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Estudio fase 2 aleatorizado, abierto y multicéntrico de Velcade y Fludarabina en comparación con Rituximab y Fludarabina en sujetos con linforma folicular previamente tratados con Rituximab.A Randomized, Open-Label, Multicenter Phase 2 Study of VELCADE With Fludarabine in Comparison to Rituximab With Fludarabine in Follicular Lymphoma Subjects Previously Treated With Rituximab

Phase 1
Conditions
infoma Folicular recidivante o refractario
MedDRA version: 9.1Level: LLTClassification code 10029547Term: Non-Hodgkin's lymphoma
Registration Number
EUCTR2007-004151-11-ES
Lead Sponsor
Janssen-Cilag International NV
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
0
Inclusion Criteria

Potential subjects must satisfy the following criteria to be enrolled in the study:
?Male or female subjects 18 years or older
?Histologically proven diagnosis of follicular non-Hodgkin?s lymphoma grades 1or 2 according to the World Health Organization classification 41
?Subjects must have received at least 14 doses (375mg/m2 or appropriately adjusted dose) of rituximab for the treatment of this lymphoma as single agent rituximab or in rituximab-containing regimens as documented in the subject?s medical record
?Documented relapse or progression following last antineoplastic treatment
?At least 1 measurable tumor mass (>=1.5 cm x >=1.0 cm)
?Eastern Cooperative Oncology Group [ECOG] performance status =<2 (Attachment 1)
?Absolute neutrophil count (ANC) >=1.2 x 109 cells/L
?Platelets >=100 x 109 cells/L (subjects should not have received platelet transfusion in the preceding 7 days)
?Alanine aminotransferase =<2.5 x upper limit of normal (ULN)
?Aspartate aminotransferase =<2.5 x ULN
?Total bilirubin =<1.5 x ULN
?Measured or calculated creatinine clearance >70 mL/min (see Attachment 2 for the Cockcroft-Gault formula )
?To participate in the pharmacogenomic component of this study, subjects (or their legally acceptable representative) must have signed the informed consent form for pharmacogenomic research indicating willingness to participate in the pharmacogenomic component of the study (where local regulations permit)
?Female subjects must be postmenopausal (for at least 6 months), surgically sterile, abstinent, or, if sexually active, be practicing an effective method of birth control (e.g., prescription oral contraceptives, contraceptive injections, intrauterine device, double-barrier method, contraceptive patch, male partner sterilization) before entry and throughout the study; and have a negative serum beta-hCG pregnancy test at screening
?Subjects (or their legally acceptable representatives) must have signed an informed consent document indicating that they understand the purpose of and procedures required for the study and are willing to participate in the study
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) yes
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

Potential subjects who meet any of the following criteria will be excluded from participating in the study:
?Subjects with histological or clinical transformation to an aggressive lymphoma
?History of disallowed therapies:
?prior treatment with VELCADE or fludarabine.
?antineoplastic (including unconjugated therapeutic antibodies), experimental, or radiation therapy within 3 weeks before randomization
?nitrosoureas within 6 weeks before randomization
?radioimmunoconjugates or toxin immunoconjugates within 10 weeks before randomization
?major surgery within 3 weeks before randomization
?chronic use of corticosteroids, such as dexamethasone Note: Prednisone =<15 mg per day or its equivalent is allowed
?Peripheral neuropathy or neuropathic pain of Grade 2 or worse
?Diagnosed or treated for a malignancy other than NHL except: adequately treated non-melanoma skin cancer, curatively treated in-situ cancer of the cervix, DCIS of the breast, or other solid tumors curatively treated with no evidence of disease for >5 years
?Active systemic infection requiring treatment. Hepatitis carriers are not excluded from this study. However, hepatitis carriers should be carefully monitored during treatment for any signs of active hepatitis infection and treatment promptly stopped if active hepatitis disease is observed.
?Active central nervous system lymphoma. Brain MRI is required only if clinically indicated
?Recently received (within the past 6 months) a live virus vaccine
?History of allergic reaction attributable to compounds containing boron, mannitol, rituximab, or similar agents
?Serious medical conditions (such as severe hepatic impairment, pericardial disease, acute diffuse infiltrative pulmonary disease, systemic infections, etc) or psychiatric illness likely to interfere with participation in this clinical study
?Concurrent treatment with another investigational agent. Concurrent participation in non-treatment studies is not excluded.

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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