Phase II Study With Rituximab and Cyclophosphamide, Doxorubicin, Vincristine, Prednisone (CHOP) in Patients With Gastric Diffuse Large B-Cell Non-Hodgkin`s Lymphoma

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The optimal treatment of primary gastric diffuse large B-cell lymphoma (PG-DLBCL) has not yet been defined. In most circumstances, a stomach-conserving approach is favored, but the role of radiotherapy is still a matter of debate. Recently, Rituximab along with full-dose CHOP chemotherapy has been shown to improve the outcome in elderly patients with nodal DLBCL. However, no data are available...

Brief Summary

Official Title: “Phase II Study With Rituximab and CHOP in Patients With Gastric Diffuse Large B-Cell Non-Hodgkin`s Lymphoma”

The optimal treatment of primary gastric diffuse large B-cell lymphoma (PG-DLBCL) has not yet been defined. In most circumstances, a stomach-conserving approach is favored, but the role of radiotherapy is still a matter of debate. Recently, Rituximab along with full-dose CHOP chemotherapy has been shown to improve the outcome in elderly patients with nodal DLBCL. However, no data are available with such a therapy in patients with PG-DLBCL.

Therefore, in March 2003, we initiated an ongoing, prospective, multicenter phase II study in patients with PG-DLBCL with 6 to 8 cycles of Rituximab (R; 375 mg/m2) plus CHOP-21 in order to evaluate the safety and efficacy of this approach.

  • Study Type: Interventional
  • Study Design: Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
  • Study Primary Completion Date: September 2008

Detailed Clinical Trial Description

see above

Intervention(s) in this Clinical Trial

  • Drug: Rituximab + CHOP chemotherapy
    • standard Rituximab + CHOP chemo-immunotherapy

Outcome Measures for this Clinical Trial

Primary Measures

  • Complete remission rate
    • Time Frame: at end of chemo-immunotherapy
      Safety Issue?: No
  • Progression-free survival
    • Time Frame: at 2 and 5 years
      Safety Issue?: No

Secondary Measures

  • Overall survival
    • Time Frame: at 2 and 5 years
      Safety Issue?: No
  • Toxicity
    • Time Frame: after chemo-immunotherapy
      Safety Issue?: Yes

Criteria for Participation in this Clinical Trial

Inclusion Criteria:

  • Age > 18 years
  • Histologically confirmed primary gastric CD20+ DLBCL
  • Written informed consent
  • ECOG 0-2

Exclusion Criteria:

  • Secondary aggressive Non-Hodgkin`s lymphoma involving the gastric area
  • HIV positive patients
  • Severe organ dysfunction
  • Life expectancy of less than 3 months

Gender Eligibility for this Clinical Trial: Both

Minimum Age for this Clinical Trial: 18 Years

Maximum Age for this Clinical Trial: N/A

Are Healthy Volunteers Accepted for this Clinical Trial?: No

Clinical Trial Investigator Information

Lead Investigator: University Hospital Tuebingen Other

Overall Clinical Trial Officials and Contacts

Wolfram Brugger, M.D. Principal Investigator Schwarzwald-Baar Clinic, Academic Teaching Hospital, University of Freiburg  

Additional Information

Information obtained from ClinicalTrials.gov on February 12, 2012

Link to the current ClinicalTrials.gov record. http://clinicaltrials.gov/show/NCT00204659

Study ID Number: 64-03

ClinicalTrials.gov Identifier: NCT00204659

Health Authority: Germany: Federal Institute for Drugs and Medical Devices

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http://clinicaltrialsfeeds.org/clinical-trials/show/NCT00204659