Yt90Zevalin Plus CHOP, Z-CHOP
试验速览
- 阶段
- 2 期
- 状态
- 终止
- 入组人数
- 10
- 试验地点
- 2
- 主要终点
- 2-year progression-free survival and overall survival of patients
研究概览
简要总结
The purpose of this study is to determine whether the treatment of Yt90 Zevalin in combination with CHOP (cyclophosphamide, doxorubicin, vincristine, and prednisolone)are effective as first line treatment in patients with bulky stage II or stage III or IV diffuse large B-cell lymphoma
详细描述
Radioimmunotherapy represents a significant advance over unlabeled immunotherapy for the treatment of patients with B-cell non-Hodgkin's lymphoma. The radiobiological effects associated with Yt90-labelled ibritumomab tiuxetan (Zevalin) include the induction of apoptosis and cell-cycle redistribution.
The response rate tend to be higher in patients who have been treated with fewer prior therapies and Yt90-labelled ibritumomab tiuxetan may be suitable for use early in the course of therapy.
Yt90-labelled ibritumomab tiuxetan has less non hematologic toxicity than chemotherapy, with only minimal alopecia, mucositis, nausea, or vomiting, and a lower incidence of infections.
Yt90-labelled ibritumomab tiuxetan regimen is routinely and safely given in an outpatient setting and is completed in 7-9 days and is thus more convenient to be used.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 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 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Histologically confirmed CD20 positive diffuse large B-cell lymphoma with bulky stage II or stage III or stage IV
- •Bidimensionally measurable disease
- •Performance status Zubrod 0-2
- •Less than 20,000/mcL circulating lymphoid cells on WBC differential count
- •No clinical evidence of CNS involvement, no prior diagnosis of indolent lymphoma, no histologic transformation
- •Ejection fraction more than or equal to 45% by MUGA or no significant abnormality by echocardiogram
- •Fertile patients with effective contraception method
- •No other malignancy within past 5 years except adequately treated basal cell or squamous cell skin cancer, stage I or II cancer in complete remission, or carcinoma in situ of cervix
- •No HIV positive, no prior solid organ transplantation
- •No prior antibody therapy, chemotherapy, radiotherapy for lymphoma
排除标准
- •Serum creatinine ot bilirubin more than 2.5 X ULN unless due to lymphoma
- •Active uncontrolled infection
- •Concurrent severe and/or uncontrolled medical disease which could compromise participation in the study
- •Patients with more than 25% infiltrated bone marrow
- •Patients with platelet counts less than 100,000/mcL or neutrophil counts less than 1,500/mcL
结局指标
主要结局
2-year progression-free survival and overall survival of patients
次要结局
- Response rate (partial response, complete unconfirmed response, and complete response)in patients
- 2-year progression-free survival, overall survival and response rate in BCL-2 positive patients