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Randomized phase II study of two associations of rituximab and chemotherapy, with a pet-driven strategy, in patients from 18 to 59 with DLBCL CD20+ lymphoma and 2 or 3 adverse prognostic factors of the age-adjusted IPI - LNH2007-3B

Conditions
CD20+ diffuse large B-cell lymphoma
Registration Number
EUCTR2007-000699-18-BE
Lead Sponsor
Groupe d'Etude des Lymphomes de l'Adulte(GELA)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
222
Inclusion Criteria

- Patient with histologically proven CD20+ diffuse large B-cell lymphoma (WHO classification).
- Age from18 to 59 years, eligible for transplant.
- Patient not previously treated.
- Baseline FDG-PET Scan (PET0) performed before any treatment with at least one hypermetabolic lesion.
- Index prognostic factors (IPI) 2 or 3.
- With a minimum life expectancy of 3 months.
- Negative HIV, HBV and HCV serologies £ 4 weeks (except after vaccination).
- Having previously signed a written informed consent.
- The subject must be covered by a social security system
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) no
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

- Any other histological type of lymphoma.
- Any history of treated or non-treated indolent lymphoma. However, patients not previously diagnosed and having a diffuse large B-cell lymphoma with some small cell infiltration in bone marrow or lymph node may be included.
- Central nervous system or meningeal involvement by lymphoma.
- Contra-indication to any drug contained in the chemotherapy regimens.
- Poor renal function (creatinin level >150 mmol/l), poor hepatic function (total bilirubin level >30 mmol/l, transaminases >2.5 maximum normal level) unless these abnormalities are related to the lymphoma.
- Poor bone marrow reserve as defined by neutrophils <1.5 G/l or platelets <100 G/l, unless related to bone marrow infiltration.
- Any history of cancer during the last 5 years with the exception of non-melanoma skin tumors or stage 0 (in situ) cervical carcinoma.
- Any serious active disease (according to the investigator’s decision).
- Treatment with any investigational drug within 30 days before planned first cycle of chemotherapy and during the study.
- Pregnant or lactating women or women of childbearing potential not currently practicing an adequate method of contraception
- Adult patient under tutelage.
- Impossibility to performed a baseline PET scan (PET0) before randomization and treatment beginning

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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