First-line Treatment of Mantle Cell Lymphoma of Old Patients . Evaluate the Efficacy, Toxicity, and Molecular Prognostic Factors of Velcade®) in Association With Chemotherapy and Immunotherapy With Rituximab
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 发起方
- 入组人数
- 39
- 试验地点
- 1
- 主要终点
- Overall response rate after 4 courses of therapy
研究概览
简要总结
RATIONALE: Monoclonal antibodies, such as rituximab, can block cancer growth in different ways. Some block the ability of cancer cells to grow and spread. Others find cancer cells and help kill them or carry cancer-killing substances to them. Bortezomib may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth and by blocking blood flow to the tumor. Drugs used in chemotherapy, such as doxorubicin, dexamethasone, and chlorambucil, work in different ways to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. Giving combination chemotherapy together with rituximab and bortezomib may kill more cancer cells.
PURPOSE: This phase II trial is studying how well giving rituximab together with bortezomib, doxorubicin, dexamethasone, and chlorambucil works as first-line therapy in treating older patients with stage II, stage III, or stage IV mantle cell lymphoma.
详细描述
OBJECTIVES:
Primary
- Evaluate the efficacy of rituximab, bortezomib, doxorubicin hydrochloride, dexamethasone, and chlorambucil as first-line therapy in patients with stage II-IV mantle cell lymphoma.
Secondary
- Determine the complete response rate in these patients.
- Determine the efficacy, in terms of complete and overall response, by F18 fludeoxyglucose scan.
- Determine overall, disease-free, and event-free survival of these patients.
- Assess tolerability of this regimen in these patients.
- Evaluate the impact of factors, described in previous protocols, on response to therapy and survival.
- Assess the impact of residual disease in cerebrospinal fluid on survival.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 65 Years 至 80 Years（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- 未提供
排除标准
- 未提供
研究组 & 干预措施
ARM RiBVD
RiBVD 6 cycles every 28 days day 1 :
- Rituximab /Mabthera®, 375 mg/m2 en IV
- Bendamustine, 90 mg/m2 en IVD
- Bortezomib/Velcade®, 1,3 mg/m2 en IVD day 2 : - Bendamustine, 90 mg/m2 en IVD
- Dexamethasone, 40 mg IV day 4 : - Bortezomib/Velcade®, 1,3 mg/m2 en IVD day 8 : - Bortezomib/Velcade®, 1,3 mg/m2 en IVD day 11 : - Bortezomib/Velcade®, 1,3 mg/m2 en IVD
干预措施: rituximab (Biological)
ARM RiBVD
RiBVD 6 cycles every 28 days day 1 :
- Rituximab /Mabthera®, 375 mg/m2 en IV
- Bendamustine, 90 mg/m2 en IVD
- Bortezomib/Velcade®, 1,3 mg/m2 en IVD day 2 : - Bendamustine, 90 mg/m2 en IVD
- Dexamethasone, 40 mg IV day 4 : - Bortezomib/Velcade®, 1,3 mg/m2 en IVD day 8 : - Bortezomib/Velcade®, 1,3 mg/m2 en IVD day 11 : - Bortezomib/Velcade®, 1,3 mg/m2 en IVD
干预措施: bortezomib (Drug)
ARM RiBVD
RiBVD 6 cycles every 28 days day 1 :
- Rituximab /Mabthera®, 375 mg/m2 en IV
- Bendamustine, 90 mg/m2 en IVD
- Bortezomib/Velcade®, 1,3 mg/m2 en IVD day 2 : - Bendamustine, 90 mg/m2 en IVD
- Dexamethasone, 40 mg IV day 4 : - Bortezomib/Velcade®, 1,3 mg/m2 en IVD day 8 : - Bortezomib/Velcade®, 1,3 mg/m2 en IVD day 11 : - Bortezomib/Velcade®, 1,3 mg/m2 en IVD
干预措施: dexamethasone (Drug)
ARM RiBVD
RiBVD 6 cycles every 28 days day 1 :
- Rituximab /Mabthera®, 375 mg/m2 en IV
- Bendamustine, 90 mg/m2 en IVD
- Bortezomib/Velcade®, 1,3 mg/m2 en IVD day 2 : - Bendamustine, 90 mg/m2 en IVD
- Dexamethasone, 40 mg IV day 4 : - Bortezomib/Velcade®, 1,3 mg/m2 en IVD day 8 : - Bortezomib/Velcade®, 1,3 mg/m2 en IVD day 11 : - Bortezomib/Velcade®, 1,3 mg/m2 en IVD
干预措施: Bendamustine (Drug)
结局指标
主要结局
Overall response rate after 4 courses of therapy
时间窗: 4 months
次要结局
未报告次要终点