- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00268853
A Trial in Patients With Diffuse Large-B-cell Lymphoma Comparing Pixantrone Against Doxorubicin (RAPID)
Cyclophosphamide, Doxorubicin, Vincristine, Prednisone Plus Rituximab (CHOP-R) and Cyclophosphamide, Pixantrone, Vincristine, Prednisone Plus Rituximab (CPOP-R) in Patients With Diffuse Large-B-cell Lymphoma: A Phase II, Randomized, Multicenter, Comparative Trial
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
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Halifax, Canada, NS B3H 1V8
- Queen Elizabeth II HSC
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Ontario
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London, Ontario, Canada, N6A4L6
- London Health Science Center Regional Care Program
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Ottawa, Ontario, Canada, K1H8L6
- The Ottawa Hospital
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Nantes, France, 44000
- Chu Hotel Dieu
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Strasbourg, France, 67200
- Hopitaux Universitaires de Strabourg - Hopital Hautepierre
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Dresden, Germany, 01307
- Universitaetsklinikum Carl Gustav Carus
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Duesseldorf, Germany, 40225
- Universitaetsklinikum Duesseldorf
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Koeln, Germany, 50924
- Klinikum der Universitaet zu Koeln
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Nuernberg, Germany, 90419
- Klinikum Nurnberg Nord - Medizinische
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Wuerzburg, Germany, 97080
- Universitaetsklinikum Wuerzburg
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Bologna, Italy, 40138
- Instituto di Ematologia "Lorenzo e Ariosto"
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Firenze, Italy, 50139
- Azienda Ospedaliera Careggi
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Mestre, Italy, 30173
- Farmacia Osepdaliera, Odpedale Umberto I
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Palermo, Italy, 90146
- Ospedal V. Cervello
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Roma, Italy, 00161
- Uiversita La Sapienza
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Siena, Italy, 53100
- Policlinico S. Maria alle Scotte
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Udine, Italy, 33100
- Ospedale Civile
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California
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Concord, California, United States, 94520
- Bay Medical Oncology & Hematology
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Hollister, California, United States, 95020
- Hazel Hawkins Hospital, Dept. of Medical Oncology
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La Jolla, California, United States, 92093
- UCSD Moore's Cancer Center-Blood & Marrow Transplantation Division
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Loma Linda, California, United States, 92354
- Loma Linda University Medical Center
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Orange, California, United States, 92868
- Hematology/Oncology Group of Orange County
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San Diego, California, United States, 92123
- Sharp Memorial Hospital
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Colorado
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Denver, Colorado, United States, 80218
- Rocky Mountain Cancer Center
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Florida
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Boca Raton, Florida, United States, 33486
- The Center of Hematology and Oncology
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Ft. Lauderdale, Florida, United States, 33308
- Broward Oncology Associates
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Kissimmee, Florida, United States, 34741
- Osceola Cancer Center
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Lakeland, Florida, United States, 33805
- Watson Clinic
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Lakeland, Florida, United States, 33805
- Watson Clinic for Cancer Care and Research
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Pembroke Pines, Florida, United States, 33028
- Memorial Cancer Institute
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Port St. Lucie, Florida, United States, 34952
- Hematology Oncology Associates of the Treasure Coast
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Tamarac, Florida, United States, 33321
- Oncology Hematology Associates of West Broward
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Tampa, Florida, United States, 33607
- Hematology Oncology Specialists
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Georgia
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Columbus, Georgia, United States, 31904
- John B. Amos Cancer Center
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Columbus, Georgia, United States, 39101
- Columbus Clinic
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Illinois
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Gurnee, Illinois, United States, 60031
- Oncology Hematology of Northern Illinois
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Normal, Illinois, United States, 61761
- Mid-Illinois Hematology & Oncology Associates
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Kentucky
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Louisville, Kentucky, United States, 40207
- Consultants in Blood Disorders and Cancer
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Paducah, Kentucky, United States, 42003
- Western Kentucky Hematology/Oncology Group
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Louisiana
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Baton Rouge, Louisiana, United States, 70808
- Our Lady of the Lake Regional Medial Center, Hematology Oncology
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Maryland
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Baltimore, Maryland, United States, 21204
- Greater Baltimore Medical Center
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Baltimore, Maryland, United States, 21237
- Maryland Hematology/Oncology Associates, PA
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Bethesda, Maryland, United States, 20817
- Center for Cancer and Blood Disorders, P.C.
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Frederick, Maryland, United States, 21701
- Frederick Memorial Hospital Cancer Center
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Massachusetts
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Boston, Massachusetts, United States, 02111
- Tufts-New England Medical Center-The Neely Ctr for Clinical Cancer Research
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Minnesota
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Robbinsdale, Minnesota, United States, 55422
- Hubert H Humphrey Cancer Center
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Mississippi
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Tupelo, Mississippi, United States, 38801
- North Missssppi Hematology Oncology Associates
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Missouri
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Jefferson City, Missouri, United States, 65109
- Capital Comprehensive Cancer Care
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Nebraska
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Lincoln, Nebraska, United States, 68510
- Southeast Nebraska Hematology and Oncology Consultants, P.C.
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Nevada
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Las Vegas, Nevada, United States, 89135
- Nevada Cancer Institute
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New Mexico
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Albuquerque, New Mexico, United States, 87109
- New Mexico Hematology/Oncology Consultants
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New York
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Bronx, New York, United States, 10466
- Our Lady of Mercy Medical Center
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Bronx, New York, United States, 10461
- Jacobi Medical Center Phase I Oncology
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New Albany, New York, United States, 47150
- Cancer Care Center
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New York City, New York, United States, 10019
- St. Luke's Roosevelt Hospital
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Rochester, New York, United States, 14623
- Interlake Foundation, Inc.
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North Carolina
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Durham, North Carolina, United States, 27710
- Duke University Medical Center
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Greenville, North Carolina, United States, 27858
- Brody School of Medicine at East Carolina University - Leo W. Jenkins Cancer Center
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North Dakota
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Bismark, North Dakota, United States, 58501
- Cancer Treatment & Research Mid-Dakota Clinic
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Ohio
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Akron, Ohio, United States, 44304
- Summa Health Systems Hospitals
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Barberton, Ohio, United States, 44203
- Barberton Citizen's Hospital
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Cincinnati, Ohio, United States, 45257
- Oncology Partners Network
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Dayton, Ohio, United States, 45429
- Dayton Clinical Oncology Program
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Oregon
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Portland, Oregon, United States, 97227
- Northwest Kaiser Permanente
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Pennsylvania
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Reading, Pennsylvania, United States, 19612
- Berks Hematology-Oncology Associates Ltd.
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South Carolina
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Charleston, South Carolina, United States, 29406
- Charleston Cancer Center
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Mount Pleasant, South Carolina, United States, 29464
- Low County Hematology & Oncology
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Tennessee
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Collierville, Tennessee, United States, 38017
- The Family Cancer Center
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Knoxville, Tennessee, United States, 37916
- Thompson Cancer Survival Center
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Nashville, Tennessee, United States, 37203
- Sarah Cannon Cancer Center
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Texas
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Austin, Texas, United States, 78705
- Southwest Regional Cancer Center
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Dallas, Texas, United States, 75234
- Texas Hematology Oncology Center
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Fort Worth, Texas, United States, 76104
- The Center for Cancer and Blood Disorders
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Utah
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Ogden, Utah, United States, 84403
- Northern Utah Hematology Oncology, P.C.
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Washington
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Tacoma, Washington, United States, 98405
- Multicare Oncology Hematology Specialists
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Previously untreated and histologically confirmed diffuse large B-cell lymphoma according to REAL/WHO classification.
- Stage II, III or IV disease
- CD20+
- Age ≥ 18 years
- ECOG performance status ≤ 2
At least one objectively bidimensionally measurable lesion as demonstrated by CT, spiral CT, or MRI that can be followed for response as target lesion. Patients with the following sites of disease are NOT eligible:
- Patients with only skin lesions or only palpable lymph nodes.
- Patients with spleen or bone marrow as only site of disease.
- Life expectancy ≥ 3 months
- Serum bilirubin ≤ 1.5 x the institution's upper limit normal (ULN) and creatinine ≤ 2.0 ULN and AST or ALT ≤ 2.0 x the institution's ULN. If hepatic involvement by lymphoma is present, AST or ALT may be ≤ 5.0 x the institution's ULN.
- LVEF ≥ 50% determined by MUGA scan.
- Ability to comply with the visit schedule and assessments required by the protocol.
- Signed approved informed consent, with understanding of study procedures.
Exclusion Criteria:
- Any prior chemotherapy (except intrathecal chemotherapy at diagnosis and pretreatment corticosteroid therapy) or radiotherapy: Patients may receive corticosteroid pretreatment therapy for up to 7 days after randomization, pending Investigator's decision to reduce tumor burden.
- Histological diagnosis of T-cell lymphoma or any B-cell lymphoma other than diffuse large B-cell.
- History of indolent lymphoma
- Active CNS involvement based on clinical evaluation .
- HIV-related lymphoma.
- Major thoracic and/or abdominal surgery within the 4 weeks before randomization from which the patient has not fully recovered except for diagnosis of NHL. Patients who have had minor surgery may be enrolled after a ≥ 1 week recovery period except for diagnosis of NHL.
- Clinically significant cardiovascular abnormalities
- Serious (NCI CTCAE grade 3-4) intercurrent infection at randomization or deep seated or systemic mycotic infections.
- Clinical symptoms suggesting unresolved HIV, HBV or HCV infection. Patients with seropositivity presumed to be due to prior vaccination against Hepatitis B virus or resolved infection will not be excluded.
- Active or history of another malignancy except cured basal cell carcinoma of skin or carcinoma in situ of uterine cervix. Patients who have been in remission from another previous malignancy for >5 years will be considered eligible.
- Known hypersensitivity to the excipients or the study drugs that the patient will receive.
- Any contraindications to the study drugs as described in the Summary of Product Characteristics or package inserts. 13. Neurological contraindication to vincristine (e.g. peripheral neuropathy).
14. Any condition which, in the judgment of the Investigator, would place the subject at undue risk, interfere with the results of the study, or make the subject otherwise unsuitable. 15. General status that, in the opinion of the Investigator does not permit the administration of eight courses of CHOP-R/CPOP-R. 16. Treatment with any other investigational study drug within 30 days before randomization. Patient must have recovered from all side effects of other investigational therapy. 17. Potentially fertile men and women and their sexual partners not willing to use adequate contraception as defined by the Investigator during the study and for 6 months after the last day of study drug administration.
18. Any circumstance at the time of study entry that would preclude completion of the study or the required follow-up.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: 1
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Cyclophosphamide 750 mg/m2, pixantrone 150 mg/m2, vincristine 1.4 mg/m2, rituximab 375 mg.m2 on Day 1 of a 21 day cycle, for 8 cycles Prednisone 100 mg/day on Day 1-5 of a 21 day cycle for 8 cycles
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Active Comparator: 2
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Cyclophosphamide 750 mg/m2, doxorubicin 50 mg/m2, vincristine 1.4 mg/m2, rituximab 375 mg.m2 on Day 1 of a 21 day cycle, for 8 cycles Prednisone 100 mg/day on Day 1-5 of a 21 day cycle for 8 cycles
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
The primary objective is to show that the response rate for CPOP-R is not inferior to that of CHOP-R.
Time Frame: Subjects followed for 5 years post treatment
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Subjects followed for 5 years post treatment
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
The secondary objective is to compare the overall survival, event free survival and cardiac safety of the 2 treatments. Other comparisons will include duration of response, overall objective response rate, and time to treatment failure (TTF).
Time Frame: Subjects followed for 5 years post treatment
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Subjects followed for 5 years post treatment
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Collaborators and Investigators
Sponsor
Investigators
- Study Director: Gabor Jurida, M.D., CTI BioPharma
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- PIX203
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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