Study Combining Zevalin With High-Dose Chemotherapy Prior to Autologous StemCell Transplant in Patients With Relapsed, Refractory, or Transformed Non-Hodgkin's Lymphoma

NCT ID: NCT00438581

Last Updated: 2007-02-27

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

PHASE2

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-03-31

Brief Summary

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This aim of this study to evaluate the safety and efficacy of combining a single course of Yttrium 90 Ibritumomab Tiuxetan, a radiolabeled monoclonal antibody ( Zevalin ), with high-dose BEAM chemotherapy and autologous peripheral stem cell transplantation in patients with relapsed, refractory, or transformed Non-Hodgkin's lymphoma.

Detailed Description

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Relapse rates after chemotherapy for relapsed, refractory or transformed Non-Hodgkin's lymphoma (NHL)remain very high. NHL is a radiosensitive tumor. We hypothesize that targeted radioimmunotherapy combined with high-dose chemotherapy may increase response and survival rates in a safe and reliable manner.

Conditions

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Non-Hodgkin's Lymphoma

Keywords

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Zevalin Autologous one Marrow Transplant Non-Hodgkin's 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 Ibritumomab Tiuxetan ( Zevalin )

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Age \>=18 to \<=70 years
2. Relapsed or refractory Stage III or IV, grade 1,2, or 3 Follicular Lymphoma or transformed follicular lymphoma, mantle cell lymphoma, marginal zone lymphoma, Waldenstrom's macroglobulinemia, or diffuse large B-Cell lymphoma as defined by the WHO and:

* Expressing the CD 20 antigen
* ECOG performance 0-2
* Written informed consent
3. Prior collection of at least 2.5x10\^6 CD34-positive peripheral blood stem cells/kg.

Exclusion Criteria

1. Abnormal renal function (Creatinine \>2.5x upper limit of normal (ULN)
2. Abnormal hepatic function (Bilirubin \>2xULN, ALT/AST \>3x ULN)
3. Cardiac ejection fraction \<40%
4. Severe defects in pulmonary function tests (DLCO\<70% predicted, FEV1, FVC\<60% predicted) or receiving continuous oxygen
5. A history of human anti-mouse antibodies (HAMA) or known type 1 hypersensitivity or anaphylactic proteins to any component of the Zevalin therapy.
6. Female patients who are pregnant or breast feeding, and adults of reproductive potential who are not employing an effective method of birth control during study treatment
7. Prior radiotherapy to \>25% of the bone marrow or \>20 Gy to critical organ (lung, liver, kidney, spinal cord).
8. CNS lymphoma
9. Ongoing infection
10. Prior treatment with radioimmunotherapy
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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McGill University Health Centre/Research Institute of the McGill University Health Centre

OTHER

Sponsor Role collaborator

McGill University

OTHER

Sponsor Role lead

Principal Investigators

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Ahmed Galal, MD

Role: PRINCIPAL_INVESTIGATOR

McGill University Health Center, Royal Victoria Hospital

Locations

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McGill University Health Center, Royal Victoria Hospital

Montreal, Quebec, Canada

Site Status

Countries

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Canada

Central Contacts

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Ahmed Galal, MD

Role: CONTACT

Phone: 514-934-1934

Email: [email protected]

Facility Contacts

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Ahmed Galal, MD

Role: primary

Other Identifiers

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BMA-05-017-ZEV

Identifier Type: -

Identifier Source: org_study_id