- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT00052416
Thalidomide in Treating Patients With Asymptomatic, Indolent Non-Hodgkin's Lymphoma or Chronic Lymphocytic Leukemia
Thalidomide in Indolent Non-Hodgkin's Lymphoma: A Feasibility Study
RATIONALE: Thalidomide may stop the growth of cancer by stopping blood flow to the tumor.
PURPOSE: Phase I trial to determine the effectiveness of thalidomide in treating patients who have asymptomatic, indolent non-Hodgkin's lymphoma or chronic lymphocytic leukemia.
Studieoversikt
Detaljert beskrivelse
OBJECTIVES:
- Determine the feasibility, in terms of toxicity and patient compliance, of thalidomide in patients with asymptomatic, indolent non-Hodgkin's lymphoma or chronic lymphocytic leukemia.
- Determine the event-free and progression-free survival of patients treated with this drug.
- Determine disease response and time to next treatment in patients treated with this drug.
- Determine the quality of life of patients treated with this drug.
OUTLINE: Patients receive oral thalidomide once daily. Treatment continues for 18 months in the absence of disease progression or unacceptable toxicity.
Quality of life is assessed at baseline, monthly during study, and at the end of the study.
PROJECTED ACCRUAL: A total of 30-36 patients will be accrued for this study within 2 years.
Studietype
Fase
- Fase 1
Kontakter og plasseringer
Studiesteder
-
-
Massachusetts
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Boston, Massachusetts, Forente stater, 02215
- Beth Israel Deaconess Medical Center
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Vermont
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Burlington, Vermont, Forente stater, 05401
- Fletcher Allen Health Care - University Health Center Campus
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-
Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Beskrivelse
DISEASE CHARACTERISTICS:
Histologically confirmed indolent lymphoma or leukemia of one of the following subtypes:
- Chronic lymphocytic leukemia
- Follicular center lymphoma (grade I or II)
- Lymphoplasmacytic lymphoma
- Marginal zone lymphoma (nodal, extranodal, or splenic)
- Small lymphocytic lymphoma
- Waldenstrom's macroglobulinemia
- Any stage of disease allowed
- No hairy cell leukemia
- No T-cell lymphomas
- No prior treatment for lymphoma/leukemia
Considered appropriate for expectant management
- Must not require cytotoxic therapy
PATIENT CHARACTERISTICS:
Age
- 18 and over
Performance status
- ECOG 0-1
Life expectancy
- Not specified
Hematopoietic
- Absolute neutrophil count at least 1,500/mm^3
- Hemoglobin greater than 10.0 g/dL
- Platelet count greater than 75,000/mm^3
Hepatic
- Bilirubin no greater than 2 times normal
- AST and ALT no greater than 2 times normal
Renal
- Creatinine no greater than 2.0 mg/dL
Cardiovascular
- No uncontrolled congestive heart failure
- No New York Heart Association class III or IV heart disease
- No unstable coronary artery disease
- No myocardial infarction in the past 6 months
- No serious or uncontrolled arrhythmias
- No history of thromboembolic disease
Pulmonary
- No asthma or chronic obstructive pulmonary disease requiring the use of home oxygen or frequent oral steroids (prednisone greater than 20 mg per day for 5 days within the past 3 months)
Other
- HIV negative
- Not pregnant or nursing
- Negative pregnancy test
- Not planning to become pregnant in the next 2 years
- Fertile female patients must use 1 highly effective method and 1 additional effective method of contraception for 1 month prior to, during, and for 1 month after study participation
- Male patients must use effective barrier contraception during and for 1 month after study participation
- Willing and able to participate in the S.T.E.P.S. (System for Thalidomide Education and Prescribing Safety) program
- No contraindications to meeting the requirements of the S.T.E.P.S. program
- No other prior malignancy except curatively treated non-melanoma skin cancer or carcinoma in situ of the cervix
- No peripheral neuropathy
No poorly controlled diabetes defined by either of the following:
- Glycosylated hemoglobin greater than 8.0 g/dL
- Known end organ disease (i.e., nephropathy, retinopathy, or neuropathy)
- No other concurrent illness that would preclude study therapy
PRIOR CONCURRENT THERAPY:
Biologic therapy
- Not specified
Chemotherapy
- See Disease Characteristics
Endocrine therapy
- Not specified
Radiotherapy
- Not specified
Surgery
- Not specified
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Masking: Ingen (Open Label)
Samarbeidspartnere og etterforskere
Etterforskere
- Studiestol: Robin Joyce, MD, Beth Israel Deaconess Medical Center
Studierekorddatoer
Studer hoveddatoer
Studiestart
Studiet fullført (Faktiske)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Anslag)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Anslag)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
- B-celle kronisk lymfatisk leukemi
- stadium 0 kronisk lymfatisk leukemi
- stadium I kronisk lymfatisk leukemi
- stadium III grad 1 follikulært lymfom
- stadium III grad 2 follikulært lymfom
- stadium IV grad 1 follikulær lymfom
- stadium IV grad 2 follikulært lymfom
- stadium I grad 1 follikulær lymfom
- stadium I grad 2 follikulær lymfom
- sammenhengende stadium II grad 1 follikulær lymfom
- sammenhengende stadium II grad 2 follikulært lymfom
- ikke-sammenhengende stadium II grad 1 follikulær lymfom
- ikke-sammenhengende stadium II grad 2 follikulært lymfom
- ikke-sammenhengende stadium II små lymfatiske lymfomer
- ikke-sammenhengende stadium II marginalsone lymfom
- stadium I marginalsone lymfom
- stadium I små lymfatiske lymfomer
- stadium III små lymfatiske lymfomer
- stadium III marginalsone lymfom
- stadium IV små lymfatiske lymfomer
- stadium IV marginal sone lymfom
- sammenhengende stadium II marginalsone lymfom
- sammenhengende stadium II små lymfatiske lymfomer
- ekstranodal marginalsone B-celle lymfom av slimhinneassosiert lymfoidvev
- nodal marginal sone B-celle lymfom
- milt marginal sone lymfom
- stadium II kronisk lymfatisk leukemi
- stadium III kronisk lymfatisk leukemi
- stadium IV kronisk lymfatisk leukemi
- Waldenström makroglobulinemi
Ytterligere relevante MeSH-vilkår
- Sykdommer i immunsystemet
- Neoplasmer etter histologisk type
- Neoplasmer
- Lymfoproliferative lidelser
- Lymfesykdommer
- Immunproliferative lidelser
- Leukemi, lymfoid
- Leukemi, B-celle
- Lymfom
- Leukemi
- Lymfom, Non-Hodgkin
- Leukemi, lymfatisk, kronisk, B-celle
- Fysiologiske effekter av legemidler
- Anti-infeksjonsmidler
- Antineoplastiske midler
- Immunsuppressive midler
- Immunologiske faktorer
- Angiogenese-hemmere
- Angiogenesemodulerende midler
- Vekststoffer
- Veksthemmere
- Antibakterielle midler
- Leprostatiske midler
- Thalidomid
Andre studie-ID-numre
- BIDMC-W-01-0384-FB
- CDR0000258419 (Registeridentifikator: PDQ (Physician Data Query))
- NEDH-W-01-0384-FB
- BIDMC-2001-P-001950
- NCI-V02-1714
Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .
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