First-line R-CVP vs R-CHOP Induction Immunochemotherapy for Indolent Lymphoma and R Maintenance.

NCT ID: NCT00801281

Last Updated: 2017-07-17

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

PHASE3

Total Enrollment

250 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-02-28

Study Completion Date

2017-06-25

Brief Summary

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Evaluation of event free survival (EFS) of patients treated with the study chemotherapy induction program: R-CHOP compared to the standard R-CVP regimen and response rates, time to best response, PFS, OS, neutropenic fever rate, infection rate, change in Ig levels, change in lymphocyte subpopulations counts in previously untreated indolent lymphoma patients in need of systemic treatment.

Detailed Description

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Min. 3, max. 8 induction cycles. Maintenance with rituximab q. 2 months x 12/24 months, started 2 months after last chemotherapy.

Conditions

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Follicular Lymphoma Marginal Zone Lymphoma Small Lymphocytic Lymphoma Lymphoplasmacytic 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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R-CVP

Standard arm 1. R-CVP - Rituximab, Cyclophosphamide, Vincristine, Prednisone 2

Group Type ACTIVE_COMPARATOR

Rituximab

Intervention Type DRUG

Rituximab 375 mg/m2 i.v. d. 1 q. 21 d.

Cyclophosphamide

Intervention Type DRUG

Cyclophosphamide 750 mg/m2 i.v. d. 1 q. 21 d.

Vincristine

Intervention Type DRUG

Vincristine 1.4 mg/m2 (max. 2 mg) i.v. d. 1 q. 21 d.

Prednisone 2

Intervention Type DRUG

Prednisone 40 mg/m2 p.o. d. 1-5 q. 21 d.

R-CHOP

Study arm 2. R-CHOP - Rituximab, Cyclophosphamide, Hydroxyldaunorubicine (doxorubicin), Oncovin (vincristine), Prednisone 1

Group Type EXPERIMENTAL

Rituximab

Intervention Type DRUG

Rituximab 375 mg/m2 i.v. d. 1 q. 21 d.

Cyclophosphamide

Intervention Type DRUG

Cyclophosphamide 750 mg/m2 i.v. d. 1 q. 21 d.

Doxorubicin

Intervention Type DRUG

Doxorubicin 50 mg/m2 i.v. d. 1 q. 21 d.

Vincristine

Intervention Type DRUG

Vincristine 1.4 mg/m2 (max. 2 mg) i.v. d. 1 q. 21 d.

Prednisone 1

Intervention Type DRUG

Prednisone 100 mg p.o. d. 1-5 q. 21 d.

Interventions

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Rituximab

Rituximab 375 mg/m2 i.v. d. 1 q. 21 d.

Intervention Type DRUG

Cyclophosphamide

Cyclophosphamide 750 mg/m2 i.v. d. 1 q. 21 d.

Intervention Type DRUG

Doxorubicin

Doxorubicin 50 mg/m2 i.v. d. 1 q. 21 d.

Intervention Type DRUG

Vincristine

Vincristine 1.4 mg/m2 (max. 2 mg) i.v. d. 1 q. 21 d.

Intervention Type DRUG

Prednisone 1

Prednisone 100 mg p.o. d. 1-5 q. 21 d.

Intervention Type DRUG

Prednisone 2

Prednisone 40 mg/m2 p.o. d. 1-5 q. 21 d.

Intervention Type DRUG

Other Intervention Names

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MabThera Endoxan, Cytoxan Adriamycin Oncovin Deltasone Deltasone

Eligibility Criteria

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Inclusion Criteria

* Histologically confirmed:
* Follicular lymphoma grade 1, 2, 3a
* Marginal zone lymphoma, including MALT type
* Small lymphocytic lymphoma (BM inv. \< 30%)
* Lymphoplasmacytic lymphoma
* Clinical stage II-IV (Ann Arbor). Stage I is allowed if bulky (Ø \> 7 cm) or if radiotherapy is not appropriate in judgment of treating physician
* Measurable lesion(s) in at least one site
* Patients previously untreated
* Patients presenting with symptoms requiring treatment:
* Progressive disease
* Symptoms related to tumor bulk
* Cytopenias related to bone marrow and/or spleen involvement B symptoms
* Age ≥ 18 years
* Performance status \</=2
* Written informed consent

Exclusion Criteria

* Grade 3b FL
* Transformed lymphoma
* CNS involvement
* Patient taking steroids for \> 2 weeks during last 4 weeks at a dose equivalent to ≥ 20 mg prednisone
* Other malignancy
* Major surgery within 4 weeks
* Hb \< 8 g/dl, ANC \< 1.5 x 109/L, Plt \<100 109/L unless due to lymphoma
* Impairment of renal function (creatinine \> 1.5 x UNV) or liver function (total bilirubin 1.5 x UNV, SGOT \> 2.5 x UNV not due to lymphoma
* Known infection, with HBV, HCV (acute \< 6 mos. or chronic hepatitis) or HIV
* Serious underlying medical conditions
* Life expectancy \< 6 months
* Known allergy to murine protein
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Polish Lymphoma Research Group

NETWORK

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jan A Walewski, Prof.

Role: PRINCIPAL_INVESTIGATOR

Vice-president of PLRG

Maria Podolak-Dawidziak, Prof.

Role: STUDY_CHAIR

PLRG Board Member

Beata Stella-Hołowiecka, Assoc. Prof.

Role: STUDY_CHAIR

PLRG Member

Locations

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Podkarpacki Oncology Centre

Brzozów, , Poland

Site Status

Voivodeship Hospital, Oncology Ward

Elblag, , Poland

Site Status

Academic Clinical Centre, Hospital of Medical Academy, Clinic of Haematology and Transplantology

Gdansk, , Poland

Site Status

Silesian Medical University, Chair and Clinic of Haematology and Bone Marrow Transplantation

Katowice, , Poland

Site Status

Collegium Medicum Jagiellonian University, Clinic of Haematology

Krakow, , Poland

Site Status

Regional Oncology Centre, Ward of Proliferative Diseases

Lodz, , Poland

Site Status

Oncology Centre of Lublin Region

Lublin, , Poland

Site Status

Central Clinical Hospital, Ministry of Internal Matters and Administration; Clinic of Oncology, Haematology and Internal Diseases

Warsaw, , Poland

Site Status

Institute of Haematology and Transfusiology

Warsaw, , Poland

Site Status

M.Sklodowska-Curie Institute - Oncology Centre

Warsaw, , Poland

Site Status

Medical Academy in Wrocław; Chair and Clinic of Haematology, Blood Neoplasm and Bone Marrow Transplantation

Wroclaw, , Poland

Site Status

SP ZOZ Silesian Centre of Cellular Transplantation

Wroclaw, , Poland

Site Status

Countries

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Poland

Related Links

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http://www.plrg.coi.pl

Click here to provide more information about this study: PLRG4

Other Identifiers

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R-CVP/CHOP

Identifier Type: -

Identifier Source: org_study_id

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