Primary Objective: \- To determine the maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D) for SAR245409 when administered in combination with rituximab or bendamustine plus rituximab Secondary Objectives: * To determine the safety and tolerability of SAR245409 in combination with rituximab or bendamustine plus rituximab in subjects with indolent Hon-Hodgkin Lymphoma (iNHL) Mantle Cell Lymphoma (MCL) or Chronic Lymphocytic Leukemia (CLL) * To determine the pharmacokinetics (PK) of SAR245409, bendamustine and rituximab when used in combination in subjects with iNHL, MCL or CLL * To determine the pharmacodynamic (PD) effects of SAR245409 in combination with rituximab or bendamustine plus rituximab in subjects with iNHL, MCL or CLL * To determine the antitumor activity of SAR245409 in combination with rituximab or bendamustine plus rituximab in subjects with iNHL, MCL or CLL
All subjects will take SAR245409 twice daily. All subjects will receive SAR245409 as long as there is clinical benefit. Combination therapy with SAR245409, bendamustine and rituximab , will be administered over a 28 day cycle for up to 6 to 8 cycles. Subjects receiving the doublet combination , SAR245409 plus rituximab will receive weekly rituximab for 4 - 8 weeks. Monthly Rituximab may be continued beyond 8 weeks.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
37
Pharmaceutical form:capsule Route of administration: oral
Investigational Site Number 840004
Aurora, Colorado, United States
Investigational Site Number 840006
Augusta, Georgia, United States
Investigational Site Number 840002
Charleston, South Carolina, United States
Identification Of Dose-Limiting Toxicity (DLT) and Maximum Tolerated Dose (MTD)
Time frame: 4 weeks to 8 weeks
Number of subjects with treatment emergent adverse events
Time frame: Time from receiving first dose of SAR245409 until 30 days after the last dose
Pharmacokinetics (Cmax) of SAR245409
Time frame: up to 2 months
Pharmacokinetics (tmax) of SAR245409
Time frame: up to 2 months
Pharmacokinetics (AUC0-12h) of SAR245409
Time frame: up to 2 months
Pharmacokinetics (Ctrough) of SAR245409
Time frame: up to 2 months
Pharmacokinetics (AUC) of bendamustine
Time frame: up to 2 months
Pharmacokinetics (AUClast) of bendamustine
Time frame: up to 2 months
Pharmacokinetics (Ceoi) of bendamustine
Time frame: up to 2 months
Pharmacokinetics (tmax) of bendamustine
Time frame: up to 2 months
Pharmacokinetics (Cl) of bendamustine
Time frame: up to 2 months
Pharmacokinetics (Vss) of bendamustine
Time frame: up to 2 months
Pharmacokinetics (AUC0-7h) of rituximab
Time frame: up to 2 months
Pharmacokinetics (Ceoi) of rituximab
Time frame: up to 2 months
Pharmacokinetics (tmax) of rituximab
Time frame: up to 2 months
Efficacy as determined by objective response rate (ORR)
Time frame: up to 4 years
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.