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NCT00712582

Therapy for Patients With Untreated Age-Adjusted International Prognostic Index Low-Intermediate Risk, High-Intermediate Risk, or High Risk Diffuse Large B Cell Lymphoma

Completed Phase 2 Results posted Last updated 21 June 2022
What this trial tests

Phase 2 trial testing Etoposide, carboplatin, ifosfamide in Non-Hodgkin's Lymphoma in 96 participants. Completed in 12 March 2021.

Timeline
1 July 2008
Primary endpoint
12 March 2021
12 March 2021

Quick facts

Lead sponsorMemorial Sloan Kettering Cancer Center
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment96
Start date1 July 2008
Primary completion12 March 2021
Estimated completion12 March 2021
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Memorial Sloan Kettering Cancer Center — full company profile →

Who can join

Adults 18 to 65, any sex, with Non-Hodgkin's Lymphoma. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

2-year PFS From the Start of Induction Therapy Conditional Primary · 2 years

2-year PFS from the start of induction therapy conditional on attaining either a negative FDG-PET or a negative biopsy at the interim evaluation.

GroupValue95% CI
Consolidation A86.678.4 – 95.7
Consolidation B90.681.1 – 100.0
Consolidation C0.40.2 – 0.5
Overall Survival at 1 Year Secondary · 1 year

Overall survival from the start of induction therapy conditional on attaining either a negative FDG-PET or a negative biopsy at the interim evaluation.

GroupValue95% CI
Consolidation A98.395.1 – 100.0
Consolidation B96.991.0 – 100.0
Consolidation C50.018.8 – 100.0

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 2 years. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Consolidation A
Serious: 15/60 (25%)
Deaths: 5/60
Consolidation B
Serious: 12/32 (38%)
Deaths: 1/32
Consolidation C
Serious: 2/4 (50%)
Deaths: 2/4

Serious adverse events (36 terms)

ReactionSystemConsolidation AConsolidation BConsolidation C
Febrile neutropeniaBlood and lymphatic system disorders
ConstipationGastrointestinal disorders
HemoglobinBlood and lymphatic system disorders
LeukocytesInvestigations
PlateletsInvestigations
DiarrheaGastrointestinal disorders
Fever (in the absence of neutropenia)General disorders
NauseaGastrointestinal disorders
Pain - Chest/thorax NOSGeneral disorders
Allerg react/hypersens (incl drug fever)Immune system disorders
Atrial fibrillationCardiac disorders
Blood/Bone Marrow, otherBlood and lymphatic system disorders
ColitisGastrointestinal disorders
ConfusionPsychiatric disorders
CoughRespiratory, thoracic and mediastinal disorders
CreatinineInvestigations
DyspneaRespiratory, thoracic and mediastinal disorders
EncephalopathyNervous system disorders
EnteritisGastrointestinal disorders
FatigueGeneral disorders
HyperglycemiaMetabolism and nutrition disorders
HypoxiaRespiratory, thoracic and mediastinal disorders
Neutrophils/granulocytesInvestigations
Pain - AnusGastrointestinal disorders
Pain - BackMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Febrile neutropenia, Constipation, Hemoglobin, Leukocytes, Platelets, Diarrhea, Fever (in the absence of neutropenia), Nausea.

Data from ClinicalTrials.gov NCT00712582 adverse events section.

Sponsor's own description

About 60% of patients with DLBCL can be cured with a chemotherapy program. It is called RCHOP-21 (Rituximab, Cyclophosphamide, Doxorubicin, Vincristine, and Prednisone). It is given once every 3 weeks, for 18 weeks. Each three weeks is a cycle. Some factors predict that you may not be cured with R-CHOP-21. The most common ones are: * Stage - how much DLBCL, PMBL, or FL3B you have * LDH - a blood chemistry marker; and * Whether you can do your normal daily activities. (performance status) We think that the best way to cure more patients with poor risk factors is to add new treatment to R-CHOP. You will get different chemotherapy after 4 cycles. This type of treatment is called risk-adapted therapy.

Publications & conference data

5 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Trial watch: Chemotherapy with immunogenic cell death inducers.
    Vacchelli E, Galluzzi L, Fridman WH, Galon J, et al · · 2012 · cited 98× · PMID 22720239 · DOI 10.4161/onci.1.2.19026
  2. Prospective Study of 3'-Deoxy-3'-18F-Fluorothymidine PET for Early Interim Response Assessment in Advanced-Stage B-Cell Lymphoma.
    Schöder H, Zelenetz AD, Hamlin P, Gavane S, et al · · 2016 · cited 34× · PMID 26719374 · DOI 10.2967/jnumed.115.166769
  3. Prognostic Value of <sup>18</sup>F-FDG PET/CT in Diffuse Large B-Cell Lymphoma Treated with a Risk-Adapted Immunochemotherapy Regimen.
    Michaud L, Bantilan K, Mauguen A, Moskowitz CH, et al · · 2023 · cited 17× · PMID 36549918 · DOI 10.2967/jnumed.122.264740
  4. FDG-PET/CT based response-adapted treatment.
    de Geus-Oei LF, Vriens D, Arens AI, Hutchings M, et al · · 2012 · cited 12× · PMID 23023063 · DOI 10.1102/1470-7330.2012.9006
  5. Matched control analysis suggests that R-CHOP followed by (R)-ICE may improve outcome in non-GCB DLBCL compared with R-CHOP.
    Bantilan KS, Smith AN, Maurer MJ, Teruya-Feldstein J, et al · · 2024 · cited 3× · PMID 38271621 · DOI 10.1182/bloodadvances.2023011408

Verify or expand the search:

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Data sources for this page

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