- ICH GCP
- 미국 임상 시험 레지스트리
- 임상시험 NCT00110149
Rituximab and Yttrium Y 90 Ibritumomab Tiuxetan in Treating Patients With Non-Hodgkin's Lymphoma
A Phase II Study of Yttrium-90-Labeled Ibritumomab Tiuxetan (Zevalin) Radioimmunotherapy as First Line Treatment in Indolent Non-Hodgkin's Lymphoma
RATIONALE: Monoclonal antibodies, such as rituximab, can block cancer growth in different ways. Some block the ability of cancer cells to grow and spread. Others, such as yttrium Y 90 ibritumomab tiuxetan, find cancer cells and help kill them or carry cancer-killing substances to them without harming normal cells. Giving rituximab together with yttrium Y 90 ibritumomab tiuxetan may kill more cancer cells.
PURPOSE: This phase II trial is studying how well giving rituximab together with yttrium Y 90 ibritumomab tiuxetan works in treating patients with indolent non-Hodgkin's lymphoma.
연구 개요
상세 설명
OBJECTIVES:
Primary
- Determine 12-week overall and complete response rate in patients with indolent non-Hodgkin's lymphoma treated with rituximab and yttrium Y 90 ibritumomab tiuxetan as first-line treatment.
Secondary
- Determine 1-year event-free survival of patients treated with this regimen.
- Determine time to progression and time to next antilymphoma therapy in patients treated with this regimen.
- Determine the molecular response rate in patients treated with this regimen.
- Determine the hematological and non-hematological toxicity of this regimen in these patients.
- Assess the quality of life of patients treated with this regimen.
OUTLINE: This is an open-label, multicenter study.
Patients receive rituximab IV followed, no more than 4 hours later, by indium In 111 ibritumomab tiuxetan (for imaging) IV over 10 minutes on day 1. If biodistribution is acceptable, patients receive rituximab IV followed, no more than 4 hours later, by a single dose of yttrium Y 90 ibritumomab tiuxetan IV over 10 minutes on day 7, 8, or 9 in the absence of disease progression or unacceptable toxicity.
Quality of life is assessed at baseline, weeks 6, 10, and 14, every 3 months for 2 years, and then every 6 months for 2 years.
After completion of study treatment, patients are followed weekly for 3 months, every 3 months for 2 years, and then every 6 months for 2 years.
PROJECTED ACCRUAL: A total of 18-28 patients will be accrued for this study within 2 years.
연구 유형
등록 (실제)
단계
- 2 단계
연락처 및 위치
연구 장소
-
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Massachusetts
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Boston, Massachusetts, 미국, 02215
- Beth Israel Deaconess Medical Center
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New Hampshire
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Lebanon, New Hampshire, 미국, 03756-0002
- Norris Cotton Cancer Center at Dartmouth-Hitchcock Medical Center
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Vermont
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Burlington, Vermont, 미국, 05401-3498
- Vermont Cancer Center at University of Vermont
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참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
DISEASE CHARACTERISTICS:
Histologically confirmed indolent non-Hodgkin's lymphoma (NHL), including 1 of the following histologic subtypes:
- Grade1 or 2 follicular lymphoma
- Small lymphocytic lymphoma (SLL)
- Marginal zone B-cell lymphoma
- CD20-positive disease confirmed by immunohistochemistry or flow cytometry
Bidimensionally measurable disease
- At least 1 lesion measuring ≥ 2.0 cm in a single dimension by CT scan
- Less than 25% bone marrow involvement with lymphoma by bilateral iliac crest bone marrow aspiration and biopsy within the past 6 weeks
No clinically significant impaired bone marrow reserve as evidenced by any of the following:
Hypocellular marrow, as evidenced by 1 of the following:
- ≤ 15% cellularity
- Marked reduction in bone marrow precursors
- Platelet count < 100,000/mm^3
- Absolute neutrophil count < 1,500/mm^3
- History of failed stem cell collection
- Prior myeloablative therapy
- No greater than 5,000/mm^3 circulating tumor cells in peripheral blood
Requires antilymphoma therapy, as indicated by any of the following:
- Systemic symptoms
- B symptoms
- Cytopenias
- Malaise
- Organ compromise
- Discomfort
- Pain
- Disfigurement
- Rapidly progressive disease
- Undue anxiety related to not receiving treatment
- No transformation to intermediate or high-grade NHL
- No known brain metastases or CNS involvement by lymphoma NOTE: A new classification scheme for adult non-Hodgkin's lymphoma has been adopted by PDQ. The terminology of "indolent" or "aggressive" lymphoma will replace the former terminology of "low", "intermediate", or "high" grade lymphoma. However, this protocol uses the former terminology.
PATIENT CHARACTERISTICS:
Age
- Over 18
Performance status
- ECOG 0-2 OR
- WHO 0-2 OR
- Karnofsky 70-100%
Life expectancy
- More than 3 months
Hematopoietic
- See Disease Characteristics
- WBC ≥ 3,000/mm^3
- Absolute neutrophil count ≥ 1,500/mm^3
- Platelet count ≥ 100,000/mm^3
- Lymphocyte count < 5,000/mm^3 (for patients with SLL )
Hepatic
- Bilirubin ≤ 2.0 mg/dL
- AST and ALT ≤ 2.5 times upper limit of normal
Renal
- Creatinine ≤ 2.0 mg/dL OR
- Creatinine clearance > 60 mL/min
Cardiovascular
- No symptomatic congestive heart failure
- No unstable angina pectoris
- No cardiac arrhythmia
Immunologic
- No anti-murine antibody reactivity (in patients with prior exposure to murine antibodies or proteins)
- No ongoing or active infection
- No history of allergic reaction attributed to compounds of similar chemical or biologic composition to yttrium Y 90 ibritumomab tiuxetan
Other
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception during and for at least 1 year after study treatment
- No other active malignancy except non-melanoma skin cancer
- No other serious nonmalignant disease that would preclude study participation
- No psychiatric illness or social situation that would preclude study compliance
- No other uncontrolled illness
PRIOR CONCURRENT THERAPY:
Biologic therapy
- More than 4 weeks since prior pegfilgrastim
- More than 2 weeks since prior filgrastim (G-CSF) or sargramostim (GM-CSF)
Chemotherapy
- No prior chemotherapy
Endocrine therapy
- Not specified
Radiotherapy
- No prior external beam radiotherapy to > 25% of active bone marrow (involved field or regional)
Surgery
- More than 4 weeks since prior major surgery except diagnostic surgery
Other
- No prior systemic antilymphoma therapy
- No concurrent combination antiretroviral therapy for HIV-positive patients
- No other concurrent anticancer therapy
- No other concurrent investigational agents
- No other concurrent antilymphoma therapy
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 해당 없음
- 중재 모델: 단일 그룹 할당
- 마스킹: 없음(오픈 라벨)
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
---|---|
실험적: Rituximab and Yttrium Y 90 Ibritumomab Tiuxetan
|
연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
---|---|---|
Response Rate (Complete Response, Unconfirmed Complete Response, and Partial Response) at 12 Weeks
기간: 14 weeks
|
INTERNATIONAL WORKSHOP RESPONSE CRITERIA FOR NON HODGKIN'S LYMPHOMA Cheson BD, Horning SJ, Coiffier B, Shipp MA, Fisher RI, Connors JM, et al. Report of an international workshop to standardize response criteria for non Hodgkin's lymphoma. J Clin Oncol 1999;17(4):1244-53. |
14 weeks
|
EFS
기간: 1 year
|
Event = Death, second malignancy , disease progression.
|
1 year
|
공동 작업자 및 조사자
수사관
- 연구 의자: Robin Joyce, MD, Beth Israel Deaconess Medical Center
연구 기록 날짜
연구 주요 날짜
연구 시작
기본 완료 (실제)
연구 완료 (실제)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (추정)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
키워드
- 3기 1등급 여포성 림프종
- 3기 2등급 여포성 림프종
- IV기 1등급 여포성 림프종
- IV기 2등급 여포성 림프종
- 1기 1등급 여포성 림프종
- 1기 2등급 여포성 림프종
- 인접 병기 II 등급 1 여포 성 림프종
- 인접 병기 II 등급 2 여포성 림프종
- 비 인접 단계 II 등급 1 여포 성 림프종
- 비접촉 2기 2등급 여포성 림프종
- 비접촉 2기 소림프구성 림프종
- 비접속성 II기 변연부 림프종
- 1기 변연부 림프종
- 1기 소림프구성 림프종
- 3기 소림프구성 림프종
- 3기 변연부 림프종
- 4기 소림프구성 림프종
- IV기 변연부 림프종
- 인접 병기 II 변연부 림프종
- 인접 병기 II 소림프구성 림프종
- 점막 관련 림프 조직의 결절외 변연부 B 세포 림프종
- 결절 변연부 B 세포 림프종
- 비장 변연부 림프종
추가 관련 MeSH 약관
기타 연구 ID 번호
- 2004P000044
- CDR0000409723 (레지스트리 식별자: PDQ (Physician Data Query))
- NCI-2011-02445 (레지스트리 식별자: CTRP (Clinical Trials Reporting System))
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
미국에서 제조되어 미국에서 수출되는 제품
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .
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