- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01686321
Rituximab and Bendamustine in Very Elderly Patients or Elderly Medically Non Fit Patients With Aggressive B-cell Lymphoma (B-R-ENDA)
December 27, 2018 updated by: Lorenz, Trümper, MD, University of Göttingen
Subcutaneous Rituximab and Intravenous Bendamustine in Very Elderly Patients or Elderly Medically Non Fit Patients ("Slow Go") With Aggressive CD20-positive B-cell
Bendamustine is a well tolerable and very active agent in the treatment of Non Hodgkin's lymphoma.
However, in particular in aggressive B-cell lymphoma, only very few, small studies have investigated the role of bendamustine in the treatment algorithm.
The aim of the current B-R-ENDA trial is to investigate efficacy and toxicity of the combination treatment of bendamustine and subcutaneous rituximab in old patients or in elderly patients with high comorbidity who do not qualify for a CHOP like treatment.
The results of this study will form the basis of a larger, prospective randomized phase III trial.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
Bendamustine is a well tolerable and very active agent in the treatment of Non Hodgkin's lymphoma.
However, in particular in aggressive B-cell lymphoma, only very few, small studies have investigated the role of bendamustine in the treatment algorithm.
The aim of the current B-R-ENDA trial is to investigate efficacy and toxicity of the combination treatment of bendamustine and subcutaneous rituximab in old patients or in elderly patients with high comorbidity who do not qualify for a CHOP like treatment.
The results of this study will form the basis of a larger, prospective randomized phase III trial.
Study Type
Interventional
Enrollment (Actual)
68
Phase
- Phase 2
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
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Göttingen, Germany, 37075
- Prof. Trümper
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
60 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Histology: Diagnosis of aggressive CD20+, confirmed by an excisional biopsy of a lymph node or by a sufficiently extensive biopsy of an extranodal involvement if there is no lymph node involvement. It will be possible to treat the following entities in this study as defined by the new WHO classification of 2008: B-NHL, Follicular lymphoma grade IIIb,DLBCL, not otherwise specified (NOS),common morphologic variants: centroblastic,immunoblastic,anaplastic,rare morphologic variants.DLBCL subtypes/entities:T cell/histiocyte rich large B-cell lymphoma, primary cutaneous DLBCL, leg type, EBV-positive DLBCL of the elderly, DLBCL associated with chronic inflammation, primary mediastinal (thymic) large B-cell lymphoma, intravascular large B-cell lymphoma,ALK-positive large B-cell lymphoma, Plasmoblastic lymphoma, Primary effusion lymphoma, B-cell lymphoma, unclassifiable, with features inter¬mediate between diffuse large B-cell lymphoma and Burkitt lymphoma, B-cell lymphoma, unclassifiable, with features inter¬mediate between diffuse large B-cell lymphoma and Hodgkin lymphoma
- Stage: Any stages according to Ann Arbor Classification
- Risk group: All risk groups (IPI 1 to 5)
- Life expectancy Life expectancy of at least 6 weeks, when lymphoma is treated
- Age: Age elder than 81 or Age 61 to 80 and CIRS >6 not qualifying for CHOP-therapy
- Gender: any
- Performance status: Performance status ECOG 0 - 3. The performance status of each patient is to be assessed at the time of registration which might be after the initiation of pre-phase treatment which, as experience has shown, can result in a significant improvement of the patient´s performance status. A definition of the performance status is provided in Appendix 25.6
- Ability to give informed consent
- Written informed consent of the patient
- Contract of participation signed by the study center and sponsor
Exclusion Criteria:
- Already initiated lymphoma therapy (except for the prephase treatment until first application of rituximab)
- Serious accompanying disorder or impaired organ function (except when due to lymphoma involvement), in particular: Heart: angina pectoris CCS >2, cardiac failure NYHA >3; Lungs: the patient is to be excluded if the resultant pulmonary function test shows FEV1<50% or a diffusion capacity <50% of the reference values: Calculated creatinin clearance < 10 ml/min (Cockcroft-Gault); Liver: total bilirubin > 3 mg/dl; Uncontrollable diabetes mellitus (because of prephase treatment with prednisone!)
- Platelets <100 000/mm3, leukocytes <2500/mm3 (if not due to lymphoma)
- Known hypersensitivity to the medications to be used
- HIV-positivity
- Acute or chronic active hepatitis
- Poor patient compliance
- Simultaneous participation in other treatment studies
- Prior chemo- or radiotherapy, long-term use of corticosteroids or anti-neoplastic drugs for previous disorder
- Other concomitant tumor disease and/or tumor disease in the past 5 years (except basalioma of the skin and carcinoma in situ)
- CNS involvement of lymphoma (intracerebral, meningeal, intraspinal)
- Active serious infections not controlled by oral or intravenous antibiotics or anti-fungal
- Any medical condition which in the opinion of the investigator places the subject at an unacceptably high risk for toxicities.
- Non-conformity to eligibility criteria.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Bendamustine and subcutaneous Rituximab
single-arm non randomized
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Progression-free survival
Time Frame: 2 years
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2 years
|
adverse events (AE)'s
Time Frame: up to 30 days after last study drug administration
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up to 30 days after last study drug administration
|
serious adverse events (SAE)'s
Time Frame: up to 30 days after last study drug administration
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up to 30 days after last study drug administration
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rate of therapy-associated deaths
Time Frame: up to 30 days after last study drug administration
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up to 30 days after last study drug administration
|
protocol adherence
Time Frame: 18 weeks after start of therapy
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18 weeks after start of therapy
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Quality of life
Time Frame: 2 years
|
2 years
|
overall survival
Time Frame: 2 years
|
2 years
|
event-free survival
Time Frame: 2 years
|
2 years
|
CR rate
Time Frame: 2 years
|
2 years
|
PR rate
Time Frame: 2 years
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2 years
|
rate of primary progression
Time Frame: 2 years
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2 years
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relapse rate
Time Frame: 2 years
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2 years
|
Comprehensive Geriatric Assessment
Time Frame: 2 years
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2 years
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Lorenz Trümper, Prof, University Medicine Goettingen
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
July 4, 2012
Primary Completion (Actual)
August 8, 2018
Study Completion (Actual)
August 8, 2018
Study Registration Dates
First Submitted
July 30, 2012
First Submitted That Met QC Criteria
September 17, 2012
First Posted (Estimate)
September 18, 2012
Study Record Updates
Last Update Posted (Actual)
December 31, 2018
Last Update Submitted That Met QC Criteria
December 27, 2018
Last Verified
December 1, 2018
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Behavioral Symptoms
- Immune System Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Lymphoproliferative Disorders
- Lymphatic Diseases
- Immunoproliferative Disorders
- Aggression
- Lymphoma
- 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
- DSHNHL-2010-1
- 2010-024004-98 (EudraCT Number)
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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