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First-Line R-CVP vs R-CHOP Induction Immunochemotherapy for Indolent Lymphoma and R Maintenance. (PLRG4)
This study is currently recruiting participants.
Verified by Polish Lymphoma Research Group, December 2008
First Received: December 2, 2008   No Changes Posted
Sponsored by: Polish Lymphoma Research Group
Information provided by: Polish Lymphoma Research Group
ClinicalTrials.gov Identifier: NCT00801281
  Purpose

Evaluation of event free survival (EFS) of patients treated with the study chemotherapy induction program: R-CHOP compared to the standard R-CVP regimen and response rates, time to best response, PFS, OS, neutropenic fever rate, infection rate, change in Ig levels, change in lymphocyte subpopulations counts in previously untreated indolent lymphoma patients in need of systemic treatment.


Condition Intervention Phase
Follicular Lymphoma
Marginal Zone Lymphoma
Small Lymphocytic Lymphoma
Lymphoplasmacytic Lymphoma
Drug: Rituximab, Cyclophosphamide, Vincristine, Prednisone
Drug: Rituximab, Cyclophosphamid, Doxorubicin, Vincristine, Prednisone
Phase III

Genetics Home Reference related topics: aceruloplasminemia hemophilia
MedlinePlus related topics: Lymphoma
Drug Information available for: Cyclophosphamide Prednisone Vincristine Doxorubicin Doxorubicin hydrochloride Myocet Rituximab Vincristine sulfate
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Safety/Efficacy Study
Official Title: First-Line R-CVP vs R-CHOP Induction Immunochemotherapy for Indolent Lymphoma and R Maintenance.A Multicentre, Phase III Randomized Study by the PLRG.

Further study details as provided by Polish Lymphoma Research Group:

Primary Outcome Measures:
  • Event Free Survival [ Time Frame: +3 yrs ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Response Rate [ Time Frame: +2 yrs ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 250
Study Start Date: February 2007
Estimated Study Completion Date: December 2012
Estimated Primary Completion Date: June 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
R-CVP: Active Comparator
Standard arm 1. - R-CVP
Drug: Rituximab, Cyclophosphamide, Vincristine, Prednisone
Rituximab 375 mg/m2 i.v. d. 1 Cyclophosphamide 750 mg/m2 i.v. d. 1 Vincristine 1.4 mg/m2 (max. 2 mg) i.v. d. 1 Prednisone 40 mg/m2 p.o. d. 1-5 q. 21 d.
R-CHOP: Experimental
Study arm 2. - R-CHOP
Drug: Rituximab, Cyclophosphamid, Doxorubicin, Vincristine, Prednisone
Rituximab 375 mg/m2 i.v. d. 1, Cyclophosphamide 750 mg/m2 i.v. d. 1, Doxorubicin 50 mg/m2 i.v. d. 1, Vincristine 1.4 mg/m2 (max. 2 mg) i.v. d. 1, Prednisone 100 mg p.o. d. 1-5 q. 21 d.

Detailed Description:

Min. 3, max. 8 induction cycles. Maintenance with rituximab q. 2 months x 12/24 months, started 2 months after last chemotherapy.

  Eligibility

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

Inclusion Criteria:

  • Histologically confirmed:
  • Follicular lymphoma grade 1, 2, 3a
  • Marginal zone lymphoma, including MALT type
  • Small lymphocytic lymphoma (BM inv. < 30%)
  • Lymphoplasmacytic lymphoma
  • Clinical stage II-IV (Ann Arbor). Stage I is allowed if bulky (Ø > 7 cm) or if radiotherapy is not appropriate in judgment of treating physician
  • Measurable lesion(s) in at least one site
  • Patients previously untreated
  • Patients presenting with symptoms requiring treatment:
  • Progressive disease
  • Symptoms related to tumor bulk
  • Cytopenias related to bone marrow and/or spleen involvement B symptoms
  • Age ≥ 18 years
  • Performance status </=2
  • Written informed consent

Exclusion Criteria:

  • Grade 3b FL
  • Transformed lymphoma
  • CNS involvement
  • Patient taking steroids for > 2 weeks during last 4 weeks at a dose equivalent to ≥ 20 mg prednisone
  • Other malignancy
  • Major surgery within 4 weeks
  • Hb < 8 g/dl, ANC < 1.5 x 109/L, Plt <100 109/L unless due to lymphoma
  • Impairment of renal function (creatinine > 1.5 x UNV) or liver function (total bilirubin 1.5 x UNV, SGOT > 2.5 x UNV not due to lymphoma
  • Known infection, with HBV, HCV (acute < 6 mos. or chronic hepatitis) or HIV
  • Serious underlying medical conditions
  • Life expectancy < 6 months
  • Known allergy to murine protein
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00801281

Contacts
Contact: Jan A Walewski, Prof. 0048 22 546 2223 walewski@coi.waw.pl

Locations
Poland
M.Sklodowska-Curie Institute - Oncology Centre Recruiting
Warszawa, Poland, 02-782
Principal Investigator: Jan A Walewski, Prof.            
Sub-Investigator: Joanna Romejko-Jarosińska, MD., PhD            
Silesian Medical University, Chair and Clinic of Haematology and Bone Marrow Transplantation Recruiting
Katowice, Poland, 40-029
Principal Investigator: Jerzy Holowiecki, Prof.            
Collegium Medicum Jagiellonian University, Clinic of Haematology Recruiting
Kraków, Poland, 31-501
Principal Investigator: Aleksander Skotnicki, Prof.            
Institute of Haematology and Transfusiology Recruiting
Warszawa, Poland, 02-776
Principal Investigator: Krzysztof Warzocha, Prof.            
Central Clinical Hospital, Ministry of Internal Matters and Administration; Clinic of Oncology, Haematology and Internal Diseases Recruiting
Warszawa, Poland, 02-507
Principal Investigator: Andrzej Deptała, Assoc. Prof.            
SP ZOZ Silesian Centre of Cellular Transplantation Recruiting
Wrocław, Poland, 53-439
Principal Investigator: Andrzej Lange, Prof.            
Voivodeship Hospital, Oncology Ward Active, not recruiting
Elbląg, Poland, 82-300
Regional Oncology Centre, Ward of Proliferative Diseases Recruiting
Łódź, Poland, 93-509
Principal Investigator: Ewa Kalinka-Warzocha, MD, PhD            
Voivodeship Podkarpacki Hospital Recruiting
Krosno, Poland, 38-400
Principal Investigator: Waldemar Hołda, MD, PhD            
Sub-Investigator: Andrzej Paprocki, MD, PhD            
Academic Clinical Centre, Hospital of Medical Academy, Clinic of Haematology and Transplantology Active, not recruiting
Gdańsk, Poland, 80-211
Oncology Centre of Lublin Region Active, not recruiting
Lublin, Poland, 20-090
Health Care Centre Mrukmed Sp. p. Active, not recruiting
Rzeszów, Poland, 35-242
Medical Academy in Wrocław; Chair and Clinic of Haematology, Blood Neoplasm and Bone Marrow Transplantation Recruiting
Wrocław, Poland, 50-367
Principal Investigator: Kazimierz Kuliczkowski, Prof.            
Sub-Investigator: Maria Podolak-Dawidziak, Prof.            
Sponsors and Collaborators
Polish Lymphoma Research Group
Investigators
Principal Investigator: Jan A Walewski, Prof. Vice-president of PLRG
Study Chair: Maria Podolak-Dawidziak, Prof. PLRG Board Member
Study Chair: Beata Stella-Hołowiecka, Assoc. Prof. PLRG Member
  More Information

Additional Information:
No publications provided

Responsible Party: Polish Lymphoma Research Group ( Prof. Jan Walewski, MD, PhD )
Study ID Numbers: R-CVP/CHOP
Study First Received: December 2, 2008
Last Updated: December 2, 2008
ClinicalTrials.gov Identifier: NCT00801281     History of Changes
Health Authority: Poland: Office for Registration of Medicinal Products, Medical Devices and Biocidal Products

Keywords provided by Polish Lymphoma Research Group:
Lymphoma
Immunochemotherapy
Induction therapy
Maintenance therapy
Follicular lymphoma grade 1,2,3a
Marginal zone lymphoma, including MALT type
Small lymphocytic lymphoma (BM inv. <30%)

Study placed in the following topic categories:
Anti-Inflammatory Agents
Prednisone
Leukemia, Lymphoid
Immunologic Factors
Blood Protein Disorders
Hormone Antagonists
Hormones, Hormone Substitutes, and Hormone Antagonists
Lymphoma, Follicular
Paraproteinemias
Cyclophosphamide
Hemostatic Disorders
Hormones
Follicular Lymphoma
Anti-Bacterial Agents
Leukemia
Hemorrhagic Disorders
Leukemia, Lymphocytic, Chronic, B-Cell
Leukemia, B-cell, Chronic
Alkylating Agents
Lymphoma
Immunoproliferative Disorders
Antineoplastic Agents, Hormonal
Rituximab
Hematologic Diseases
Blood Coagulation Disorders
Vascular Diseases
Vincristine
Antimitotic Agents
Glucocorticoids
Immunosuppressive Agents

Additional relevant MeSH terms:
Anti-Inflammatory Agents
Prednisone
Leukemia, Lymphoid
Molecular Mechanisms of Pharmacological Action
Immunologic Factors
Antineoplastic Agents
Blood Protein Disorders
Physiological Effects of Drugs
Hormones, Hormone Substitutes, and Hormone Antagonists
Lymphoma, Follicular
Paraproteinemias
Cyclophosphamide
Antibiotics, Antineoplastic
Hemostatic Disorders
Hormones
Leukemia
Hemorrhagic Disorders
Leukemia, Lymphocytic, Chronic, B-Cell
Therapeutic Uses
Cardiovascular Diseases
Alkylating Agents
Lymphoma
Immunoproliferative Disorders
Neoplasms by Histologic Type
Antineoplastic Agents, Hormonal
Immune System Diseases
Hematologic Diseases
Rituximab
Mitosis Modulators
Vascular Diseases

ClinicalTrials.gov processed this record on May 07, 2009