Trial of Rituximab, Bendamustine (RB) for Patients With Follicular Lymphoma Refractory or Relapsed After Treatment With R-chemotherapy in First Line
Study Details
Study Description
Brief Summary
Evaluate the effectiveness of rituximab, bendamustine (r) in terms of complete response and response complete not confirmed.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Rituximab and Bendamustine
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Drug: Rituximab and Bendamustine
Rituximab: 375 mg/m2/day, day 1 of each cycle, iv. Bendamustine: 90 mg/m2/day, days1 and 2 fo each cycle, iv.
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Outcome Measures
Primary Outcome Measures
- the primary endpoint is the complete response and unconfirmed complete response according to the criteria of the International Workshop to Standardize Response Criteria for NHL [Four years]
Evaluation of response to induction treatment at 6 months after inclusion of the patient. Evaluation of response to maintenance treatment at 2 years after finishing the induction treatment.
Secondary Outcome Measures
- Secondary endpoint included an assessment of the following parameters:Global Survival,progression-Free survival,Disease-Free Survival,Duration of the Response. [Four years]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Age ≥ 18 years.
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Patients with follicular lymphoma grade 1, 2 or 3a, CD20 +, histologically confirmed lymph node biopsy or tissue.
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Follicular lymphoma patients previously treated with the combination of rituximab and chemotherapy (R-CHOP, R-CVP, R-fludarabine), having received rituximab maintenance, refractory to a first line (excluding radiotherapy) or relapsed after having achieved any response to previous treatment.
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ECOG ≤ 2.
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Signed written informed consent
Exclusion Criteria:
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Clinical suspicion or documentation of histological transformation.
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Patients with hypersensitivity to rituximab.
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Prior autologous or allogeneic transplant.
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CNS infiltration by LF (primary CNS lymphoma or lymphomatous meningitis).
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Past or active Hepatitis B (at least one of the following markers HBsAg, HBe Ag, anti-HBc, HBV DNA).
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HCV infection. HIV infection or other conditions of severe immunosuppression.
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Previous neoplasms except non-melanoma skin cancer of the cervix or adequately treated.
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Congestive heart failure> NYHA grade 1.
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Impaired renal function (creatinine> 1.5 x Upper Limit of Normal, ULN) or creatinine clearance <50 ml / h, not related to lymphoma.
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Impaired liver function (bilirubin, AST / ALT or GGT> 2 x ULN) were not related to lymphoma.
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Women who are nursing or pregnant.
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Patients with heart disease, pulmonary, neurological, psychiatric or severe metabolic and not secondary to lymphoma.
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Severe acute or chronic infection in activity.
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Any other concurrent medical or psychological comorbidity that might interfere with participation in this study.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Hospital de Elche | Elche | Alicante | Spain | |
2 | Hospital San Pedro de La Rioja | Logroño | La Rioja | Spain | |
3 | Hospital Universitario Puerta de Hierro Majadahonda | Majadahonda | Madrid | Spain | |
4 | Hospital Costa del Sol | Marbella | Malaga | Spain | |
5 | Hospital Sant Joan de Reus | Reus | Tarragona | Spain | |
6 | Hospital G. U. de Alicante | Alicante | Spain | ||
7 | Hospital Insular de Gran Canarias | Canarias | Spain | ||
8 | Hospital U. de Gran Canarias Dr. Negrín | Canarias | Spain | ||
9 | Hospital uan Ramón Jiménez | Huelva | Spain | ||
10 | Hospital Son Dureta | Mallorca | Spain | ||
11 | Hospital Universitario Virgen de la Victoria | Málaga | Spain | ||
12 | Complejo Hospitalario de Pontevedra | Pontevedra | Spain | ||
13 | Instituto Oncologico de San Sebastian | San Sebastian | Spain | ||
14 | Hospital Virgen de la Macarena | Sevilla | Spain | ||
15 | Hospital Universitario de Canarias | Tenerife | Spain | ||
16 | Hospital Virgen de la Salud | Toledo | Spain | ||
17 | Hospital General de Valencia | Valencia | Spain | ||
18 | Hospital Universitario La Fe | Valencia | Spain |
Sponsors and Collaborators
- Grupo Oncológico para el Tratamiento y el Estudio de los Linfomas
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- GOTEL/09-01