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Trial ยท NCT02572453

Phase 2 Study of AT13387 (Onalespib) in ALK+ ALCL, MCL, and BCL-6+ DLBCL

NCT02572453, Phase 2, Terminated, National Cancer Institute (NCI); results first posted 2022-09-13

3 sourcestrials-2026-11-12-0.4.0

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ConductScience Library. Phase 2 Study of AT13387 (Onalespib) in ALK+ ALCL, MCL, and BCL-6+ DLBCL. Trials, record NCT02572453. Release trials-2026-11-12-0.4.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02572453

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Phase 2 Study of AT13387 (Onalespib) in ALK+ ALCL, MCL, and BCL-6+ DLBCL
NCT number
NCT02572453
Status
Terminated
Phases
Phase 2
Enrollment
25 participants, actual
Lead sponsor
National Cancer Institute (NCI)
Conditions
Recurrent Anaplastic Large Cell Lymphoma, Recurrent Diffuse Large B-Cell Lymphoma, Recurrent Mantle Cell Lymphoma, Recurrent Transformed Non-Hodgkin Lymphoma, Refractory Anaplastic Large Cell Lymphoma, Refractory Diffuse Large B-Cell Lymphoma, Refractory Mantle Cell Lymphoma, Refractory Transformed Non-Hodgkin Lymphoma
Interventions
Onalespib
First posted
2015-10-09
Last updated
2022-09-13
Results first posted
2022-09-13

Source ClinicalTrials.gov

Registered outcomes10

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryObjective Response Rate
Assessed every 2 cycles during treatment until disease progression; patients who discontinue for reasons other than progression will be evaluated every 6 months for up to 1 year after ending treatment or until progression or next therapy
Objective response (OR) = Complete + Partial (CR + PR) Per International Harmonization Project for lymphoma criteria, CR is defined as the disappearance of all evidence of disease. For FDG-avid or PET positive sites of disease prior to therapy, a mass of any size is permitted if PET negative; for variably FDG avid or PET negative lesions, regression to normal size on CT is necessary. The spleen or liver must also be nonpalpable with disappearance of any nodules, and the bone marrow, if initially involved, must be cleared on repeat biopsy. PR is defined as regression of measurable disease and no new sites of disease: a \>50% decrease in the sum of the diameters of the up to 6 largest dominant masses with no increase in size of other masses. If the sites of disease were PET positive at baseline, there must be at least one previously involved site that remains PET positive.
SecondaryFrequency of Toxicities
Assessed days 1, 2, 8, 9, 15, 16 of each 28-day cycle during treatment until progression; patients who discontinue for reasons other than progression evaluated every 6 months for up to 1 year after ending treatment or until progression or next therapy
Will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events version 4.0 (version 5.0 is used staring April 1, 2018). Toxicities will be summarized with counts and proportions within each cohort and overall.
SecondaryProgression-free SurvivalFrom the date of study entry until documentation of first progression or death from any cause; progression assessed every 2 cycles during treatment until disease progression or death
The progression-free survival will be estimated by Kaplan-Meier method. Progressive disease is defined by the International Harmonization Project for lymphoma criteria: any new lesion or an increase by \> 50% of previously involved sites from nadir. This includes the appearance of any new lesion(s) \> 1.5cm in any axis, a \> 50% increase in the sum of diameters of \> 1 site of disease or \> 50% increase in the longest diameter of a previously identified node \>1cm in short axis. If the sites of disease were PET positive at baseline, they must remain PET positive.
SecondaryOverall SurvivalFrom the date of study entry until death from any cause; assessed every 6 months for up to 1 year after ending treatmentThe overall survival will be estimated by Kaplan-Meier method. Median follow-up time will be assessed using the reverse Kaplan-Meier method.
SecondaryDuration of Response
From first objective response (partial response or complete response) until the first date of documented progression assessed every 2 cycles or death due to any cause; assessed every 6 months up to 1 year after ending treatment
Duration of response will be evaluated only in patients who respond with either a partial response or complete response while on study.
OtherChange in Protein Levels of BCL6 in Diffuse Large B Cell LymphomaAssessed days 1, 8, 15 of each 28-day cycle and at treatment completion visit
Will be assessed via immunohistochemistry. Comparisons will be made between baseline, on treatment, and time of progression protein levels and changes will be characterized as differences and as differences at the referenced time point as a proportion of baseline levels. An H-score will be used. The Wilcoxon rank sum test will be used to compare changes between responders and non-responders and a one-sided significance level will be used.
OtherChange in Protein Levels of Cyclin D1 in Mantle Cell LymphomaAssessed days 1, 8, 15 of each 28-day cycle and at treatment completion visit
Will be assessed via immunohistochemistry. Comparisons will be made between baseline, on treatment, and time of progression protein levels and changes will be characterized as differences and as differences at the referenced time point as a proportion of baseline levels. An H-score will be used. The Wilcoxon rank sum test will be used to compare changes between responders and non-responders and a one-sided significance level will be used.
OtherChange in Protein Levels of ALK in ALK+ Anaplastic Large Cell LymphomaAssessed days 1, 8, 15 of each 28-day cycle and at treatment completion visit
Will be assessed via immunohistochemistry. Comparisons will be made between baseline, on treatment, and time of progression protein levels. An H-score will be used. Results at each time point and as changes as a proportion of baseline levels will be reported descriptively.
OtherOnalespib ActivityAssessed days 1, 8, 15 of each 28-day cycle and at treatment completion visitWill be measured by changes in protein levels via immunoblotting. Will use a one-sided significance level.
OtherGenetic and Transcriptional Analysis for Markers of Response and ResistanceAssessed days 1, 8, 15 of each 28-day cycle and at treatment completion visitWill be assessed via exome sequencing and ribonucleic acid sequencing. Absolute algorithm will be used to determine the cancer cell fraction.

Outcomes10

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYObjective Response Rate
Assessed every 2 cycles during treatment until disease progression; patients who discontinue for reasons other than progression will be evaluated every 6 months for up to 1 year after ending treatment or until progression or next therapy
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYFrequency of Toxicities
Assessed days 1, 2, 8, 9, 15, 16 of each 28-day cycle during treatment until progression; patients who discontinue for reasons other than progression evaluated every 6 months for up to 1 year after ending treatment or until progression or next therapy
All patients who received any amount of study treatmentParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYProgression-free SurvivalFrom the date of study entry until documentation of first progression or death from any cause; progression assessed every 2 cycles during treatment until disease progression or deathmonthsMEDIAN
SECONDARYOverall SurvivalFrom the date of study entry until death from any cause; assessed every 6 months for up to 1 year after ending treatmentmonthsMEDIAN
SECONDARYDuration of Response
From first objective response (partial response or complete response) until the first date of documented progression assessed every 2 cycles or death due to any cause; assessed every 6 months up to 1 year after ending treatment
Patients who achieved partial or complete response, n=2 of 25monthsMEDIAN
OTHER_PRE_SPECIFIEDChange in Protein Levels of BCL6 in Diffuse Large B Cell LymphomaAssessed days 1, 8, 15 of each 28-day cycle and at treatment completion visit
OTHER_PRE_SPECIFIEDChange in Protein Levels of Cyclin D1 in Mantle Cell LymphomaAssessed days 1, 8, 15 of each 28-day cycle and at treatment completion visit
OTHER_PRE_SPECIFIEDChange in Protein Levels of ALK in ALK+ Anaplastic Large Cell LymphomaAssessed days 1, 8, 15 of each 28-day cycle and at treatment completion visit
OTHER_PRE_SPECIFIEDOnalespib ActivityAssessed days 1, 8, 15 of each 28-day cycle and at treatment completion visit
OTHER_PRE_SPECIFIEDGenetic and Transcriptional Analysis for Markers of Response and ResistanceAssessed days 1, 8, 15 of each 28-day cycle and at treatment completion visit

Results by group25

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Objective Response RateALK+ ALCL0Participants
Objective Response RateRelapsed MCL0Participants
Objective Response RateBCL6+ DLBCL2Participants
Frequency of ToxicitiesALK+ ALCLAny grade1Participants
Frequency of ToxicitiesRelapsed MCLAny grade4Participants
Frequency of ToxicitiesBCL6+ DLBCLAny grade19Participants
Frequency of ToxicitiesALK+ ALCLGrade 1 (highest)1Participants
Frequency of ToxicitiesRelapsed MCLGrade 1 (highest)1Participants
Frequency of ToxicitiesBCL6+ DLBCLGrade 1 (highest)1Participants
Frequency of ToxicitiesALK+ ALCLGrade 2 (highest)0Participants

Participant flow9

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDALK+ ALCL1
Overall StudySTARTEDRelapsed MCL4
Overall StudySTARTEDBCL6+ DLBCL20
Overall StudyCOMPLETEDALK+ ALCL1
Overall StudyCOMPLETEDRelapsed MCL4
Overall StudyCOMPLETEDBCL6+ DLBCL20
Overall StudyNOT COMPLETEDALK+ ALCL0
Overall StudyNOT COMPLETEDRelapsed MCL0
Overall StudyNOT COMPLETEDBCL6+ DLBCL0

Adverse events201

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherDiarrheaGastrointestinal disordersALK+ ALCL111
otherDiarrheaGastrointestinal disordersRelapsed MCL3416
otherDiarrheaGastrointestinal disordersBCL6+ DLBCL132036
otherPlatelet count decreasedInvestigationsALK+ ALCL010
otherPlatelet count decreasedInvestigationsRelapsed MCL448
otherPlatelet count decreasedInvestigationsBCL6+ DLBCL122028
otherNauseaGastrointestinal disordersALK+ ALCL010
otherNauseaGastrointestinal disordersRelapsed MCL344
otherNauseaGastrointestinal disordersBCL6+ DLBCL82019
otherLymphocyte count decreasedInvestigationsALK+ ALCL010

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityALK+ ALCL01
Total, all-cause mortalityRelapsed MCL14
Total, all-cause mortalityBCL6+ DLBCL1320
Total, other adverse eventsALK+ ALCL11
Total, other adverse eventsRelapsed MCL44
Total, other adverse eventsBCL6+ DLBCL1920
Total, serious adverse eventsALK+ ALCL01
Total, serious adverse eventsRelapsed MCL04
Total, serious adverse eventsBCL6+ DLBCL520

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants2

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal yearsSource
UM1CA186690NCI ETCTN Pittsburgh Cancer Consortium (PCC)VILLARUZ, LIZA COSCA; BYRD, JOHN C.; DAYYANI, FARSHIDUNIVERSITY OF PITTSBURGH AT PITTSBURGHNATIONAL CANCER INSTITUTE2014 to 2025NIH RePORTER
UM1CA186709Dana-Farber/Harvard Cancer Center Experimental Therapeutics Clinical Trials Network Site (DF/HCC ETCTN Site)SHAPIRO, GEOFFREY I.; FLAHERTY, KEITH T; KUFE, DONALD W.DANA-FARBER CANCER INSTNATIONAL CANCER INSTITUTE2014 to 2025NIH RePORTER

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Source

Release
trials-2026-11-12-0.4.0
Release manifest SHA-256
0f4a8d8c48aee2a7573ae0fa94ecbeab70c1adbe449bbc95c424bc7d3e97b9d4
Registry capture
2026-11-12
Results copy, AACT
2026-03-23
NIH clinical studies file
2026-11-13

Source ClinicalTrials.gov

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNone stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02572453

GET https://conductscience.org/api/trials/v1/NCT02572453/results?page=2