Trial of Rituximab, Bendamustine (RB) for Patients With Follicular Lymphoma Refractory or Relapsed After Treatment With R-chemotherapy in First Line
Study Phase II Non-randomized Prospective Open to Assess the Combination of Rituximab, Bendamustine (RB) for Patients With Follicular Lymphoma Refractory or Relapsed After Treatment With R-chemotherapy in First Line.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
-
Alicante, Spain
- Hospital G. U. de Alicante
-
Canarias, Spain
- Hospital Insular de Gran Canarias
-
Canarias, Spain
- Hospital U. de Gran Canarias Dr. Negrín
-
Huelva, Spain
- Hospital uan Ramón Jiménez
-
Mallorca, Spain
- Hospital Son Dureta
-
Málaga, Spain
- Hospital Universitario Virgen de La Victoria
-
Pontevedra, Spain
- Complejo Hospitalario de Pontevedra
-
San Sebastian, Spain
- Instituto Oncológico de San Sebastián
-
Sevilla, Spain
- Hospital Virgen de la Macarena
-
Tenerife, Spain
- Hospital Universitario de Canarias
-
Toledo, Spain
- Hospital Virgen de la Salud
-
Valencia, Spain
- Hospital Universitario La Fe
-
Valencia, Spain
- Hospital General de Valencia
-
-
Alicante
-
Elche, Alicante, Spain
- Hospital de Elche
-
-
La Rioja
-
Logroño, La Rioja, Spain
- Hospital San Pedro de La Rioja
-
-
Madrid
-
Majadahonda, Madrid, Spain
- Hospital Universitario Puerta de Hierro Majadahonda
-
-
Malaga
-
Marbella, Malaga, Spain
- Hospital Costa del Sol
-
-
Tarragona
-
Reus, Tarragona, Spain
- Hospital Sant Joan de Reus
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age ≥ 18 years.
- Patients with follicular lymphoma grade 1, 2 or 3a, CD20 +, histologically confirmed lymph node biopsy or tissue.
- Follicular lymphoma patients previously treated with the combination of rituximab and chemotherapy (R-CHOP, R-CVP, R-fludarabine), having received rituximab maintenance, refractory to a first line (excluding radiotherapy) or relapsed after having achieved any response to previous treatment.
- ECOG ≤ 2.
- Signed written informed consent
Exclusion Criteria:
- Clinical suspicion or documentation of histological transformation.
- Patients with hypersensitivity to rituximab.
- Prior autologous or allogeneic transplant.
- CNS infiltration by LF (primary CNS lymphoma or lymphomatous meningitis).
- Past or active Hepatitis B (at least one of the following markers HBsAg, HBe Ag, anti-HBc, HBV DNA).
- HCV infection. HIV infection or other conditions of severe immunosuppression.
- Previous neoplasms except non-melanoma skin cancer of the cervix or adequately treated.
- Congestive heart failure> NYHA grade 1.
- Impaired renal function (creatinine> 1.5 x Upper Limit of Normal, ULN) or creatinine clearance <50 ml / h, not related to lymphoma.
- Impaired liver function (bilirubin, AST / ALT or GGT> 2 x ULN) were not related to lymphoma.
- Women who are nursing or pregnant.
- Patients with heart disease, pulmonary, neurological, psychiatric or severe metabolic and not secondary to lymphoma.
- Severe acute or chronic infection in activity.
- Any other concurrent medical or psychological comorbidity that might interfere with participation in this study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
EXPERIMENTAL: Rituximab and Bendamustine
|
Rituximab: 375 mg/m2/day, day 1 of each cycle, iv.
Bendamustine: 90 mg/m2/day, days1 and 2 fo each cycle, iv.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
the primary endpoint is the complete response and unconfirmed complete response according to the criteria of the International Workshop to Standardize Response Criteria for NHL
Time Frame: Four years
|
Evaluation of response to induction treatment at 6 months after inclusion of the patient.
Evaluation of response to maintenance treatment at 2 years after finishing the induction treatment.
|
Four years
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Secondary endpoint included an assessment of the following parameters:Global Survival,progression-Free survival,Disease-Free Survival,Duration of the Response.
Time Frame: Four years
|
Four years
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (ANTICIPATED)
Primary Completion
Study Completion (ANTICIPATED)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
First Posted
Study Record Updates
Last Update Posted (ESTIMATE)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Immune System Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Lymphoproliferative Disorders
- Lymphatic Diseases
- Immunoproliferative Disorders
- Lymphoma, Non-Hodgkin
- Lymphoma
- Lymphoma, Follicular
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Antirheumatic Agents
- Antineoplastic Agents
- Immunologic Factors
- Antineoplastic Agents, Alkylating
- Alkylating Agents
- Antineoplastic Agents, Immunological
- Bendamustine Hydrochloride
- Rituximab
Other Study ID Numbers
Other Study ID Numbers
- GOTEL/09-01
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