Treatment of Mantle Cell Lymphoma at Diagnosis for Patients Under 65 Years

NCT ID: NCT00285389

Last Updated: 2009-02-12

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

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

39 participants

Study Classification

INTERVENTIONAL

Study Start Date

2002-02-28

Study Completion Date

2008-12-31

Brief Summary

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Phase II study to test in first line the VAD (Vincristine Adriablastine Dexamethasone) + C (Chlorambucil ) regimen associated to rituximab ( R-VAD + C ) in a cohort of young patients under 66 years with a mantle cell lymphoma and also the test the role of an in vivo marrow purge with rituximab before an autologous stem cell transplantation for the consolidation of the patients which fulfilled a response to 4 cycles of (R VAD + C) regimen.

Detailed Description

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All patients at diagnosis with a stage II, III or IV an arbor disease are treated with 4 cycles of (R VAD +C) .

The responders more than RP \> 50% received 2 other cycles before to be intensified with alkeran 140 mg/ m2 and a 8 grays TBI over 4 days before an autologous PBSCT.The stem cell collection is realised after a mobilisation with HD Cyclophosphamide (4 mg/m2) after the four R-(VAD + C) cycles and purged by a rituximab injection 10 days before the collection.

There is an clinical and molecular evaluation of the strategy

Conditions

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Mantle Cell Lymphoma

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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VAD Clorambucil Rituximab

Group Type EXPERIMENTAL

Adriblastin

Intervention Type DRUG

dexamethasone

Intervention Type DRUG

Chlorambucil

Intervention Type DRUG

rituximab

Intervention Type DRUG

cyclophosphamide

Intervention Type DRUG

alkeran

Intervention Type DRUG

Total body irradiation (8Gy/4fr)

Intervention Type PROCEDURE

vincristine

Intervention Type DRUG

0,4 mg/day day 1 to day 4

Interventions

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Adriblastin

Intervention Type DRUG

dexamethasone

Intervention Type DRUG

Chlorambucil

Intervention Type DRUG

rituximab

Intervention Type DRUG

cyclophosphamide

Intervention Type DRUG

alkeran

Intervention Type DRUG

Total body irradiation (8Gy/4fr)

Intervention Type PROCEDURE

vincristine

0,4 mg/day day 1 to day 4

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Mantel cell lymphoma
* CD 20+
* At diagnosis or without anterior chemotherapy
* Age \>18 and \< 66 years
* Ann Arbor ii, III or IV
* ECOG \<3
* contraindication for rituximab treatment
* Informed consent signed
* No cancer anteriory
* Renal and hepatic function compatible with the treatment
* Ventricular Fraction \> 50 % with echographic method and \> 40% with isotopic method

Exclusion Criteria

* Other type of lymphoma
* age\<18 ou \> 66 years
* Informed consent not signed
* anterior cancer
* Contraindication to rituximab
* Cardiac insufficiency
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hoffmann-La Roche

INDUSTRY

Sponsor Role collaborator

French Innovative Leukemia Organisation

OTHER

Sponsor Role lead

Responsible Party

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GOELAMS

Principal Investigators

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Remy GRESSIN, MD

Role: PRINCIPAL_INVESTIGATOR

French Innovative Leukemia Organisation

Locations

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Regional university hospital

Besançon, , France

Site Status

Regional university hospital

Rennes, , France

Site Status

REgional Hospital

Tours, , France

Site Status

Countries

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France

References

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Gressin R, Caulet-Maugendre S, Deconinck E, Tournilhac O, Gyan E, Moles MP, El Yamani A, Cornillon J, Rossi JF, Le Gouill S, Lepeu G, Damaj G, Celigny PS, Maisonneuve H, Corront B, Vilque JP, Casassus P, Lamy T, Colonna M, Colombat P; French GOELAMS Group. Evaluation of the (R)VAD+C regimen for the treatment of newly diagnosed mantle cell lymphoma. Combined results of two prospective phase II trials from the French GOELAMS group. Haematologica. 2010 Aug;95(8):1350-7. doi: 10.3324/haematol.2009.011759. Epub 2010 Mar 10.

Reference Type DERIVED
PMID: 20220059 (View on PubMed)

Other Identifiers

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MANTEAU 2001

Identifier Type: -

Identifier Source: org_study_id

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