Rituximab in Treating Patients With Waldenstrom's Macroglobulinemia
- Conditions
- Lymphoma
- Interventions
- Biological: rituximab
- Registration Number
- NCT00004889
- Lead Sponsor
- Jonsson Comprehensive Cancer Center
- Brief Summary
RATIONALE: Monoclonal antibodies can locate tumor cells and either kill them or deliver tumor-killing substances to them without harming normal cells.
PURPOSE: Phase II trial to study the effectiveness of rituximab in treating patients who have Waldenstrom's macroglobulinemia.
- Detailed Description
OBJECTIVES: I. Determine the objective response, time to treatment failure, and toxicity in patients with Waldenstrom's macroglobulinemia treated with rituximab. II. Correlate expression and changes in expression of CD20 on patient plasma cells and B-cells with clinical responses.
OUTLINE: This is a multicenter study. Patients receive rituximab IV weekly for 4 weeks. Treatment may be repeated 2 months later in patients with stable disease, partial response, or complete response. Patients are followed every 6 months for 2 years.
PROJECTED ACCRUAL: A total of 12-25 patients will be accrued for this study.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 8
- Waldenstrom's Macroglobulinemia requiring therapy who have received no more than 2 prior courses of therapy; previously untreated patients with slowly progressive WM if the patient can reasonably be expected to not require chemotherapy or steroid therapy for 90 days
- CD20 positive tumor cells
- Presence of monoclonal paraprotein
- Minimum IgM level > 2 times the upper limit of normal
- Adequate organ function: ANC>1000/uL; PLT > 25000/uL; serum creatinine < 2.5; serum total bilirubin and SGOT < 2.5 times the upper limit of normal
- 18 years and older
- Life expectancy of 6 months or greater
- ECOG performance status of 0-2
- Men and women of reproductive potential must agree to use an acceptable method of birth control during treatment and for 6 months after completion of treatment
- Chemotherapy, steroid therapy, or radiation therapy within 30 days of study entry
- Patients who are pregnant
- Serious co-morbid disease
- Uncontrolled bacterial, fungal, or viral infection
- Active second malignancy
- Individuals who cannot provide informed written consent
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Rituxan rituximab 375 mg/m2 given as an intravenous (IV) infusion once weekly for four doses (days 1, 8, 15, and 22). For purposes of this study 4 weekly courses will constitute one cycle of therapy.
- Primary Outcome Measures
Name Time Method Response (delay in disease progression or timing of disease progression) 24 weeks Define objective response (delay in disease progression or timing of disease progression), time to treatment failure, and toxicity for single agent Rituxan therapy in Waldenstrom's macroglobulinemia patients
- Secondary Outcome Measures
Name Time Method Expression of CD20 24 weeks To correlate expression and changes in expression of CD20 on waldenstrom's macroglobulinemia patient plasma cells and B-cells with clinical responses.
Trial Locations
- Locations (8)
Walter Reed Army Medical Center
🇺🇸Washington, District of Columbia, United States
Dana-Farber Cancer Institute
🇺🇸Boston, Massachusetts, United States
Jonsson Comprehensive Cancer Center, UCLA
🇺🇸Los Angeles, California, United States
Memorial Sloan-Kettering Cancer Center
🇺🇸New York, New York, United States
Cross Cancer Institute
🇨🇦Edmonton, Alberta, Canada
Brigham and Women's Hospital
🇺🇸Boston, Massachusetts, United States
Massachusetts General Hospital Cancer Center
🇺🇸Boston, Massachusetts, United States
Cancer Center and Beckman Research Institute, City of Hope
🇺🇸Duarte, California, United States