Chlorambucil Compared With No Further Therapy Following Anti-Helicobacter Therapy in Treating Patients With Low-Grade Lymphoma of the Stomach

NCT ID: NCT00003617

Last Updated: 2013-09-20

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

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

1995-03-31

Brief Summary

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RATIONALE: Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die. It is not yet known whether chlorambucil is more effective than observation in treating low-grade lymphoma of the stomach.

PURPOSE: Randomized phase III trial to compare the effectiveness of chlorambucil with that of no further therapy following anti-Helicobacter therapy in treating patients with low-grade lymphoma of the stomach.

Detailed Description

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OBJECTIVES: I. Determine the efficacy and response rate of triple antibiotic therapy for Helicobacter pylori in the healing of lesions in patients with low grade gastric lymphoma. II. Assess the efficacy of chlorambucil in the prevention of relapse in patients after complete eradication of low grade gastric lymphoma. III. Determine the natural history of unresected or partially resected low grade gastric lymphoma treated medically.

OUTLINE: This is a randomized study. Patients are randomized to receive chlorambucil or placebo. Patients receive omeprazole daily for 1 week. Clarithromycin and tinidazole are administered twice daily for 1 week for the eradication of H. pylori infection. Patients are assessed every 2-3 months by endoscopy. Patients may receive a maximum of 3 courses of treatment every 2-3 months. Other regimens may be used if full eradication of H. pylori is not achieved. Patients who achieve complete response (eradication of H. pylori) are randomized to receive oral chlorambucil or placebo daily for 14 days. Treatment is repeated every 28 days for 6 courses. Patients are followed every 6 months for 2 years, then yearly thereafter.

PROJECTED ACCRUAL: A total of 200 patients will be accrued for this study.

Conditions

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Gastric Cancer

Keywords

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stage I gastric cancer

Study Design

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Allocation Method

RANDOMIZED

Primary Study Purpose

TREATMENT

Interventions

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chlorambucil

Intervention Type DRUG

clarithromycin

Intervention Type DRUG

omeprazole

Intervention Type DRUG

tinidazole

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

DISEASE CHARACTERISTICS: Endoscopically diagnosed, unresected, partially resected, or completely resected low grade (stage I) gastric lymphoma Prior diagnosis of H. pylori infection No nodal metastases Microbiological evidence of current H. pylori infection required No pathological evidence of enlarged abdominal lymph nodes by CT scan Gastroscopic ultrasound evidence of enlarged nodes allowed, if CT scan normal

PATIENT CHARACTERISTICS: Age: 16 and over Performance status: Not specified Life expectancy: Not specified Hematopoietic: Not specified Hepatic: Not specified Renal: Not specified

PRIOR CONCURRENT THERAPY: Biologic therapy: Not specified Chemotherapy: Not specified Endocrine therapy: Not specified Radiotherapy: Not specified Surgery: See Disease Characteristics
Minimum Eligible Age

16 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Lymphoma Trials Office

OTHER

Sponsor Role lead

Principal Investigators

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Barry W. Hancock, MD

Role: STUDY_CHAIR

Cancer Research Centre at Weston Park Hospital

Locations

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Queen Mary Hospital

Hong Kong, , Hong Kong

Site Status

Oncology Centre Institute

Warsaw, , Poland

Site Status

Frere Hospital

Central Region, , South Africa

Site Status

Ospedale San Giovanni

Bellinzona, , Switzerland

Site Status

Stoke Mandeville Hospital

Aylesbury-Buckinghamshire, England, United Kingdom

Site Status

Bradford Hospitals NHS Trust

Bradford, England, United Kingdom

Site Status

Kent and Canterbury Hospital

Canterbury, England, United Kingdom

Site Status

Essex County Hospital

Colchester, England, United Kingdom

Site Status

Walsgrave Hospital

Coventry, England, United Kingdom

Site Status

Royal Free Hospital

Hampstead, London, England, United Kingdom

Site Status

Ipswich Hospital NHS Trust

Ipswich, England, United Kingdom

Site Status

Leeds Teaching Hospital Trust

Leeds, England, United Kingdom

Site Status

Charing Cross Hospital

London, England, United Kingdom

Site Status

Middlesex Hospital- Meyerstein Institute

London, England, United Kingdom

Site Status

Clatterbridge Centre for Oncology NHS Trust

Merseyside, England, United Kingdom

Site Status

Milton Keynes General Hospital

Milton Keynes, England, United Kingdom

Site Status

Mount Vernon Hospital

Northwood, England, United Kingdom

Site Status

Nottingham City Hospital NHS Trust

Nottingham, England, United Kingdom

Site Status

Peterborough Hospitals Trust

Peterborough, England, United Kingdom

Site Status

Salford Royal Hospitals NHS Trust

Salford, England, United Kingdom

Site Status

Weston Park Hospital

Sheffield, England, United Kingdom

Site Status

Royal Marsden Hospital

Sutton, England, United Kingdom

Site Status

Good Hope Hospital Trust

West Midlands, England, United Kingdom

Site Status

Southend NHS Trust Hospital

Westcliff-on-Sea, England, United Kingdom

Site Status

York District Hospital

York, England, United Kingdom

Site Status

Kettering General Hosptial

Kettering, Northants, , United Kingdom

Site Status

James Paget Hospital

Norfolk, , United Kingdom

Site Status

Rotherham District General Hospital-NHS Trust

Rotherham, , United Kingdom

Site Status

Salisbury District Hospital

Salisbury, , United Kingdom

Site Status

Staffordshire General Hospital

Stafford, , United Kingdom

Site Status

Countries

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Hong Kong Poland South Africa Switzerland United Kingdom

References

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Hancock BW, Qian W, Linch D, Delchier JC, Smith P, Jakupovic I, Burton C, Souhami R, Wotherspoon A, Copie-Bergman C, Capella C, Traulle C, Levy M, Cortelazzo S, Ferreri AJ, Ambrosetti A, Pinotti G, Martinelli G, Vitolo U, Cavalli F, Gisselbrecht C, Zucca E. Chlorambucil versus observation after anti-Helicobacter therapy in gastric MALT lymphomas: results of the international randomised LY03 trial. Br J Haematol. 2009 Feb;144(3):367-75. doi: 10.1111/j.1365-2141.2008.07486.x. Epub 2008 Nov 22.

Reference Type RESULT
PMID: 19036078 (View on PubMed)

Bertoni F, Conconi A, Capella C, Motta T, Giardini R, Ponzoni M, Pedrinis E, Novero D, Rinaldi P, Cazzaniga G, Biondi A, Wotherspoon A, Hancock BW, Smith P, Souhami R, Cotter FE, Cavalli F, Zucca E; International Extranodal Lymphoma Study Group; United Kingdom Lymphoma Group. Molecular follow-up in gastric mucosa-associated lymphoid tissue lymphomas: early analysis of the LY03 cooperative trial. Blood. 2002 Apr 1;99(7):2541-4. doi: 10.1182/blood.v99.7.2541.

Reference Type RESULT
PMID: 11895791 (View on PubMed)

Zucca E, Roggero E, Delchier J, et al.: Interim evaluation of gastric malt lymphoma response to antibiotics in the ongoing LY03 randomized cooperative trial of observation vs chlorambucil after anti-helicobacter therapy. [Abstract] Proceedings of the American Society of Clinical Oncology 19: A12, 2000.

Reference Type RESULT

Other Identifiers

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BNLI-LY03

Identifier Type: -

Identifier Source: secondary_id

EU-98040

Identifier Type: -

Identifier Source: secondary_id

CDR0000066695

Identifier Type: -

Identifier Source: org_study_id