Rituximab in Addition to Chemotherapy With Autologous Stem Cell Transplantation as Treatment Diffuse Large B-Cell Lymphoma

NCT ID: NCT00556127

Last Updated: 2007-11-09

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

94 participants

Study Classification

INTERVENTIONAL

Study Start Date

2002-06-30

Study Completion Date

2006-09-30

Brief Summary

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The purpose of this trial was to evaluate efficacy and safety of adding Rituximab to dose-dense and High-Dose Chemotherapy (HDC) with Autologous Stem Cell Transplantation (ASCT) as first line treatment in young patients with DLBCL at Intermediate-High and High risk aaIPI score

Detailed Description

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Conditions

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Diffuse Large B-Cell Lymphoma POOR PROGNOSIS

Keywords

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Large B-cell Lymphoma Rituximab ASCT

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

Group Type EXPERIMENTAL

Rituximab

Intervention Type DRUG

375 mg/m2 on day 1

Epirubicin

Intervention Type DRUG

110 mg/m2 on day 3

Cyclophosphamide

Intervention Type DRUG

1200 mg/m2 on day 3

Vincristine

Intervention Type DRUG

1.4 mg/m2 (maximum 2 mg) on day 3

Prednisone

Intervention Type DRUG

40 mg/m2 from day 1 to 5

Granulocyte-colony-stimulating factor

Intervention Type DRUG

(G-CSF 5 μg/Kg/day) from day 5 to day 11

Mitoxantrone

Intervention Type DRUG

8 mg/m2 for 3-day

Cytarabine ARA-C

Intervention Type DRUG

2 g/m2/12 hours for six doses in 3-hour infusion

Dexamethasone

Intervention Type DRUG

4 mg/m2/12 hours before ARA-C administration

Carmustine BCNU

Intervention Type DRUG

300 mg/m2 on day -7

Etoposide

Intervention Type DRUG

100 mg/m2/12 hours

Melphalan

Intervention Type DRUG

140 mg/m2 on day -2

Radiotherapy

Intervention Type RADIATION

Involved Field Radiotherapy (IF-RT)

PBSC reinfusion

Intervention Type PROCEDURE

ASCT

Interventions

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Rituximab

375 mg/m2 on day 1

Intervention Type DRUG

Epirubicin

110 mg/m2 on day 3

Intervention Type DRUG

Cyclophosphamide

1200 mg/m2 on day 3

Intervention Type DRUG

Vincristine

1.4 mg/m2 (maximum 2 mg) on day 3

Intervention Type DRUG

Prednisone

40 mg/m2 from day 1 to 5

Intervention Type DRUG

Granulocyte-colony-stimulating factor

(G-CSF 5 μg/Kg/day) from day 5 to day 11

Intervention Type DRUG

Mitoxantrone

8 mg/m2 for 3-day

Intervention Type DRUG

Cytarabine ARA-C

2 g/m2/12 hours for six doses in 3-hour infusion

Intervention Type DRUG

Dexamethasone

4 mg/m2/12 hours before ARA-C administration

Intervention Type DRUG

Carmustine BCNU

300 mg/m2 on day -7

Intervention Type DRUG

Etoposide

100 mg/m2/12 hours

Intervention Type DRUG

Melphalan

140 mg/m2 on day -2

Intervention Type DRUG

Radiotherapy

Involved Field Radiotherapy (IF-RT)

Intervention Type RADIATION

PBSC reinfusion

ASCT

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* previously untreated aggressive B-cell lymphoma (Diffuse Large B-Cell,
* Primary Mediastinal,
* Follicular grade III b Lymphoma);
* age 18 to 60;
* III-IV Ann Arbor stage;
* 0-2 Eastern Cooperative Oncology Group (ECOG) performance status (PS);
* intermediate-high (IH) and high (H) risk score according to age-adjusted International Prognostic Index (IPI).
* Patients with Primary Mediastinal Lymphoma were included only if they had advanced stage III or IV disease.

Exclusion Criteria

* HIV,
* hepatitis B or C virus seropositivity;
* CNS involvement at diagnosis;
* abnormal renal, pulmonary and hepatic function;
* left ventricular ejection fraction less than 45%;
* pregnancy.
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Gruppo Italiano Multiregionale per lo studio dei Linfomi e delle Leucemie

OTHER

Sponsor Role lead

Principal Investigators

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Umberto Vitolo, MD

Role: PRINCIPAL_INVESTIGATOR

S.C. Ematologia II - OSP.S. GIOV.BATTISTA MOLINETTE - TORINO (TO) -

Locations

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Az. Ospedaliera SS. Antonio e Biagio e Cesare Arrigo

Alessandria, , Italy

Site Status

Ospedale Regionale, Divisione di Oncologia,

Aosta, , Italy

Site Status

Azienda Ospedaliera Ospedale Policlinico Consorziale

Bari, , Italy

Site Status

Osp. degli Infermi

Biella, , Italy

Site Status

Spedali Civili

Brescia, , Italy

Site Status

Centro Trapianti Midollo Osseo, P.O. Businco

Cagliari, , Italy

Site Status

Ospedale S. Gerardo

Monza, , Italy

Site Status

Osp. maggiore della Carità

Novara, , Italy

Site Status

Università degli Studi Policlinico Monteluce

Perugia, , Italy

Site Status

Divisione di Medicina, Ospedale Generale E. Agnelli, Pinerolo

Torino, , Italy

Site Status

Istituto per la Ricerca e la Cura del Cancro, Candiolo

Torino, , Italy

Site Status

Osp. S. Giovanni Battista "Molinette"

Torino, , Italy

Site Status

Ospedale di Chivasso e Ivrea

Torino, , Italy

Site Status

Stabilimento Ospedaliero Ciriè -

Torino, , Italy

Site Status

Countries

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Italy

Other Identifiers

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Eudract Number 2004-000543-19

Identifier Type: -

Identifier Source: secondary_id

GIMURELL-DLBCL

Identifier Type: -

Identifier Source: org_study_id