R-CHOP Versus R-mini-CEOP in Elderly Patients(>65)With DLBCL

NCT ID: NCT01148446

Last Updated: 2010-06-22

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

226 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-01-31

Brief Summary

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The study has the purpose to compare R-CHOP versus R-mini-CEOP in elderly patients (\>65 years) with Diffuse Large B Cell Lymphoma (DLBCL).

Detailed Description

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Conditions

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Elderly Patients (>65 Years) Diffuse Large B Cell Lymphoma (DLBCL)

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-CHOP

R-CHOP (every 21 days) for six courses Cyclophosphamide: 750 mg/m2, IV, day 1 Doxorubicin: 50 mg/m2, IV, day 1 Vincristine: 1.4 (max 2) mg/m2, IV, day 1 Prednisone: 75 mg/m2, IV, days 1-5 Rituximab: 375 mg/m2, IV, day 1 G-CSF: 300 µg tota, SC; days 7-11

Group Type EXPERIMENTAL

Cyclophosphamide

Intervention Type DRUG

750 mg/mq IV, day 1

Doxorubicin

Intervention Type DRUG

50 mg/mq IV, day1

Vincristine

Intervention Type DRUG

1,4 mg/mq (max 2 mg)IV, day 1

Prednisone

Intervention Type DRUG

75 mg/mq IV, days 1-5

Rituximab

Intervention Type DRUG

375 mg/mq IV, day 1

G-CSF

Intervention Type DRUG

300 µg tot., SC; days 7-11

R-mini-CEOP

R-miniCEOP (every 21 days)for six courses Cyclophosphamide: 50 mg/m2, IV, day 1 Epirubicin: 50 mg/m2, IV, day 1 Vinblastine: 5 mg/m2, IV, day 1 Prednisone: 60 mg/m2, IV/PO, days 1-5 Rituximab: 375 mg/m2, IV, day 1 G-CSF: 300 µg tota, SC; days 7-11

Group Type EXPERIMENTAL

Cyclophosphamide

Intervention Type DRUG

50 mg/mq IV, day 1

Prednisone

Intervention Type DRUG

60 mg/mq IV/PO, days 1-5

Epirubicin

Intervention Type DRUG

50 mg/mq IV, day 1

Vinblastine

Intervention Type DRUG

5 mg/mq IV, day 1

Rituximab

Intervention Type DRUG

375 mg/mq IV, day 1

G-CSF

Intervention Type DRUG

300 µg tot., SC; days 7-11

Interventions

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Cyclophosphamide

750 mg/mq IV, day 1

Intervention Type DRUG

Cyclophosphamide

50 mg/mq IV, day 1

Intervention Type DRUG

Doxorubicin

50 mg/mq IV, day1

Intervention Type DRUG

Vincristine

1,4 mg/mq (max 2 mg)IV, day 1

Intervention Type DRUG

Prednisone

75 mg/mq IV, days 1-5

Intervention Type DRUG

Prednisone

60 mg/mq IV/PO, days 1-5

Intervention Type DRUG

Epirubicin

50 mg/mq IV, day 1

Intervention Type DRUG

Vinblastine

5 mg/mq IV, day 1

Intervention Type DRUG

Rituximab

375 mg/mq IV, day 1

Intervention Type DRUG

G-CSF

300 µg tot., SC; days 7-11

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Patients with untreated DLBCL aged 66 to 80 years without major accompanying diseases and considered as "non frail".
2. Patients were classified as "non frail" (fit) if they had

* ADL (Activity of Daily Living) score of 6
* less than three grade 3 Cumulative Illness Rating Score for Geriatrics (CIRS-G) co-morbidities and no grade 4 co-morbidities
* absence of geriatric syndrome
3. Patients HIV negativity;
4. Concurrent malignancy;
5. Written Informed Consent.

Exclusion Criteria

* All other patients were classified as "unfit", and were excluded from randomization
Minimum Eligible Age

66 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fondazione Italiana Linfomi - ETS

OTHER

Sponsor Role lead

Responsible Party

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U.O.A. di Ematologia Azienda Ospedaliera S. Maria Nuova

Principal Investigators

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Francesco Merli, MD

Role: STUDY_CHAIR

U.O.A. di Ematologia Azienda Ospedale S. Maria Nuova

Marilena Bertini, MD

Role: STUDY_CHAIR

U.O.A. di Ematologia Ospedale Molinette

Locations

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S.C. di Ematologia, Spedali Civili

Brescia, Brescia, Italy

Site Status

Ospedale di Vigevano

Vigevano, Pavia, Italy

Site Status

Ospedale Garibaldi-Nesima

Catania, , Italy

Site Status

Ospedale civile Divisione di Ematologia

Civitanova Marche (MC), , Italy

Site Status

Ospedale San Sebastiano

Correggio (RE), , Italy

Site Status

Presidio Ospedaliero Annunziata

Cosenza, , Italy

Site Status

Istituto Vito Fazzi

Lecce, , Italy

Site Status

Azienda Ospedaliera Policlinico

Modena, , Italy

Site Status

AO Arcispedale S.Maria Nuova Ematologia

Reggio Emilia, , Italy

Site Status

Ospedale civile DH oncologico

Sassuolo (MO), , Italy

Site Status

Ospedale San Giovanni Battista - Molinette

Torino, , Italy

Site Status

Countries

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Italy

References

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Shi Q, Schmitz N, Ou FS, Dixon JG, Cunningham D, Pfreundschuh M, Seymour JF, Jaeger U, Habermann TM, Haioun C, Tilly H, Ghesquieres H, Merli F, Ziepert M, Herbrecht R, Flament J, Fu T, Coiffier B, Flowers CR. Progression-Free Survival as a Surrogate End Point for Overall Survival in First-Line Diffuse Large B-Cell Lymphoma: An Individual Patient-Level Analysis of Multiple Randomized Trials (SEAL). J Clin Oncol. 2018 Sep 1;36(25):2593-2602. doi: 10.1200/JCO.2018.77.9124. Epub 2018 Jul 5.

Reference Type DERIVED
PMID: 29975624 (View on PubMed)

Merli F, Luminari S, Rossi G, Mammi C, Marcheselli L, Tucci A, Ilariucci F, Chiappella A, Musso M, Di Rocco A, Stelitano C, Alvarez I, Baldini L, Mazza P, Salvi F, Arcari A, Fragasso A, Gobbi PG, Liberati AM, Federico M. Cyclophosphamide, doxorubicin, vincristine, prednisone and rituximab versus epirubicin, cyclophosphamide, vinblastine, prednisone and rituximab for the initial treatment of elderly "fit" patients with diffuse large B-cell lymphoma: results from the ANZINTER3 trial of the Intergruppo Italiano Linfomi. Leuk Lymphoma. 2012 Apr;53(4):581-8. doi: 10.3109/10428194.2011.621565. Epub 2011 Nov 15.

Reference Type DERIVED
PMID: 21895543 (View on PubMed)

Other Identifiers

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IIL ANZINTER3

Identifier Type: -

Identifier Source: org_study_id

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