Trial Outcomes & Findings for Combination Chemotherapy and Rituximab in Treating Patients With HIV-Associated Stage I, Stage II, Stage III, or Stage IV Non-Hodgkin's Lymphoma (NCT NCT00049036)

NCT ID: NCT00049036

Last Updated: 2014-05-14

Results Overview

Complete response defined by the International Response Criteria for Non-Hodgkin's Lymphoma

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

106 participants

Primary outcome timeframe

60 days

Results posted on

2014-05-14

Participant Flow

Participant milestones

Participant milestones
Measure
EPOCH + Concurrent Rituximab
Patients receive rituximab IV over 2-4 hours prior to each course of chemotherapy. Treatment repeats every 3 weeks for 4-6 courses. Patients who achieve a complete response after 4 courses of chemotherapy and rituximab receive additional rituximab alone weekly for 2 weeks.
EPOCH Followed by Rituximab
Patients do not receive rituximab concurrently with chemotherapy. Beginning 4 weeks after completion of chemotherapy, patients receive rituximab IV over 2-4 hours weekly for 6 weeks.
Overall Study
STARTED
51
55
Overall Study
COMPLETED
51
55
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Combination Chemotherapy and Rituximab in Treating Patients With HIV-Associated Stage I, Stage II, Stage III, or Stage IV Non-Hodgkin's Lymphoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
EPOCH + Concurrent Rituximab
n=51 Participants
Patients receive rituximab IV over 2-4 hours prior to each course of chemotherapy. Treatment repeats every 3 weeks for 4-6 courses. Patients who achieve a complete response after 4 courses of chemotherapy and rituximab receive additional rituximab alone weekly for 2 weeks.
EPOCH Followed by Rituximab
n=55 Participants
Patients do not receive rituximab concurrently with chemotherapy. Beginning 4 weeks after completion of chemotherapy, patients receive rituximab IV over 2-4 hours weekly for 6 weeks.
Total
n=106 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
51 Participants
n=5 Participants
54 Participants
n=7 Participants
105 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Age, Continuous
42.6 years
STANDARD_DEVIATION 8.4 • n=5 Participants
42.6 years
STANDARD_DEVIATION 9.4 • n=7 Participants
42.6 years
STANDARD_DEVIATION 8.9 • n=5 Participants
Sex: Female, Male
Female
8 Participants
n=5 Participants
7 Participants
n=7 Participants
15 Participants
n=5 Participants
Sex: Female, Male
Male
43 Participants
n=5 Participants
48 Participants
n=7 Participants
91 Participants
n=5 Participants
Region of Enrollment
United States
51 participants
n=5 Participants
55 participants
n=7 Participants
106 participants
n=5 Participants

PRIMARY outcome

Timeframe: 60 days

Population: ITT

Complete response defined by the International Response Criteria for Non-Hodgkin's Lymphoma

Outcome measures

Outcome measures
Measure
EPOCH + Concurrent Rituximab
n=51 Participants
Patients receive rituximab IV over 2-4 hours prior to each course of chemotherapy. Treatment repeats every 3 weeks for 4-6 courses. Patients who achieve a complete response after 4 courses of chemotherapy and rituximab receive additional rituximab alone weekly for 2 weeks.
EPOCH Followed by Rituximab
n=55 Participants
Patients do not receive rituximab concurrently with chemotherapy. Beginning 4 weeks after completion of chemotherapy, patients receive rituximab IV over 2-4 hours weekly for 6 weeks.
Complete Response Proportion as Measured by Tumor Response After Completion of Study Treatment
0.69 proportion
0.53 proportion

Adverse Events

EPOCH + Concurrent Rituximab

Serious events: 28 serious events
Other events: 50 other events
Deaths: 0 deaths

EPOCH Followed by Rituximab

Serious events: 27 serious events
Other events: 51 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
EPOCH + Concurrent Rituximab
n=51 participants at risk
Patients receive rituximab IV over 2-4 hours prior to each course of chemotherapy. Treatment repeats every 3 weeks for 4-6 courses. Patients who achieve a complete response after 4 courses of chemotherapy and rituximab receive additional rituximab alone weekly for 2 weeks.
EPOCH Followed by Rituximab
n=55 participants at risk
Patients do not receive rituximab concurrently with chemotherapy. Beginning 4 weeks after completion of chemotherapy, patients receive rituximab IV over 2-4 hours weekly for 6 weeks.
Gastrointestinal disorders
Abdominal pain
3.9%
2/51 • Number of events 2
3.6%
2/55 • Number of events 2
Skin and subcutaneous tissue disorders
Alopecia
0.00%
0/51
3.6%
2/55 • Number of events 2
Gastrointestinal disorders
Anorexia
2.0%
1/51 • Number of events 2
0.00%
0/55
Metabolism and nutrition disorders
Aspartate aminotransferase increased
2.0%
1/51 • Number of events 1
0.00%
0/55
Immune system disorders
Autoimmune disorder
2.0%
1/51 • Number of events 1
0.00%
0/55
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/51
1.8%
1/55 • Number of events 2
Infections and infestations
Bone infection
0.00%
0/51
1.8%
1/55 • Number of events 1
Musculoskeletal and connective tissue disorders
Bone pain
3.9%
2/51 • Number of events 2
1.8%
1/55 • Number of events 1
Infections and infestations
Catheter related infection
2.0%
1/51 • Number of events 1
5.5%
3/55 • Number of events 3
Respiratory, thoracic and mediastinal disorders
Chest pain
2.0%
1/51 • Number of events 1
0.00%
0/55
Blood and lymphatic system disorders
Coagulopathy
2.0%
1/51 • Number of events 6
0.00%
0/55
Gastrointestinal disorders
Colitis
2.0%
1/51 • Number of events 2
0.00%
0/55
Nervous system disorders
Confusion
3.9%
2/51 • Number of events 2
0.00%
0/55
Gastrointestinal disorders
Constipation
2.0%
1/51 • Number of events 1
1.8%
1/55 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Cough
2.0%
1/51 • Number of events 1
0.00%
0/55
General disorders
Death
2.0%
1/51 • Number of events 1
0.00%
0/55
General disorders
Dehydration
5.9%
3/51 • Number of events 10
3.6%
2/55 • Number of events 3
Nervous system disorders
Depressed level of consciousness
2.0%
1/51 • Number of events 8
0.00%
0/55
Gastrointestinal disorders
Diarrhea
5.9%
3/51 • Number of events 3
9.1%
5/55 • Number of events 5
Nervous system disorders
Dizziness
3.9%
2/51 • Number of events 2
0.00%
0/55
Respiratory, thoracic and mediastinal disorders
Dyspnea
3.9%
2/51 • Number of events 9
0.00%
0/55
General disorders
ENT exam abnormal
0.00%
0/51
3.6%
2/55 • Number of events 2
General disorders
Fatigue
2.0%
1/51 • Number of events 1
1.8%
1/55 • Number of events 1
Blood and lymphatic system disorders
Febrile neutropenia
13.7%
7/51 • Number of events 8
12.7%
7/55 • Number of events 8
General disorders
Fever
7.8%
4/51 • Number of events 12
9.1%
5/55 • Number of events 7
Infections and infestations
Flu-like symptoms
2.0%
1/51 • Number of events 2
0.00%
0/55
Musculoskeletal and connective tissue disorders
Fracture
0.00%
0/51
1.8%
1/55 • Number of events 2
Gastrointestinal disorders
Gastritis
2.0%
1/51 • Number of events 1
0.00%
0/55
General disorders
Headache
0.00%
0/51
3.6%
2/55 • Number of events 2
Blood and lymphatic system disorders
Hemoglobin decreased
3.9%
2/51 • Number of events 6
1.8%
1/55 • Number of events 6
Blood and lymphatic system disorders
Hemolysis
0.00%
0/51
1.8%
1/55 • Number of events 1
Blood and lymphatic system disorders
Hemorrhage
3.9%
2/51 • Number of events 7
0.00%
0/55
Respiratory, thoracic and mediastinal disorders
Hiccough
2.0%
1/51 • Number of events 3
0.00%
0/55
Metabolism and nutrition disorders
Hyperbilirubinemia
0.00%
0/51
3.6%
2/55 • Number of events 2
Metabolism and nutrition disorders
Hyperglycemia
2.0%
1/51 • Number of events 2
0.00%
0/55
Metabolism and nutrition disorders
Hypocalcemia
0.00%
0/51
1.8%
1/55 • Number of events 1
Cardiac disorders
Hypotension
5.9%
3/51 • Number of events 3
1.8%
1/55 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Hypoxia
0.00%
0/51
1.8%
1/55 • Number of events 1
Gastrointestinal disorders
Ileus
0.00%
0/51
1.8%
1/55 • Number of events 1
Infections and infestations
Infection
19.6%
10/51 • Number of events 20
10.9%
6/55 • Number of events 8
Infections and infestations
Infectious meningitis
2.0%
1/51 • Number of events 1
0.00%
0/55
Skin and subcutaneous tissue disorders
Injection site reaction
2.0%
1/51 • Number of events 1
0.00%
0/55
Blood and lymphatic system disorders
Leukopenia
7.8%
4/51 • Number of events 12
10.9%
6/55 • Number of events 9
General disorders
Lymphatic disorder
2.0%
1/51 • Number of events 2
0.00%
0/55
Blood and lymphatic system disorders
Lymphopenia
2.0%
1/51 • Number of events 2
0.00%
0/55
General disorders
Multi-organ failure
2.0%
1/51 • Number of events 9
0.00%
0/55
Musculoskeletal and connective tissue disorders
Muscle weakness
2.0%
1/51 • Number of events 8
1.8%
1/55 • Number of events 1
Cardiac disorders
Myocardial ischemia
2.0%
1/51 • Number of events 1
1.8%
1/55 • Number of events 1
Gastrointestinal disorders
Nausea
2.0%
1/51 • Number of events 1
7.3%
4/55 • Number of events 6
Nervous system disorders
Neurological disorder
0.00%
0/51
1.8%
1/55 • Number of events 1
Blood and lymphatic system disorders
Neutropenia
17.6%
9/51 • Number of events 15
16.4%
9/55 • Number of events 10
General disorders
Pain
2.0%
1/51 • Number of events 1
0.00%
0/55
Nervous system disorders
Peripheral sensory neuropathy
0.00%
0/51
1.8%
1/55 • Number of events 1
Blood and lymphatic system disorders
Platelet count decreases
3.9%
2/51 • Number of events 7
3.6%
2/55 • Number of events 4
Infections and infestations
Pneumonia
0.00%
0/51
3.6%
2/55 • Number of events 2
Skin and subcutaneous tissue disorders
Pruritus
0.00%
0/51
1.8%
1/55 • Number of events 1
Skin and subcutaneous tissue disorders
Rash desquamation
2.0%
1/51 • Number of events 1
0.00%
0/55
Renal and urinary disorders
Renal failure
2.0%
1/51 • Number of events 2
0.00%
0/55
Respiratory, thoracic and mediastinal disorders
Respiratory disorder
2.0%
1/51 • Number of events 6
0.00%
0/55
Nervous system disorders
Seizure
3.9%
2/51 • Number of events 9
0.00%
0/55
Skin and subcutaneous tissue disorders
Skin disorder
3.9%
2/51 • Number of events 2
0.00%
0/55
Infections and infestations
Skin infection
2.0%
1/51 • Number of events 3
0.00%
0/55
Nervous system disorders
Syncope
2.0%
1/51 • Number of events 1
0.00%
0/55
Vascular disorders
Thrombosis
2.0%
1/51 • Number of events 1
1.8%
1/55 • Number of events 1
Nervous system disorders
Tremor
2.0%
1/51 • Number of events 1
0.00%
0/55
Renal and urinary disorders
Urinary frequency
0.00%
0/51
1.8%
1/55 • Number of events 1
Gastrointestinal disorders
Vomiting
2.0%
1/51 • Number of events 1
5.5%
3/55 • Number of events 4
Infections and infestations
Wound infection
0.00%
0/51
1.8%
1/55 • Number of events 1

Other adverse events

Other adverse events
Measure
EPOCH + Concurrent Rituximab
n=51 participants at risk
Patients receive rituximab IV over 2-4 hours prior to each course of chemotherapy. Treatment repeats every 3 weeks for 4-6 courses. Patients who achieve a complete response after 4 courses of chemotherapy and rituximab receive additional rituximab alone weekly for 2 weeks.
EPOCH Followed by Rituximab
n=55 participants at risk
Patients do not receive rituximab concurrently with chemotherapy. Beginning 4 weeks after completion of chemotherapy, patients receive rituximab IV over 2-4 hours weekly for 6 weeks.
Metabolism and nutrition disorders
Aspartate aminotransferase increased
27.5%
14/51 • Number of events 41
27.3%
15/55 • Number of events 55
Musculoskeletal and connective tissue disorders
Back pain
11.8%
6/51 • Number of events 9
12.7%
7/55 • Number of events 22
Blood and lymphatic system disorders
Blood disorder
7.8%
4/51 • Number of events 45
9.1%
5/55 • Number of events 12
Musculoskeletal and connective tissue disorders
Bone pain
13.7%
7/51 • Number of events 20
12.7%
7/55 • Number of events 13
Respiratory, thoracic and mediastinal disorders
Chest pain
11.8%
6/51 • Number of events 9
12.7%
7/55 • Number of events 10
Respiratory, thoracic and mediastinal disorders
Chills
15.7%
8/51 • Number of events 10
10.9%
6/55 • Number of events 12
Nervous system disorders
Confusion
9.8%
5/51 • Number of events 6
10.9%
6/55 • Number of events 9
Gastrointestinal disorders
Constipation
33.3%
17/51 • Number of events 32
36.4%
20/55 • Number of events 42
Respiratory, thoracic and mediastinal disorders
Cough
15.7%
8/51 • Number of events 25
16.4%
9/55 • Number of events 17
General disorders
Dehydration
11.8%
6/51 • Number of events 23
16.4%
9/55 • Number of events 13
Nervous system disorders
Depression
17.6%
9/51 • Number of events 13
7.3%
4/55 • Number of events 9
Gastrointestinal disorders
Diarrhea
33.3%
17/51 • Number of events 57
40.0%
22/55 • Number of events 33
Nervous system disorders
Dizziness
15.7%
8/51 • Number of events 9
12.7%
7/55 • Number of events 18
Gastrointestinal disorders
Abdominal pain
27.5%
14/51 • Number of events 25
32.7%
18/55 • Number of events 40
Metabolism and nutrition disorders
Alanine aminotransferase increases
25.5%
13/51 • Number of events 30
34.5%
19/55 • Number of events 62
Metabolism and nutrition disorders
Alkaline phosphatase increases
21.6%
11/51 • Number of events 29
30.9%
17/55 • Number of events 43
Immune system disorders
Allergic rhinitis
11.8%
6/51 • Number of events 19
9.1%
5/55 • Number of events 7
Skin and subcutaneous tissue disorders
Alopecia
31.4%
16/51 • Number of events 46
29.1%
16/55 • Number of events 39
Gastrointestinal disorders
Anorexia
19.6%
10/51 • Number of events 24
18.2%
10/55 • Number of events 14
Nervous system disorders
Anxiety
21.6%
11/51 • Number of events 25
12.7%
7/55 • Number of events 19
Skin and subcutaneous tissue disorders
Dry skin
7.8%
4/51 • Number of events 4
7.3%
4/55 • Number of events 8
Gastrointestinal disorders
Dyspepsia
7.8%
4/51 • Number of events 4
7.3%
4/55 • Number of events 5
Respiratory, thoracic and mediastinal disorders
Dyspnea
13.7%
7/51 • Number of events 24
18.2%
10/55 • Number of events 14
Gastrointestinal disorders
ENT examination abnormal
19.6%
10/51 • Number of events 22
16.4%
9/55 • Number of events 14
General disorders
Edema, limbs
2.0%
1/51 • Number of events 2
9.1%
5/55 • Number of events 6
General disorders
Fatigue
49.0%
25/51 • Number of events 58
41.8%
23/55 • Number of events 57
Blood and lymphatic system disorders
Febrile neutropenia
15.7%
8/51 • Number of events 9
16.4%
9/55 • Number of events 13
General disorders
Fever
45.1%
23/51 • Number of events 56
32.7%
18/55 • Number of events 31
Infections and infestations
Gingival infection
13.7%
7/51 • Number of events 9
5.5%
3/55 • Number of events 4
General disorders
Headache
41.2%
21/51 • Number of events 48
30.9%
17/55 • Number of events 46
Blood and lymphatic system disorders
Hemoglobin decreases
43.1%
22/51 • Number of events 141
50.9%
28/55 • Number of events 172
Respiratory, thoracic and mediastinal disorders
Hiccough
13.7%
7/51 • Number of events 12
3.6%
2/55 • Number of events 3
Hepatobiliary disorders
Hyperbilirubinemia
7.8%
4/51 • Number of events 12
18.2%
10/55 • Number of events 25
Metabolism and nutrition disorders
Hyperglycemia
27.5%
14/51 • Number of events 64
29.1%
16/55 • Number of events 55
Metabolism and nutrition disorders
Hypoalbuminemia
13.7%
7/51 • Number of events 23
16.4%
9/55 • Number of events 19
Metabolism and nutrition disorders
Hypoglycemia
5.9%
3/51 • Number of events 12
9.1%
5/55 • Number of events 15
Metabolism and nutrition disorders
Hypocalcemia
13.7%
7/51 • Number of events 25
25.5%
14/55 • Number of events 41
Metabolism and nutrition disorders
Hypokalemia
21.6%
11/51 • Number of events 26
20.0%
11/55 • Number of events 42
Metabolism and nutrition disorders
Hypomagnesemia
5.9%
3/51 • Number of events 8
7.3%
4/55 • Number of events 7
Metabolism and nutrition disorders
Hyponatremia
17.6%
9/51 • Number of events 23
14.5%
8/55 • Number of events 14
Cardiac disorders
Hypotension
25.5%
13/51 • Number of events 14
3.6%
2/55 • Number of events 2
Infections and infestations
Infection
31.4%
16/51 • Number of events 44
41.8%
23/55 • Number of events 30
General disorders
Insomnia
11.8%
6/51 • Number of events 13
23.6%
13/55 • Number of events 20
Blood and lymphatic system disorders
Leukopenia
41.2%
21/51 • Number of events 142
41.8%
23/55 • Number of events 207
General disorders
Lymphatic disorder
9.8%
5/51 • Number of events 10
10.9%
6/55 • Number of events 18
Blood and lymphatic system disorders
Lymphopenia
19.6%
10/51 • Number of events 91
18.2%
10/55 • Number of events 142
Musculoskeletal and connective tissue disorders
Muscle weakness
5.9%
3/51 • Number of events 12
5.5%
3/55 • Number of events 7
Musculoskeletal and connective tissue disorders
Myalgia
7.8%
4/51 • Number of events 9
20.0%
11/55 • Number of events 15
Gastrointestinal disorders
Nausea
60.8%
31/51 • Number of events 85
43.6%
24/55 • Number of events 79
Musculoskeletal and connective tissue disorders
Neck pain
5.9%
3/51 • Number of events 4
10.9%
6/55 • Number of events 7
Blood and lymphatic system disorders
Neutropenia
54.9%
28/51 • Number of events 100
54.5%
30/55 • Number of events 133
General disorders
Oral pain
7.8%
4/51 • Number of events 13
3.6%
2/55 • Number of events 2
General disorders
Pain
11.8%
6/51 • Number of events 9
12.7%
7/55 • Number of events 16
Musculoskeletal and connective tissue disorders
Pain in extremity
13.7%
7/51 • Number of events 8
9.1%
5/55 • Number of events 16
Nervous system disorders
Peripheral motor neuropathy
3.9%
2/51 • Number of events 10
7.3%
4/55 • Number of events 6
Nervous system disorders
Peripheral sensory neuropathy
31.4%
16/51 • Number of events 57
36.4%
20/55 • Number of events 76
Blood and lymphatic system disorders
Platelet count decreases
27.5%
14/51 • Number of events 58
36.4%
20/55 • Number of events 112
Skin and subcutaneous tissue disorders
Pruritus
5.9%
3/51 • Number of events 6
10.9%
6/55 • Number of events 10
Skin and subcutaneous tissue disorders
Rash desquamation
25.5%
13/51 • Number of events 32
16.4%
9/55 • Number of events 14
Cardiac disorders
Sinus tachycardia
13.7%
7/51 • Number of events 26
5.5%
3/55 • Number of events 6
Skin and subcutaneous tissue disorders
Skin disorder
15.7%
8/51 • Number of events 18
9.1%
5/55 • Number of events 26
General disorders
Sweating
21.6%
11/51 • Number of events 15
23.6%
13/55 • Number of events 29
Gastrointestinal disorders
Taste alteration
11.8%
6/51 • Number of events 10
0.00%
0/55
Vascular disorders
Thrombosis
5.9%
3/51 • Number of events 3
5.5%
3/55 • Number of events 5
Renal and urinary disorders
Urogenital disorder
5.9%
3/51 • Number of events 4
5.5%
3/55 • Number of events 8
Gastrointestinal disorders
Vomiting
39.2%
20/51 • Number of events 50
36.4%
20/55 • Number of events 42
General disorders
Weight loss
13.7%
7/51 • Number of events 14
20.0%
11/55 • Number of events 17

Additional Information

Jeannette Lee

AIDS Malignancy Consortium

Phone: 501-526-6712

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60