Study of the Combination of VELCADE, Rituximab, Cyclophosphamide, Doxorubicin, and Prednisone or Rituximab, Cyclophosphamide, Doxorubicin, Vincristine, and Prednisone in Patients With Newly Diagnosed Non-Germinal Center B-Cell Subtype of Diffuse Large B-Cell Lymphoma

NCT ID: NCT01040871

Last Updated: 2014-01-13

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

164 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-01-31

Study Completion Date

2012-08-31

Brief Summary

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This is a randomized, open-label, active-control, parallel-group, multicenter, multinational Phase 2 Study of the efficacy and safety of VELCADE, Rituximab, Cyclophosphamide, Doxorubicin, and Prednisone (VR-CAP) or Rituximab, Cyclophosphamide, Doxorubicin, Vincristine, and Prednisone (R-CHOP) in Patients With Newly Diagnosed Non-Germinal Center B-Cell (non-GCB) Subtype of Diffuse Large B-Cell Lymphoma (DLBCL)

Detailed Description

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Conditions

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Diffuse Large B-Cell 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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VR-CAP

VR-CAP arm received rituximab 375 mg/m2 IV on Day 1, cyclophosphamide 750 mg/m2 IV on Day 1, doxorubicin 50 mg/m2 IV on Day 1, VELCADE 1.3 mg/m2 IV on Days 1, 4, 8, and 11, and prednisone 100 mg/m2 orally on Days 1 through 5 of each 21-day (3-week) cycle for up to 6 cycles.

Group Type EXPERIMENTAL

VELCADE

Intervention Type DRUG

VELCADE intravenous on Days 1, 4, 8, and 11 of a 21 day (3 week) cycle for 6 cycles.

Rituximab

Intervention Type DRUG

Rituximab intravenous on Day 1 of a 21 day (3 week) cycle for 6 cycles

Cyclophosphamide

Intervention Type DRUG

Intravenous on Day 1 of a 21 day (3 week) cycle for 6 cycles

Doxorubicin

Intervention Type DRUG

Intravenous on Day 1 of a 21 day (3 week) cycle for 6 cycles

Prednisone

Intervention Type DRUG

Orally on Day 1 to Day 5 of a 21 day (3 week) cycle for 6 cycles

R-CHOP

R-CHOP received rituximab 375 mg/m2IV on Day 1, cyclophosphamide 750 mg/m2 IV on Day 1, doxorubicin 50 mg/m2 IV on Day 1, vincristine 1.4 mg/m2 (maximum total of 2 mg) IV on Day 1, and prednisone 100 mg/m2 orally on Days 1 through 5 of each 21-day (3-week) cycle for up to 6 cycles.Prednisone

Group Type ACTIVE_COMPARATOR

Rituximab

Intervention Type DRUG

Rituximab intravenous on Day 1 of a 21 day (3 week) cycle for 6 cycles

Cyclophosphamide

Intervention Type DRUG

Intravenous on Day 1 of a 21 day (3 week) cycle for 6 cycles

Doxorubicin

Intervention Type DRUG

Intravenous on Day 1 of a 21 day (3 week) cycle for 6 cycles

Prednisone

Intervention Type DRUG

Orally on Day 1 to Day 5 of a 21 day (3 week) cycle for 6 cycles

Vincristine

Intervention Type DRUG

Intravenous on Day 1 of a 21 day (3 week) cycle for 6 cycles

Interventions

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VELCADE

VELCADE intravenous on Days 1, 4, 8, and 11 of a 21 day (3 week) cycle for 6 cycles.

Intervention Type DRUG

Rituximab

Rituximab intravenous on Day 1 of a 21 day (3 week) cycle for 6 cycles

Intervention Type DRUG

Cyclophosphamide

Intravenous on Day 1 of a 21 day (3 week) cycle for 6 cycles

Intervention Type DRUG

Doxorubicin

Intravenous on Day 1 of a 21 day (3 week) cycle for 6 cycles

Intervention Type DRUG

Prednisone

Orally on Day 1 to Day 5 of a 21 day (3 week) cycle for 6 cycles

Intervention Type DRUG

Vincristine

Intravenous on Day 1 of a 21 day (3 week) cycle for 6 cycles

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male or female patients 18 years or older.
* Newly Diagnosed non-GCB subtype of DLBCL (Stage II, III or IV).
* At least 1 measurable site of disease.
* Eastern Cooperative Oncology Group (ECOG) performance status 0-2
* Female subjects must be postmenopausal (for at least 6 months), surgically sterile, abstinent, or, if sexually active, be practicing an effective method of birth control before entry and throughout the study; and have a negative pregnancy test at screening.
* Male subjects must agree to use a double barrier method of birth control

Exclusion Criteria

* Prior treatment with VELCADE.
* Prior extended radiotherapy or chemotherapy for lymphoma
* More than 150 mg/m2 of prior doxorubicin
* Major surgery within 3 weeks of study.
* Peripheral neuropathy or neuralgia of Grade 2 or worse.
* Active CNS lymphoma
* Diagnosed or treated for a malignancy other than NHL, with some exceptions
* Pregnant or breast feeding
* Active systemic infection
* Documented of suspected human immunodeficiency virus (HIV)/AIDS
* Uncontrolled or severe cardiovascular disease
* Known allergies, hypersensitivity or intolerance to study drugs
* Serious medical condition that could interfere with study
* Concurrent treatment with another investigational agent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Johnson & Johnson Pharmaceutical Research & Development, L.L.C.

INDUSTRY

Sponsor Role collaborator

Millennium Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Monitor

Role: STUDY_DIRECTOR

Millennium Pharmaceuticals, Inc.

Locations

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Universitair Ziekenhuis Gent - UZ GENT, Hematologie, 9K12IE 9de verdiep- polikliniek Hematologie

Ghent, , Belgium

Site Status

Countries

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Belgium

References

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Offner F, Samoilova O, Osmanov E, Eom HS, Topp MS, Raposo J, Pavlov V, Ricci D, Chaturvedi S, Zhu E, van de Velde H, Enny C, Rizo A, Ferhanoglu B. Frontline rituximab, cyclophosphamide, doxorubicin, and prednisone with bortezomib (VR-CAP) or vincristine (R-CHOP) for non-GCB DLBCL. Blood. 2015 Oct 15;126(16):1893-901. doi: 10.1182/blood-2015-03-632430. Epub 2015 Jul 31.

Reference Type DERIVED
PMID: 26232170 (View on PubMed)

Other Identifiers

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26866138-LYM-2034

Identifier Type: -

Identifier Source: org_study_id

NCT01826084

Identifier Type: -

Identifier Source: nct_alias

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