Status:

UNKNOWN

Zevalin and BEAM High-dose Chemotherapy Compared With BEAM Alone as Conditioning Regimen in Patients With Chemosensitive Relapse of Non-Hodgkin's Lymphoma

Lead Sponsor:

Soroka University Medical Center

Conditions:

Non-Hodgkin's Lymphoma

Eligibility:

All Genders

18-65 years

Phase:

PHASE3

Brief Summary

High-dose chemotherapy and autologous stem-cell transplantation have an established role in the treatment of aggressive Non-Hodgkin's lymphoma (NHL) when refractory to first line chemotherapy or after...

Eligibility Criteria

Inclusion

  • Patients with CD20 positive aggressive non-Hodgkin's lymphoma, either diffuse large B-cell or transformed follicular lymphoma as confirmed by a pathological biopsy report.
  • Patients who are candidates for stem-cell transplantation due to refractory disease to first line chemotherapy or relapsing disease and comply with standard transplant eligibility criteria.
  • Patients must have chemo-sensitive disease achieving at least partial response to salvage chemotherapy.
  • Patients were given up to 2 lines of therapy, initial treatment and one salvage treatment. Local radiation therapy for consolidation is not considered a line of therapy.
  • Age less than physiologic 65 years.
  • Patients with an adequate autologous stem cell collection for transplantation (\>2.5 x 106 CD34+ cells/kg). Backup collection is preferable but not obligatory.
  • Patients must sign written informed consent.
  • Adequate birth control in fertile patients.
  • All prior chemotherapy completed at least three weeks before study treatment

Exclusion

  • Chemo-refractory disease or more than 2 prior therapies
  • Bilirubin \> 3.0 mg/dl, transaminases \> 3 times upper normal limit
  • Creatinine \> 2.0 mg/dl
  • ECOG-Performance status \< 2
  • Uncontrolled infection
  • Pregnancy or lactation
  • Abnormal lung diffusion capacity (DLCO \< 40% predicted)
  • Severe cardiovascular disease
  • Chemo-refractory disease as determined by less than partial response to salvage chemotherapy.
  • active CNS disease involvement
  • Pleural effusion or ascites \> 1 liter
  • Known hypersensitivity to rituximab
  • Psychiatric conditions/disease that impair the ability to give informed consent or to adequately co-operate

Key Trial Info

Start Date :

April 1 2007

Trial Type :

INTERVENTIONAL

End Date :

Estimated Enrollment :

Patients enrolled

Trial Details

Trial ID

NCT00463463

Start Date

April 1 2007

Last Update

July 12 2012

Active Locations (1)

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1

Soroka Universuty Medical Center

Beersheba, Israel, 84101