Yt90 Zevalin and Combination Chemotherapy (Z-CHOP)in Treating Patients With Stage II, Stage III, or Stage IV Diffuse Large B-cell Lymphoma

NCT ID: NCT00386321

Last Updated: 2010-11-18

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

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-04-30

Study Completion Date

2010-01-31

Brief Summary

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The purpose of this study is to determine whether the treatment of Yt90 Zevalin in combination with CHOP (cyclophosphamide, doxorubicin, vincristine, and prednisolone)are effective as first line treatment in patients with bulky stage II or stage III or IV diffuse large B-cell lymphoma

Detailed Description

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Radioimmunotherapy represents a significant advance over unlabeled immunotherapy for the treatment of patients with B-cell non-Hodgkin's lymphoma. The radiobiological effects associated with Yt90-labelled ibritumomab tiuxetan (Zevalin) include the induction of apoptosis and cell-cycle redistribution.

The response rate tend to be higher in patients who have been treated with fewer prior therapies and Yt90-labelled ibritumomab tiuxetan may be suitable for use early in the course of therapy.

Yt90-labelled ibritumomab tiuxetan has less non hematologic toxicity than chemotherapy, with only minimal alopecia, mucositis, nausea, or vomiting, and a lower incidence of infections.

Yt90-labelled ibritumomab tiuxetan regimen is routinely and safely given in an outpatient setting and is completed in 7-9 days and is thus more convenient to be used.

Conditions

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Diffuse Large B-cell Lymphoma

Keywords

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Zevalin Zevalin plus CHOP Diffuse large B-cell lymphoma First line Diffuse large B-cell lymphoma

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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Yttrium 90 -labeled ibritumomab tiuxetan (Zevalin)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Histologically confirmed CD20 positive diffuse large B-cell lymphoma with bulky stage II or stage III or stage IV
* Bidimensionally measurable disease
* Performance status Zubrod 0-2
* Less than 20,000/mcL circulating lymphoid cells on WBC differential count
* No clinical evidence of CNS involvement, no prior diagnosis of indolent lymphoma, no histologic transformation
* Ejection fraction more than or equal to 45% by MUGA or no significant abnormality by echocardiogram
* Fertile patients with effective contraception method
* No other malignancy within past 5 years except adequately treated basal cell or squamous cell skin cancer, stage I or II cancer in complete remission, or carcinoma in situ of cervix
* No HIV positive, no prior solid organ transplantation
* No prior antibody therapy, chemotherapy, radiotherapy for lymphoma

Exclusion Criteria

* Serum creatinine ot bilirubin more than 2.5 X ULN unless due to lymphoma
* Active uncontrolled infection
* Concurrent severe and/or uncontrolled medical disease which could compromise participation in the study
* Patients with more than 25% infiltrated bone marrow
* Patients with platelet counts less than 100,000/mcL or neutrophil counts less than 1,500/mcL
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bayer

INDUSTRY

Sponsor Role collaborator

Chulalongkorn University

OTHER

Sponsor Role lead

Principal Investigators

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Udomsak Bunworasate, M.D.

Role: PRINCIPAL_INVESTIGATOR

Division of Hematology and Stem Cell Transplant, Department of Medicine, Faculty of Medicine, Chulalongkorn University

Locations

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King Chulalongkorn Memorial Hospital

Bangkok, , Thailand

Site Status

Countries

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Thailand

Other Identifiers

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TH011103

Identifier Type: -

Identifier Source: org_study_id