Status:

COMPLETED

Melphalan, Yttrium Y 90 Ibritumomab Tiuxetan, and Rituximab Followed by Autologous Stem Cell Transplant in Treating Older Patients With Non-Hodgkin's Lymphoma That Has Relapsed or Not Responded to Previous Treatment

Lead Sponsor:

Swiss Cancer Institute

Conditions:

Lymphoma

Eligibility:

All Genders

65-120 years

Phase:

PHASE1

Brief Summary

RATIONALE: Giving chemotherapy drugs, such as melphalan, before an autologous stem cell transplant helps stop the growth of cancer cells, either by killing the cells or by stopping them from dividing....

Detailed Description

OBJECTIVES: * Determine the maximum tolerated dose of high-dose melphalan when given together with yttrium Y 90 ibritumomab tiuxetan and rituximab as a conditioning regimen followed by vinorelbine di...

Eligibility Criteria

Inclusion

  • DISEASE CHARACTERISTICS:
  • Histologically confirmed non-Hodgkin's lymphoma of any type
  • CD20-positive disease
  • Achieved partial or complete response to salvage treatment for relapse or refractory disease within the past 10 weeks
  • Must have an indication for autologous stem cell transplantation
  • Bone marrow infiltration \< 25%
  • No evidence of CNS involvement
  • PATIENT CHARACTERISTICS:
  • WHO performance status 0-1
  • Bilirubin ≤ 2 times upper limit of normal (ULN)
  • Alkaline phosphatase ≤ 2 times ULN
  • AST ≤ 2 times ULN
  • Creatinine clearance \> 50 mL/min
  • No clinically significant cardiac disease, including any of the following:
  • Unstable angina pectoris
  • Significant arrhythmia
  • Myocardial infarction within the past 3 months
  • LVEF \> 50%
  • No clinically significant urinary tract obstruction
  • No clinically significant pulmonary disease
  • No serious underlying medical condition that would preclude study participation
  • No other malignancy within the past 5 years except nonmelanoma skin cancer or adequately treated in situ cervical cancer
  • PRIOR CONCURRENT THERAPY:
  • See Disease Characteristics
  • At least 30 days since prior participation in another clinical trial
  • No prior stem cell transplantation
  • No prior radiolabeled antibodies, including for induction of disease remission
  • No prior radiotherapy to ≥ 25% of the bone marrow
  • No concurrent radiotherapy
  • No other concurrent anticancer drugs
  • No other concurrent investigational drugs

Exclusion

    Key Trial Info

    Start Date :

    October 1 2006

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    May 1 2013

    Estimated Enrollment :

    20 Patients enrolled

    Trial Details

    Trial ID

    NCT00392691

    Start Date

    October 1 2006

    End Date

    May 1 2013

    Last Update

    May 15 2019

    Active Locations (10)

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    Page 1 of 3 (10 locations)

    1

    Kantonsspital Aarau

    Aarau, Switzerland, CH-5001

    2

    Saint Claraspital AG

    Basel, Switzerland, 4016

    3

    Universitaetsspital-Basel

    Basel, Switzerland, CH-4031

    4

    Istituto Oncologico della Svizzera Italiana - Ospedale Regionale Bellinzona e Valli

    Bellinzona, Switzerland, 6500