- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT00020800
Rituximab Plus Fludarabine in Treating Patients With Waldenstrom's Macroglobulinemia
Phase II Study of Combination Rituxan (Rituximab, Mabthera) and Fludarabine Therapy in Lymphoplasmacytic Lymphoma (Waldenstrom's Macroglobulinemia)
RATIONALE: Monoclonal antibodies such as rituximab can locate cancer cells and either kill them or deliver cancer-killing substances to them without harming normal cells. Drugs used in chemotherapy use different way to stop cancer cells from dividing so they stop growing or die. Combining monoclonal antibody therapy with chemotherapy may kill more cancer cells.
PURPOSE: Phase II trial to study the effectiveness of rituximab plus fludarabine in treating patients who have Waldenstrom's macroglobulinemia.
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
OBJECTIVES:
- Determine the objective response and time to treatment failure in patients with Waldenstrom's macroglobulinemia treated with rituximab and fludarabine.
- Determine the toxicity of this regimen in these patients.
- Determine if molecular remissions are achievable in patients attaining a clinical complete response when treated with this regimen.
OUTLINE: This is a multicenter study.
Patients receive rituximab IV over 3-6 hours once weekly on weeks 1-4, 17, 18, 30, and 31 and fludarabine IV over 10-30 minutes once daily for 5 days on weeks 5, 9, 13, 19, 23, and 27.
Patients are followed at least every 2 months for 2 years.
PROJECTED ACCRUAL: A total of 40 patients will be accrued for this study.
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Fase 2
Kontakter og lokationer
Studiesteder
-
-
Alberta
-
Edmonton, Alberta, Canada, T6G 1Z2
- Cross Cancer Institute
-
-
Ontario
-
Hamilton, Ontario, Canada, L8N 3Z5
- Chedoke-McMaster Hospitals
-
-
-
-
England
-
London, England, Det Forenede Kongerige, EC1A 7BE
- Saint Bartholomew's Hospital
-
-
-
-
Arizona
-
Tucson, Arizona, Forenede Stater, 85724
- Arizona Cancer Center
-
-
California
-
Los Angeles, California, Forenede Stater, 90048
- Cedars-Sinai Medical Center
-
Los Angeles, California, Forenede Stater, 90095-1781
- Jonsson Comprehensive Cancer Center, UCLA
-
-
District of Columbia
-
Washington, District of Columbia, Forenede Stater, 20307-5000
- Walter Reed Army Medical Center
-
-
Illinois
-
Chicago, Illinois, Forenede Stater, 60612
- Rush-Presbyterian-St. Luke's Medical Center
-
-
Iowa
-
Iowa City, Iowa, Forenede Stater, 52242-1009
- Holden Comprehensive Cancer Center
-
-
Maryland
-
Baltimore, Maryland, Forenede Stater, 21201
- Marlene and Stewart Greenebaum Cancer Center, University of Maryland
-
-
Massachusetts
-
Boston, Massachusetts, Forenede Stater, 02115
- Dana-Farber Cancer Institute
-
Boston, Massachusetts, Forenede Stater, 02114
- Massachusetts General Hospital Cancer Center
-
Boston, Massachusetts, Forenede Stater, 02111
- Tuft-New England Medical Center
-
-
New York
-
New Hyde Park, New York, Forenede Stater, 11040
- Long Island Jewish Medical Center
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New York, New York, Forenede Stater, 10021
- Memorial Sloan-Kettering Cancer Center
-
-
Ohio
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Cincinnati, Ohio, Forenede Stater, 45267-0502
- Barrett Cancer Center
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Cleveland, Ohio, Forenede Stater, 44195
- Cleveland Clinic Taussig Cancer Center
-
-
-
-
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Stockholm, Sverige, SE-141 86
- Huddinge University Hospital
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
DISEASE CHARACTERISTICS:
- Diagnosis of Waldenstrom's macroglobulinemia
- CD20 positive by bone marrow immunohistochemistry or flow cytometry
- Presence of monoclonal paraprotein
- IgM level at least 2 times upper limit of normal (ULN)
PATIENT CHARACTERISTICS:
Age:
- Over 18
Performance status:
- ECOG 0-2
Life expectancy:
- At least 6 months
Hematopoietic:
- Absolute neutrophil count greater than 1,000/mm^3
- Platelet count greater than 25,000/mm^3
Hepatic:
- Bilirubin less than 2.5 times ULN
- SGOT less than 2.5 times ULN
Renal:
- Creatinine less than 2.5 mg/dL
Other:
- Not pregnant or nursing
- Fertile patients must use effective contraception during and for 6 months after study
- No serious comorbid disease
- No uncontrolled bacterial, fungal, or viral infection
- No other active malignancy
PRIOR CONCURRENT THERAPY:
Biologic therapy:
- No prior rituximab
- No prior nucleoside analogue therapy
Chemotherapy:
- At least 30 days since prior chemotherapy
Endocrine therapy:
- At least 30 days since prior steroid therapy
- No concurrent corticosteroids
Radiotherapy:
- At least 30 days since prior radiotherapy
Surgery:
- Not specified
Other:
- No more than 2 prior courses of therapy
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
Samarbejdspartnere og efterforskere
Samarbejdspartnere
Efterforskere
- Ledende efterforsker: Christos E. Emmanouilides, MD, Jonsson Comprehensive Cancer Center
Publikationer og nyttige links
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
- Hjerte-kar-sygdomme
- Karsygdomme
- Sygdomme i immunsystemet
- Neoplasmer efter histologisk type
- Neoplasmer
- Lymfoproliferative lidelser
- Lymfesygdomme
- Immunproliferative lidelser
- Hæmatologiske sygdomme
- Hæmoragiske lidelser
- Hæmostatiske lidelser
- Paraproteinæmier
- Blodproteinforstyrrelser
- Neoplasmer, Plasmacelle
- Lymfom
- Waldenstrom Makroglobulinæmi
- Lægemidlers fysiologiske virkninger
- Molekylære mekanismer for farmakologisk virkning
- Antirheumatiske midler
- Antimetabolitter, Antineoplastisk
- Antimetabolitter
- Antineoplastiske midler
- Immunsuppressive midler
- Immunologiske faktorer
- Antineoplastiske midler, immunologiske
- Rituximab
- Fludarabin
- Fludarabin phosphat
Andre undersøgelses-id-numre
- CDR0000068714
- UCLA-0101063
- NCI-G01-1960
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