ZAR2007: R-CHOP in Folicular Lymphoma Patients no Treated Previously. Consolidation With 90Y Ibritumomab Tiuxetan (Zevalin®) Versus Maintenance Treatment With Rituximab (MabThera®)

NCT ID: NCT00662948

Last Updated: 2020-04-28

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

149 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-12-31

Study Completion Date

2017-10-30

Brief Summary

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After conventional induction treatment with R-CHOP (Rituximab, cyclophosphamide, adriamycin, vincristine and prednisone) the patients are randomized to:

A: Consolidation with one dose of 90Y Ibritumomab tiuxetan (Zevalin®) 0,4 mCi/Kg

B: Maintenance with 375 mg/m2 of Rituximab every 8 weeks during 24 months

Detailed Description

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The study will evaluate the benefit of consolidation treatment with 90Y Ibritumomab tiuxetan (Zevalin®) or maintenance with rituximab (MabThera®) in terms of progression free survival, after induction with chemotherapy and rituximab in folicular lymphoma patients no treated previously.

The other aims are, evaluate the global survival, event free survival, time until next treatment, response rate after consolidation or maintenance treatment, quality of life, security of two branches and relation cost-efectivity

Conditions

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Lymphoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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A

Consolidation with one dose of 90Y Ibritumomab tiuxetan (Zevalin®) 0,4 mCi/Kg

Group Type EXPERIMENTAL

Ibritumomab tiuxetan

Intervention Type DRUG

One dose of 90Y Ibritumomab tiuxetan, 0,4 mCi/Kg

B

Maintenance with 375 mg/m2 of Rituximab every 8 weeks during 24 months

Group Type ACTIVE_COMPARATOR

Rituximab

Intervention Type DRUG

375 mg/m2 every 8 weeks during 24 months

Interventions

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Rituximab

375 mg/m2 every 8 weeks during 24 months

Intervention Type DRUG

Ibritumomab tiuxetan

One dose of 90Y Ibritumomab tiuxetan, 0,4 mCi/Kg

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Folicular Lymphoma CD20-positive, grade 1, 2 or 3a, confirmed in previous 4 months.
* Patients no treated previously.
* Ann Arbor Stage II, III o IV.
* Symptoms or signes wich indicate necesary treatment (GELF criteria):

* Ganglionar or extraganglionar mass
* B Symptoms
* LDH or B2-microglobuline increased
* 3 ganglionar territory afected (\> 3 cm)
* Esplenomegalia
* Compresive syndrome
* Pleural/peritoneal effusion
* Secondary medular insufiency due to infiltration
* Age\> 18 years and \<75 years.
* ECOG \< 2
* Adecuate hematological function: Hemoglobin \> 8,0 g/dl (5,0 mmol/L); RAN \>1,5 x 109/L; platelets \> 100 x 109/L
* No pregnant women. Women and man should use an appropiate anticonceptive method during the study and one year after
* Informed consent

Exclusion Criteria

* Transformation in high grade lymphoma
* FL grade 3b.
* Skin or gastro-intestinal primary lymphoma
* History of CNS diseases ( or CNS lymphoma)
* Previous treatment
* Regulary treatment with corticosteroids (permited \< 20 mg/day prednisone or equivalent).
* Previous cancer diseases
* Major surgery in 28 days before inclusion in study.
* Creatinine \> 2,0 mg/dl (197 mmol/L)
* Bilirubin \> 2,0 mg/dl (34 mmol/L), AST (SGOT) \> 3 x upper normal limit.
* HIV infection or active infection VHB o VHC \< 4 weeks before inclusion.
* Other complicated diseases

Criteria investigador:

* Life expectancy \< 6 months.
* Hipersensibility to Ibritumomab tiuxetan, rituximab, other murines proteins or any excipients.
* Treatment in other experimental study in previous 30 days
* Any medical o psicologycal condition that can modify the capacity to give the consent
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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GELCAB

OTHER

Sponsor Role collaborator

Grupo Español de Linfomas y Transplante Autólogo de Médula Ósea

OTHER

Sponsor Role collaborator

PETHEMA Foundation

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Canales Miguel, Dr

Role: STUDY_CHAIR

Hospital La Paz

Lopez-Guillermo Armando, Dr

Role: STUDY_CHAIR

Hospital Clinic of Barcelona

Tomas Jose Francisco, Dr

Role: STUDY_CHAIR

MD Anderson- Madrid

Locations

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Hospital Juan Canalejo

A Coruña, , Spain

Site Status

Hospital de Alcorcón

Alcorcón, , Spain

Site Status

Hospital germans Trias i Pujol

Badalona, , Spain

Site Status

Hospital Clínic

Barcelona, , Spain

Site Status

Hospital de la santa Creu i Sant Pau

Barcelona, , Spain

Site Status

Hospital del Mar

Barcelona, , Spain

Site Status

Hospital Clinico San Carlos

Madrid, , Spain

Site Status

Hospital Doce de Octubre

Madrid, , Spain

Site Status

Hospital La Paz

Madrid, , Spain

Site Status

Hospital Ramón y Cajal

Madrid, , Spain

Site Status

MD Anderson

Madrid, , Spain

Site Status

Hospital Virgen de la Arrixaca

Murcia, , Spain

Site Status

Hospital son Dureta

Palma de Mallorca, , Spain

Site Status

Hospital Clínico

Salamanca, , Spain

Site Status

Hospital de Donostia

San Sebastián, , Spain

Site Status

Hoaspital Marqués de Valdecilla

Santander, , Spain

Site Status

Hospital Clínico Universitario

Santiago de Compostela, , Spain

Site Status

Hospital Clínico

Valencia, , Spain

Site Status

Hospital Dr Pesset

Valencia, , Spain

Site Status

Hospital General

Valencia, , Spain

Site Status

Hospital La Fe

Valencia, , Spain

Site Status

Countries

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Spain

References

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Lopez-Guillermo A, Canales MA, Dlouhy I, Mercadal S, Briones J, Martin Garcia-Sancho A, Sancho JM, Moraleda JM, Terol MJ, Salar A, Palomera L, Gardella S, Jarque I, Ferrer S, Bargay J, Lopez A, Panizo C, Muntanola A, Montalban C, Conde E, Hernandez MT, Soler A, Garcia Marco JA, Deben G, Marin J, Tomas JF; PETHEMA/GELTAMO/GELCAB Spanish Intergroup. A randomized phase II study comparing consolidation with a single dose of 90Y ibritumomab tiuxetan vs. maintenance with rituximab for two years in patients with newly diagnosed follicular lymphoma responding to R-CHOP. Long-term follow-up results. Leuk Lymphoma. 2022 Jan;63(1):93-100. doi: 10.1080/10428194.2021.1971216. Epub 2021 Aug 30.

Reference Type DERIVED
PMID: 34459702 (View on PubMed)

Related Links

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http://aehh.org

spanish hematology association

Other Identifiers

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ZAR2007

Identifier Type: -

Identifier Source: org_study_id

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