Status:

COMPLETED

ZAR2007: R-CHOP in Folicular Lymphoma Patients no Treated Previously. Consolidation With 90Y Ibritumomab Tiuxetan (Zevalin®) Versus Maintenance Treatment With Rituximab (MabThera®)

Lead Sponsor:

PETHEMA Foundation

Collaborating Sponsors:

GELCAB

Grupo Español de Linfomas y Transplante Autólogo de Médula Ósea

Conditions:

Lymphoma

Eligibility:

All Genders

18-75 years

Phase:

PHASE2

Brief Summary

After conventional induction treatment with R-CHOP (Rituximab, cyclophosphamide, adriamycin, vincristine and prednisone) the patients are randomized to: A: Consolidation with one dose of 90Y Ibritumo...

Detailed Description

The study will evaluate the benefit of consolidation treatment with 90Y Ibritumomab tiuxetan (Zevalin®) or maintenance with rituximab (MabThera®) in terms of progression free survival, after induction...

Eligibility Criteria

Inclusion

  • Folicular Lymphoma CD20-positive, grade 1, 2 or 3a, confirmed in previous 4 months.
  • Patients no treated previously.
  • Ann Arbor Stage II, III o IV.
  • Symptoms or signes wich indicate necesary treatment (GELF criteria):
  • Ganglionar or extraganglionar mass
  • B Symptoms
  • LDH or B2-microglobuline increased
  • 3 ganglionar territory afected (\> 3 cm)
  • Esplenomegalia
  • Compresive syndrome
  • Pleural/peritoneal effusion
  • Secondary medular insufiency due to infiltration
  • Age\> 18 years and \<75 years.
  • ECOG \< 2
  • Adecuate hematological function: Hemoglobin \> 8,0 g/dl (5,0 mmol/L); RAN \>1,5 x 109/L; platelets \> 100 x 109/L
  • No pregnant women. Women and man should use an appropiate anticonceptive method during the study and one year after
  • Informed consent

Exclusion

  • Transformation in high grade lymphoma
  • FL grade 3b.
  • Skin or gastro-intestinal primary lymphoma
  • History of CNS diseases ( or CNS lymphoma)
  • Previous treatment
  • Regulary treatment with corticosteroids (permited \< 20 mg/day prednisone or equivalent).
  • Previous cancer diseases
  • Major surgery in 28 days before inclusion in study.
  • Creatinine \> 2,0 mg/dl (197 mmol/L)
  • Bilirubin \> 2,0 mg/dl (34 mmol/L), AST (SGOT) \> 3 x upper normal limit.
  • HIV infection or active infection VHB o VHC \< 4 weeks before inclusion.
  • Other complicated diseases
  • Criteria investigador:
  • Life expectancy \< 6 months.
  • Hipersensibility to Ibritumomab tiuxetan, rituximab, other murines proteins or any excipients.
  • Treatment in other experimental study in previous 30 days
  • Any medical o psicologycal condition that can modify the capacity to give the consent

Key Trial Info

Start Date :

December 1 2008

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

October 30 2017

Estimated Enrollment :

149 Patients enrolled

Trial Details

Trial ID

NCT00662948

Start Date

December 1 2008

End Date

October 30 2017

Last Update

April 28 2020

Active Locations (21)

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Page 1 of 6 (21 locations)

1

Hospital Juan Canalejo

A Coruña, Spain

2

Hospital de Alcorcón

Alcorcón, Spain

3

Hospital germans Trias i Pujol

Badalona, Spain

4

Hospital Clínic

Barcelona, Spain