Status:

SUSPENDED

GM-CSF With or Without Vaccine Therapy After Combination Chemotherapy and Rituximab as First-Line Therapy in Treating Patients With Stage II, Stage III, or Stage IV Diffuse Large B-Cell Lymphoma

Lead Sponsor:

Favrille

Conditions:

Lymphoma

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

RATIONALE: Drugs used in chemotherapy, such as cyclophosphamide, doxorubicin, vincristine, and prednisone, work in different ways to stop the growth of cancer cells, either by killing the cells or by ...

Detailed Description

OBJECTIVES: Primary * Compare the 3-year disease-free survival of patients with high-intermediate- or high-risk bulky stage II or stage III or IV diffuse large B-cell lymphoma treated with sargramos...

Eligibility Criteria

Inclusion

  • DISEASE CHARACTERISTICS:
  • Histologically confirmed diffuse large B-cell lymphoma
  • Bulky stage II or stage III or IV disease
  • Treatment naïve
  • International Prognostic Index score of 3 (high-intermediate) or 4/5 (high)
  • Lymphoma accessible for sampling or existing biopsy material judged suitable for preparation of autologous immunoglobulin idiotype-KLH conjugate vaccine (FavId®)
  • No history of CNS lymphoma or meningeal lymphomatosis
  • No history of indolent lymphoma
  • PATIENT CHARACTERISTICS:
  • ECOG performance status 0-2
  • Platelet count \> 75,000/mm\^3
  • ALT and AST \< 2 times upper limit of normal
  • Not pregnant or nursing
  • No history of unresolved hepatitis B viral infection
  • No history of a treated prior malignancy unless in remission ≥ 2 years, except for treated nonmelanoma carcinomas of the skin or in situ cervical carcinomas or prostatic carcinomas
  • No contraindication to doxorubicin hydrochloride (e.g., abnormal contractility on ECG)
  • No contraindication to vincristine (e.g., peripheral neuropathy)
  • No know HIV positivity
  • No serious nonmalignant disease, including any of the following:
  • Psychiatric disorders
  • Compromised pulmonary function
  • Congestive heart failure
  • Active bacterial, viral, or fungal infections
  • PRIOR CONCURRENT THERAPY:
  • No prior keyhole limpet hemocyanin
  • No planned radiotherapy during or after study therapy
  • No concurrent systemic immunosuppressive therapy (e.g., steroids)

Exclusion

    Key Trial Info

    Start Date :

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    Estimated Enrollment :

    480 Patients enrolled

    Trial Details

    Trial ID

    NCT00324831

    Last Update

    December 18 2013

    Active Locations (2)

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    Page 1 of 1 (2 locations)

    1

    Tower Cancer Research Foundation

    Beverly Hills, California, United States, 90211

    2

    Lineberger Comprehensive Cancer Center at University of North Carolina - Chapel Hill

    Chapel Hill, North Carolina, United States, 27599-7295