Efficacy of R-CHOP vs R-CHOP/R-DHAP in Untreated MCL
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ClinicalTrials.gov Identifier: NCT00209222 |
Recruitment Status : Unknown
Verified July 2009 by European Mantle Cell Lymphoma Network.
Recruitment status was: Recruiting
First Posted : September 21, 2005
Last Update Posted : September 10, 2012
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Condition or disease | Intervention/treatment | Phase |
---|---|---|
Lymphoma, Mantle-Cell | Drug: Rituximab Drug: Cyclophosphamide Drug: Doxorubicin Drug: Vincristine Drug: Prednisone Drug: Cisplatinum Drug: Ara-C Drug: Dexamethasone Drug: BCNU Drug: Melphalan Drug: Etoposide Drug: G-CSF Procedure: chemotherapy: R-CHOP Procedure: chemotherapy: R-DHAP Procedure: chemotherapy: Dexa-BEAM Procedure: stem cell harvest Procedure: total body irradiation Procedure: high-dose chemotherapy: Cyclophosphamide Procedure: high-dose chemotherapy: Ara-C /Melphalan | Phase 3 |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 360 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | Efficacy of 6x R-CHOP Followed by Myeloablative Radiochemotherapy and Autologous Stem Cell Transplantation vs. 3 x (R-CHOP/R-DHAP) Followed by a High Dose ARA-C Containing Myeloablative Regimen and Autologous Stem Cell Transplantation |
Study Start Date : | July 2004 |
Estimated Primary Completion Date : | December 2014 |
Estimated Study Completion Date : | December 2014 |
Arm | Intervention/treatment |
---|---|
Active Comparator: 1
induction: R-CHOP consoldiation : TBI/Cyclo
|
Drug: Rituximab
antibody Drug: Cyclophosphamide chemotherapy Drug: Doxorubicin chemotherapy Drug: Vincristine chemotherapy Drug: Prednisone corticosteroide Drug: BCNU chemotherapy Drug: Melphalan chemotherapy Drug: Etoposide chemotherapy Drug: G-CSF growth factor Procedure: chemotherapy: R-CHOP immuno-chemotherapy Procedure: chemotherapy: Dexa-BEAM chemotherapy Procedure: stem cell harvest procedure Procedure: total body irradiation radiation Procedure: high-dose chemotherapy: Cyclophosphamide chemotherapy |
Experimental: 2
induction: R-CHOP/DHAP consolditaion: TBI/TAM
|
Drug: Rituximab
antibody Drug: Cyclophosphamide chemotherapy Drug: Doxorubicin chemotherapy Drug: Vincristine chemotherapy Drug: Prednisone corticosteroide Drug: Cisplatinum chemotherapy Drug: Ara-C chemotherapy Drug: Dexamethasone corticosteroide Drug: Melphalan chemotherapy Drug: G-CSF growth factor Procedure: chemotherapy: R-CHOP immuno-chemotherapy Procedure: chemotherapy: R-DHAP immuno-chemotherapy Procedure: stem cell harvest procedure Procedure: total body irradiation radiation Procedure: high-dose chemotherapy: Ara-C /Melphalan chemotherapy |
- time to treatment failure after start of therapy
- complete remission (CR) rate
- overall survival
- progression-free survival
- adverse events
- serious infectious complications
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Ages Eligible for Study: | 18 Years to 65 Years (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Histologically proven diagnosis of mantle cell lymphoma (World Health Organization [WHO] classification)
- Clinical stage II - IV (Ann Arbor)
- Previously untreated patients
- Age 18 - 65 years
- WHO performance < 2
- Measurable disease (also: patients with isolated bone marrow involvement)
- Informed consent according to International Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use/European Union Good Clinical Practice (ICH/EU GCP) and national/local regulations
Exclusion Criteria:
- Age > 65 years
- WHO performance status > 2
- Known anti-murine antibody (HAMA) reactivity or known hypersensitivity to murine antibodies
- Previous lymphoma therapy with radiation, cytostatic drugs, anti-CD20 antibody or interferon
-
Serious disease interfering with a regular therapy according to the study protocol:
- cardiac (e.g. manifest heart failure, coronary heart disease, uncontrolled hypertension)
- pulmonary (e.g. chronic lung disease with hypoxemia)
- endocrine (e.g. severe, not sufficiently controlled diabetes mellitus)
- renal insufficiency (unless caused by the lymphoma): creatinine > 2x normal value and/or creatinine clearance < 50 ml/min)
- impairment of liver function (unless caused by the lymphoma): transaminases > 3x normal or bilirubin > 2,0 mg/dl
- Patients with unresolved hepatitis B or C infection or known HIV infection
- Prior organ, bone marrow or peripheral blood stem cell transplantation
- Concomitant or previous malignancies within the last 5 years other than basal cell skin cancer or in situ uterine cervix cancer.
- Pregnancy or lactation
- Any psychological, familiar, sociological, or geographical condition potentially hampering compliance with the study protocol and follow up schedule
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00209222
Contact: Michael Unterhalt, Dr. | +49-89-7095 ext 4915 | Michael.Unterhalt@med.uni-muenchen.de | |
Contact: Martin Dreyling, PhD | +49-89-7095 ext 2202 | Martin.Dreyling@med.uni-muenchen.de |
France | |
Groupe D´Etudes des Lymphomes De l´Adulte (GELA) | Recruiting |
Paris, France, F-75743 | |
Contact: Guylène Chartier +33-1-42499811 Guylene.chartier@chu-stlouis.fr | |
Contact: Olivier Hermine, PhD +33-1-44 49 52 83 hermine@necker.fr | |
Principal Investigator: Olivier Hermine, PhD | |
Germany | |
German Low Grade Study Group (Glsg) | Recruiting |
Munich, Germany, D-81377 | |
Contact: Michael Unterhalt, Dr. +49-89-7095 ext 4915 Michael.Unterhalt@med.uni-muenchen.de | |
Contact: Martin Dreyling, PhD +49-89-7095 ext 2202 Martin.Dreyling@med.uni-muenchen.de | |
Principal Investigator: Wolfgang Hiddemann, PhD | |
Poland | |
The Maria Sklodowska Memorial, Cancer Center - Inst. of Oncology | Recruiting |
Warszawa, Poland, PL-02-781 | |
Contact: Jan Walewski, MD +48-22-546-2223 walewski@coi.waw.pl | |
Contact: Marek P Nowacki, MD +48-22-546-2223 | |
Principal Investigator: Jan Walewski, MD |
Principal Investigator: | Olivier Hermine, PhD | University Hospital Necker, Dept. of Adult Hematology | |
Study Chair: | Wolfgang Hiddemann, PhD | University Hospital Großhadern/LMU, Dept. of Medicine III |
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: | Prof Dr. Martin Dreyling, University Hospital Grosshadern/European MCLNetwork |
ClinicalTrials.gov Identifier: | NCT00209222 |
Other Study ID Numbers: |
MCL2004-2 |
First Posted: | September 21, 2005 Key Record Dates |
Last Update Posted: | September 10, 2012 |
Last Verified: | July 2009 |
Lymphoma, Mantle-Cell younger patients chemotherapy high dose therapy |
C04.557.386.480.300.725.500 C15.604.515.569.480.300.725.500 C20.683.515.761.480.300.725.500 |
Lymphoma, Mantle-Cell Lymphoma Neoplasms by Histologic Type Neoplasms Lymphoproliferative Disorders Lymphatic Diseases Immunoproliferative Disorders Immune System Diseases Lymphoma, Non-Hodgkin Cytarabine Dexamethasone Prednisone Cyclophosphamide Melphalan Rituximab |
Doxorubicin Etoposide Vincristine Cisplatin Immunosuppressive Agents Immunologic Factors Physiological Effects of Drugs Antirheumatic Agents Antineoplastic Agents, Alkylating Alkylating Agents Molecular Mechanisms of Pharmacological Action Antineoplastic Agents Myeloablative Agonists Antineoplastic Agents, Immunological Anti-Inflammatory Agents |