- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT00110006
Positron Emission Tomography Using Fludeoxyglucose F 18 in Predicting Response to Treatment in Patients Who Are Receiving Rituximab and Combination Chemotherapy for Newly Diagnosed Non-Hodgkin's Lymphoma
Prognostic Significance of Early Positron Emission Tomography (PET) With Fluorine-18 Fluorodeoxyglucose ([18F] FDG) in Intermediate and High Grade Non-Hodgkin's Lymphoma
RATIONALE: Diagnostic procedures, such as positron emission tomography (PET) using fludeoxyglucose F 18, may help in learning how well chemotherapy works to kill cancer cells and allow doctors to plan better treatment. Comparing results of diagnostic procedures done before, during, and after chemotherapy may help doctors predict a patient's response to treatment and help plan the best treatment.
PURPOSE: This clinical trial is studying positron emission tomography using fludeoxyglucose F 18 to see how well it works in predicting response to treatment in patients who are receiving rituximab and combination chemotherapy for newly diagnosed non-Hodgkin's lymphoma.
Studieöversikt
Status
Betingelser
Detaljerad beskrivning
OBJECTIVES:
- Determine the positive and negative predictive values of early positron emission tomography (PET) scanning using fludeoxyglucose F 18 in terms of the probability of patients with newly diagnosed intermediate- or high-grade non-Hodgkin's lymphoma who achieve or do not achieve complete remission, after treatment with 1 course of rituximab and combination chemotherapy comprising cyclophosphamide, doxorubicin, vincristine, and prednisone.
- Determine event free and overall survival of patients with an early positive and negative PET scan treated with this regimen.
- Determine the predictive value of early PET scan response ratio as a continuous variable in terms of response to therapy (assessed at the end of therapy), disease-free survival, and overall survival, in patients treated with this regimen.
- Correlate International Prognostic Index score at presentation with early PET scan results and overall outcome in patients treated with this regimen.
- Correlate the degree of neutropenia 7 to 10 days after the first course of treatment with rituximab and combination chemotherapy with PET scan response and pre-treatment blood CD34-positive cell concentration in these patients.
OUTLINE: This is a multicenter study.
Patients receive fludeoxyglucose F 18 (^18FDG) IV. Beginning 1 hour later, patients undergo whole-body positron emission tomography (PET) scanning. Patients also undergo conventional radiographic staging of their disease.
Patients then receive standard R-CHOP (or an alternative regimen) comprising rituximab IV over 3-6 hours, cyclophosphamide IV over 30 minutes, doxorubicin IV over 5 minutes, and vincristine IV over 5 minutes on day 1 and oral prednisone once daily on days 1-5. Treatment repeats every 14-21 days for up to 4 courses in the absence of unacceptable toxicity.
Patients undergo repeat ^18FDG-PET scanning between days 7-10 of course 1, between courses 3 and 4, and then at the completion of R-CHOP. Patients also undergo radiographic restaging of their disease between courses 3 and 4 and at the completion of R-CHOP.
After completion of study treatment, patients are followed every 3-4 months for 2 years, every 6 months for 1 year, and then annually for 3 years.
PROJECTED ACCRUAL: A total of 30 patients will be accrued for this study within 2 years.
Studietyp
Fas
- Inte tillämpbar
Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Beskrivning
DISEASE CHARACTERISTICS:
Histologically confirmed newly diagnosed non-Hodgkin's lymphoma (NHL)
- Intermediate- or high-grade disease
- Stage I-IV disease
Any of the following subtypes are allowed:
- Diffuse large B-cell lymphoma
- Anaplastic large cell lymphoma
- Mantle cell lymphoma
- Grade 3 follicular lymphoma
- Mediastinal B-cell lymphoma
The following subtypes are not allowed:
- Lymphoblastic lymphoma
- Mycosis fungoides/Sézary's syndrome
- HTLV-1 associated T-cell leukemia or lymphoma
- Primary CNS lymphoma
- HIV-associated lymphoma
- Transformed lymphoma
- Burkitt's lymphoma
Adequate staging of lymphoma by any of the following methods:
- CT scan or MRI of affected sites
- Unilateral or bilateral bone marrow biopsy
- Positive pre-treatment positron emission tomography (PET) scan
- Lumbar puncture
- Radiographically measurable disease by PET scan
- Any International Prognostic Index risk category allowed
- No prior diagnosis of another hematologic malignancy 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
- 18 and over
Performance status
- Not specified
Life expectancy
- Not specified
Hematopoietic
- Absolute neutrophil count > 1,000/mm^3*
- Platelet count ≥ 75,000/mm^3* NOTE: *Unless due to NHL
Hepatic
- Bilirubin ≤ 2.0 mg/dL* (excluding Gilbert's disease) NOTE: *Unless due to NHL
Renal
- Creatinine ≤ 2.0 mg/dL (unless due to NHL)
Cardiovascular
- Ejection fraction ≥ 45% by echocardiogram or MUGA
Other
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception
- HIV negative
- No other malignancy within the past 5 years except superficial nonmelanoma skin cancer or carcinoma in situ of the cervix
- No other serious co-morbid disease that would preclude study participation
PRIOR CONCURRENT THERAPY:
Biologic therapy
- No prior rituximab for NHL
- No concurrent filgrastim [G-CSF] during course 1 of study treatment except for patients > 70 years of age OR patients with active infection
Chemotherapy
- No prior chemotherapy for NHL
Endocrine therapy
- No prior steroids for NHL
Radiotherapy
- No prior radiotherapy for NHL
- Concurrent consolidation radiotherapy to sites of bulky disease allowed at the discretion of the attending physician
Surgery
- Not specified
Other
- No other prior treatment for NHL
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Diagnostisk
- Tilldelning: N/A
- Interventionsmodell: Enskild gruppuppgift
- Maskning: Ingen (Open Label)
Vad mäter studien?
Primära resultatmått
Resultatmått |
Tidsram |
---|---|
Complete remission as measured by positron emission tomography (PET) at 7-10 days after R-CHOP, and after completion of study treatment
Tidsram: at 7-10 days after R-CHOP, and after completion of study treatment
|
at 7-10 days after R-CHOP, and after completion of study treatment
|
Overall survival at 7-10 days after R-CHOP, and after completion of study treatment
Tidsram: at 7-10 days after R-CHOP, and after completion of study treatment
|
at 7-10 days after R-CHOP, and after completion of study treatment
|
Disease-free survival at 7-10 days after R-CHOP, and after completion of study treatment
Tidsram: at 7-10 days after R-CHOP, and after completion of study treatment
|
at 7-10 days after R-CHOP, and after completion of study treatment
|
Samarbetspartners och utredare
Sponsor
Samarbetspartners
Utredare
- Studiestol: Panayiotis Savvides, MD, Ireland Cancer Center at University Hospitals Case Medical Center, Case Comprehensive Cancer Center
Studieavstämningsdatum
Studera stora datum
Studiestart
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Uppskatta)
Uppdateringar av studier
Senaste uppdatering publicerad (Uppskatta)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Nyckelord
- stadium III vuxen diffust storcelligt lymfom
- stadium IV grad 3 follikulärt lymfom
- stadium IV vuxen diffust storcelligt lymfom
- stadium III grad 3 follikulärt lymfom
- stadium III mantelcellslymfom
- stadium IV mantelcellslymfom
- anaplastiskt storcelligt lymfom
- sammanhängande stadium II mantelcellslymfom
- icke sammanhängande stadium II mantelcellslymfom
- icke sammanhängande stadium II vuxen diffust storcelligt lymfom
- icke-sammanhängande stadium II grad 3 follikulärt lymfom
- stadium I mantelcellslymfom
- sammanhängande stadium II grad 3 follikulärt lymfom
- stadium I grad 3 follikulärt lymfom
- angränsande stadium II vuxen diffust storcelligt lymfom
- stadium I vuxen diffust storcelligt lymfom
Ytterligare relevanta MeSH-villkor
- Immunsystemets sjukdomar
- Neoplasmer efter histologisk typ
- Neoplasmer
- Lymfoproliferativa störningar
- Lymfatiska sjukdomar
- Immunproliferativa störningar
- Lymfom
- Lymfom, icke-Hodgkin
- Läkemedels fysiologiska effekter
- Molekylära mekanismer för farmakologisk verkan
- Enzyminhibitorer
- Antiinflammatoriska medel
- Antireumatiska medel
- Antineoplastiska medel
- Immunsuppressiva medel
- Immunologiska faktorer
- Tubulin modulatorer
- Antimitotiska medel
- Mitosmodulatorer
- Glukokortikoider
- Hormoner
- Hormoner, hormonsubstitut och hormonantagonister
- Antineoplastiska medel, hormonella
- Antineoplastiska medel, Alkylering
- Alkyleringsmedel
- Myeloablativa agonister
- Antineoplastiska medel, fytogena
- Topoisomeras II-hämmare
- Topoisomerasinhibitorer
- Antineoplastiska medel, immunologiska
- Radiofarmaka
- Antibiotika, antineoplastiska
- Cyklofosfamid
- Fluorodeoxiglukos F18
- Rituximab
- Prednison
- Doxorubicin
- Liposomal doxorubicin
- Vincristine
Andra studie-ID-nummer
- CASE2404
- P30CA043703 (U.S.S. NIH-anslag/kontrakt)
- CASE-CWRU-2404 (Annan identifierare: Case Comprehensive Cancer Center)
- CWRU-100401
Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .
Kliniska prövningar på rituximab
-
Children's Oncology GroupNational Cancer Institute (NCI)Aktiv, inte rekryterandeEBV-relaterad post-transplantation lymfoproliferativ störning | Monomorf post-transplantation lymfoproliferativ störning | Polymorf post-transplantation lymfoproliferativ störning | Återkommande monomorfisk post-transplantationslymfoproliferativ störning | Återkommande polymorf post-transplantation... och andra villkorFörenta staterna
-
M.D. Anderson Cancer CenterNational Cancer Institute (NCI)RekryteringAnn Arbor steg I grad 1 follikulärt lymfom | Ann Arbor steg I grad 2 follikulärt lymfom | Ann Arbor steg II grad 1 follikulärt lymfom | Ann Arbor steg II grad 2 follikulärt lymfomFörenta staterna
-
National Cancer Institute (NCI)AvslutadAnn Arbor steg III grad 1 follikulärt lymfom | Ann Arbor steg III grad 2 follikulärt lymfom | Ann Arbor steg IV grad 1 follikulärt lymfom | Ann Arbor steg IV grad 2 follikulärt lymfom | Ann Arbor steg II grad 3 sammanhängande follikulärt lymfom | Ann Arbor Steg II Grad 3 Non-Contiguous Follicular... och andra villkorFörenta staterna
-
Academic and Community Cancer Research UnitedNational Cancer Institute (NCI)Aktiv, inte rekryterandeÅterkommande follikulärt lymfom grad 1 | Återkommande follikulärt lymfom grad 2 | Återkommande mantelcellslymfom | Återkommande lymfom i marginalzonen | Refraktärt B-cells non-Hodgkin-lymfom | Återkommande litet lymfocytiskt lymfom | Återkommande B-cells non-Hodgkin lymfom | Återkommande follikulärt... och andra villkorFörenta staterna
-
Mabion SAParexelIndragen
-
M.D. Anderson Cancer CenterNational Cancer Institute (NCI)Aktiv, inte rekryterandeÅterkommande litet lymfocytiskt lymfom | Prolymfocytisk leukemi | Återkommande kronisk lymfatisk leukemiFörenta staterna
-
National Cancer Institute (NCI)Aktiv, inte rekryterandeÅterkommande mantelcellslymfom | Refraktärt B-cells non-Hodgkin-lymfom | Återkommande B-cells non-Hodgkin lymfom | Refraktärt mantelcellslymfomFörenta staterna
-
National Cancer Institute (NCI)Celgene CorporationAktiv, inte rekryterandeAnn Arbor steg III grad 1 follikulärt lymfom | Ann Arbor steg III grad 2 follikulärt lymfom | Ann Arbor steg IV grad 1 follikulärt lymfom | Ann Arbor steg IV grad 2 follikulärt lymfom | Ann Arbor steg II grad 3 sammanhängande follikulärt lymfom | Ann Arbor Steg II Grad 3 Non-Contiguous Follicular... och andra villkorFörenta staterna
-
National Cancer Institute (NCI)Har inte rekryterat ännuKlassiskt follikulärt lymfom | Follikulärt lymfom med ovanliga cytologiska egenskaper
-
M.D. Anderson Cancer CenterAktiv, inte rekryterandeMantelcellslymfomFörenta staterna