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Rituximab and Yttrium Y 90 Ibritumomab Tiuxetan in Treating Patients With Non-Hodgkin's Lymphoma

Phase 2
Terminated
Conditions
Lymphoma
Interventions
Biological: rituximab
Radiation: yttrium Y 90 ibritumomab tiuxetan
Registration Number
NCT00110149
Lead Sponsor
Beth Israel Deaconess Medical Center
Brief Summary

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.

Detailed Description

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.

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
12
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Rituximab and Yttrium Y 90 Ibritumomab Tiuxetanyttrium Y 90 ibritumomab tiuxetanRituximab and Yttrium Y 90 Ibritumomab Tiuxetan
Rituximab and Yttrium Y 90 Ibritumomab TiuxetanrituximabRituximab and Yttrium Y 90 Ibritumomab Tiuxetan
Primary Outcome Measures
NameTimeMethod
Response Rate (Complete Response, Unconfirmed Complete Response, and Partial Response) at 12 Weeks14 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.

EFS1 year

Event = Death, second malignancy , disease progression.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (3)

Beth Israel Deaconess Medical Center

🇺🇸

Boston, Massachusetts, United States

Norris Cotton Cancer Center at Dartmouth-Hitchcock Medical Center

🇺🇸

Lebanon, New Hampshire, United States

Vermont Cancer Center at University of Vermont

🇺🇸

Burlington, Vermont, United States

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