BDH-WM03: Comparison of ASCT and Conventional Chemotherapy in High Risk Waldenström Macroglobulinemia
Study Details
Study Description
Brief Summary
The purpose of this study is to evaluate whether autologous stem cell transplantation will improve the survival of patients with high-risk Waldenström macroglobulinemia, compared with conventional chemotherapy.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 4 |
Detailed Description
WM patients with partial response after introduction chemotherapy will be recommended to adopt autologous stem cell transplantation or receive conventional chemotherapy (dependent on patient's choices). After transplantation or conventional chemotherapy, maintenance therapy with rituximab or thalidomide plus prednisone will be given for less than two years.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: autologous stem cell transplantation Patients in this group will receive BEAC(BCNU+VP-16+CTX+Ara-c) as conditioning regimen and then with autologous stem cells feedback |
Other: autologous stem cell transplantation
Patients in this group will receive BEAC(BCNU+VP-16+CTX+Ara-c) as conditioning regimen and then with autologous stem cells feedback
|
Active Comparator: conventional chemotherapy Patients in this group will receive previously effective chemotherapeutic regimen as consolidation therapy |
Other: conventional chemotherapy
Patients in this group will receive previously effective chemotherapeutic regimen as consolidation therapy
|
Outcome Measures
Primary Outcome Measures
- progress-free survival [up to 36 months]
Secondary Outcome Measures
- complete remission rate [up to 12 months]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
70 years>=Aged >=18 years
-
diagnosed with high-risk LPL/WM according to the ISSWM criteria
-
untreated or mild treated without standard regimens
-
suitable for ASCT
-
with life-expectancy more than 3 months.
Exclusion Criteria:
-
diagnosed with other malignancies outside B-NHL within one year(including active center neural system lymphoma)
-
transformed lymphoma
-
liver or renal function lesion unrelated to lymphoma
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serious complications such as uncontrolled diabetes, gastric ulcer or other serious angiocardiopathy determined by the physician
-
HIV positive or active HBV infection or other uncontrolled systematic infection
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clinical central nervous dysfunction
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serious surgery within 30 days
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pregnancy or baby nursing period or un-contracepted child-bearing period woman; 9. allergy to the trail drugs.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Shuhua Yi | Tianjin | China | 300020 |
Sponsors and Collaborators
- Institute of Hematology & Blood Diseases Hospital
Investigators
- Principal Investigator: Shuhua Yi, Doc, blood disease hospital, Chinese Academic Medical School
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- ITT2015006-EC-2