- ICH GCP
- Registr klinických studií v USA
- Klinická studie NCT00787969
Rituximab, Cladribine, and Temsirolimus in Treating Patients With Newly Diagnosed Mantle Cell Lymphoma
Phase I/II Trial of Rituximab, Cladribine, and Temsirolimus (RCT) Therapy in Newly Diagnosed Mantle Cell Lymphoma (MCL)
Přehled studie
Postavení
Podmínky
Detailní popis
PRIMARY OBJECTIVES:
I. To assess the efficacy and safety of the combination of rituximab, cladribine, and temsirolimus for newly diagnosed mantle cell lymphoma.
II. To determine the maximum tolerated dose (MTD) of temsirolimus combined with a fixed dose and schedule of rituximab and cladribine. (Phase I) III. To assess the efficacy of the combination of rituximab, cladribine, and temsirolimus for newly diagnosed mantle cell lymphoma with the proportion of complete responses as the primary endpoint. (Phase II)
SECONDARY OBJECTIVES:
I. To assess other measures of efficacy of the regimen including progression free survival, duration of response, and overall survival.
II. To assess the toxicity profile of the combination of rituximab, cladribine, and temsirolimus.
III. To assess efficacy using traditional lymphoma parameters and absolute lymphocyte count.
IV. To assess metabolic markers (hyperglycemia, hyperlipidemia) as markers of mammalian target of rapamycin (mTOR) inhibition using the glucose and lipid measurements being performed in the clinical laboratory as part of routine care.
V. To correlate response with serum free light chains, single nucleotide polymorphisms (SNPs) in host immune genes, vitamin D metabolites, and phosphatidylinositide 3-kinase (PI3K) pathway member expression.
VI. As part of ongoing research for North Central Cancer Treatment Group (NCCTG) lymphoma studies, paraffin-embedded tissue blocks/slides and blood products will be banked for future studies.
OUTLINE: This is a phase I, dose-escalation study of temsirolimus followed by a phase II study.
Patients receive rituximab intravenously (IV) on day 1 and cladribine IV over 2 hours on days 1-5. Patients then receive temsirolimus IV over 30 minutes on days 1, 8, 15, and 22. Patients also receive filgrastim subcutaneously (SC) on days 6-15 or pegfilgrastim SC on day 6. Treatment repeats every 28 days for up to 6 courses in the absence of disease progression or unacceptable toxicity.
After completion of study treatment, patients are followed up every 3 months for 2 years and then every 4 months for 3 years.
Typ studie
Zápis (Očekávaný)
Fáze
- Fáze 1
Kontakty a umístění
Studijní místa
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Arizona
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Scottsdale, Arizona, Spojené státy, 85259-5499
- Mayo Clinic Scottsdale
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Illinois
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Bloomington, Illinois, Spojené státy, 61701
- Illinois CancerCare - Bloomington
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Bloomington, Illinois, Spojené státy, 61701
- St. Joseph Medical Center
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Canton, Illinois, Spojené státy, 61520
- Illinois CancerCare - Canton
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Canton, Illinois, Spojené státy, 61520
- Graham Hospital
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Carthage, Illinois, Spojené státy, 62321
- Memorial Hospital
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Carthage, Illinois, Spojené státy, 62321
- Illinois CancerCare - Carthage
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Eureka, Illinois, Spojené státy, 61530
- Illinois CancerCare - Eureka
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Eureka, Illinois, Spojené státy, 61530
- Eureka Community Hospital
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Galesburg, Illinois, Spojené státy, 61401
- Illinois CancerCare - Galesburg
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Galesburg, Illinois, Spojené státy, 61401
- Galesburg Clinic, PC
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Havana, Illinois, Spojené státy, 62644
- Mason District Hospital
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Havana, Illinois, Spojené státy, 62644
- Illinois CancerCare - Havana
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Kewanee, Illinois, Spojené státy, 61443
- Illinois CancerCare - Kewanee Clinic
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Macomb, Illinois, Spojené státy, 61455
- Illinois CancerCare - Macomb
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Macomb, Illinois, Spojené státy, 61455
- Mcdonough District Hospital
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Monmouth, Illinois, Spojené státy, 61462
- Illinois CancerCare - Monmouth
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Monmouth, Illinois, Spojené státy, 61462
- OSF Holy Family Medical Center
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Normal, Illinois, Spojené státy, 61761
- Bromenn Regional Medical Center
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Normal, Illinois, Spojené státy, 61761
- Community Cancer Center
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Normal, Illinois, Spojené státy, 61761
- Illinois CancerCare - Community Cancer Center
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Ottawa, Illinois, Spojené státy, 61350
- Community Hospital of Ottawa
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Ottawa, Illinois, Spojené státy, 61350
- Oncology Hematology Associates of Central Illinois, PC - Ottawa
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Pekin, Illinois, Spojené státy, 61554
- Cancer Treatment Center at Pekin Hospital
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Pekin, Illinois, Spojené státy, 61603
- Illinois CancerCare - Pekin
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Peoria, Illinois, Spojené státy, 61636
- Methodist Medical Center of Illinois
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Peoria, Illinois, Spojené státy, 61614
- Proctor Hospital
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Peoria, Illinois, Spojené státy, 61637
- OSF St. Francis Medical Center
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Peoria, Illinois, Spojené státy, 61615
- CCOP - Illinois Oncology Research Association
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Peoria, Illinois, Spojené státy, 61615
- Oncology Hematology Associates of Central Illinois, PC - Peoria
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Peru, Illinois, Spojené státy, 61354
- Illinois CancerCare - Peru
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Peru, Illinois, Spojené státy, 61354
- Illinois Valley Community Hospital
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Princeton, Illinois, Spojené státy, 61356
- Perry Memorial Hospital
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Princeton, Illinois, Spojené státy, 61356
- Illinois CancerCare - Princeton
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Spring Valley, Illinois, Spojené státy, 61362
- Illinois CancerCare - Spring Valley
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Indiana
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Elkhart, Indiana, Spojené státy, 46515
- Elkhart General Hospital
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Elkhart, Indiana, Spojené státy, 46514-2098
- Elkhart Clinic, LLC
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Elkhart, Indiana, Spojené státy, 46514
- Michiana Hematology-Oncology, PC - Elkhart
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Kokomo, Indiana, Spojené státy, 46904
- Howard Community Hospital
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La Porte, Indiana, Spojené státy, 46350
- Center for Cancer Therapy at LaPorte Hospital and Health Services
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Mishawaka, Indiana, Spojené státy, 46545-1470
- Michiana Hematology-Oncology, PC - South Bend
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Mishawaka, Indiana, Spojené státy, 46545-1470
- Saint Joseph Regional Medical Center
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Plymouth, Indiana, Spojené státy, 46563
- Michiana Hematology Oncology PC - Plymouth
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South Bend, Indiana, Spojené státy, 46601
- Memorial Hospital of South Bend
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South Bend, Indiana, Spojené státy, 46601
- CCOP - Northern Indiana CR Consortium
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Westville, Indiana, Spojené státy, 46391
- Michiana Hematology Oncology PC - La Porte
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Iowa
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Ames, Iowa, Spojené státy, 50010
- McFarland Clinic, PC
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Cedar Rapids, Iowa, Spojené státy, 52403
- Cedar Rapids Oncology Associates
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Cedar Rapids, Iowa, Spojené státy, 52403
- Mercy Regional Cancer Center at Mercy Medical Center
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Clive, Iowa, Spojené státy, 50325
- Medical Oncology and Hematology Associates - West Des Moines
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Des Moines, Iowa, Spojené státy, 50309
- CCOP - Iowa Oncology Research Association
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Des Moines, Iowa, Spojené státy, 50309
- John Stoddard Cancer Center at Iowa Methodist Medical Center
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Des Moines, Iowa, Spojené státy, 50309
- Medical Oncology and Hematology Associates at John Stoddard Cancer Center
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Des Moines, Iowa, Spojené státy, 50314
- Medical Oncology and Hematology Associates at Mercy Cancer Center
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Des Moines, Iowa, Spojené státy, 50314
- Mercy Cancer Center at Mercy Medical Center - Des Moines
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Des Moines, Iowa, Spojené státy, 50316
- John Stoddard Cancer Center at Iowa Lutheran Hospital
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Mason City, Iowa, Spojené státy, 50401
- Mercy Cancer Center at Mercy Medical Center - North Iowa
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Sioux City, Iowa, Spojené státy, 51101
- Siouxland Hematology-Oncology Associates, LLP
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Sioux City, Iowa, Spojené státy, 51102
- Mercy Medical Center - Sioux City
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Sioux City, Iowa, Spojené státy, 51104
- St. Luke's Regional Medical Center
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Kansas
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Chanute, Kansas, Spojené státy, 66720
- Cancer Center of Kansas, PA - Chanute
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Dodge City, Kansas, Spojené státy, 67801
- Cancer Center of Kansas, PA - Dodge City
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El Dorado, Kansas, Spojené státy, 67042
- Cancer Center of Kansas, PA - El Dorado
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Fort Scott, Kansas, Spojené státy, 66701
- Cancer Center of Kansas - Fort Scott
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Independence, Kansas, Spojené státy, 67301
- Cancer Center of Kansas-Independence
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Kingman, Kansas, Spojené státy, 67068
- Cancer Center of Kansas, PA - Kingman
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Lawrence, Kansas, Spojené státy, 66044
- Lawrence Memorial Hospital
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Liberal, Kansas, Spojené státy, 67901
- Cancer Center of Kansas, PA - Liberal
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Newton, Kansas, Spojené státy, 67114
- Cancer Center of Kansas, PA - Newton
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Parsons, Kansas, Spojené státy, 67357
- Cancer Center of Kansas, PA - Parsons
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Pratt, Kansas, Spojené státy, 67124
- Cancer Center of Kansas, PA - Pratt
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Salina, Kansas, Spojené státy, 67401
- Cancer Center of Kansas, PA - Salina
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Wellington, Kansas, Spojené státy, 67152
- Cancer Center of Kansas, PA - Wellington
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Wichita, Kansas, Spojené státy, 67208
- Cancer Center of Kansas, PA - Medical Arts Tower
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Wichita, Kansas, Spojené státy, 67214
- Cancer Center of Kansas, PA - Wichita
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Wichita, Kansas, Spojené státy, 67214
- CCOP - Wichita
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Wichita, Kansas, Spojené státy, 67214
- Via Christi Cancer Center at Via Christi Regional Medical Center
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Wichita, Kansas, Spojené státy, 67208
- Associates in Womens Health, PA - North Review
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Winfield, Kansas, Spojené státy, 67156
- Cancer Center of Kansas, PA - Winfield
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Michigan
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Battle Creek, Michigan, Spojené státy, 49017
- Battle Creek Health System Cancer Care Center
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Big Rapids, Michigan, Spojené státy, 49307
- Mecosta County Medical Center
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Escanaba, Michigan, Spojené státy, 49431
- Green Bay Oncology, Limited - Escanaba
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Grand Rapids, Michigan, Spojené státy, 49503
- Butterworth Hospital at Spectrum Health
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Grand Rapids, Michigan, Spojené státy, 49503
- CCOP - Grand Rapids
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Grand Rapids, Michigan, Spojené státy, 49503
- Lacks Cancer Center at Saint Mary's Health Care
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Iron Mountain, Michigan, Spojené státy, 49801
- Dickinson County Healthcare System
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Muskegon, Michigan, Spojené státy, 49443
- Mercy General Health Partners
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Niles, Michigan, Spojené státy, 49120
- Michiana Hematology Oncology PC - Niles
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Saint Joseph, Michigan, Spojené státy, 49085
- Lakeside Cancer Specialists, PLLC
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Saint Joseph, Michigan, Spojené státy, 49085
- Lakeland Regional Cancer Care Center - St. Joseph
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Traverse City, Michigan, Spojené státy, 49684
- Munson Medical Center
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Wyoming, Michigan, Spojené státy, 49519
- Metro Health Hospital
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Minnesota
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Burnsville, Minnesota, Spojené státy, 55337
- Fairview Ridges Hospital
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Coon Rapids, Minnesota, Spojené státy, 55433
- Mercy and Unity Cancer Center at Mercy Hospital
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Duluth, Minnesota, Spojené státy, 55805
- CCOP - Duluth
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Duluth, Minnesota, Spojené státy, 55805-1983
- Duluth Clinic Cancer Center - Duluth
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Duluth, Minnesota, Spojené státy, 55805
- Miller - Dwan Medical Center
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Edina, Minnesota, Spojené státy, 55435
- Fairview Southdale Hospital
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Fridley, Minnesota, Spojené státy, 55432
- Mercy and Unity Cancer Center at Unity Hospital
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Hutchinson, Minnesota, Spojené státy, 55350
- Hutchinson Area Health Care
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Maplewood, Minnesota, Spojené státy, 55109
- Minnesota Oncology Hematology, PA - Maplewood
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Maplewood, Minnesota, Spojené státy, 55109
- HealthEast Cancer Care at St. John's Hospital
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Minneapolis, Minnesota, Spojené státy, 55407
- Virginia Piper Cancer Institute at Abbott - Northwestern Hospital
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Minneapolis, Minnesota, Spojené státy, 55415
- Hennepin County Medical Center - Minneapolis
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Robbinsdale, Minnesota, Spojené státy, 55422-2900
- Humphrey Cancer Center at North Memorial Outpatient Center
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Rochester, Minnesota, Spojené státy, 55905
- Mayo Clinic Cancer Center
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Saint Louis Park, Minnesota, Spojené státy, 55416
- CCOP - Metro-Minnesota
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Saint Louis Park, Minnesota, Spojené státy, 55416
- Park Nicollet Cancer Center
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Saint Paul, Minnesota, Spojené státy, 55102
- United Hospital
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Saint Paul, Minnesota, Spojené státy, 55101
- Regions Hospital Cancer Care Center
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Shakopee, Minnesota, Spojené státy, 55379
- St. Francis Cancer Center at St. Francis Medical Center
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Stillwater, Minnesota, Spojené státy, 55082
- Lakeview Hospital
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Waconia, Minnesota, Spojené státy, 55387
- Ridgeview Medical Center
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Willmar, Minnesota, Spojené státy, 56201
- Willmar Cancer Center at Rice Memorial Hospital
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Woodbury, Minnesota, Spojené státy, 55125
- Minnesota Oncology Hematology, PA - Woodbury
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Montana
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Billings, Montana, Spojené státy, 59101
- CCOP - Montana Cancer Consortium
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Billings, Montana, Spojené státy, 59101
- St. Vincent Healthcare Cancer Care Services
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Billings, Montana, Spojené státy, 59107-7000
- Billings Clinic - Downtown
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Billings, Montana, Spojené státy, 59102
- Hematology-Oncology Centers of the Northern Rockies - Billings
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Bozeman, Montana, Spojené státy, 59715
- Bozeman Deaconess Cancer Center
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Butte, Montana, Spojené státy, 59701
- St. James Healthcare Cancer Care
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Great Falls, Montana, Spojené státy, 59405
- Great Falls Clinic - Main Facility
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Great Falls, Montana, Spojené státy, 59405
- Sletten Cancer Institute at Benefis Healthcare
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Havre, Montana, Spojené státy, 59501
- Northern Montana Hospital
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Helena, Montana, Spojené státy, 59601
- St. Peter's Hospital
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Kalispell, Montana, Spojené státy, 59901
- Kalispell Regional Medical Center
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Kalispell, Montana, Spojené státy, 59901
- Glacier Oncology, PLLC
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Kalispell, Montana, Spojené státy, 59901
- Kalispell Medical Oncology at KRMC
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Missoula, Montana, Spojené státy, 59807
- Montana Cancer Center at St. Patrick Hospital and Health Sciences Center
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North Dakota
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Bismarck, North Dakota, Spojené státy, 58501
- Bismarck Cancer Center
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Bismarck, North Dakota, Spojené státy, 58501
- Medcenter One Hospital Cancer Care Center
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Bismarck, North Dakota, Spojené státy, 58501
- Mid Dakota Clinic, PC
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Bismarck, North Dakota, Spojené státy, 58502
- St. Alexius Medical Center Cancer Center
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South Dakota
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Rapid City, South Dakota, Spojené státy, 57701
- Rapid City Regional Hospital
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Wisconsin
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Green Bay, Wisconsin, Spojené státy, 54307-3508
- St. Vincent Hospital Regional Cancer Center
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Green Bay, Wisconsin, Spojené státy, 54301-3526
- Green Bay Oncology, Limited at St. Vincent Hospital Regional Cancer Center
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Green Bay, Wisconsin, Spojené státy, 54303
- Green Bay Oncology, Limited at St. Mary's Hospital
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Green Bay, Wisconsin, Spojené státy, 54303
- St. Mary's Hospital Medical Center - Green Bay
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Manitowoc, Wisconsin, Spojené státy, 54221-1450
- Holy Family Memorial Medical Center Cancer Care Center
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Marinette, Wisconsin, Spojené státy, 54143
- Bay Area Cancer Care Center at Bay Area Medical Center
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Oconto Falls, Wisconsin, Spojené státy, 54154
- Green Bay Oncology, Limited - Oconto Falls
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Sheboygan, Wisconsin, Spojené státy, 53081
- St. Nicholas Hospital
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Sturgeon Bay, Wisconsin, Spojené státy, 54235
- Green Bay Oncology, Limited - Sturgeon Bay
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Wyoming
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Sheridan, Wyoming, Spojené státy, 82801
- Welch Cancer Center at Sheridan Memorial Hospital
-
-
Kritéria účasti
Kritéria způsobilosti
Věk způsobilý ke studiu
Přijímá zdravé dobrovolníky
Pohlaví způsobilá ke studiu
Popis
Inclusion Criteria:
- Histologically confirmed mantle cell lymphoma (MCL); the diagnosis must be confirmed by NCCTG pre-registration pathology review by Dr. Paul Kurtin or his designate; it is recommended that the biopsy be an excisional biopsy, but adequate core-needle biopsies will be accepted as long as they are considered adequate for registration by Dr. Kurtin or his designate; the tumor must be cyclin D-1 positive by immunohistochemistry or have evidence of a t(11;14) translocation by fluorescence based in situ hybridization (FISH) or cytogenetics
Measurable or assessable disease, defined as at least one of the following:
- A lymph node or tumor mass that is >= 2.0 cm in at least one dimension by positron emission tomography (PET)/computed tomography (CT), CT, magnetic resonance imaging (MRI), or plain radiograph imaging
- Splenic enlargement may be used as a measurable parameter if the spleen is palpable >= 3 cm below the left costal margin
- Diffuse infiltration of an organ such as the stomach, bone marrow, peripheral blood, liver, lungs, or bowel by lymphoma without a discrete mass would constitute assessable, but not measurable, disease
- Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0, 1, 2, or 3
- Life expectancy >= 12 weeks
- Absolute neutrophil count (ANC) >= 1,500/mm³
- Platelet count (PLT) >= 100,000/mm³
- Serum creatinine =< 2.0 mg/dL
- Serum total bilirubin (or direct bilirubin if total is abnormal) =< institutional upper limit of normal (ULN) with or without secondary liver involvement
- Serum glutamic oxaloacetic transaminase (SGOT) =< 3 x institutional ULN (exception: if there is liver involvement, SGOT must be =< 5 x institutional ULN)
- Negative pregnancy test done =< 7 days prior to registration, for women of childbearing potential only
- Willingness to return to NCCTG enrolling institution for follow-up
- Willingness to provide the blood specimens as required by the protocol
- Willingness to provide tissue specimens as required by the protocol
- Willing to return to NCCTG enrolling institution for follow-up
- Willing to provide blood and tissue specimens as required by the protocol
- Willing to abstain from eating grapefruit or drinking grapefruit juice
- Willingness to abstain from eating grapefruit or drinking grapefruit juice for the duration of the study
Exclusion Criteria
- Any prior therapy for mantle cell non-Hodgkin lymphoma including radiation therapy; exception: patient may have undergone a splenectomy for diagnosis, cytopenia, or systematic splenomegaly
- Active or uncontrolled infection
Any of the following cardiac conditions:
- Uncontrolled high blood pressure
- Unstable angina
- Active congestive heart failure
- Myocardial infarction =< 6 months
- Serious uncontrolled cardiac arrhythmia
- Known central nervous system (CNS) involvement
Any of the following:
- Pregnant women or women of reproductive ability who are unwilling to use effective contraception while taking the drug and for 12 months after stopping treatment
- Nursing women
- Men who are unwilling to use a condom (even if they have undergone a prior vasectomy) while having intercourse with any woman, while taking the drug and for 12 months after stopping treatment
- Medical or psychiatric conditions which, in the opinion of the investigator, make the patient a poor risk for participation
- Known to be human immunodeficiency virus (HIV) positive; HIV testing is not required but should be done if clinically indicated; HIV-positive patients receiving combination anti-retroviral therapy are excluded from the study
- Concurrent malignancy =< 5 years ago; exceptions: carcinoma in situ of the cervix, resected basal cell or squamous cell carcinomas of the skin, or prostate cancer that is in remission following a radical retropubic prostatectomy or radiation therapy; if there is a history of prior malignancy, they must not be receiving other specific treatment (other than hormonal therapy) for their cancer
- Known hypersensitivity to rituximab or its components, or to murine proteins
- Receiving any other investigational agent which would be considered as a treatment for the primary neoplasm
- Prior treatment with an mTOR inhibitor
- Autologous or allogeneic stem cell transplant planned as part of initial therapy
- Receiving enzyme-inducing antiepileptic drugs (enzyme inducing anti-epileptic drugs [EIAEDs]; e.g., phenytoin, fosphenytoin, carbamazepine, oxcarbazepine, phenobarbital, or primidone); any other potent cytochrome P450, family 3, subfamily A, polypeptide 4 (CYP3A4) inducer such as rifampin, glucocorticoids at greater than adrenal replacement levels, or St. John's wort; or receiving strong CYP3A4 inhibitors * Note: if these agents are discontinued, temsirolimus therapy can begin >= 7 days after discontinuation of such agent
Studijní plán
Jak je studie koncipována?
Detaily designu
- Primární účel: Léčba
- Přidělení: N/A
- Intervenční model: Přiřazení jedné skupiny
- Maskování: Žádné (otevřený štítek)
Zbraně a zásahy
Skupina účastníků / Arm |
Intervence / Léčba |
|---|---|
|
Experimentální: Treatment (rituximab, cladribine, temsirolimus)
Patients receive rituximab IV on day 1 and cladribine IV over 2 hours on days 1-5.
Patients then receive temsirolimus IV over 30 minutes on days 1, 8, 15, and 22. Patients also receive filgrastim SC on days 6-15 or pegfilgrastim SC on day 6.
Treatment repeats every 28 days for up to 6 courses in the absence of disease progression or unacceptable toxicity.
|
Give IV
Give IV
Give IV
Give SC
|
Co je měření studie?
Primární výstupní opatření
Měření výsledku |
Časové okno |
|---|---|
|
Number of dose limiting toxicity incidents as per National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version (v) 3.0 (Phase I)
Časové okno: 28 days
|
28 days
|
|
Proportion of complete tumor responses defined as complete remission (CR) as the objective status (Phase II)
Časové okno: Up to 5 years
|
Up to 5 years
|
Sekundární výstupní opatření
Měření výsledku |
Časové okno |
|---|---|
|
Celkové přežití
Časové okno: až 5 let
|
až 5 let
|
|
Doba přežití
Časové okno: Až 5 let
|
Až 5 let
|
|
Progression-free survival (PFS)
Časové okno: up to 5 years
|
up to 5 years
|
|
Time to disease progression
Časové okno: up to 5 years
|
up to 5 years
|
|
Duration of response, defined as date at which the patient's objective status is first noted to be either a CR or partial remission to the date progression is documented
Časové okno: Up to 5 years
|
Up to 5 years
|
|
Frequency and severity of adverse events assessed by CTCAE v3.0
Časové okno: Up to 5 years
|
Up to 5 years
|
Spolupracovníci a vyšetřovatelé
Spolupracovníci
Vyšetřovatelé
- Studijní židle: David J. Inwards, MD, Mayo Clinic
Publikace a užitečné odkazy
Termíny studijních záznamů
Hlavní termíny studia
Začátek studia (Aktuální)
Primární dokončení (Aktuální)
Dokončení studie (Aktuální)
Termíny zápisu do studia
První předloženo
První předloženo, které splnilo kritéria kontroly kvality
První zveřejněno (Odhad)
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Aktuální)
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Naposledy ověřeno
Více informací
Termíny související s touto studií
Klíčová slova
Další relevantní podmínky MeSH
- Onemocnění imunitního systému
- Novotvary podle histologického typu
- Novotvary
- Lymfoproliferativní poruchy
- Lymfatická onemocnění
- Imunoproliferativní poruchy
- Lymfom, Non-Hodgkin
- Lymfom
- Lymfom, plášťová buňka
- Fyziologické účinky léků
- Antiinfekční látky
- Antirevmatika
- Antineoplastická činidla
- Imunosupresivní látky
- Imunologické faktory
- Antineoplastická činidla, Imunologická
- Antibakteriální látky
- Antibiotika, antineoplastika
- Antifungální látky
- Rituximab
- Sirolimus
- Kladribin
Další identifikační čísla studie
- NCCTG-N078D
- NCI-2009-00669 (Identifikátor registru: CTRP (Clinical Trials Reporting System))
- CDR0000619329 (Identifikátor registru: PDQ (Physician Data Query))
Tyto informace byly beze změn načteny přímo z webu clinicaltrials.gov. Máte-li jakékoli požadavky na změnu, odstranění nebo aktualizaci podrobností studie, kontaktujte prosím register@clinicaltrials.gov. Jakmile bude změna implementována na clinicaltrials.gov, bude automaticky aktualizována i na našem webu .