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VELCADE®, Rituximab, Cyclophosphamide, and Decadron (VRCD Regimen)
This study is currently recruiting participants.
Verified by Oncology Specialists, S.C., May 2008
Sponsors and Collaborators: Oncology Specialists, S.C.
Millennium Pharmaceuticals, Inc.
Information provided by: Oncology Specialists, S.C.
ClinicalTrials.gov Identifier: NCT00413959
  Purpose

Investigate the Overall response rate (OR) and Time to disease progression (TTP) using this regimen in patients with low-grade B-Cell Non-Hodgkin's Lymphoma as classified by the WHO.


Condition Intervention Phase
Lymphoma, Non-Hodgkin
Lymphoma, B-Cell
Drug: VELCADE®
Drug: Rituximab
Drug: Cyclophosphamide
Drug: Decadron
Phase II

MedlinePlus related topics: Lymphoma
Drug Information available for: Cyclophosphamide Dexamethasone Dexamethasone acetate Dexamethasone Sodium Phosphate Doxiproct plus Rituximab Bortezomib
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Active Control, Single Group Assignment, Efficacy Study
Official Title: Phase II Study Investigating the Efficacy of VELCADE®, Rituximab, Cyclophosphamide, and Decadron (VRCD Regimen) in Front-Line Therapy of Patients With Low-Grade Non-Hodgkin's Lymphoma

Further study details as provided by Oncology Specialists, S.C.:

Primary Outcome Measures:
  • Investigate the Overall response rate (OR) and Time to disease progression (TTP) using this regimen in patients with low-grade B-Cell Non-Hodgkin's Lymphoma as classified by the WHO. [ Time Frame: During Study ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • The secondary objectives of this study are to: evaluate this regimen for Overall Survival (OS) [ Time Frame: During Study ] [ Designated as safety issue: No ]
  • Duration of response and progression-free survival (PFS). [ Time Frame: During Study ] [ Designated as safety issue: No ]

Estimated Enrollment: 30
Study Start Date: August 2006
Estimated Study Completion Date: August 2009
Estimated Primary Completion Date: December 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental
Velcade 1.6 mg/m2 given intravenously on days 1, 8, 15, and 22 Rituximab 375 mg/m2 given intravenously on days 1, 8, 15, and 22 during the first cycle then on day 1 of each subsequent cycle. Dexamethasone 40 mg given orally on days 1, 2, 8, 9, 15, 16, 22, and 23 Cyclophosphamide 400 mg/m2 will be given orally on days 1 through 4 of each cycle.
Drug: VELCADE®
1.6 mg/m^2 given intravenously on days 1, 8, 15 and 22.
Drug: Rituximab
375 mg/m^2 given intravenously on days 1, 8, 15 and 22 during the first cycle then on day 1 of each subsequent cycle
Drug: Cyclophosphamide
400 mg/m^2 given orally on days 1-4 of each cycle
Drug: Decadron
40 mg given orally on days 1, 2, 8, 9, 15, 16, 22 and 23

Detailed Description:

This is a phase II open label study that is looking at the VRCD combination regimen in patients with previously untreated low-grade Non-Hodgkin's Lymphoma. Treatment will start by combining oral dexamethasone and cyclophosphamide with intravenous VELCADE, rituximab. Chemotherapy cycles will be given as outlined below every 35-days and will continue until two cycles beyond complete remission (CR), toxicity, patient's withdrawal, disease progression, or a maximum of 8 cycles.

  Eligibility

Ages Eligible for Study:   18 Years to 90 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Small Lymphocytic Lymphoma
  • Follicular Cell Lymphoma (grades I and II)
  • Mantle Cell Lymphoma patients that are not considered eligible for high-dose therapy and stem cell transplant
  • Lymphoplasmacytic lymphoma including Waldenstrom's Macroglobulinemia
  • Marginal Zone Lymphoma
  • MALT Lymphoma that has ONLY failed antibiotic therapy or involved field radiation.
  • Adequate bone marrow function, renal function, and hepatic function as outlined in details below.
  • ECOG performance status of 0, 1, or 2
  • Able to read, understand, and sign an IRB approved informed consent

Exclusion Criteria:

  • Known HIV positive status
  • Known CNS involvement
  • Prior therapy for lymphoma EXCLUDING antibiotic treatment for MALT-Type NHL.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00413959

Contacts
Contact: Phillip Gozun 847-410-0662 pgozun@oncmed.net
Contact: Kathy Tolzien, RN 847-410-0658 ktolzien@oncmed.net

Locations
United States, Illinois
Oncology Specialists, S.C Recruiting
Park Ridge, Illinois, United States, 60068
Contact: Phillip Gozun     847-410-0662     pgozun@oncmed.net    
Contact: Kathy Tolzien, RN     847-410-0658     ktolzien@oncmed.net    
Principal Investigator: Chadi Nabhan, MD            
Onocology Specialists, S.C Recruiting
Niles, Illinois, United States, 60714
Contact: Phillip Gozun     847-410-0662     pgozun@oncmed.net    
Contact: Kathy Tolzien, RN     847-410-0658     ktolzien@oncmed.net    
Principal Investigator: Chadi Nabhan, MD            
Sponsors and Collaborators
Oncology Specialists, S.C.
Millennium Pharmaceuticals, Inc.
Investigators
Principal Investigator: Chadi Nabhan, MD Oncology Specialists, SC
  More Information

Responsible Party: Oncology Specialists, S.C. ( Chadi Nabhan, MD )
Study ID Numbers: 0606
Study First Received: December 19, 2006
Last Updated: May 21, 2008
ClinicalTrials.gov Identifier: NCT00413959  
Health Authority: United States: Institutional Review Board

Keywords provided by Oncology Specialists, S.C.:
NHL

Study placed in the following topic categories:
Dexamethasone
Immunoproliferative Disorders
Rituximab
Bortezomib
Lymphoma, small cleaved-cell, diffuse
Cyclophosphamide
Lymphoma, B-Cell
Lymphatic Diseases
B-cell lymphomas
Lymphoma, Non-Hodgkin
Lymphoproliferative Disorders
Lymphoma
Dexamethasone acetate

Additional relevant MeSH terms:
Anti-Inflammatory Agents
Molecular Mechanisms of Pharmacological Action
Immunologic Factors
Antineoplastic Agents
Physiological Effects of Drugs
Hormones, Hormone Substitutes, and Hormone Antagonists
Antiemetics
Hormones
Therapeutic Uses
Alkylating Agents
Neoplasms by Histologic Type
Immune System Diseases
Antineoplastic Agents, Hormonal
Gastrointestinal Agents
Enzyme Inhibitors
Immunosuppressive Agents
Glucocorticoids
Pharmacologic Actions
Protease Inhibitors
Neoplasms
Autonomic Agents
Myeloablative Agonists
Antineoplastic Agents, Alkylating
Peripheral Nervous System Agents
Antirheumatic Agents
Central Nervous System Agents

ClinicalTrials.gov processed this record on January 14, 2009