Intergroup Trial for Children or Adolescents With Primary Mediastinal Large B-Cell Lymphoma: DA-EPOCH-Rituximab Evaluation

NCT ID: NCT01516567

Last Updated: 2021-03-18

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

47 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-04-01

Study Completion Date

2021-12-31

Brief Summary

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Phase II trial to determine the efficacy of Dose Adjusted-EPOCH-Rituximab regimen in children and adolescent with primary mediastinal large B cell lymphoma in terms of event free survival.

Detailed Description

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Conditions

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Primary Mediastinal Large B Cell Lymphoma

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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DA-EPOCH-R

6 courses of Dose Adjusted-EPOCH-Rituximab

Group Type EXPERIMENTAL

Etoposide, Doxorubicin, Vincristine, Cyclophosphamide, Rituximab

Intervention Type DRUG

6 courses of Dose Adjusted-EPOCH-Rituximab Rituximab 375 mg/m² i.v.: one injection at each of the 6 courses of EPOCH.

Interventions

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Etoposide, Doxorubicin, Vincristine, Cyclophosphamide, Rituximab

6 courses of Dose Adjusted-EPOCH-Rituximab Rituximab 375 mg/m² i.v.: one injection at each of the 6 courses of EPOCH.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Histologically proven Primary Mediastinal Large B-Cell Lymphoma (PMLBL).
* PMLBL without central nervous system (CNS) involvement.
* 6 months to less than 18 years of age at the time of consent.
* Males and females of reproductive potential must agree to use an effective contraceptive method during the treatment, and after the end of treatment: during twelve months for women, taking into account the characteristics of rituximab
* Complete initial work-up within 8 days prior to treatment that allows definite staging.
* Able to comply with scheduled follow-up and with management of toxicity.
* Signed informed consent from patients and/or their parents or legal guardians

Exclusion Criteria

* Follicular lymphoma, mucosa-associated lymphoid tissue (MALT) and nodular marginal zone
* PMLBL patients with CNS involvement
* Patients with congenital immunodeficiency, chromosomal breakage syndrome, prior organ transplantation, previous malignancy of any type, or known positive HIV serology.
* Evidence of pregnancy or lactation period.
* Past or current anti-cancer treatment except corticosteroids during less than one week.
* Tumor cell negative for CD20
* Prior exposure to rituximab.
* Severe active viral infection, especially hepatitis B.
* Hepatitis B carrier status history of hepatitis B virus (HBV) or positive serology.
* Participation in another investigational drug clinical trial.
* Patients who, for any reason, are not able to comply with the national legislation.
Minimum Eligible Age

6 Months

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Children's Oncology Group

NETWORK

Sponsor Role collaborator

Gustave Roussy, Cancer Campus, Grand Paris

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Catherine PATTE, MD

Role: STUDY_CHAIR

Institut Gustave Roussy, Villejuif, FRANCE

Thomas GROSS, MD

Role: STUDY_CHAIR

Children's Oncology Group, USA

Locations

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University Hospitals Leuven

Leuven, , Belgium

Site Status

Children Oncology Group Operations centres

Monrovia, , Canada

Site Status

Gustave Roussy

Villejuif, , France

Site Status

2nd Dept. of Pediatrics Semmelweis Univ.

Budapest, , Hungary

Site Status

Associazione Italiana di Ematologia ed Oncologia Pediatrica

Padua, , Italy

Site Status

Emma Children's Hospital

Amsterdam, , Netherlands

Site Status

Rectorat of Medical University

Wroclaw, , Poland

Site Status

Sociedad Española de Hematología y Oncología Pediátricas

Valencia, , Spain

Site Status

University of Birmingham

Birmingham, , United Kingdom

Site Status

Countries

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Belgium Canada France Hungary Italy Netherlands Poland Spain United Kingdom

References

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Burke GAA, Minard-Colin V, Auperin A, Alexander S, Pillon M, Delgado R, Zsiros J, Uyttebroeck A, Dartigues P, Miles RR, Kazanowska B, Chiang AK, Haouy S, Bollard CM, Csoka M, Wheatley K, Barkauskas DA, Adamson PC, Vassal G, Patte C, Gross TG. Dose-Adjusted Etoposide, Doxorubicin, and Cyclophosphamide With Vincristine and Prednisone Plus Rituximab Therapy in Children and Adolescents With Primary Mediastinal B-Cell Lymphoma: A Multicenter Phase II Trial. J Clin Oncol. 2021 Nov 20;39(33):3716-3724. doi: 10.1200/JCO.21.00920. Epub 2021 Sep 27.

Reference Type DERIVED
PMID: 34570655 (View on PubMed)

Related Links

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http://www.igr.fr

Institute Gustave Roussy web site

Other Identifiers

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2010-019224-31

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

Inter B-NHL Ritux 2010 Phase 2

Identifier Type: -

Identifier Source: org_study_id

NCT01595048

Identifier Type: -

Identifier Source: nct_alias

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