Rituximab Plus Cyclophosphamide in Treating Patients With Indolent Stage III or Stage IV Non-Hodgkin's Lymphoma

NCT ID: NCT00003605

Last Updated: 2015-08-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Clinical Phase

PHASE2

Study Classification

INTERVENTIONAL

Study Start Date

1998-05-31

Study Completion Date

2000-01-31

Brief Summary

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RATIONALE: Monoclonal antibodies can locate cancer cells and either kill them or deliver cancer-killing substances to them without harming normal cells. Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die. Combining chemotherapy and monoclonal antibody therapy may kill more cancer cells.

PURPOSE: Phase II trial to study the effectiveness of rituximab plus cyclophosphamide in treating patients who have indolent stage III or stage IV non-Hodgkin's lymphoma.

Detailed Description

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OBJECTIVES: I. Determine the toxicity associated with cyclophosphamide and rituximab (IDEC-C2B8 monoclonal antibody) as first line treatment in patients with stage III or IV indolent B-cell lymphoma. II. Determine the objective tumor response rate and duration of response associated with this first line treatment in these patients. III. Determine the failure-free and overall survival for these patients. IV. Compare the response rate and survival rates for patients with indolent lymphoma who were treated with this treatment as the first systemic therapy for their disease with response rates and survival observed for similar patients treated in published trials. V. Determine the quality of life associated with this treatment in this patient population.

OUTLINE: This is an open label study. Patients receive oral cyclophosphamide daily and rituximab (IDEC-C2B8 monoclonal antibody) IV on days 1, 8, 15, and 22 for the first 4-week course. Patients then receive oral cyclophosphamide daily and rituximab IV monthly until 2 months beyond maximum response. Patients are treated for at least 6 months but no more than 18 months in the absence of disease progression. Patients are followed every 3 months for 2 years, then every 6 months for the next 2 years, and then annually for up to 10 years.

PROJECTED ACCRUAL: There will be 20-40 patients accrued into this study.

Conditions

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Lymphoma

Study Design

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Primary Study Purpose

TREATMENT

Interventions

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rituximab

Intervention Type BIOLOGICAL

cyclophosphamide

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

DISEASE CHARACTERISTICS: Histologically confirmed stage III or IV indolent B-cell lymphoma Diffuse small cleaved cell lymphoma Follicular small cleaved cell lymphoma Follicular mixed cell lymphoma Follicular large cell lymphoma At least 1 lymph node or visceral lesion at least 2 cm in diameter

PATIENT CHARACTERISTICS: Age: Not specified Performance status: ECOG 0-2 Life expectancy: Not specified Hematopoietic: Lymphocyte count less than 5,000/mm3 Hepatic: Not specified Renal: Not specified Other: No active infection No concurrent life threatening disease Not pregnant Effective contraception required of all fertile patients

PRIOR CONCURRENT THERAPY: No prior therapy for lymphoma
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cancer Biotherapy Research Group

OTHER

Sponsor Role collaborator

Hoag Memorial Hospital Presbyterian

OTHER

Sponsor Role lead

Responsible Party

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Hoag Memorial Hospital Presbyterian

Principal Investigators

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Robert O. Dillman, MD, FACP

Role: STUDY_CHAIR

Cancer Biotherapy Research Group

Locations

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Hoag Memorial Hospital Presbyterian

Newport Beach, California, United States

Site Status

Bloomington Hospital

Bloomington, Indiana, United States

Site Status

St. Joseph Regional Cancer Center

Bryan, Texas, United States

Site Status

Countries

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United States

Other Identifiers

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CBRG-9801

Identifier Type: -

Identifier Source: secondary_id

GENENTECH-CBRG-9801

Identifier Type: -

Identifier Source: secondary_id

NBSG-9801

Identifier Type: -

Identifier Source: secondary_id

NCI-V98-1483

Identifier Type: -

Identifier Source: secondary_id

CDR0000066680

Identifier Type: -

Identifier Source: org_study_id

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