- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00400478
A Multicentre, Randomized Phase III Study of Rituximab as Maintenance Treatment Versus Observation in Patients With Aggressive B-cell Lymphoma: NHL-13
A Multicentre, Randomized Phase III Study of Rituximab as Maintenance Treatment Versus Observation Alone in Patients With Aggressive B-cell Lymphoma: NHL-13
This is a randomized, open label, phase III study to evaluate the ability of rituximab maintenance therapy to prolong event-free survival in aggressive NHL.
Patients will be screened after successful standard induction therapy (CR or Cru following standard R-CHOP-like therapy with 8 infusions of rituximab plus CHOP-like chemotherapy (4-8 cycles). Patients will be followed until an event occurs as defined in the protocol. To evaluate the clinical efficacy of rituximab maintenance therapy as compared to observation in patients with aggressive B-cell Non-Hodgkins lymphoma or follicular lymphoma grade 3b who have achieved a complete remission after appropriate first-line therapy, measured by event-free survival (EFS), 440 patients with DLCBL or follicular NHL grade 3 (220 per arm) will be recruited.
Study Overview
Status
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Phase 3
Contacts and Locations
Study Locations
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Concord, Australia
- Concord Repatriation General Hospital
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Gosford, Australia
- Gosford Hospital
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Greenslopes, Australia
- Greenslopes Hospital
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Sidney, Australia
- Prince of Wales Hospital
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Victoria
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Wodonga, Victoria, Australia
- Border Medical Oncology
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Bregenz, Austria, A-6900
- LKH Bregenz
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Dornbirn, Austria, A-6850
- KH Dornbirn
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Fuerstenfeld, Austria, A-8280
- A.ö. Landeskrankenhaus Fürstenfeld
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Graz, Austria, A-8036
- Universitätsklinikum Graz
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Hohenems, Austria, A-6845
- LKH Hohenems
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Innsbruck, Austria, A-6020
- Universitaetsklinik Innsbruck
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Klagenfurt, Austria, A-9020
- Landeskrankenhaus Klagenfurt
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Leoben, Austria, A-8700
- A.ö. Landeskrankenhaus Leoben
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Linz, Austria, A-4020
- Krankenhaus der Stadt Linz
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Mistelbach, Austria, A-2130
- LKH Weinviertel Mistelbach
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Salzburg, Austria, A-5020
- St. Johanns LK
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Vienna, Austria, A-1140
- Hanusch-Krankenhaus
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Vienna, Austria, A-1160
- Wilhelminenspital
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Vienna, Austria, A-1020
- KH Barmherzige Brüder
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Vienna, Austria, A-1030
- Krankenhaus der Stadt Wien Rudolfsstiftung
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Vienna, Austria, A-1090
- AKH Wien / Hämatologie u. Hämostaseologie
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Vienna, Austria, A-1100
- Kaiser-Franz-Josef-Spital
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Vienna, Austria, A-1130
- Krankenhaus der Stadt Wien Lainz
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Vienna, Austria, A-1220
- Sozialmedizinisches Zentrum Ost - Donauspital
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Villach, Austria, A-9500
- LKH Villach
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Voecklabruck, Austria, A-4840
- LKH Vöcklabruck
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Waidhofen, Austria, A-3830
- KH Waidhofen/Thaya
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Zams, Austria, A-6511
- BKH Zams
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Burgenland
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Oberpullendorf, Burgenland, Austria, A-7350
- Krankenhaus Oberpullendorf
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Oberwart, Burgenland, Austria, A-7400
- Krankenhaus Oberwart
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Niederoesterreich
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St. Poelten, Niederoesterreich, Austria, A-3100
- A.ö. Krankenhaus der Landeshauptstadt St. Pölten
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Wr. Neustadt, Niederoesterreich, Austria, A-2770
- A.ö. Krankenhaus der Statutarstadt Wr. Neustadt
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Oberoesterreich
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Linz, Oberoesterreich, Austria, A-4010
- Krankenhaus d. Barmherzigen Schwestern Linz
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Linz, Oberoesterreich, Austria, A-4010
- Krankenhaus der Elisabethinen Linz
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Ried, Oberoesterreich, Austria, A-4910
- KH Barmherzige Schwestern Ried
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Oberösterreich
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Wels, Oberösterreich, Austria, A-4600
- Klinikum Kreuzschwestern Wels GmbH
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Steiermark
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Steyr, Steiermark, Austria, A-4400
- A.ö. Landeskrankenhaus Steyr
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Tirol
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Endach, Tirol, Austria, A-6330
- Bezirkskrankenhaus Kufstein
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Hall, Tirol, Austria, A-6060
- A.oe.Bezirkskrankenhaus Hall
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Innsbruck, Tirol, Austria, A-6020
- Universitätsklinik Innsbruck/ Klinik für Innere Medizin
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Vorarlberg
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Feldkirch, Vorarlberg, Austria, A-6806
- Landeskrankenhaus Feldkirch
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Sarajevo, Bosnia and Herzegovina, 71 000
- Clinical Centre University Sarajevo
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Tuzla, Bosnia and Herzegovina, 75000
- University Center Tuzla
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Goiania, Brazil
- Centro Goiano de Oncologia
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Salvador, Brazil
- Hospital Santa Izabel
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Sao Paolo, Brazil
- Hospital das Clinicas FMUSP
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Sao Paolo, Brazil
- Hospital deas Clinical FMUSP
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Plovdiv, Bulgaria
- UMHAT "St. George" Plodviv
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Sofia, Bulgaria
- Nat. Centre of Hematology and Transfusiology Sofia
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Varna, Bulgaria
- MHAT "St. Marina" Varna
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Bejing, China
- Chinese PLA General Hospital
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Chengdu, China
- West China Hospital of Sichuan University
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Harbin, China
- Harbin Institue
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Nanjing, China
- Jiangsu Cancer Hospital
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Shanghai, China
- Changhai Hospital
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Shanghai, China
- Shanghai Ruijin Hospital
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Zagreb, Croatia
- Clinical Hospital Dubrava
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Zagreb, Croatia
- Clinical Hopital Center Zagreb
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Zagreb, Croatia
- Clinicall Hospital "Merkur"
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Boskovice, Czech Republic
- Nemocnice Boskovice s.r.o.
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Brno, Czech Republic
- Faculty hospital Brno
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Kralove, Czech Republic
- Univ. Hospital and Med. School Hradec Kralove
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Novi Jicin, Czech Republic
- Onkologicke Centrum J.G. Mendela
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Olomouc, Czech Republic
- Fakultni nemocnice Olomouc
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Opava, Czech Republic
- Hospital Opava
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Ostrava-Poruba, Czech Republic
- Fakultni Nemocnice Ostrava
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Prague, Czech Republic
- Faculty Hospital Binohrady FNKV
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Praha, Czech Republic
- Charles University Hospital
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Praha, Czech Republic
- University Hospital Motol
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Usti nad Labem, Czech Republic
- RTO MN Usti n. Labem
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Tallin, Estonia, 12915
- North Estonian Regional Hospital
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Tartu, Estonia, 15014
- Tartu University Hospital
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Hong Kong, Hong Kong
- Queen Mary Hospital
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Hong Kong, Hong Kong
- Tuen Mun Hospital
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Beer Sheva, Israel
- Soroka Medical Centre
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Haifa, Israel
- Rambam Medical Centre
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Petah-Tikva, Israel
- Rabin Medical Centre
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Rehovot, Israel
- Kaplan Medical Centre
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Riga, Latvia
- Riga Hematology Center
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Skopje, Macedonia, The Former Yugoslav Republic of
- Clinical Centre Skopje
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Ampang, Malaysia
- Hospital Ampang
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Kuala Lumpur, Malaysia
- Hospital University Kebangsaan Malaysia
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Leon, Mexico
- ISSSTE Hospital Regional de Leon
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Mexico City, Mexico
- Hospital General de México
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Mexico City, Mexico
- Hospital Español de Mexico
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Mexico City, Mexico
- Instituto National de Cancerologia
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Monterrey, Mexico
- Hospital Regional Monterrey, ISSTE
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Puebla, Mexico
- ISSSTEP Puebla
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Arequipa, Peru
- Hospital Carlso alberto seguin escobedo Arequipa
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Callao, Peru
- Hospital Alberto Sabogal sooguren Callao
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Bucharest, Romania, 22328
- Coltea Hospital
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Bucharest, Romania
- Coltea Hospital
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Bucharest, Romania
- University Emergency Center Bucharest
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Targu Mures, Romania
- Clinic Judatean de Urgenta Brasov
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Targu Mures, Romania
- Emergency County Clinical Hospital
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Belgorod, Russian Federation, 308007
- Belgorod Regional Clinical Hospital
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Moscow, Russian Federation, 115478
- Moscow Regional Clinical Research Institute
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Moscow, Russian Federation, 125101
- Botkin City Clinical Hospital
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Novgorod, Russian Federation, 603126
- Novgorod Regional Clinical Hospital
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St. Petersburg, Russian Federation, 194291
- Leningrad regional Cliniacal Hospital
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St. Petersburg, Russian Federation, 197089
- SPB Pavlov State Medical University
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Ufa, Russian Federation, 450054
- Republican Clinic Oncology Dispensary
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Belgrade, Serbia, 11000
- Clinical Centre of Serbia
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NIs, Serbia, 18000
- Clinical Centre Nis
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Novisad, Serbia, 11000
- Clinical Centre Novi Sad
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Sremska Kamenica, Serbia, 21204
- Institute of Oncology Sremska Kamenica
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Bratislava, Slovakia
- National Cancer Institut Bratislava
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Bratislava, Slovakia
- OUSA Bratislava
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Kosice, Slovakia
- Východoslovenský onkolgický ústav
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Martin, Slovakia
- Martinská fakultná nemocnima
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Ljubljana, Slovenia, 1100
- Institut of oncology Ljubljana
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Pietremarizburg, South Africa
- Hopelands Cancer Centre
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Pretoria, South Africa
- Wilgers Oncology Centre
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Falun, Sweden, 79182
- Falun hospital
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Lulea, Sweden, 97180
- Sunderby Hospital
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Sundsvall, Sweden, 85186
- Sundsvall Hospital
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Uddevalla, Sweden, 45180
- Uddevalla Hospital
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Kaohsiung, Taiwan, 807
- Kaohsiung Medical University Hospital
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Taipei, Taiwan, 112
- Taipei Veterans General Hospital
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Taipei, Taiwan
- Taichung Veterans General Hospital
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Bangkok, Thailand
- Ramathibodi Hospital
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Bangkok, Thailand
- King Chulalongkorn Memorial Hospital
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Bangkok, Thailand
- Phramongkutklao college of medicine
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Bangkok, Thailand
- Siriray Hospital
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Chiang Mai, Thailand
- Chiang Mai University
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Khon kaen, Thailand
- Srinagarind Hospital
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Songkla, Thailand
- Songklanagrarind Hospital
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Ankara, Turkey, 06620
- Ankara University, School of Medicine
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Eskisehir, Turkey, 26480
- Osmangazi Univ. school of Medicine
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Gaziantep, Turkey, 27310
- Gaziantep University School of Medicine
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Kayseri, Turkey, 38039
- Ericyes Univ. Med. School
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- 4 to 8 cycles R-CHOP/like, total of 8x Rituximab
- CR, CRu
- ECOG/ 0.1 or 2
- Known IPI at time of diagnosis
- Age > 18 years
- Negative pregnancy test
- Men must agree not to father a child during the therapy
Exclusion Criteria:
- Transformed lymphoma
- Secondary malignancy
- Evidence of CNS - involvement
- Significant cardiac disease
- Creatinine > 2.0 mg/dl
- HIV, Hepatitis positive
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
ACTIVE_COMPARATOR: A
Treatment
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Rituximab 375mg/m2 i every 8 weeks for two years (12 infusions)
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NO_INTERVENTION: B
Observation
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
event free survival
Time Frame: 4 years
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4 years
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
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progression free survival, overall survival and safety
Time Frame: four years
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four years
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Ulrich Jaeger, Prof. Dr., Medical University of Vienna
Publications and helpful links
General Publications
- Jaeger U, Trneny M, Melzer H, Praxmarer M, Nawarawong W, Ben Yehuda D, Goldstein D, Mihaljevic B, Ilhan O, Ballova V, Hedenus M, Hsiao LT, Au WY, Burgstaller S, Weidinger G, Keil F, Dittrich C, Skrabs C, Klingler A, Chott A, Fridrik MA, Greil R; AGMT-NHL13 Investigators. Rituximab maintenance for patients with aggressive B-cell lymphoma in first remission: results of the randomized NHL13 trial. Haematologica. 2015 Jul;100(7):955-63. doi: 10.3324/haematol.2015.125344. Epub 2015 Apr 24.
- Jaeger U, Praxmarer M, Greil R; AGMT-NHL13 investigators. Response to comment by P. Vassilakopoulos and colleagues. Haematologica. 2015 Nov;100(11):e482. doi: 10.3324/haematol.2015.134288. No abstract available.
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
- Immune System Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Lymphoproliferative Disorders
- Lymphatic Diseases
- Immunoproliferative Disorders
- Lymphoma, Non-Hodgkin
- Lymphoma
- Lymphoma, B-Cell
- Lymphoma, Large B-Cell, Diffuse
- Physiological Effects of Drugs
- Antirheumatic Agents
- Antineoplastic Agents
- Immunologic Factors
- Antineoplastic Agents, Immunological
- Rituximab
Other Study ID Numbers
- NHL-13 (ML18223)
Plan for Individual participant data (IPD)
Study Data/Documents
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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