Status:

TERMINATED

Rituximab and Oblimersen in Treating Patients With Stage II, Stage III, or Stage IV Follicular Non-Hodgkin's Lymphoma

Lead Sponsor:

National Cancer Institute (NCI)

Conditions:

Stage III Grade 1 Follicular Lymphoma

Stage III Grade 2 Follicular Lymphoma

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

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 can...

Detailed Description

PRIMARY OBJECTIVES: I. To determine the response rate (overall and complete response rate) after rituximab + oblimersen sodium extended induction therapy in previously untreated cluster of differenti...

Eligibility Criteria

Inclusion

  • Inclusion Criteria:
  • Previously untreated, histologically confirmed follicular lymphoma, WHO classification, grade 1, 2, or 3a (\> 15 centroblasts per high power field with centrocytes present) which is stage III, IV, or bulky (i.e., single mass \>= 7 cm in any unidimensional measurement) stage II
  • Institutional flow cytometry or immunohistochemistry must confirm CD20 antigen expression
  • Patients classified as high risk according to the Follicular Lymphoma International Prognostic Index (FLIPI) should be considered for CALGB 50102/SWOG S0016
  • No prior therapy for non-Hodgkin lymphoma including chemotherapy, radiation or immunotherapy (e.g., monoclonal antibody-based therapy)
  • No corticosteroids within two weeks prior to study, except for maintenance therapy for a non-malignant disease
  • ECOG performance status 0-2
  • Measurable disease must be present either on physical examination or imaging studies; non-measurable disease alone is not acceptable; any tumor mass \> 1 cm is acceptable; lesions that are considered non-measurable include the following:
  • Bone lesions (lesions if present should be noted)
  • Ascites
  • Pleural/pericardial effusion
  • Lymphangitis cutis/pulmonis
  • Bone marrow (involvement by non-Hodgkin lymphoma should be noted)
  • No known CNS involvement by lymphoma
  • No known HIV infection
  • Non-pregnant and non-nursing; women and men of reproductive potential should agree to use an effective means of birth control throughout their participation in this study; appropriate methods of birth control include oral contraceptives, implantable hormonal contraceptives, or double barrier method (diaphragm plus condom)
  • Patients with a "currently active" second malignancy, other than nonmelanoma skin cancers are not eligible; (this includes Waldenstrom's Macroglobulinemia, since such patents have experienced transient increases in IgM following initiation of rituximab, with the potential for hyperviscosity syndrome requiring plasmapheresis); patients are not considered to have a "currently active" malignancy if they have completed anti-cancer therapy, and are considered by their physician to be at less than 30% risk of relapse
  • ANC \>= 1000/uL
  • Platelet count \>= 50,000/uL
  • Creatinine =\< 2 x ULN
  • Total bilirubin =\< 2 x ULN; unless attributable to Gilbert's disease

Exclusion

    Key Trial Info

    Start Date :

    March 1 2006

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    Estimated Enrollment :

    52 Patients enrolled

    Trial Details

    Trial ID

    NCT00301795

    Start Date

    March 1 2006

    Last Update

    January 7 2013

    Active Locations (1)

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    Cancer and Leukemia Group B

    Chicago, Illinois, United States, 60606