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Study of the Combination of Rituximab, Cyclophosphamide, Doxorubicin, VELCADE, and Prednisone or Rituximab, Cyclophosphamide, Doxorubicin, Vincristine, and Prednisone in Patients With Newly Diagnosed Mantle Cell Lymphoma
This study is currently recruiting participants.
Verified by Millennium Pharmaceuticals, Inc., July 2008
Sponsors and Collaborators: Millennium Pharmaceuticals, Inc.
Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
Information provided by: Millennium Pharmaceuticals, Inc.
ClinicalTrials.gov Identifier: NCT00722137
  Purpose

This is a randomized, open-label, multicentre, prospective study to compare the efficacy and safety of the combination of VcR-CAP to that of R-CHOP in patients who have newly diagnosed mantle cell lymphoma grade II, III or IV and who are ineligible to undergo bone marrow transplantation.


Condition Intervention Phase
Mantle Cell Lymphoma
Drug: Rituximab, Cyclophosphamide, Doxorubicin, VELCADE, and Prednisone
Drug: Rituximab, Cyclophosphamide, Doxorubicin, Vincristine and Prednisone
Phase III

MedlinePlus related topics: Bone Marrow Transplantation Lymphoma
Drug Information available for: Doxorubicin Doxorubicin hydrochloride Cyclophosphamide Prednisone Vincristine sulfate Vincristine Rituximab Bortezomib
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Single Group Assignment
Official Title: A Randomized, Open-Label, Multicentre Phase 3 Study of the Combination of Rituximab, Cyclophosphamide, Doxorubicin, VELCADE, and Prednisone or Rituximab, Cyclophosphamide, Doxorubicin, Vincristine, and Prednisone in Patients With Newly Diagnosed Mantle Cell Lymphoma Who Are Not Eligible for a Bone Marrow Transplant

Further study details as provided by Millennium Pharmaceuticals, Inc.:

Primary Outcome Measures:
  • Progression free survival [ Time Frame: 18-25 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Overall response rate [ Time Frame: 18-25 months ] [ Designated as safety issue: No ]

Estimated Enrollment: 486
Study Start Date: May 2008
Estimated Primary Completion Date: May 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental
Rituximab, Cyclophosphamide, Doxorubicin, VELCADE, and Prednisone
Drug: Rituximab, Cyclophosphamide, Doxorubicin, VELCADE, and Prednisone
Rituximab 375 mg/m2 intravenous on Day 1, Cyclophosphamide 750 mg/m2 intravenous on Day 1, Doxorubicin 50 mg/m2 intravenous on Day 1, VELCADE 1.3 mg/m2 intravenous on Days 1,4,8, and 11, Prednisone 100mg/m2 per overall survival on Day 1 to Day 5 of a 21 day (3 week) cycle for 6 cycles.
2: Experimental
Rituximab, Cyclophosphamide, Doxorubicin, Vincristine and Prednisone
Drug: Rituximab, Cyclophosphamide, Doxorubicin, Vincristine and Prednisone
Rituximab 375 mg/m2 intravenous on Day 1, Cyclophosphamide 750 mg/m2 intravenous on Day 1, Doxorubicin 50 mg/m2 intravenous on Day 1, Vincristine 1.4 mg/m2 (maximum total of 2mg) intravenous on Day 1, Prednisone 100mg/m2 per overall survival on Day 1 to Day 5 of a 21 day (3 week) cycle for 6 cycles.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Male or female patients 18 years or older
  • Diagnosis of mantle cell lymphoma (Stage II, III or IV)
  • At least 1 measurable site of disease
  • No prior therapies for mantle cell lymphoma
  • Not eligible for bone marrow transplantation as assessed by the treating physician. This must be verified with the sponsor study physician.
  • Eastern Cooperative Oncology Group status less than or equal to 2
  • Absolute neutrophil count greater than or equal to 1500 cells/micro liters
  • Platelets greater than or equal to 100,000 cells/micro liters
  • Alanine transaminase less than or equal to 3 times the upper limit of normal
  • Aspartate transaminase less than or equal to 3 times the upper limit of normal
  • Total bilirubin less than or equal to 2 times the upper limit of normal
  • Calculated creatinine clearance greater than or equal 20 milliliter/min.
  • Female patients must be post menopausal for at least 1 year (must not have had a natural menses for at least 12 months), surgically sterile, or practicing an effective method of birth control (e.g., prescription oral contraceptives, contraceptive injections, intrauterine device, double barrier method, contraceptive patch, male partner sterilization) and have a negative serum beta-HCG or urine pregnancy test at screening.
  • Male patients must agree to use an acceptable method of contraception (for themselves or female partners as listed above) for the duration of the study.
  • All patients (or their legally acceptable representatives) must have signed an informed consent document indicating that they understand the purpose of and procedures required for the study and are willing to participate in the study.
  • In order to participate in the pharmacogenomic component of this study, patients (or their legally acceptable representative) must have signed the informed consent form for pharmacogenomic research indicating willingness to participate in the pharmacogenomic component of the study. Acquisition of tumor sample collections are required for all patients (where available); all other sample collections are optional.

Exclusion Criteria:

  • Prior treatment with VELCADE
  • Prior anti-neoplastic (including unconjugated therapeutic antibodies), experimental or radiation therapy, radioimmunoconjugates or toxin immunoconjugates for the treatment of mantle cell lymphoma. In the event that a patient has received doxorubicin for the treatment of any condition, other than MCL, the maximum dose and exposure received prior to entry into this study should not exceed 150mg/meters squared.
  • Major surgery (at the discretion of the treating physician and in consultation with the sponsor's medical monitor) within 2 weeks before randomization
  • Peripheral neuropathy or neuropathic pain of Grade 2 or worse (as per the investigators assessment)
  • Diagnosed or treated for a malignancy other than mantle cell lymphoma (MCL) within 1 year of randomization, or who were previously diagnosed with a malignancy other than MCL and have any radiographic or biochemical marker evidence of malignancy. Patients with completely resected basal cell carcinoma, squamous cell carcinoma of the skin, or in situ malignancy are not excluded.
  • Active systemic infection requiring treatment
  • History of allergic reaction attributable to compounds containing boron, mannitol, or hydroxybenzoates
  • Known anaphylaxis or immunoglobulin E-mediated hypersensitivity to murine proteins or to any component of rituximab including polysorbate 80 and sodium citrate dihydrate
  • Female or male patients of child-bearing potential who will not use adequate contraception during the course of the study.
  • Serious medical or psychiatric illness likely to interfere with participation in this clinical study
  • Concurrent treatment with another investigational agent.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00722137

Contacts
Contact: Christine Colby, PharmD 1-866-835-2233

Locations
Belgium
UZ Leuven Gasthuisberg Hematologie Recruiting
3000 Leuven, Belgium
Contact: Grefor Verhoef, M.D.         gregor.verhoef@uz.kuleuven.ac.be    
Sponsors and Collaborators
Millennium Pharmaceuticals, Inc.
Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
  More Information

Responsible Party: Johnson & Johnson Pharmaceutical Research & Development, L.L.C. ( Clinical Research Monitor )
Study ID Numbers: 26866138-LYM-3002
Study First Received: July 23, 2008
Last Updated: July 23, 2008
ClinicalTrials.gov Identifier: NCT00722137  
Health Authority: United States: Food and Drug Administration

Study placed in the following topic categories:
Prednisone
Immunoproliferative Disorders
Rituximab
Lymphoma, Mantle-Cell
Bortezomib
Vincristine
Cyclophosphamide
Mantle cell lymphoma
Doxorubicin
Lymphatic Diseases
Lymphoproliferative Disorders
Lymphoma, Non-Hodgkin
Lymphoma

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
Antibiotics, Antineoplastic
Hormones
Therapeutic Uses
Alkylating Agents
Neoplasms by Histologic Type
Immune System Diseases
Antineoplastic Agents, Hormonal
Mitosis Modulators
Enzyme Inhibitors
Antimitotic Agents
Immunosuppressive Agents
Glucocorticoids
Pharmacologic Actions
Protease Inhibitors
Neoplasms
Tubulin Modulators
Myeloablative Agonists
Antineoplastic Agents, Alkylating
Antirheumatic Agents
Antineoplastic Agents, Phytogenic

ClinicalTrials.gov processed this record on January 16, 2009