Treatment With Nivolumab at the Fixed Dose 40 mg (Nivo40) in Patients With Relapsed/Refractory Hodgkins Lymphoma
Study Details
Study Description
Brief Summary
A phase I/II trial to evaluate the safety and efficacy of nivolumab at the fixed dose 40 mg in patients with relapsed or refractory Hodgkins lymphoma.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 1/Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Nivolumab 40 mg Experimental: Nivolumab Nivolumab 40 mg IV over 60 minutes on day 1. Treatment repeats every 14 days for up to 24 courses in the absence of disease progression or unacceptable toxicity. |
Drug: Nivolumab 40 mg in 4 ml Injection
40 mg by intravenous (IV) infusion on day 1 Duration of cycle 14 days
Other Names:
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Outcome Measures
Primary Outcome Measures
- Overall Response Rate (ORR) [12 months]
Overall response rate (ORR), defined as the proportion of patients with complete response (CR) or partial response (PR) in measurable lesions as defined by LYRIC criteria
Secondary Outcome Measures
- Frequency of grade 3 or higher treatment-related adverse events by CTCAE 4.03 [12 months]
Toxicity parameters based on NCI CTCAE 4.03 grades: hematological toxicity (CBC), hepatotoxicity (liver function tests), nephrotoxicity (creatinine), neurotoxicity (attending physician assessment), fatigue (attending physician assessment), rash (attending physician assessment), colitis (attending physician assessment), pneumonitis (attending physician assessment), autoimmune disorders (level of hormones, presence of autoimmune antibodies, attending physician assessment).
- Duration of Response (DOR) [12 months]
- Progression-Free Survival (PFS) [12 months]
- Overall Survival (OS) [12 months]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Diagnosis: Histologically confirmed Hodgkins lymphoma
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Relapsed or refractory disease after at least two prior lines of treatment
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Age 18-70 years old
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Signed informed consent
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No severe concurrent illness
Exclusion Criteria:
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Uncontrolled bacterial or fungal infection at the time of enrollment
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Requirement for vasopressor support at the time of enrollment
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Karnofsky index <30%
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Pregnancy
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Somatic or psychiatric disorder making the patient unable to sign informed consent
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Active or prior documented autoimmune disease requiring systemic treatment.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | First Pavlov State Medical University of St. Petersburg | Saint-Petersburg | Russian Federation | 197089 |
Sponsors and Collaborators
- St. Petersburg State Pavlov Medical University
Investigators
- Principal Investigator: Boris V Afanasyev, Ph.D, St. Petersburg State Pavlov Medical University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- №30/17-н