Treatment of Aggressive Localized Lymphoma
Study Details
Study Description
Brief Summary
Prospective and multicentric Phase III study, evaluation of the interest of the radiotherapy after 4 or 6 cycles of CHOP 14 R regimen of chemotherapy , patients with agressive and localized B lymphoma , age 18 to 75 years.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 3 |
Detailed Description
CHOP 14 R regimen of chemotherapy is a good standard in the treatment of agressive and localized B lymphoma.
Interest of the radiotheraphy
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: 1 Chemotherapy + Radiotherapy - 4 or 6 R CHOP courses regimen every 14 days R CHOP = Rituximab, Doxorubicin, Vincristine and prednisone Radiotherapy 40 gray on initial nodes |
Drug: rituximab
RITUXIMAB 375 MG/M² IV DAY 1 or each course
Other Names:
Drug: doxorubicin
doxorubicin 50 mg / m² iv day 1 of each course
Other Names:
Drug: vincristine
VINCRISTINE 1?4 MG/M² IV ON DAY 1
Other Names:
Drug: prednisone
Prednisone 40 mg/m² DAy 1 to day 5
Other Names:
Procedure: radiotherapy
radiotherapy : total dose = 40 GY (5 fractions by week)
Other Names:
|
Experimental: 2 Chemotherapy - 4 or 6 R CHOP courses regimen every 14 days R CHOP = Rituximab, Doxorubicin, Vincristine and prednisone |
Drug: rituximab
RITUXIMAB 375 MG/M² IV DAY 1 or each course
Other Names:
Drug: doxorubicin
doxorubicin 50 mg / m² iv day 1 of each course
Other Names:
Drug: vincristine
VINCRISTINE 1?4 MG/M² IV ON DAY 1
Other Names:
Drug: prednisone
Prednisone 40 mg/m² DAy 1 to day 5
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Event Free Survival (EFS) and Progression Free Survival (PFS) [EFS PFS one year after treatment]
Secondary Outcome Measures
- Pet-scan [pronostic impact of Pet-scan]
- radiotherapy [Toxicity of the radiotherapy]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Age > 18 and < 75 years
-
Diffuse B large cell lymphoma , CD 20+
-
Ann Arbor stage I or II withe a bulk <7 cm
-
stage i ou II confirmed by the PET-scan
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No previously treated
-
HIV negative
-
Signed Informed consent
Exclusion Criteria:
-
Age< 18 and > 75 years
-
other type of lymphoma
-
CD20 negative
-
Ann Arbor stage >II or bulk > 7 cm
-
HIV positive
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Contraindication to Rituximab use according to Sm PC
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Containdication to antracyclin
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cancer or history of cancer , excepted in situ cancer of the cervix or skin epithelioma
-
Refusal of sign the informed consent
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Regional university hospital | Rennes | France | 35033 |
Sponsors and Collaborators
- French Innovative Leukemia Organisation
Investigators
- Principal Investigator: Thierry LAMY, MD PhD, French Innovative Leukemia Organisation
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
None provided.- GOELAMS 02 03