Phase I dose escalation clinical trial: to explore the dose limiting toxicity (DLT) of mitoxantrone hydrochloride liposome injection in the treatment of children with relapsed and refractory lymphoma and solid tumors. Pharmacokinetics clinical trial: to observe the pharmacokinetics of mitoxantrone hydrochloride liposomes in children with relapsed and refractory lymphoma and solid tumors. To evaluate the safety and efficacy of mitoxantrone hydrochloride liposomes in children with lymphoma and solid tumors.
This is a phase I dose escalation and pharmacokinetics clinical trial to evaluate the safety and efficacy of mitoxantrone hydrochloride liposomes in children with lymphoma and solid tumors. In the phase Ia dose escalation study, patients with relapsed and refractory lymphoma and solid tumors will be treated with mitoxantrone hydrochloride liposome alone or combined treatment at the dose of 16 mg/m2, 20 mg/m2 and 24 mg/m2, each cohort wil enroll 9\~18 children. Simultaneously 6\~15 cases were added for pharmacokinetic study to ensure 8 cases are included in each dose group with the same mitoxantrone hydrochloride liposome dose. In phase Ib, patients received the combination therapy of mitoxantrone hydrochloride liposome at the MTD dose (24mg/m2) .
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
68
In phase Ia, mitoxantrone hydrochloride liposome will be administered by an intravenous infusion at three doses of 16 mg/m2, 20 mg/m2 and 24 mg/m2 . In phase Ib, mitoxantrone hydrochloride liposome will be administered by an intravenous infusion of 24mg/m2. Up to 6 cycles (21 days per cycle)
50mg/ m2,d1-5, 21 days per cycle
Vincristine 1.5mg/ m2,d1 , 21 days per cycle
Sun Yat-sen University Cancer Center
Guangzhou, Guangdong, China
Maximum-tolerated dose
To investigate the safety and preliminary antitumor efficacy
Time frame: Up to 21 days
peak time (Tmax)
To evaluate the pharmacokinetics of mitoxantrone hydrochloride liposome at different doses in subjects
Time frame: Up to 18 weeks
Maximum Plasma Concentration (Cmax)
To evaluate the pharmacokinetics of mitoxantrone hydrochloride liposome at different doses in subjects
Time frame: Up to 18 weeks
Area under the plasma concentration versus time curve (AUC)
To evaluate the pharmacokinetics of mitoxantrone hydrochloride liposome at different doses in subjects
Time frame: Up to 18 weeks
Elimination half life (t1/2)
To evaluate the pharmacokinetics of mitoxantrone hydrochloride liposome at different doses in subjects
Time frame: Up to 18 weeks
Incidence and severity of hematological adverse events
To evaluate the incidence and severity of hematological adverse events in patients enrolled in phase Ib
Time frame: From date of randomization until 4 weeks after the last dose
Dose limiting toxicities
To investigate the safety
Time frame: Up to 21 days
Objective response rate
To investigate the preliminary antitumor efficacy of phase I dose escalation and pharmacokinetics study
Time frame: Up to 18 weeks
Complete response rate
To investigate the preliminary antitumor efficacy of phase I dose escalation and pharmacokinetics study
Time frame: Up to 18 weeks
Progression free survival
To investigate the preliminary antitumor efficacy of phase I dose escalation and pharmacokinetics study
Time frame: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 70 weeks
The incidence and severity of AE and SAE
To identify the incidence and severity of AE and SAE (NCI CTCAE v5.0)
Time frame: up to 42 weeks unless related serious adverse events need to be recorded indefinitely
Incidence and severity of non-hematological adverse events
The incidence and severity of non-hematological adverse events were evaluated in patients enrolled in Phase Ib
Time frame: From date of randomization until 4 weeks after the last dose
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