Leflunomide for the Treatment of Relapsed or Refractory CD30+ Lymphoproliferative Disorders

Sponsor
City of Hope Medical Center (Other)
Overall Status
Active, not recruiting
CT.gov ID
NCT04463615
Collaborator
National Cancer Institute (NCI) (NIH)
1
1
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Study Details

Study Description

Brief Summary

This trial studies how well leflunomide works for the treatment of patients with CD30+ lymphoproliferative disorders that have come back (relapsed) or do not respond to treatment (refractory). Leflunomide may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth.

Detailed Description

PRIMARY OBJECTIVE:
  1. To evaluate overall response rate of leflunomide treatment.
SECONDARY OBJECTIVES:
  1. To assess complete response rate and duration of response of leflunomide treatment.

  2. To assess toxicities of leflunomide treatment. III. To assess disease status by the CAILS (composite assessment of index lesion severity).

EXPLORATORY OBJECTIVE:
  1. To generate a preliminary ribonucleic acid (RNA) signature associated with response of CD30+ lymphoproliferative disorders (LYPDs) cells to leflunomide.
OUTLINE:

Patients receive leflunomide orally (PO) once daily (QD) on days 1-28. Treatment repeats every 28 days for up to 13 cycles in the absence of disease progression or unacceptable toxicity.

After completion of study treatment, patients are followed up every 3 months for 12 months.

Study Design

Study Type:
Interventional
Actual Enrollment :
1 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Pilot Trial of Leflunomide in Patients With CD30+ Lymphoproliferative Disorders
Actual Study Start Date :
May 5, 2021
Anticipated Primary Completion Date :
Aug 16, 2022
Anticipated Study Completion Date :
Jul 16, 2023

Arms and Interventions

Arm Intervention/Treatment
Experimental: Treatment (leflunomide)

Patients receive leflunomide PO QD on days 1-28. Treatment repeats every 28 days for up to 13 cycles in the absence of disease progression or unacceptable toxicity.

Drug: Leflunomide
Given PO
Other Names:
  • Arava
  • SU101
  • Outcome Measures

    Primary Outcome Measures

    1. Overall response rate [Up to 12 months post treatment]

      Defined as the proportion of patients with a documented response (complete response [CR] or partial [PR]) any time during study treatment. Response will be categorized by modified severity weighted assessment tool (mSWAT). Will be calculated along with the Clopper Pearson binomial 95% exact confidence intervals.

    Secondary Outcome Measures

    1. Complete response rate [Up to 12 months post treatment]

      Defined as the proportion of patients with a documented CR any time during study treatment. Response will be assessed by mSWAT. Will be calculated along with the Clopper Pearson binomial 95% exact confidence intervals.

    2. Duration of response [Up to 12 months post treatment]

      Will be calculated using Kaplan-Meier product limit estimator; median duration of response will also be estimated when possible.

    3. Incidence of adverse events [From the date of first documented response (CR or PR) to the first documented disease progression or death, whichever occurs first, assessed up to 12 months]

      Toxicity will be graded according to the National Cancer Institute (NCI)-Common Terminology Criteria for Adverse Events version 5.0. Observed toxicities will be summarized, in terms of type, grade, time of onset, duration, and attribution to the study treatment.

    Other Outcome Measures

    1. Micro (mi)R ribonucleic acid (RNA)/messenger (m)RNA expression profile [Up to 12 months post treatment]

      Data will be summarized by descriptive statistics. The data will also be used to explore the miRNA/mRNA that show significant differences between responders and non-responders after leflunomide treatment. For miRNA/RNA profiling, fold changes > 3 with an false discovery rate (FDR) < 0.05 will be considered significant.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Documented informed consent of the participant and/or legally authorized representative

    • Assent, when appropriate, will be obtained per institutional guidelines

    • Patients must have a life expectancy of > 3 months

    • Eastern Cooperative Oncology Group (ECOG) =< 2

    • Patients must have a diagnosis of cutaneous CD30+ LYPD

    • Patients must be relapsed or are refractory to at least 1 prior line of therapy

    • At least 2 weeks from prior therapy to time of start of treatment. Prior therapy includes steroids (except prednisone or equivalent - up to 10 mg/day is allowed)

    • Absolute neutrophil count (ANC) >= 1000/mm^3 (within 21 days prior to day 1 of protocol therapy). NOTE: Growth factor is not permitted within 14 days of ANC assessment unless cytopenia is secondary to disease involvement

    • Platelets >= 50,000/mm^3 (within 21 days prior to day 1 of protocol therapy). NOTE: Platelet transfusions are not permitted within 14 days of platelet assessment unless cytopenia is secondary to disease involvement

    • Total bilirubin =< 1.5 X upper limit of normal (ULN) (unless has Gilbert's disease) (within 21 days prior to day 1 of protocol therapy)

    • Aspartate aminotransferase (AST) =< 2.0 x ULN (within 21 days prior to Day 1 of protocol therapy)

    • Alanine aminotransferase (ALT) =< 2.0 x ULN (within 21 days prior to day 1 of protocol therapy)

    • Creatinine clearance of >= 30 mL/min per 24 hour urine test or the Cockcroft-Gault formula (within 21 days prior to day 1 of protocol therapy)

    • Seronegative for human immunodeficiency virus (HIV) antigen (Ag)/antibody (Ab) combo, hepatitis C virus (HCV), active hepatitis B virus (HBV) (surface antigen negative) (within 21 days prior to day 1 of protocol therapy)

    • If positive, hepatitis C RNA quantitation must be performed

    • Meets other institutional and federal requirements for infectious disease titer requirements. Note infectious disease testing to be performed within 28 days prior to day 1 of protocol therapy

    • Negative for tuberculosis antigen (e.g. T-Spot test)

    • Women of childbearing potential (WOCBP): negative urine or serum pregnancy test (within 21 days prior to day 1 of protocol therapy). If the urine test is positive or cannot be confirmed as negative, a serum pregnancy test will be required

    • Agreement by females and males of childbearing potential* to use an effective method of birth control (hormonal or barrier method of birth control or abstinence) or abstain from heterosexual activity for the course of the study through at least three months after the last dose of protocol therapy. The effects of study treatment on a developing fetus have the potential for teratogenic or abortifacient effects. Should a woman become pregnant or suspect that she is pregnant while participating on the trial, she should inform her treating physician immediately

    • Childbearing potential defined as not being surgically sterilized (men and women) or have not been free from menses for > 2 years (women only)

    Exclusion Criteria:
    • Current or planned use of other investigational agents, or concurrent biological, chemotherapy, or radiation therapy during the study treatment period

    • Current or planned growth factor or transfusion support. If growth factor or transfusion support is provided between screening and start of treatment, the participant will no longer be eligible

    • Prior allogeneic transplant

    • Acute active infection requiring systemic therapy within 2 weeks prior to enrollment

    • Known history of hepatitis B or hepatitis C infection

    • Known HIV infection

    • History of allergic reactions attributed to compounds of similar chemical or biologic composition to leflunomide or cholestyramine

    • Non-hematologic malignancy within the past 3 years aside from the following exceptions:

    • Adequately treated basal cell or squamous cell skin cancer

    • Carcinoma in situ of the cervix

    • Prostate cancer < Gleason grade 6 with a stable prostate specific antigen (PSA)

    • Successfully treated in situ carcinoma of the breast

    • Clinically significant medical disease or condition that, in the investigator's opinion, may interfere with protocol adherence or the patient's ability to give informed consent

    • Pregnant women and women who are lactating. Leflunomide has potential for teratogenic or abortifacient effects. Because there is a potential risk for adverse events in nursing infants secondary to treatment of the mother with these agents, breastfeeding should be discontinued if the mother is enrolled on this study

    • Any other condition that would, in the investigator's judgment, contraindicate the patient's participation in the clinical study due to safety concerns or compliance with clinical study procedures, e.g., infection/inflammation, intestinal obstruction, unable to swallow medication, social/ psychological issues, etc

    • Prospective participants who, in the opinion of the investigator, may not be able to comply with all study procedures (including compliance issues related to feasibility/logistics)

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 City of Hope Medical Center Duarte California United States 91010

    Sponsors and Collaborators

    • City of Hope Medical Center
    • National Cancer Institute (NCI)

    Investigators

    • Principal Investigator: Farah R Abdulla, City of Hope Medical Center

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    City of Hope Medical Center
    ClinicalTrials.gov Identifier:
    NCT04463615
    Other Study ID Numbers:
    • 19606
    • NCI-2020-02973
    • 19606
    • P30CA033572
    First Posted:
    Jul 9, 2020
    Last Update Posted:
    Jun 8, 2022
    Last Verified:
    Jun 1, 2022
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Product Manufactured in and Exported from the U.S.:
    No
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Jun 8, 2022