JCOG0601: Randomized phase II/III study of R-CHOP versus weekly rituximab plus CHOP for CD20 positive diffuse large B cell lymphoma (NHL-R-CHOP-P2/3)
Completed
- Conditions
- CD20 positive diffuse large B cell lmyphoma
Recruitment & Eligibility
- Status
- Complete
- Sex
- All
- Target Recruitment
- 422
Inclusion Criteria
- Histologically proven CD20 positive diffuse large B-cell lymphoma (WHO classification), excluding histological transformation form marginal zone B cell lymphoma or follicular lymphoma and immunodeficiency associated lymphoproliferative disorders.
- lymphoma with CD20 positive by immunohistochemistry or flow cytometry of biopsy epecimen or surgical specimen
- clinical staging is evaluated by diagnostic imaging procedures within 28 days before entry.
- stage I disease without bulky mass inappropriate for chemo-radiotherapy
- lymphoma cells in peripheral blood: no more than 10,000 /mm3
- ECOG Performance Status: 0-2
- no clinical 0CNS invasion
- having measurable lesion
- no prior chemotherapy, radiotherapy and anti-body therapy
- sufficient organ function i) WBC: more than 3000 /mm3 ii) Neutrophil: more than 1000 /mm3 iii) Platlets: more than 10x104 /mm3 iv) AST: no more than 150 U/L v) male ALT: no more than 210 U/L, female: ALT: no more than 115 U/L vi) T-bil: no more than 2.0mg/dl vii) Creatinine: no more than 2.0mg/dl viii) normal ECG without ischemic change, atrial fibrillation, and ventricular arrhythmia ix) ejection fraction: more than 50% by echocardiogram x) PaO2: more than 65mmHg (room air)
- written informed consent
Exclusion Criteria
- Anamnesis of glaucoma
- Diabetes mellitus under treatment with insulin or uncontrolled
- Uncontrollable hypertension
- Coronary artery disorder, cardiomyopathy and heart failure requiring treatment, antiarrhyshmic treated arrhythmia
- HBs antigen positive
- HCV antibody positive
- HIV antibody positive
- Interstitial pneumonia, or plumonary fiblosis
- Severe infection
- Synchronous or metachronous active malignancy. With a history of malignant lymphoma, myelodysplastic syndrome, or leukemia during complete remission
- Interstitial pneumonia, fibroid lung, or severe emphysema
- psychosis or psychiatric symptoms are judged not to be able to participate in this clinical study
- given systemic steroid
Study & Design
- Study Type
- Interventional
- Study Design
- parallel assignment
- Primary Outcome Measures
Name Time Method - phase II: complete response rate
phase III: progression free survival
- Secondary Outcome Measures
Name Time Method