Bendamustine, Gemcitabine and Vinorelbine (BeGEV) as Induction Therapy in Relapsed/Refractory Hodgkin's Lymphoma Patients

NCT ID: NCT01884441

Last Updated: 2014-01-29

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

59 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-07-31

Study Completion Date

2016-07-31

Brief Summary

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Test of bendamustine in combination with gemcitabine and vinorelbine could contribute to a higher response rate with the reduction of toxic side effects

Detailed Description

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The aim of this study is to evaluate bendamustine, gemcitabine and vinorelbine (BeGEV) scheme efficacy as induction therapy to high dose chemotherapy with Allogeneic Hematopoietic Stem-Cell Transplantation (AHSCT) for patients with relapsed/refractory Hodglin's Lymphoma (HL).

Four BeGEV courses repeated every 3 weeks in the absence of any reasons listed in the paragraph 7.5; whenever an objective response is observed at disease evaluation performed after IV cycle patients undergo to high dose chemotherapy with AHSCT (conditioning regimens based on preference of each Centre).

Conditions

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Hodgkin's 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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BeGEV

Bendamustine, Gemcitabine and Vinorelbine (BeGEV)

Group Type EXPERIMENTAL

Bendamustine

Intervention Type DRUG

Schedule:

Day 2: Bendamustine 90mg/mq Day 3: Bendamustine 90mg/mq for a maximum of 4 cycles

Gemcitabine

Intervention Type DRUG

Day 1: Gemcitabine 800mg/mq, Day 4: Gemcitabine 800mg/mq for a maximum of 4 cycles

Vinorelbine

Intervention Type DRUG

Day 1 Vinorelbine 20mg/mq for a maximum of 4 cycles

Interventions

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Bendamustine

Schedule:

Day 2: Bendamustine 90mg/mq Day 3: Bendamustine 90mg/mq for a maximum of 4 cycles

Intervention Type DRUG

Gemcitabine

Day 1: Gemcitabine 800mg/mq, Day 4: Gemcitabine 800mg/mq for a maximum of 4 cycles

Intervention Type DRUG

Vinorelbine

Day 1 Vinorelbine 20mg/mq for a maximum of 4 cycles

Intervention Type DRUG

Other Intervention Names

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Ribomustin Gemzar Navelbine

Eligibility Criteria

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Inclusion Criteria

* relapsed/refractory disease after receiving one line of standard chemotherapy
* history of classical Hodgkin's Lymphoma (HL)
* Eastern Cooperative Oncology Group (ECOG) performance status of ≤ 2
* at least one site of measurable nodal disease at baseline ≥ 1.5 cm
* Absolute Neutrophils Count (ANC) ≥ 1.5 x 109/L; Platelets count ≥ 75 x 109/L

Exclusion Criteria

* Diagnosis of Nodular lymphocyte predominant Hodgkin's lymphoma (NLPHL)
* prior radiation therapy ≤ 3 weeks prior to start of study treatment
* any concurrent anti-cancer therapy
* evidence of another malignancy not in remission or history of such a malignancy within the last 2 years.
* aspartate aminotransferase (AST/SGOT) and/or alanine aminotransferase (ALT/SGPT) ≥ 2.5 x upper limit of normal (ULN) or ≥ 5.0 x ULN if the transaminase elevation is due to disease involvement
* known history of Human immunodeficiency virus (HIV)seropositivity
* hepatitis B virus (HBV) or hepatitis B virus (HCV)active hepatitis
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Armando Santoro, MD

OTHER

Sponsor Role lead

Responsible Party

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Armando Santoro, MD

MD

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Armando Santoro, MD

Role: PRINCIPAL_INVESTIGATOR

Istituto Clinico Humanitas

Locations

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Istituto Clinico Humanitas

Rozzano, MI, Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Armando Santoro, MD

Role: CONTACT

+39 (0)2 8224 ext. 4080

Rita Mazza, MD

Role: CONTACT

+39 (0)2 8224 ext. 4780

Facility Contacts

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Armando Santoro, MD

Role: primary

+39 (0)2 8224 ext. 4080

Rita Mazza, MD

Role: backup

+39 (0)2 8224 ext. 4780

References

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Santoro A, Mazza R, Pulsoni A, Re A, Bonfichi M, Zilioli VR, Zanni M, Merli F, Anastasia A, Luminari S, Annechini G, Gotti M, Peli A, Liberati AM, Di Renzo N, Castagna L, Giordano L, Ricci F, Carlo-Stella C. Five-year results of the BEGEV salvage regimen in relapsed/refractory classical Hodgkin lymphoma. Blood Adv. 2020 Jan 14;4(1):136-140. doi: 10.1182/bloodadvances.2019000984.

Reference Type DERIVED
PMID: 31935284 (View on PubMed)

Santoro A, Mazza R, Pulsoni A, Re A, Bonfichi M, Zilioli VR, Salvi F, Merli F, Anastasia A, Luminari S, Annechini G, Gotti M, Peli A, Liberati AM, Di Renzo N, Castagna L, Giordano L, Carlo-Stella C. Bendamustine in Combination With Gemcitabine and Vinorelbine Is an Effective Regimen As Induction Chemotherapy Before Autologous Stem-Cell Transplantation for Relapsed or Refractory Hodgkin Lymphoma: Final Results of a Multicenter Phase II Study. J Clin Oncol. 2016 Sep 20;34(27):3293-9. doi: 10.1200/JCO.2016.66.4466. Epub 2016 Jul 5.

Reference Type DERIVED
PMID: 27382096 (View on PubMed)

Other Identifiers

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2010-022169-91

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

ONC-2010-002

Identifier Type: -

Identifier Source: org_study_id

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