Safety and Efficacy Study of Salvage Chemotherapy (R-ESHAP) to Treat Relapsed and Refractory Aggressive Non-Hodgkin's Lymphoma
- Conditions
- Lymphoma, Non-Hodgkin
- Registration Number
- NCT00367497
- Lead Sponsor
- Keio University
- Brief Summary
Aggressive non-Hodgkin's lymphoma is difficult to handle once it relapses or becomes refractory to chemotherapy. Various second or third line chemotherapies, which are called salvage chemotherapy, were developed without promising results. Improvement in efficacy by adding relatively new agent, rituximab, to chemotherapy is now widely accepted in non-Hodgkin's lymphoma. This study will test the safety and efficacy of adding rituximab to existing salvage chemotherapy, ESHAP (R-ESHAP). Our aim is also to proceed to high-dose chemotherapy with autologous hematopoietic stem cell transplantation after successful R-ESHAP therapy.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- TERMINATED
- Sex
- All
- Target Recruitment
- 5
- Clinical diagnosis of aggressive non-Hodgkin's lymphoma
- Refractory to the first line chemotherapy or relapsed
- Expression of CD20 on lymphoma cells
- Measurable lesions on imaging studies
- Blood cell counts not reaching to 3,000/microliter for white blood cells, 7 g/dl for hemoglobin, and 50,000/microliter for platelets without transfusion at the time of registration
- Circulating lymphoma cells equal to or more than 25,000/microliter
- Hepatic dysfunction
- Renal insufficiency
- Cardiac dysfunction or arrhythmia
- Sever infection (bacterial, viral)
- CNS involvement
- Other malignancies
- Pregnancy or breast feeding
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Primary Outcome Measures
Name Time Method Overall response
- Secondary Outcome Measures
Name Time Method Overall survival Progression free survival Effectiveness of peripheral blood stem cell collection Complete response Safety
Trial Locations
- Locations (1)
Keio University School of Medicine
🇯🇵Tokyo, Japan