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临床试验/NCT01527422
NCT01527422已完成1 期

Protocol CCAM 05-02 " Phase I-II Study of Dose Dense of PEG Filgrastim and GM-CSF as Support for Dose Desnse CHOP-R Front Line Therapy for Aggressive Non Hodgkin's Lymphoma"

Fernando Cabanillas2 个研究点 分布在 1 个国家目标入组 60 人开始时间: 2006年1月1日最近更新:
适应症
相关药物

试验速览

阶段
1 期
状态
已完成
发起方
入组人数
60
试验地点
2
主要终点
Phase I-II Study of Dose Dense of PEG-Filgrastim and GM-CSF combined with CHOP-R

研究概览

简要总结

We now propose to investigate the combination of CHOP-Rituxan plus PEG-Filgrastim (PEG-filgrastim) and GM-CSF. PEG-Filgrastim would be given in order to allow us to administer the chemotherapy courses every 2 weeks with the practical advantage of requiring only one dose of PEG-filgrastim instead of daily doses of G-CSF.

详细描述

1.1 Primary Objective:

  1. To identify the ideal dose of the combination of CHOP-R with PEG-Filgrastim (Neulasta) using first a fixed dose of Neulasta and an escalating dose of GM-CSF (Leukine) up to 250 mcg. When that dose is reached, if possible, the dose of Neulasta will be increased stepwise. CHOP-R will be delivered every 14 days at a fixed standard dose with dose adjustments of PEG-Filgrastim and GM-CSF upwards and downwards according to nadir or zenith blood counts.

1.2 Secondary Objective: 2. To generate preliminary pilot data as to the effectiveness of the regimen in inducing very early remissions as measured by the CT-PET scan technique.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Patients with previously untreated aggressive non-Hodgkin's Lymphoma. Aggressive histologies include follicular large cell, diffuse large cell, peripheral T cell, transformed lymphomas, Lymphoblastic lymphomas, Burkitt and Burkitt like lymphomas.
  • Must have measurable or evaluable disease.
  • Stage I-IV patients are eligible
  • Patients must be 18 years or older.
  • No evidence of grade 3 or more neurosensory or neuromotor dysfunction (see appendix- toxicity criteria)
  • Written Consent

排除标准

  • HIV positive patients and those with Hepatitis B or C will be excluded from this protocol.
  • Patients with inadequate bone marrow and organ function as defined below:
  • Neutrophils <1,000/l
  • Platelets <100,000/l
  • Billirubin >2
  • Creatinine >2.0 or estimated CrCl <30 cc/min
  • CNS involvement by Lymphoma.
  • Uncontrolled intercurrent disease including arrhythmias, angina pectoris, Class III-IV Congestive heart failure (CHF symptoms on less than ordinary exertion or at rest) or active infection.
  • Active infection or fever > 38.2 degrees C unless due to lymphoma.
  • Subject is not using adequate contraceptive precautions.
  • Pregnancy or breast feeding

结局指标

主要结局

Phase I-II Study of Dose Dense of PEG-Filgrastim and GM-CSF combined with CHOP-R

时间窗: up to 3 years

次要结局

未报告次要终点

研究者

发起方
Fernando Cabanillas
申办方类型
Other
责任方
Sponsor Investigator
主要研究者

Fernando Cabanillas

Hematolgy-Oncologyst

Auxilio Mutuo Cancer Center

研究点 (2)

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