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临床试验/NCT00199108
NCT00199108已完成2 期

A Phase-2 Clinical Study to Determine the Efficacy and Safety of Depocyt (Cytarabine Liposome Injection) for the Treatment of CNS Relapse in Adult Patients With Acute Lymphoblastic Leukemia or Very Aggressive Lymphoma

Goethe University1 个研究点 分布在 1 个国家目标入组 20 人开始时间: 2004年4月最近更新:
适应症
干预措施

试验速览

阶段
2 期
状态
已完成
发起方
入组人数
20
试验地点
1
主要终点
response rate after one application of DepoCyte

研究概览

简要总结

Patients with acute lymphoblastic leukaemia or very aggressive lymphoma and documented isolated CNS relapse or CNS relapse combined with other relapse sites should receive therapy with intrathecal DepoCyte at least once. Treatment may be repeated during induction phase each 2 weeks and monthly during maintenance phase. The study aim is to replace the usual 2-3 weekly applications of intrathecal triple therapy with one application of DepoCyte. Primary objective is the response rate after one application of DepoCyte. Further objectives are the compilation of data regarding safety and toxicity

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
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • proven diagnosis of ALL or very aggressive Non-Hodgkin-Lymphoma (Burkitt/Burkitt-like) and CNS relapse
  • CNS involvement demonstrated by a positive ventricular or lumbar CSF cytology or characteristic signs and symptoms of neoplastic meningitis plus an MRI or CT scan indicating the presence of meningeal involvement
  • in combined relapse in CNS and other locations: systemic therapy with CNS active drugs can be postponed for at least 2 weeks
  • Karnofsky Performance Score is > or = 60%
  • 18 years of age or older
  • free of uncontrolled infection
  • recovered from any grade III / IV toxicities attributable to prior treatment with the exception of hematotoxicity
  • patient not pregnant or breast feeding and effective methods to prevent pregnancy
  • free from severe heart, lung, liver or kidney dysfunction
  • written informed consent

排除标准

  • failed to respond (as defined by no clearance of the CSF) to > 1 dose of prior i.th. MTX or ARAC or triple therapy
  • history of neurotoxicity (grade III - IV) attributed to i.th. or systemic HD therapy with MTX or ARAC
  • prior CNS relapse < 1 month before

研究组 & 干预措施

Only 1 arm

Experimental

干预措施: Depocyt (Drug)

Only 1 arm

Experimental

干预措施: Dexamethasone (Drug)

结局指标

主要结局

response rate after one application of DepoCyte

时间窗: one cycle

次要结局

  • response rate at later time-points, toxicity (WHO), death in induction and CR, time to neurological progression, frequency of improvement in pre-existing meningeal-disease related neurological symptoms, Karnofsky Performance Status, Survival(after each cycle and during follow-up)

研究者

发起方
Goethe University
申办方类型
Other
责任方
Principal Investigator
主要研究者

Nicola Goekbuget

Principal Investigator

Goethe University

研究点 (1)

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