Gemcitabine for Marginal Zone Lymphoma
Study Details
Study Description
Brief Summary
Marginal zone lymphoma, one of the indolent lymphoma, is believed to be incurable with chemotherapy. Thus the investigators need a novel agent for marginal zone lymphoma. Gemcitabine has been tried as one of salvage chemotherapy regimen and has been shown to have anti-lymphoma activity. To the investigators' knowledge, there has been no trial of gemcitabine for marginal zone lymphoma. Thus the investigators made a plan to investigate the role of gemcitabine in marginal zone lymphoma.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 2 |
Detailed Description
We designed a multi-center phase II trial of gemcitabine for advanced stage marginal zone B-cell lymphoma. Marginal zone lymphoma needs novel agent to improve clinical course by chemotherapy. Recent trials with new agents for indolent lymphoma shows promising results. Gemcitabine is known to have activity to non-Hodgkin's lymphoma and has less adverse effects than other new agents. With this background gemcitabine will be tried as a single agent for advanced marginal zone lymphoma.
Gemcitabine will be administered with 1,250mg/sq.m on days 1 and 8 every 3 weeks. Response will be assessed by IWC criteria.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Gemcitabine histologically confirmed marginal zone lymphoma gemcitabine 1,250 mg/m2 on days 1 and 8 of each cycle, repeated every 3 weeks and continued for 6 cycles, until disease progression, withdrawal due to toxicity, or withdrawal of consent. |
Drug: gemcitabine
D1 and 8, Gemcitabine 1250mg/m2 + NS 100ml MIV over 30min, every 3 weeks
|
Outcome Measures
Primary Outcome Measures
- response rate [CR+PR with study therapy]
Secondary Outcome Measures
- safety and tolerability of the treatment [toxicity due to stdy drug]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Histologically confirmed marginal zone B-cell lymphoma
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Performance status (ECOG) ≤3
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Age ≥ 18
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At least one or more bidimensionally measurable lesion(s):
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2 cm by conventional CT
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1 cm by spiral CT
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skin lesion (photographs should be taken)
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measurable lesion by physical examination
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Laboratory values:
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Cr < 2.0 mg% or Ccr > 60 ml/min
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Transaminase < 3 X upper normal value
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Bilirubin < 2 mg%
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ANC > 1500/ul, platelet > 75,000/ul
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Informed consent
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Ann Arbor stage III or IV
Exclusion Criteria:
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Any other malignancies within the past 5 years except skin basal cell ca or CIS of cervix
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Serious comorbid diseases
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Pregnancy or breast feeding
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Asan Medical Center | Seoul | Korea, Republic of | 138-736 |
Sponsors and Collaborators
- Asan Medical Center
- Eli Lilly and Company
Investigators
- Principal Investigator: Cheolwon Suh, MD, PhD, Asan Medical Center
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- AMC 2006-60