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Recurrent Diffuse Large B-Cell Lymphoma | Ruxolitinib Phosphate in Treating Patients With Relapsed or Refractory Diffuse Large B-Cell or Peripheral T-Cell Non-Hodgkin Lymphoma After Donor Stem Cell Transplant

Recurrent Diffuse Large B-Cell Lymphoma research study

What is the primary objective of this study?

This phase II trial studies how well ruxolitinib phosphate works in treating patients with diffuse large B-cell or peripheral T-cell non-Hodgkin lymphoma that has returned (relapsed) or that does not respond to treatment (refractory) after donor stem cell transplant. Ruxolitinib phosphate may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth.

Who is eligible to participate?

Inclusion Criteria: - Subjects must have histologically documented relapsed or refractory disease, with a diagnosis of one of the following lymphoid malignancies: diffuse large B-cell lymphoma, peripheral T-cell lymphoma (any subtype); subjects must have received at least one prior systemic chemotherapy and must have either received an autologous stem cell transplant, refused or been deemed ineligible for an autologous stem cell transplant - Subjects must be willing and able to have a fresh tumor biopsy prior to start of study treatment for research evaluations and cohort categorizing; Note: if insufficient fresh tissue is obtained to provide sub-classification for cohorts, then tissue material from a previous relapse biopsy and/or original diagnostic block may be requested to meet this criterion - Subjects must have measurable lesions (at least one target lesion measuring 2 cm in diameter) by computerized tomography (CT) scan, and/or measurable lymphoma cutaneous lesions of any size - Eastern Cooperative Oncology Group (ECOG) performance status 0-2 - Absolute neutrophil count (ANC) >= 1,000/mm^3 - Platelet count >= 75,000/mm^3 - Hemoglobin >= 8.0 g/dL - Serum creatinine =< 2.0 g/dL or calculated creatinine clearance >= 60 mL/min (Cockcroft-Gault method) - Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) =< 2.5 x institutional upper limit of normal (ULN) or =< 5 x ULN if liver involved by lymphoma - Bilirubin < 2.0 x ULN unless subject has Gilbert's disease, low-grade hemolysis, or liver involvement with lymphoma - At least 2 weeks since prior chemotherapy, biological therapy, radiation therapy, major surgery, other investigational, or anti-cancer therapy that is considered disease-directed and recovered from prior toxicities to grade 0-1 at least 2 weeks prior to investigational therapy - Females will be either postmenopausal for at least 1 year or surgically sterile for at least 3 months; OR females of child-bearing potential must have a negative pregnancy test at screening and agree to take appropriate precautions to avoid pregnancy from screening until 3 months after their last dose of study medication - Males must agree to take appropriate precautions to avoid fathering a child from screening until 3 months after their last dose of study medication - Able to comprehend and willing to sign an informed consent form (ICF) Exclusion Criteria: - History of or active central nervous system (CNS) malignancy - Allogeneic stem cell transplant within the last 6 months, or active-graft-versus-host disease following allogeneic transplant, or subjects currently on immunosuppressive therapy following allogeneic transplant - Uncontrolled intercurrent illness including, but not limited to, ongoing active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situation that would limit compliance with study requirements as judged by treating physician; subjects receiving antibiotics that are under control may be included in the study - Pregnant or breastfeeding women - Clinically symptomatic and uncontrolled cardiovascular disease - History of myocardial infarction, severe/unstable angina, or symptomatic congestive heart failure, within the 6 months prior to study drug administration - Current or recent history (< 21 days prior to start of treatment) of a clinically significant bacterial, viral, fungal, parasitic or mycobacterial infection - History of other malignancy, with the exception of squamous cell carcinoma of the skin, basal cell carcinoma of the skin, cervical intraepithelial neoplasia, or other malignancies that have been in remission for at least 3 years - Presence of a malabsorption syndrome possibly affecting drug absorption (e.g., Crohn's disease or chronic pancreatitis) - Any prior or concomitant use of another JAK inhibitor - Known active hepatitis B or C, or human immunodeficiency virus (HIV) infection - Subjects who, in the opinion of the investigator, are unable or unlikely to comply with the dosing schedule and study evaluations

Which medical condition, disease, disorder, syndrome, illness, or injury is researched?

Recurrent Diffuse Large B-Cell Lymphoma

Recurrent Mature T- and NK-Cell Non-Hodgkin Lymphoma

Refractory Diffuse Large B-Cell Lymphoma

Refractory Mature T-Cell and NK-Cell Non-Hodgkin Lymphoma

Study Interventions

Interventions can include giving participants drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available or noninvasive approaches such as surveys, education, and interviews.

Other:Laboratory Biomarker AnalysisCorrelative studies

Drug:Ruxolitinib PhosphateGiven PO

Study Arms

Research studies and clinical trials typically have two or more research arms. An arm is a group of people who receive the same treatment in the study.

Treatment (ruxolitinib phosphate)Patients receive ruxolitinib phosphate PO BID on days 1-28. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.

Study Status

Active, not recruiting

Start Date: August 2011

Completed Date: March 2021

Phase: Phase 2

Type: Interventional

Design:

Primary Outcome: Number of patients achieving overall response rate

Secondary Outcome: Duration of response

Study sponsors, principal investigator, and references

Principal Investigator: Julie Vose

Lead Sponsor: University of Nebraska

Collaborator: National Cancer Institute (NCI)

More information:https://clinicaltrials.gov/show/NCT01431209

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