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Ciclophosphamide, Vincristine, Myocet and Prednisone, With Rituximab in 1st-Line Treatment for Patients With No-Hodgkin B Lymphoma and Cardiovascular (CV) Risk
This study is currently recruiting participants.
Verified by Asociacion Doctor Peset Para el Estudio de la Hematología, February 2009
First Received: February 20, 2009   No Changes Posted
Sponsors and Collaborators: Asociacion Doctor Peset Para el Estudio de la Hematología
Cephalon
Pivotal S.L.
Information provided by: Asociacion Doctor Peset Para el Estudio de la Hematología
ClinicalTrials.gov Identifier: NCT00849355
  Purpose

The purpose of this study is to evaluate the efficacy (and safety) of the following treatment squeme:Ciclophosphamide, Vincristine, lyposomal Doxorrubicine (Myocet) and Prednisone,combined with Rituximab in first line treatment for patients with aggresive No Hodgkin B lymphoma and cardiovascular risk


Condition Intervention Phase
No Hodgkin B Lymphoma
Drug: RCOMP-14 + rituximab
Phase II

Study Type: Interventional
Study Design: Treatment, Open Label, Active Control, Single Group Assignment, Efficacy Study
Official Title: Phase II, Multicenter Trial to Evaluate the Efficacy and Safety of the Following Treatment Squeme:Ciclophosphamide, Vincristine, Lyposomal Doxorrubicine, Myocet and Prednisone,Combined With Rituximab in First Line Treatment for Patients With Aggresive No Hodgkin B Lymphoma and Cardiovascular Risk

Resource links provided by NLM:


Further study details as provided by Asociacion Doctor Peset Para el Estudio de la Hematología:

Primary Outcome Measures:
  • Evaluate treatment efficacy by measuring response to treatment [ Time Frame: at the end of study ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • evaluate cardiotoxicity and tolerability [ Time Frame: At the end of study ] [ Designated as safety issue: Yes ]
  • Evaluate progression free survival [ Time Frame: At the end of study ] [ Designated as safety issue: No ]
  • Evaluate event free survival [ Time Frame: At the end of study ] [ Designated as safety issue: No ]
  • Evaluate tumor free survival [ Time Frame: At the end of study ] [ Designated as safety issue: No ]
  • Evaluate overall survival [ Time Frame: At the end of study ] [ Designated as safety issue: No ]
  • Evaluate response duration [ Time Frame: At the end of study ] [ Designated as safety issue: No ]
  • treatment adherence [ Time Frame: At the end of study ] [ Designated as safety issue: No ]
  • time to progression [ Time Frame: At the end of the study ] [ Designated as safety issue: No ]
  • dose intensity and relative dose intensity [ Time Frame: At the end of the study ] [ Designated as safety issue: No ]

Estimated Enrollment: 44
Study Start Date: August 2008
Estimated Study Completion Date: November 2010
Estimated Primary Completion Date: November 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
unique: Experimental
RCOMP-14 with Rituximab
Drug: RCOMP-14 + rituximab

Pretreatment: vincristine 1mg at day -6 and Methylprednisolone 100 mg from -6 to day 0.

Treatment: rituximab 375m/m2 + ciclophosphamide 750 mg/m2 + Vincristine 1.4 mg/m2 + Doxorrubicine 50 mg/m2 at day 1 and every 14d. Prednisone 100 mg/d from day 1 to 5 and every 14 d.


Detailed Description:

Phase II, multicenter, open , 1-arm study.

  Eligibility

Ages Eligible for Study:   18 Years to 70 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Patients with histological diagnosis of Lymphoma no Hodgkin B CD20+ high degree of mailgnancy
  2. Patients no previously treated
  3. stage III o IV
  4. Informed consent
  5. At least one measurable injury
  6. Age >18
  7. ECOG 0-2
  8. Life expectancy >6 months
  9. Cardiovascular risk defined as:Mild-moderate systolic dysfunction,isquemic cardiopathy, diabetes mellitus, hypertension,left ventricular hypertrophy, cardiac arrhythmia, moderate pulmonar hypertension
  10. adequate organic functionallity (creatinine<2mg/dl;bilirubin<2mg/dl; ALT-AST-FA<5 FSN; neutrphyls total count >1.5x 109/l and platellet count >100x1097l)
  11. Use of a contraceptive method during study + 3 months -

Exclusion Criteria:

  1. stage I or II with IPI=0
  2. Symptomatic tumoral affection of Nervous central system
  3. Lymphoma no hodgkin B indolent
  4. Lymphoma no hodgkin B mantle-cell
  5. Lymphoma no hodgkin T
  6. lymphoprolifertaive syndrome post-transplantation or immunosuppression associated
  7. cardiovacualr disease symptomatic
  8. Cronic infection or acute serious
  9. history of neoplasia in past 5 years
  10. not able to understand the study or poor protocol adherence
  11. Known Hypersensivity to any atudy drug
  12. pregnant/lactant women
  13. Previous participation in clinicla study in past 30 days
  14. Previous treatment with antraciclines or any drug used in this study
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00849355

Contacts
Contact: Secundino Ferrer +34961622536 ferrer_sec@gva.es
Contact: Felix Carbonell +34961972000 carbonell_fel@gav.es

Locations
Spain
Hospital general universitario de Valencia Active, not recruiting
Valencia, Spain, 46014
Hospital Universitario Dr. Peset Active, not recruiting
Valencia, Spain, 46017
Hospital Universitario Puerta de Hierro Active, not recruiting
Madrid, Spain, 28220
Hospital de Castellon Active, not recruiting
Castellon, Spain, 12004
H. Arnau de Vilanova Active, not recruiting
Valencia, Spain, 46015
Hospital de Getafe Recruiting
Madrid, Spain
Contact: Jose García     +34916839360     garciavela.joseantonio@gmail.com    
Hospital Santa Mª del Rosell Not yet recruiting
Murcia, Spain, 30203
Contact: Antonio Martinez     +34968504800     amartifran@ono.com    
Hospital son Llatzer Active, not recruiting
Mallorca, Spain, 07198
hospital del Mar Active, not recruiting
Barcelona, Spain, 08003
Hospital Severo Ochoa Not yet recruiting
Madrid, Spain, 28211
Contact: Pedro Sanchez     +34914818000     psanchez.hsvo@salud.madrid.org    
Hospital Morales Messeguer Not yet recruiting
Murcia, Spain, 30008
Contact: Jose Sanchez     +34606388315     josej.sanchezz3@carm.es    
Hospital Vall D'Hebrón Active, not recruiting
Barcelona, Spain, 08035
Sponsors and Collaborators
Asociacion Doctor Peset Para el Estudio de la Hematología
Cephalon
Pivotal S.L.
  More Information

No publications provided

Responsible Party: Asociacion Doctor Peset Para el Estudio de la Hematología ( Secundino Ferrer )
Study ID Numbers: ADOPEH-LINFMYO-2007
Study First Received: February 20, 2009
Last Updated: February 20, 2009
ClinicalTrials.gov Identifier: NCT00849355     History of Changes
Health Authority: Spain: Spanish Agency of Medicines

Study placed in the following topic categories:
Anti-Inflammatory Agents
Prednisone
Immunoproliferative Disorders
Immunologic Factors
Antineoplastic Agents, Hormonal
Rituximab
Methylprednisolone
Hormone Antagonists
Hormones, Hormone Substitutes, and Hormone Antagonists
Vincristine
Antimitotic Agents
Glucocorticoids
Hormones
Doxorubicin
Lymphatic Diseases
Tubulin Modulators
Antirheumatic Agents
Lymphoproliferative Disorders
Antineoplastic Agents, Phytogenic
Lymphoma

Additional relevant MeSH terms:
Anti-Inflammatory Agents
Prednisone
Molecular Mechanisms of Pharmacological Action
Immunologic Factors
Antineoplastic Agents
Physiological Effects of Drugs
Hormones, Hormone Substitutes, and Hormone Antagonists
Hormones
Therapeutic Uses
Lymphoma
Immunoproliferative Disorders
Neoplasms by Histologic Type
Immune System Diseases
Antineoplastic Agents, Hormonal
Rituximab
Mitosis Modulators
Vincristine
Antimitotic Agents
Glucocorticoids
Pharmacologic Actions
Lymphatic Diseases
Neoplasms
Tubulin Modulators
Antirheumatic Agents
Lymphoproliferative Disorders
Antineoplastic Agents, Phytogenic

ClinicalTrials.gov processed this record on August 30, 2009