Trial Outcomes & Findings for Chemotherapy, Total-Body Irradiation, Rituximab, and Donor Stem Cell Transplant in Treating Patients With B-Cell Non-Hodgkin's Lymphoma or Chronic Lymphocytic Leukemia (NCT NCT00425802)

NCT ID: NCT00425802

Last Updated: 2017-10-31

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

61 participants

Primary outcome timeframe

1 year

Results posted on

2017-10-31

Participant Flow

Protocol Open to Accrual 11/28/2006 Protocol Closed to Accrual 4/22/2014 Primary Completion Date 10/28/2016 Recruitment Location is the medical clinic

Participant milestones

Participant milestones
Measure
Treatment
This is a phase 2 study of a treatment regimen consisting of a non-myeloablative (NMA) conditioning regimen incorporating low dose chemotherapy and low dose radiation as well as peri-transplant Rituximab and the transplantation of peripheral blood stem cells (PBSC) or bone marrow if PBSC collection not possible from an HLA compatible related or unrelated donor in patients with B cell lymphoid malignancies including diffuse large cell (DLC) and mantle cell non-Hodgkin's lymphoma (NHL), indolent B cell NHL, or chronic lymphocytic leukemia (CLL).
Overall Study
STARTED
61
Overall Study
COMPLETED
61
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Chemotherapy, Total-Body Irradiation, Rituximab, and Donor Stem Cell Transplant in Treating Patients With B-Cell Non-Hodgkin's Lymphoma or Chronic Lymphocytic Leukemia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment
n=61 Participants
This is a phase 2 study of a treatment regimen consisting of a non-myeloablative (NMA) conditioning regimen incorporating low dose chemotherapy and low dose radiation as well as peri-transplant Rituximab and the transplantation of peripheral blood stem cells (PBSC) or bone marrow if PBSC collection not possible from an HLA compatible related or unrelated donor in patients with B cell lymphoid malignancies including diffuse large cell (DLC) and mantle cell non-Hodgkin's lymphoma (NHL), indolent B cell NHL, or chronic lymphocytic leukemia (CLL).
Age, Continuous
54 years
n=5 Participants
Sex: Female, Male
Female
11 Participants
n=5 Participants
Sex: Female, Male
Male
50 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
59 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
Race (NIH/OMB)
White
59 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
Region of Enrollment
United States
61 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 1 year

Population: Data for the remaining 10 patients was not fully collected or analyzed for publication

Outcome measures

Outcome measures
Measure
Treatment
n=51 Participants
This is a phase 2 study of a treatment regimen consisting of a non-myeloablative (NMA) conditioning regimen incorporating low dose chemotherapy and low dose radiation as well as peri-transplant Rituximab and the transplantation of peripheral blood stem cells (PBSC) or bone marrow if PBSC collection not possible from an HLA compatible related or unrelated donor in patients with B cell lymphoid malignancies including diffuse large cell (DLC) and mantle cell non-Hodgkin's lymphoma (NHL), indolent B cell NHL, or chronic lymphocytic leukemia (CLL).
Overall Survival at 1 Year
90 percentage of participants
Interval 81.0 to 98.0

SECONDARY outcome

Timeframe: 2 years

Population: Data for the remaining 10 patients was not fully collected or analyzed for publication

Outcome measures

Outcome measures
Measure
Treatment
n=51 Participants
This is a phase 2 study of a treatment regimen consisting of a non-myeloablative (NMA) conditioning regimen incorporating low dose chemotherapy and low dose radiation as well as peri-transplant Rituximab and the transplantation of peripheral blood stem cells (PBSC) or bone marrow if PBSC collection not possible from an HLA compatible related or unrelated donor in patients with B cell lymphoid malignancies including diffuse large cell (DLC) and mantle cell non-Hodgkin's lymphoma (NHL), indolent B cell NHL, or chronic lymphocytic leukemia (CLL).
Time to Neutrophil Engraftment
15 days
Interval 10.0 to 25.0

SECONDARY outcome

Timeframe: 1 year

Population: Data for the remaining 10 patients was not fully collected or analyzed for publication

Outcome measures

Outcome measures
Measure
Treatment
n=51 Participants
This is a phase 2 study of a treatment regimen consisting of a non-myeloablative (NMA) conditioning regimen incorporating low dose chemotherapy and low dose radiation as well as peri-transplant Rituximab and the transplantation of peripheral blood stem cells (PBSC) or bone marrow if PBSC collection not possible from an HLA compatible related or unrelated donor in patients with B cell lymphoid malignancies including diffuse large cell (DLC) and mantle cell non-Hodgkin's lymphoma (NHL), indolent B cell NHL, or chronic lymphocytic leukemia (CLL).
Time to Platelet Engraftment
12 days
Interval 6.0 to 40.0

SECONDARY outcome

Timeframe: 100 days

Population: Data for the remaining 10 patients was not fully collected or analyzed for publication

Outcome measures

Outcome measures
Measure
Treatment
n=51 Participants
This is a phase 2 study of a treatment regimen consisting of a non-myeloablative (NMA) conditioning regimen incorporating low dose chemotherapy and low dose radiation as well as peri-transplant Rituximab and the transplantation of peripheral blood stem cells (PBSC) or bone marrow if PBSC collection not possible from an HLA compatible related or unrelated donor in patients with B cell lymphoid malignancies including diffuse large cell (DLC) and mantle cell non-Hodgkin's lymphoma (NHL), indolent B cell NHL, or chronic lymphocytic leukemia (CLL).
Incidence of Moderate to Severe Grades II to IV Graft Versus Host Disease (GVHD) at 100 Days
18 percentage of patients
Interval 7.0 to 29.0

SECONDARY outcome

Timeframe: 1 year

Population: Data for the remaining 10 patients was not fully collected or analyzed for publication

Outcome measures

Outcome measures
Measure
Treatment
n=51 Participants
This is a phase 2 study of a treatment regimen consisting of a non-myeloablative (NMA) conditioning regimen incorporating low dose chemotherapy and low dose radiation as well as peri-transplant Rituximab and the transplantation of peripheral blood stem cells (PBSC) or bone marrow if PBSC collection not possible from an HLA compatible related or unrelated donor in patients with B cell lymphoid malignancies including diffuse large cell (DLC) and mantle cell non-Hodgkin's lymphoma (NHL), indolent B cell NHL, or chronic lymphocytic leukemia (CLL).
Incidence of Chronic GVHD at 1 Year
14 percentage of participants
Interval 3.0 to 24.0

SECONDARY outcome

Timeframe: 3 months

Population: Data for the remaining 10 patients was not fully collected or analyzed for publication

Outcome measures

Outcome measures
Measure
Treatment
n=51 Participants
This is a phase 2 study of a treatment regimen consisting of a non-myeloablative (NMA) conditioning regimen incorporating low dose chemotherapy and low dose radiation as well as peri-transplant Rituximab and the transplantation of peripheral blood stem cells (PBSC) or bone marrow if PBSC collection not possible from an HLA compatible related or unrelated donor in patients with B cell lymphoid malignancies including diffuse large cell (DLC) and mantle cell non-Hodgkin's lymphoma (NHL), indolent B cell NHL, or chronic lymphocytic leukemia (CLL).
Immune Reconstruction/CD4+ Count at 3 Months
253 cells/microliters
Interval 160.0 to 343.0

SECONDARY outcome

Timeframe: 2 years

Population: Data for the remaining 10 patients was not fully collected or analyzed for publication

Outcome measures

Outcome measures
Measure
Treatment
n=51 Participants
This is a phase 2 study of a treatment regimen consisting of a non-myeloablative (NMA) conditioning regimen incorporating low dose chemotherapy and low dose radiation as well as peri-transplant Rituximab and the transplantation of peripheral blood stem cells (PBSC) or bone marrow if PBSC collection not possible from an HLA compatible related or unrelated donor in patients with B cell lymphoid malignancies including diffuse large cell (DLC) and mantle cell non-Hodgkin's lymphoma (NHL), indolent B cell NHL, or chronic lymphocytic leukemia (CLL).
Response to Treatment
Complete Response
22 Participants
Response to Treatment
Partial Response
17 Participants
Response to Treatment
Stable Disease
11 Participants
Response to Treatment
Progression of Disease
1 Participants

SECONDARY outcome

Timeframe: 6 months

Population: Data for the remaining 10 patients was not fully collected or analyzed for publication

Outcome measures

Outcome measures
Measure
Treatment
n=51 Participants
This is a phase 2 study of a treatment regimen consisting of a non-myeloablative (NMA) conditioning regimen incorporating low dose chemotherapy and low dose radiation as well as peri-transplant Rituximab and the transplantation of peripheral blood stem cells (PBSC) or bone marrow if PBSC collection not possible from an HLA compatible related or unrelated donor in patients with B cell lymphoid malignancies including diffuse large cell (DLC) and mantle cell non-Hodgkin's lymphoma (NHL), indolent B cell NHL, or chronic lymphocytic leukemia (CLL).
Immune Reconstruction/CD4+ Count at 6 Months
312 cells/microliter
Interval 174.0 to 457.0

SECONDARY outcome

Timeframe: 1 year

Population: Data for the remaining 10 patients was not fully collected or analyzed for publication

Outcome measures

Outcome measures
Measure
Treatment
n=51 Participants
This is a phase 2 study of a treatment regimen consisting of a non-myeloablative (NMA) conditioning regimen incorporating low dose chemotherapy and low dose radiation as well as peri-transplant Rituximab and the transplantation of peripheral blood stem cells (PBSC) or bone marrow if PBSC collection not possible from an HLA compatible related or unrelated donor in patients with B cell lymphoid malignancies including diffuse large cell (DLC) and mantle cell non-Hodgkin's lymphoma (NHL), indolent B cell NHL, or chronic lymphocytic leukemia (CLL).
Immune Reconstruction/CD4+ Count at 1 Year
333 cells/microliter
Interval 18.0 to 1317.0

Adverse Events

Treatment

Serious events: 26 serious events
Other events: 59 other events
Deaths: 9 deaths

Serious adverse events

Serious adverse events
Measure
Treatment
n=61 participants at risk
This is a phase 2 study of a treatment regimen consisting of a non-myeloablative (NMA) conditioning regimen incorporating low dose chemotherapy and low dose radiation as well as peri-transplant Rituximab and the transplantation of peripheral blood stem cells (PBSC) or bone marrow if PBSC collection not possible from an HLA compatible related or unrelated donor in patients with B cell lymphoid malignancies including diffuse large cell (DLC) and mantle cell non-Hodgkin's lymphoma (NHL), indolent B cell NHL, or chronic lymphocytic leukemia (CLL).
Investigations
Hyperbilirubinemia
1.6%
1/61 • 2 years
Hepatobiliary disorders
Cholecystitis
1.6%
1/61 • 2 years
Psychiatric disorders
Confusion
1.6%
1/61 • 2 years
General disorders
Death Not Otherwise Specified
1.6%
1/61 • 2 years
General disorders
Death not assoc w CTCAE term - Disease progression
4.9%
3/61 • 2 years
Metabolism and nutrition disorders
Dehydration
1.6%
1/61 • 2 years
Gastrointestinal disorders
Dysphagia
1.6%
1/61 • 2 years
Gastrointestinal disorders
Diarrhea
14.8%
9/61 • 2 years
Respiratory, thoracic and mediastinal disorders
Dyspnea
1.6%
1/61 • 2 years
Nervous system disorders
Encephalopathy
1.6%
1/61 • 2 years
General disorders
Gait disturbance
1.6%
1/61 • 2 years
General disorders
Fatigue
1.6%
1/61 • 2 years
Blood and lymphatic system disorders
Febrile Neutropenia
3.3%
2/61 • 2 years
General disorders
Fever (in the absence of neutropenia)
13.1%
8/61 • 2 years
Gastrointestinal disorders
Gastrointestinal, other
1.6%
1/61 • 2 years
Metabolism and nutrition disorders
Hyperglycemia
1.6%
1/61 • 2 years
Vascular disorders
Hypotension
1.6%
1/61 • 2 years
Respiratory, thoracic and mediastinal disorders
Hypoxia
4.9%
3/61 • 2 years
Infections and infestations
Infection - catheter related
3.3%
2/61 • 2 years
Respiratory, thoracic and mediastinal disorders
Pneumonia
3.3%
2/61 • 2 years
Infections and infestations
Infection, other
11.5%
7/61 • 2 years
Gastrointestinal disorders
Mucositis - oral
1.6%
1/61 • 2 years
Nervous system disorders
Neurology - other
1.6%
1/61 • 2 years
Nervous system disorders
Sensory neuropathy
1.6%
1/61 • 2 years
Eye disorders
Ocular/visual - other
1.6%
1/61 • 2 years
Eye disorders
Ophthalmoplegia/Diplopia (double vision)
1.6%
1/61 • 2 years
Investigations
Lymphocytopenia
1.6%
1/61 • 2 years
Nervous system disorders
Headache
1.6%
1/61 • 2 years
Gastrointestinal disorders
Pain - oral cavity
1.6%
1/61 • 2 years
Vascular disorders
Phlebitis
1.6%
1/61 • 2 years
Skin and subcutaneous tissue disorders
Rash/desquamation
6.6%
4/61 • 2 years
Renal and urinary disorders
Renal failure
1.6%
1/61 • 2 years
Cardiac disorders
Restrictive cardiomyopathy
1.6%
1/61 • 2 years
General disorders
Chills
1.6%
1/61 • 2 years
Nervous system disorders
Seizure
1.6%
1/61 • 2 years
Metabolism and nutrition disorders
Hyponatremia
1.6%
1/61 • 2 years

Other adverse events

Other adverse events
Measure
Treatment
n=61 participants at risk
This is a phase 2 study of a treatment regimen consisting of a non-myeloablative (NMA) conditioning regimen incorporating low dose chemotherapy and low dose radiation as well as peri-transplant Rituximab and the transplantation of peripheral blood stem cells (PBSC) or bone marrow if PBSC collection not possible from an HLA compatible related or unrelated donor in patients with B cell lymphoid malignancies including diffuse large cell (DLC) and mantle cell non-Hodgkin's lymphoma (NHL), indolent B cell NHL, or chronic lymphocytic leukemia (CLL).
Infections and infestations
Infection, other
4.9%
3/61 • 2 years
Metabolism and nutrition disorders
Hyperglycemia
42.6%
26/61 • 2 years
Investigations
Creatinine
41.0%
25/61 • 2 years
Investigations
Alanine Aminotransferase
21.3%
13/61 • 2 years
Investigations
Aspartate Aminotransferase
21.3%
13/61 • 2 years
Investigations
Bilirubin
11.5%
7/61 • 2 years
Investigations
Alkaline phosphatase
9.8%
6/61 • 2 years
Metabolism and nutrition disorders
Hypermagnesemia
8.2%
5/61 • 2 years

Additional Information

Hugo Castro-Malaspina, MD

Memorial Sloan Kettering Cancer Center

Phone: 212-639-8197

Results disclosure agreements

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