MedPath

S9911, Combination Chemotherapy Plus Monoclonal Antibody Therapy in Treating Patients With Non-Hodgkin's Lymphoma

Phase 2
Completed
Conditions
Lymphoma
Registration Number
NCT00003784
Lead Sponsor
SWOG Cancer Research Network
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. Monoclonal antibodies can locate cancer cells and either kill them or deliver cancer-killing substances to them without harming normal cells.

PURPOSE: Phase II trial to study the effectiveness of combination chemotherapy followed by monoclonal antibody therapy in treating patients who have newly diagnosed follicular non-Hodgkin's lymphoma.

Detailed Description

OBJECTIVES: I. Determine the 2 year failure free survival rate of patients with newly diagnosed follicular lymphoma treated with cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) followed by iodine I 131 monoclonal antibody anti-B1. II. Determine the complete and partial response rates of these patients after this therapy. III. Evaluate the toxicity of this regimen in these patients. IV. Determine the rate of disappearance of cells with clonal t(14;18)/bcl2 rearrangements from the peripheral blood and bone marrow after this therapy in these patients.

OUTLINE: Patients receive cyclophosphamide IV over 15 minutes, doxorubicin IV, and vincristine IV on day 1 and oral prednisone on days 1-5. Treatment is repeated every 21 days for up to 6 courses. Within 4-8 weeks after the last course of chemotherapy, patients who achieve at least a partial response and have less than 25% bone marrow involvement begin immunotherapy. Patients receive unlabeled monoclonal antibody anti-B1 (MOAB anti-B1) IV over 1 hour, then iodine I 131 MOAB anti-B1 IV over 20 minutes on day 1. This regimen is repeated on day 8. Patients are followed every 6 months for 2 years, then annually thereafter.

PROJECTED ACCRUAL: A total of 80 patients will be accrued for this study within 1 year.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
102
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (87)

Veterans Affairs Outpatient Clinic - Martinez

🇺🇸

Martinez, California, United States

Providence Hospital - Southfield

🇺🇸

Southfield, Michigan, United States

Boston Medical Center

🇺🇸

Boston, Massachusetts, United States

CCOP - Virginia Mason Research Center

🇺🇸

Seattle, Washington, United States

Swedish Cancer Institute

🇺🇸

Seattle, Washington, United States

Veterans Affairs Medical Center - Seattle

🇺🇸

Seattle, Washington, United States

University of Washington Medical Center

🇺🇸

Seattle, Washington, United States

CCOP - Atlanta Regional

🇺🇸

Atlanta, Georgia, United States

Arizona Cancer Center

🇺🇸

Tucson, Arizona, United States

MBCCOP - University of South Alabama

🇺🇸

Mobile, Alabama, United States

Veterans Affairs Medical Center - Tucson

🇺🇸

Tucson, Arizona, United States

CCOP - Santa Rosa Memorial Hospital

🇺🇸

Santa Rosa, California, United States

Cancer Research Center of Hawaii

🇺🇸

Honolulu, Hawaii, United States

University of Arkansas for Medical Sciences

🇺🇸

Little Rock, Arkansas, United States

Beckman Research Institute, City of Hope

🇺🇸

Duarte, California, United States

USC/Norris Comprehensive Cancer Center

🇺🇸

Los Angeles, California, United States

CCOP - Central Illinois

🇺🇸

Springfield, Illinois, United States

Veterans Affairs Medical Center - Long Beach

🇺🇸

Long Beach, California, United States

Veterans Affairs Medical Center - Wichita

🇺🇸

Wichita, Kansas, United States

Jonsson Comprehensive Cancer Center, UCLA

🇺🇸

Los Angeles, California, United States

Veterans Affairs Medical Center - Little Rock (McClellan)

🇺🇸

Little Rock, Arkansas, United States

David Grant Medical Center

🇺🇸

Travis Air Force Base, California, United States

CCOP - Bay Area Tumor Institute

🇺🇸

Oakland, California, United States

Chao Family Comprehensive Cancer Center

🇺🇸

Orange, California, United States

CCOP - Wichita

🇺🇸

Wichita, Kansas, United States

Veterans Affairs Medical Center - Lexington

🇺🇸

Lexington, Kentucky, United States

Dwight David Eisenhower Army Medical Center

🇺🇸

Fort Gordon, Georgia, United States

Albert B. Chandler Medical Center, University of Kentucky

🇺🇸

Lexington, Kentucky, United States

Tulane University School of Medicine

🇺🇸

New Orleans, Louisiana, United States

Veterans Affairs Medical Center - Boston (Jamaica Plain)

🇺🇸

Jamaica Plain, Massachusetts, United States

CCOP - Grand Rapids Clinical Oncology Program

🇺🇸

Grand Rapids, Michigan, United States

Veterans Affairs Medical Center - Biloxi

🇺🇸

Biloxi, Mississippi, United States

University of Mississippi Medical Center

🇺🇸

Jackson, Mississippi, United States

Veterans Affairs Medical Center - Jackson

🇺🇸

Jackson, Mississippi, United States

Keesler Medical Center - Keesler AFB

🇺🇸

Keesler AFB, Mississippi, United States

CCOP - Montana Cancer Consortium

🇺🇸

Billings, Montana, United States

CCOP - St. Louis-Cape Girardeau

🇺🇸

Saint Louis, Missouri, United States

CCOP - Kansas City

🇺🇸

Kansas City, Missouri, United States

University of New Mexico Cancer Research & Treatment Center

🇺🇸

Albuquerque, New Mexico, United States

Herbert Irving Comprehensive Cancer Center

🇺🇸

New York, New York, United States

Veterans Affairs Medical Center - Dayton

🇺🇸

Dayton, Ohio, United States

CCOP - Upstate Carolina

🇺🇸

Spartanburg, South Carolina, United States

Brooke Army Medical Center

🇺🇸

Fort Sam Houston, Texas, United States

Texas Tech University Health Science Center

🇺🇸

Lubbock, Texas, United States

CCOP - Cancer Research for the Ozarks

🇺🇸

Springfield, Missouri, United States

CCOP - Dayton

🇺🇸

Kettering, Ohio, United States

Veterans Affairs Medical Center - Hines (Hines Junior VA Hospital)

🇺🇸

Hines, Illinois, United States

MBCCOP - LSU Medical Center

🇺🇸

New Orleans, Louisiana, United States

Veterans Affairs Medical Center - New Orleans

🇺🇸

New Orleans, Louisiana, United States

Louisiana State University Hospital - Shreveport

🇺🇸

Shreveport, Louisiana, United States

Veterans Affairs Medical Center - Kansas City

🇺🇸

Kansas City, Missouri, United States

CCOP - Columbus

🇺🇸

Columbus, Ohio, United States

Veterans Affairs Medical Center - Albuquerque

🇺🇸

Albuquerque, New Mexico, United States

St. Louis University Health Sciences Center

🇺🇸

Saint Louis, Missouri, United States

Veterans Affairs Medical Center - Brooklyn

🇺🇸

Brooklyn, New York, United States

Cleveland Clinic Cancer Center

🇺🇸

Cleveland, Ohio, United States

University of Texas Medical Branch

🇺🇸

Galveston, Texas, United States

CCOP - Greenville

🇺🇸

Greenville, South Carolina, United States

Fred Hutchinson Cancer Research Center

🇺🇸

Seattle, Washington, United States

Veterans Affairs Medical Center - Temple

🇺🇸

Temple, Texas, United States

CCOP - Scott and White Hospital

🇺🇸

Temple, Texas, United States

CCOP - Northwest

🇺🇸

Tacoma, Washington, United States

CCOP - Greater Phoenix

🇺🇸

Phoenix, Arizona, United States

Veterans Affairs Medical Center - Ann Arbor

🇺🇸

Ann Arbor, Michigan, United States

Veterans Affairs Medical Center - Phoenix (Hayden)

🇺🇸

Phoenix, Arizona, United States

University of California Davis Medical Center

🇺🇸

Sacramento, California, United States

UCSF Cancer Center and Cancer Research Institute

🇺🇸

San Francisco, California, United States

Veterans Affairs Medical Center - Denver

🇺🇸

Denver, Colorado, United States

University of Michigan Comprehensive Cancer Center

🇺🇸

Ann Arbor, Michigan, United States

Veterans Affairs Medical Center - Detroit

🇺🇸

Detroit, Michigan, United States

University of Colorado Cancer Center

🇺🇸

Denver, Colorado, United States

Barbara Ann Karmanos Cancer Institute

🇺🇸

Detroit, Michigan, United States

Henry Ford Hospital

🇺🇸

Detroit, Michigan, United States

Barrett Cancer Center, The University Hospital

🇺🇸

Cincinnati, Ohio, United States

Veterans Affairs Medical Center - Cincinnati

🇺🇸

Cincinnati, Ohio, United States

Oklahoma Medical Research Foundation

🇺🇸

Oklahoma City, Oklahoma, United States

Veterans Affairs Medical Center - Oklahoma City

🇺🇸

Oklahoma City, Oklahoma, United States

Oregon Cancer Center at Oregon Health Sciences University

🇺🇸

Portland, Oregon, United States

Veterans Affairs Medical Center - Portland

🇺🇸

Portland, Oregon, United States

CCOP - Columbia River Program

🇺🇸

Portland, Oregon, United States

University of Texas Health Science Center at San Antonio

🇺🇸

San Antonio, Texas, United States

Veterans Affairs Medical Center - San Antonio (Murphy)

🇺🇸

San Antonio, Texas, United States

Huntsman Cancer Institute

🇺🇸

Salt Lake City, Utah, United States

Veterans Affairs Medical Center - Salt Lake City

🇺🇸

Salt Lake City, Utah, United States

Loyola University Medical Center

🇺🇸

Maywood, Illinois, United States

Veterans Affairs Medical Center - Shreveport

🇺🇸

Shreveport, Louisiana, United States

University of Kansas Medical Center

🇺🇸

Kansas City, Kansas, United States

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