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A Phase II Study of Rituximab Combined With CHOP in T-cell Angio-immunoblastic Lymphoma

Phase 2
Completed
Conditions
Untreated T-cell Angioimmunoblastic Lymphoma
Interventions
Registration Number
NCT00169156
Lead Sponsor
Lymphoma Study Association
Brief Summary

To evaluate the efficacy and the safety of a front-line treatment combining CHOP regimen and rituximab in patients aged 60 to 80 years with previously untreated AIL.

Detailed Description

This is a multicentric, open-label, non-randomized clinical study, evaluating the efficacy and the safety of a front-line treatment combining CHOP regimen and rituximab in patients aged 60 to 80 years with previously untreated AIL.

It is anticipated that 25 subjects will be enrolled over 2 years (from 2005 / 2007).Analysis performed every 5 patients (based on triangular test).

The duration of the treatment period is approximately 25 weeks and patients are followed until Death.

The total Duration of the study is expected to be 2.5 years.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
27
Inclusion Criteria
  • Patients with histologically proven T-cell angioimmunoblastic lymphoma (AIL) on lymph node biopsy.
  • Aged from 60 to 80 years.
  • Patient not previously treated (except corticosteroids providing they have been initiated less than 10 days before inclusion).
  • ECOG performance status 0 to 2.
  • With a minimum of life expectancy > 3 months.
  • Negative HIV, HBV and HCV serological tests < 4 weeks (except after vaccination).
  • Having previously signed a written informed consent.
Exclusion Criteria
  • Any other histological type of T-cell lymphoma.
  • Central nervous system or meningeal involvement by lymphoma.
  • Contra-indication to any drug included in the R-CHOP regimen.
  • Concurrent severe disease (according to the investigator's decision).
  • Active bacterial, viral or fungal infection.
  • Poor renal function (serum creatinine level > 150 µmol/L) or impaired liver function tests (total bilirubin level > 30 µmol/L, transaminases > 2.5 upper normal limits) unless they are related to the lymphoma.
  • Poor bone marrow reserve as defined by neutrophils < 1.5 x 109/L or platelets < 100 x 109/L, unless related to bone marrow infiltration.
  • Any history of cancer during the last 5 years, with the exception of non basal cell carcinoma of the skin or in situ carcinoma of the cervix.
  • Treatment with any investigational drug within 30 days before planned first cycle of chemotherapy and during the study.
  • Patient under tutelage.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Rituximab + CHOPRituximabRituximab + CHOP regimen Prednisone - Doxorubicine - Cyclophosphamide - Vincristine
Rituximab + CHOPPrednisoneRituximab + CHOP regimen Prednisone - Doxorubicine - Cyclophosphamide - Vincristine
Rituximab + CHOPDoxorubicineRituximab + CHOP regimen Prednisone - Doxorubicine - Cyclophosphamide - Vincristine
Rituximab + CHOPCyclophosphamideRituximab + CHOP regimen Prednisone - Doxorubicine - Cyclophosphamide - Vincristine
Rituximab + CHOPVincristineRituximab + CHOP regimen Prednisone - Doxorubicine - Cyclophosphamide - Vincristine
Primary Outcome Measures
NameTimeMethod
Overall Response Rate (ORR)8 months (4 cycles of treatment + 4 cycles of consolidation)

\[Complete response (CR), Complete response unconfirmed (CRu)\] after the end of treatment.

Secondary Outcome Measures
NameTimeMethod
Event-free survival (EFS) relapse for complete responders, disease progression, early discontinuation of treatment for toxicity or modification of treatment.2 years

Events being death from any cause

number of SAE2 years
Disease-free survival (DFS).2 years
Overall survival (OS)2 years
Time to progression (TTF)2 years

Trial Locations

Locations (4)

Hôpital Henri Mondor

🇫🇷

Créteil, France

Service d'Hématologie - Centre Hospitalier Lyon-Sud

🇫🇷

Pierre-Bénite cedex, France

Centre Henri Becquerel

🇫🇷

Rouen, France

Hôpital Saint Louis

🇫🇷

Paris, France

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