Gemcitabine, Cisplatin, and Dexamethasone in Treating Patients With Relapsed or Refractory Hodgkin's Lymphoma
Study Details
Study Description
Brief Summary
RATIONALE: Drugs used in chemotherapy, such as gemcitabine, cisplatin, and dexamethasone, work in different ways to stop cancer cells from dividing so they stop growing or die. Combining more than one drug may kill more cancer cells.
PURPOSE: This phase II trial is studying how well giving gemcitabine and cisplatin together with dexamethasone works in treating patients with relapsed or refractory Hodgkin's lymphoma.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 2 |
Detailed Description
OBJECTIVES:
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Determine the response rate and maximum response in patients with relapsed or refractory Hodgkin's lymphoma treated with gemcitabine, cisplatin, and dexamethasone.
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Determine time to progression in patients treated with this regimen who are not undergoing stem cell transplantation.
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Determine the toxicity of this regimen in these patients.
OUTLINE: This is an open-label study.
Patients receive gemcitabine IV over 1 hour on days 1 and 8, cisplatin IV over 3 hours on day 1, and oral dexamethasone twice daily on days 1-4. Treatment repeats every 21 days for up to 6 courses in the absence of disease progression or unacceptable toxicity.
Patients are followed until disease progression.
PROJECTED ACCRUAL: A total of 18-35 patients will be accrued for this study.
Study Design
Outcome Measures
Primary Outcome Measures
Eligibility Criteria
Criteria
DISEASE CHARACTERISTICS:
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Diagnosis of Hodgkin's lymphoma
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Measurable disease by radiological or clinical findings
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Failed at least 1, but no more than 2, prior standard chemotherapy regimens
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High-dose chemotherapy administered after a chemotherapy course is considered 2 courses
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No evidence of CNS disease
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No history of myelodysplastic syndromes
PATIENT CHARACTERISTICS:
Age
- Over 18
Performance status
- ECOG 0-2
Life expectancy
- Not specified
Hematopoietic
-
WBC > 2,000/mm^3
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Absolute neutrophil count > 1,500/mm^3
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Platelet count > 75,000/mm^3
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Hemoglobin > 8.0 g/dL
Hepatic
-
Bilirubin < 2 times upper limit of normal (ULN)
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AST and ALT < 5 times ULN
Renal
- Creatinine < 1.5 times ULN
Other
-
Not pregnant or nursing
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Fertile patients must use effective contraception during and for 3 months after study participation
PRIOR CONCURRENT THERAPY:
Biologic therapy
- Not specified
Chemotherapy
-
See Disease Characteristics
-
No prior gemcitabine
-
More than 6 months since prior high-dose chemotherapy
Endocrine therapy
- Not specified
Radiotherapy
- Not specified
Surgery
- Not specified
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Jonsson Comprehensive Cancer Center at UCLA | Los Angeles | California | United States | 90095-1678 |
Sponsors and Collaborators
- Jonsson Comprehensive Cancer Center
- National Cancer Institute (NCI)
Investigators
- Study Chair: Christos E. Emmanouilides, MD, Jonsson Comprehensive Cancer Center
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CDR0000380845
- UCLA-030402301
- LILLY-B9E-US-X394