BEB Conditioning Regimen for Autologous Stem-cell Transplantation(ASCT) in Non-Hodgkin's Lymphoma
Study Details
Study Description
Brief Summary
Phase II study for safety and efficacy of BEB (Bendamustine, Etoposide, Busulfan) conditioning regimen for ASCT in non-Hodgkin's lymphoma
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: Busulfan, Etoposide, Bendamustine All patients will receive the conditioning regimen followed by autologous stem cell transplantation. |
Drug: Busulfan
Busulfan 0.8 mg/kg four times per day from day -7 to day -5
Drug: Etoposide
Etoposide 400 mg/m2 from day -5 to day -4
Drug: Bendamustine
Bendamustine 200 mg/m2 starting dose on day -3 and -2
|
Outcome Measures
Primary Outcome Measures
- Progression-free survival [1 year after ASCT]
- Progression-free survival [3 years after ASCT]
Secondary Outcome Measures
- Overall survival [1 year and 3 year after ASCT]
- Complete response rate [1 year and 3 year after ASCT]
- Incidence of adverse events [1 year and 3 year after ASCT]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Patients with histologically diagnosed non-Hodgkin's lymphoma
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16 ≤ Age ≤ 65 years
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Adequate cardiac function with cardiac ejection fraction greater than 50% by echocardiogram or multiple gated acquisition scan(MUGA)
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Adequate kidney function with serum creatinine< 2.0 mg/dL
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Adequate liver function with /serum bilirubin lower than 2 times the normal upper limit, Aspartate aminotransferase(AST)/ Alanine aminotransaminase(ALT) lower than 3 times the normal upper limit. In case of DLBCL liver invasion; serum bilirubin lower than 5 times the normal upper limit, AST/ALT lower than 5 times the normal upper limit.
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Adequate bone marrow function with absolute neutrophil count ≥ 1,500/µL; platelets ≥ 75,000/µL; hemoglobin ≥ 9.0 g/dL
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Patients who voluntarily gave informed consent before performing any test that is not part of routine care of patients
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Candidate for ASCT
Exclusion Criteria:
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Positive serology for HIV, hepatitis C virus(HCV) If the hepatitis B virus(HBV) patient was administrated prophylactic antiviral agents. It would be eligible following the judgment of the investigator
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Pregnant or breast-feeding. Females of childbearing potential who do not agree to undergo pregnancy tests or repeated use effective birth control while included in the clinical trial.
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Patients with serious or uncontrolled medical condition; 1) Abnormalities in cardiac function or clinically significant heart disease such as congestive heart failure, arrhythmia, unstable angina with treatment within 6 months or acute myocardial infarction; 2) Previous history of serious neurological or psychiatric disease; 3) Acute, severe active infection requiring immediate treatment(Virus, Bacteria, Fungal infection); 4) chronic obstructive pulmonary disease requiring oral steroid therapy or Forced expiratory volume 1 sec(FEV1)<0.8 L less than the test of pulmonary function at rest; 5) If there are other diseases that are deemed inappropriate as a target of the present clinical trial following the Investigator's judgment; 6) Congenital or acquired bleeding disorders
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Patients receiving any other investigational systemic therapy (Hormone, Immune, chemotherapy)
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Allergic to the investigational drug
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Patients who have difficulty understanding the informed consent form or patients who did not give consent
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Serum bilirubin upper than 2 times the normal upper limit
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Major surgery procedure within 30 days prior to start of investigational treatment
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Patients vaccinated against yellow fever
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Pusan National University Hospital | Busan | Korea, Republic of |
Sponsors and Collaborators
- Pusan National University Hospital
Investigators
- Principal Investigator: Hojin Shin, Pusan National Universty Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
- Shin HJ, Lee WS, Lee HS, Kim H, Lee GW, Song MK, Kim JS, Yhim HY, Chung JS. Busulfan-containing conditioning regimens are optimal preparative regimens for autologous stem cell transplant in patients with diffuse large B-cell lymphoma. Leuk Lymphoma. 2014 Nov;55(11):2490-6. doi: 10.3109/10428194.2014.882504. Epub 2014 Mar 7.
- Visani G, Malerba L, Stefani PM, Capria S, Galieni P, Gaudio F, Specchia G, Meloni G, Gherlinzoni F, Giardini C, Falcioni S, Cuberli F, Gobbi M, Sarina B, Santoro A, Ferrara F, Rocchi M, Ocio EM, Caballero MD, Isidori A. BeEAM (bendamustine, etoposide, cytarabine, melphalan) before autologous stem cell transplantation is safe and effective for resistant/relapsed lymphoma patients. Blood. 2011 Sep 22;118(12):3419-25. doi: 10.1182/blood-2011-04-351924. Epub 2011 Aug 3.
- BEB