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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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