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Clinical Trials/NL-OMON53047
NL-OMON53047RecruitingPhase 3

Phase III study comparing R-CODOX-M/R-IVAC versus dose-adjusted EPOCH-R (DA-EPOCH-R) for patients with newly diagnosed high risk Burkitt lymphoma - HOVON 127 BL / SAKK 37/16

HOVO0 sites90 target enrollmentStarted: TBDLast updated:

Trial Snapshot

Phase
Phase 3
Status
Recruiting
Sponsor
Enrollment
90

Study Overview

Brief Summary

No summary available.

Study Design

Study Type
Interventional

Eligibility Criteria

Ages
18 to 64 (—)

Inclusion Criteria

  • - First diagnosis of high risk Burkitt lymphoma (sporadic and HIV associated),
  • histologically confirmed according to the WHO classification 2008; Upon its
  • availability the WHO 2016 classification should be used, to replace the WHO
  • 2008 classification.
  • - High risk disease; i.e. any of following: elevated LDH, WHO performance
  • status >= 2, Ann Arbor stage III or IV (Appendix A), tumour mass >= 10 cm;
  • - Age 18-75 years inclusive;
  • - WHO performance status (PS) 0-3, WHO PS 4 only if disease related;
  • - Written informed consent.

Exclusion Criteria

  • - All histopathological diagnoses other than Burkitt lymphoma according to the
  • WHO classification 2008, irrespective of the presence of a MYC rearrangement;
  • Upon its availability the WHO 2016 classification should be used, to replace
  • the WHO 2008 classification
  • - Patients with endemic Burkitt lymphoma;
  • - Patients with low risk Burkitt lymphoma (i.e. all of following: normal LDH,
  • WHO performance status 0 or 1, Ann Arbor stage I or II, no tumour mass >= 10
  • - Patients with CNS localization of Burkitt lymphoma;
  • - Prior treatment other than local radiation (max. 10 Gy) or short course (max
  • 7 days) of steroids <= 1 mg/kg for acute symptoms; or <= 100 mg prednisolone
  • (whichever is greater; or equivalent corticosteroid), or 1 cycle of R-CHOP
  • - Creatinine clearance < 50 ml/min unless lymphoma related;
  • - Inadequate hepatic function: bilirubin > 2.5 * ULN (total) except patients
  • with Gilbert*s syndrome as defined by > 80% unconjugated;
  • - Inadequate heamatological function ANC < 1x109/l and platelets < 75x109 /l
  • unless lymphoma related;
  • - Severe pulmonary dysfunction (CTCAE grade 3-4, see appendix D);
  • - Severe neurological or psychiatric disease;
  • - Active symptomatic ischemic heart disease, myocardial infarction, or
  • congestive heart failure within the past year. If an ultrasound or MUGA scan is
  • obtained the LVEF should exceed 45%;
  • - All men and all women of child-bearing potential not willing or able to use
  • an acceptable method of birth control for the duration of the study and one
  • year beyond treatment completion;
  • - Female subject pregnant or breast-feeding;
  • - History of a prior invasive malignancy in the past 5 years with the exception
  • of basal carcinoma of the skin or stage 0 cervical carcinoma;
  • - Serious concomitant medical illnesses that would jeopardize the patient's
  • ability to receive the regimen with reasonable safety, including active
  • hepatitis B (HBV, see also paragraph 9.3) or hepatitis C (HCV) infection;
  • - Current participation in another clinical trial if interfering with HO127;
  • - Any psychological, familial, sociological and geographical condition
  • potentially hampering compliance with the study protocol and follow-up

Investigators

Sponsor
HOVO

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