Zevalin Twice in Aggressive Non-Hodgkin Lymphoma

NCT ID: NCT00902525

Last Updated: 2012-12-31

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

25 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-01-31

Study Completion Date

2011-09-30

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

Despite of the availability of treatment for this disease, this study is justified because no known therapies are really curative and it is necessary to look for new treatment options to improve the clinical outcome and prognosis of relapsed aggressive lymphoma. This study is designed for patients not eligible for high-dose chemotherapy and autologous stem cells transplantation.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

The objectives of this study are to evaluate the efficacy and safety of two sequential doses of 90Y-Ibritumomab Tiuxetan administered after salvage chemotherapy in patients with relapsed/refractory aggressive lymphoma non-eligible for HDC and ASCT.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Diffuse Large B-Cell Lymphoma

Keywords

Explore important study keywords that can help with search, categorization, and topic discovery.

two sequential doses of 90Y-Ibritumomab Tiuxetan

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

90Y-Ibritumomab Tiuxetan double dose

90Y-Ibritumomab Tiuxetan administered at 0.4 mCi/kg at phase 2 and then at 0.2 mCi/kg at phase 3

Group Type EXPERIMENTAL

90Y-Ibritumomab Tiuxetan

Intervention Type DRUG

All patients receive 2 courses of age-adjusted R-miniDHAP followed by two doses of 90Y-Ibritumomab Tiuxetan

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

90Y-Ibritumomab Tiuxetan

All patients receive 2 courses of age-adjusted R-miniDHAP followed by two doses of 90Y-Ibritumomab Tiuxetan

Intervention Type DRUG

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

1. Age 18-75
2. Diagnosis of CD20+ B-diffuse large cell de novo or transformed or follicular lymphoma grade IIIb
3. Stage II, III, IV according to Ann Arbor criteria
4. Chemoresistant disease after first line treatment (CHOP-like + Rituximab) or relapsed patients after one or two lines of chemotherapy not-eligible for high dose chemotherapy and autologous stem cell transplantation
5. Performance status 0-2 according to WHO criteria
6. HIV negativity
7. Normal liver, lung and kidney function: conjugated bilirubin up to 2 x ULN, alkaline phosphatase and transaminases up to 2 x ULN, creatinine clearances ≥45 ml/min
8. Neutrophils count ³ 1.5 x 109/l, Haemoglobin ³ 9 g/dl, Platelets ³ 150 x 109/l and bone marrow involvement \< 25% before first Zevalin infusion.
9. Neutrophils count ³ 1.5 x 109/l, Haemoglobin ³ 9 g/dl, Platelets ³ 100 x 109/l before second Zevalin infusion
10. Use of effective contraception for the entire treatment period in patients sexually active
11. Negative pregnancy test in child bearing potential women
12. Life expectancy \> 6 months
13. Written informed consent

Exclusion Criteria

1. More than two lines of prior chemotherapy before study entry
2. Prior high dose chemotherapy and autologous stem cell transplantation
3. HIV positivity
4. HBV positivity with the exception of patients with HBVcAb +, HbsAg -, HBs Ab+/- with HBV-DNA negative
5. HCV positivity with the exception of patients with no signs of active chronic hepatitis histologically confirmed
6. History of clinically relevant liver or renal insufficiency; significant cardiac, vascular, pulmonary, gastrointestinal, endocrine, neurologic, rheumatologic, hematologic, psychiatric, or metabolic disturbances
7. Uncontrolled diabetes (if receiving antidiabetic agents, subjects must be on a stable dose for at least 3 months before first dose of study drug
8. Uncontrolled or severe cardiovascular disease including myocardial infarction within 6 months of enrollment, New York Heart Association (NYHA) Class III or IV heart failure (Attachment 5, NYHA Classification of Cardiac Disease), uncontrolled angina, clinically significant pericardial disease, or cardiac amyloidosis
9. Pregnant or breastfeeding
10. CNS lymphoma involvement.
11. History of malignant carcinoma within the last 3 years other than squamous cell and basal cell carcinoma.
12. Cardiac failure with VEF \< 40%
13. Clinical evidence of not controlled infections
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Centro di Riferimento per l'Epidemiologia e la Prev. Oncologica Piemonte

OTHER

Sponsor Role collaborator

Gruppo Italiano Multiregionale per lo studio dei Linfomi e delle Leucemie

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Barbara Botto, MD

Role: STUDY_DIRECTOR

SCDO Ematologia AOU San Giovanni Battista Torino

Umberto Vitolo, MD

Role: PRINCIPAL_INVESTIGATOR

SCDO Ematologia 2 AOU San Giovanni Battista Torino

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Divisione di Ematologia Ospedale SS Antonio e Biagio

Alessandria, AL, Italy

Site Status

Istituto di Ematologia e Oncologia Medica L. Seragnoli Policlinco S. Orsola

Bologna, BO, Italy

Site Status

Divisione di Ematologia, Spedali Civili

Brescia, BS, Italy

Site Status

Divisione di Ematologia Ospedale Centrale di Bolzano

Bolzano, BZ, Italy

Site Status

Divisione di Ematologia Ospedale Businco

Cagliari, CA, Italy

Site Status

Divisione di Ematologia Ospedale Cardinale Panico

Tricase, LE, Italy

Site Status

Divisione di Ematologia Ospedale Niguarda Cà Granda

Milan, MI, Italy

Site Status

Divisione di Oncoematologia IRCC

Candiolo, TO, Italy

Site Status

Divisione di Ematologia Istituto Nazionale Fondazione Pascale

Napoli, , Italy

Site Status

SC Ematologia Ospedale Maggiore Università Avogadro

Novara, , Italy

Site Status

Divisione di Oncoematologia Azienda Ospedalier S. Maria

Terni, , Italy

Site Status

SCDO Ematologia 2 AOU San Giovanni Battista

Turin, , Italy

Site Status

Countries

Review the countries where the study has at least one active or historical site.

Italy

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

ZETAL07

Identifier Type: -

Identifier Source: org_study_id