Rituximab Augmentation Following R-CHOP Induction Chemotherapy in Extremely Elderly Patients With Diffuse Large B Cell Lymphoma

NCT ID: NCT01181999

Last Updated: 2011-09-22

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-08-31

Study Completion Date

2014-09-30

Brief Summary

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Rituximab (R) plus CHOP (cyclophosphamide, doxorubicin, vincristine, and prednisolone) combination is considered as the new gold standard for the first-line treatment of elderly patients with diffuse large B-cell lymphoma (DLBCL).

The study is aimed to evaluate the overall response rate and the safety of four cycles of R-CHOP chemotherapy and followed by rituximab augmentation (weekly four times infusion) in newly diagnosed DLBCL patients with aged more than 70 years.

Detailed Description

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1. Four cycles of R-CHOP chemotherapy for the induction treatment \[Dose intensity of CHOP chemotherapy is modulated according to Charlson Comorbidity Index (CCI)\]

If patients with CCI \<1
* Rituximab: 375 mg/m2, day 1 every 3 weeks.
* Conventional dose of CHOP chemotherapy repeat every 3 weeks.

If patients with CCI ≥1
* Rituximab: 375 mg/m2, day 1 every 3 weeks.
* 75% of conventional CHOP repeat every 3 weeks.
2. Rituximab augmentation

* Rituximab: 375 mg/m2, every week x 4 times.
* Trimethoprim-sulfamethoxazole 1 tablet per day during augmentation

Conditions

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Lymphoma, Large B-cell, Diffuse

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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rituximab

Group Type EXPERIMENTAL

rituximab

Intervention Type DRUG

A dose of 375mg/m2 rituximab will be administered intravenously on day 1 of first to fourth R-CHOP chemotherapy and on day 1, 8, 15, 22 of each augmentation chemotherapy.

Interventions

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rituximab

A dose of 375mg/m2 rituximab will be administered intravenously on day 1 of first to fourth R-CHOP chemotherapy and on day 1, 8, 15, 22 of each augmentation chemotherapy.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Histologically confirmed CD20 positive DLBCL
2. Age ≥ 70
3. Ann Arbor stage II, III and IV
4. No prior chemotherapy or radiotherapy for DLBCL
5. Performance status (Eastern Cooperative Oncology Group) ≤ 2
6. At least one or more bidimensionally measurable lesion(s)

* ≥ 2 cm by conventional computerized tomography (CT)
* ≥ 1 cm by spiral CT
* skin lesion (photographs should be taken) ≥ 2 cm
* measurable lesion by physical examination ≥ 2 cm
7. Cardiac ejection fraction ≥ 50% as measured by echocardiogram without clinically significant abnormalities
8. Adequate renal function: serum creatinine level \< 2 mg/dL (177 μmol/L)
9. Adequate liver functions:
10. Adequate bone marrow functions:

hemoglobin ≥ 9 g/dL absolute neutrophil count ≥ 1,500/μL and platelet count ≥ 75,000/μL, unless abnormalities are due to bone marrow involvement by lymphoma
11. Life expectancy more than 6 months
12. Informed consent

Exclusion Criteria

1. Other subtypes of non-Hodgkin's lymphoma
2. Patients who transformed follicular lymphoma or other indolent lymphoma
3. Primary Central Nervous System (CNS) DLBCL
4. CNS involvement by lymphoma or any evidence of spinal cord compression.
5. Patients with a known history of human immunodeficiency virus (HIV) seropositivity or hepatitis C virus (+).
6. Any other malignancies within the past 5 years except curatively treated non-melanoma skin cancer or in situ carcinoma of cervix uteri
7. Pregnant or lactating women, women of childbearing potential not employing adequate contraception
8. Other serious illness or medical conditions
Minimum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Samsung Medical Center

OTHER

Sponsor Role collaborator

Asan Medical Center

OTHER

Sponsor Role collaborator

Severance Hospital

OTHER

Sponsor Role collaborator

Chonnam National University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Deok-Hwan Yang

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Chonnam National University Hwasun Hosptial

Jeollanam-do, , South Korea

Site Status RECRUITING

Countries

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South Korea

Central Contacts

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Deok-Hwan Yang, M.D. and Ph.D.

Role: CONTACT

82-61-379-7636

Je-Jung Lee, M.D. and Ph.D.

Role: CONTACT

82-61-3797638

Facility Contacts

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Deok-Hwan Yang, M.D. and Ph.D.

Role: primary

82-61-3797636

So-Young Lee, Nurse

Role: backup

82-61-3768090

Other Identifiers

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ML25393

Identifier Type: -

Identifier Source: org_study_id