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Combination Chemotherapy in Treating Patients With Relapsed or Refractory Aggressive Non-Hodgkin's Lymphoma

Phase 1
Conditions
Lymphoma
Registration Number
NCT00053105
Lead Sponsor
Theradex
Brief Summary

RATIONALE: Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die. Combining more than one drug may kill more cancer cells.

PURPOSE: Phase I trial to study the effect of combination chemotherapy on the body when treating patients who have relapsed or refractory aggressive non-Hodgkin's lymphoma.

Detailed Description

OBJECTIVES:

* Determine the maximum tolerated dose and recommended dose of pixantrone when administered with cytarabine, methylprednisolone, and cisplatin in patients with relapsed or refractory aggressive non-Hodgkin's lymphoma.

* Determine the dose-limiting toxic effects of this regimen in these patients.

* Determine the relationship between toxicity and systemic exposure to this regimen in these patients.

* Determine the safety of this regimen in these patients.

* Assess the pharmacokinetics of this regimen in these patients.

* Determine, preliminarily, the efficacy of this regimen in these patients.

OUTLINE: This is an open-label, non-randomized, multicenter, dose-escalation study of pixantrone.

Patients receive pixantrone IV over 1 hour on day 1, methylprednisolone IV over 15 minutes on days 1-5, cisplatin IV over 30 minutes on days 1-4, and cytarabine IV over 2 hours on day 5. Treatment repeats every 21 days for at least 8 courses in the absence of disease progression or unacceptable toxicity.

Cohorts of 3-6 patients receive escalating doses of pixantrone until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose at which no more than 2 of 6 patients experience dose-limiting toxicity. Additional patients are treated at the recommended dose, which is defined as the dose preceding the MTD.

Patients are followed every 3 months.

PROJECTED ACCRUAL: Approximately 3-30 patients will be accrued for this study.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
Not specified
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (7)

Arizona Clinical Research Center

πŸ‡ΊπŸ‡Έ

Tucson, Arizona, United States

Highlands Oncology Group

πŸ‡ΊπŸ‡Έ

Springdale, Arkansas, United States

USC/Norris Comprehensive Cancer Center and Hospital

πŸ‡ΊπŸ‡Έ

Los Angeles, California, United States

Marlene and Stewart Greenebaum Cancer Center, University of Maryland

πŸ‡ΊπŸ‡Έ

Baltimore, Maryland, United States

Ireland Cancer Center

πŸ‡ΊπŸ‡Έ

Cleveland, Ohio, United States

Boston Baskin Cancer Group, University Tennessee

πŸ‡ΊπŸ‡Έ

Memphis, Tennessee, United States

University of Texas - MD Anderson Cancer Center

πŸ‡ΊπŸ‡Έ

Houston, Texas, United States

Arizona Clinical Research Center
πŸ‡ΊπŸ‡ΈTucson, Arizona, United States

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