or unacceptable toxicity. Beginning cycle 4, patients receive acalabrutinib PO BID on days 1-7 and 22-28, rituximab IV or rituximab and hyaluronidase human SC on day 1, and cytarabine IV Q12 hours on days 1 and 2. Treatment repeats every 28 days for up to 3 cycles in the absence of disease progression or unacceptable toxicity.
ARM C: Patients receive acalabrutinib PO BID on days 1-28, bendamustine hydrochloride IV on days 1 and 2, and rituximab IV or rituximab and hyaluronidase human SC on day 1 or 2. Treatment repeats every 28 days for up to 6 cycles in the absence of disease progression or unacceptable toxicity.
After completion of study treatment, patients are followed up every 2-3 months for years 1-3, and then every 6 months for years 4-5, and then annually until year 10.
Trial Phase Phase II
Trial Type Treatment
ECOG-ACRIN Cancer Research Group
Nina Delaney Wagner-Johnston
- Primary ID EA4181
- Secondary IDs NCI-2019-05536
- Clinicaltrials.gov ID NCT04115631