NCT00048737

Brief Summary

The goal of this clinical research study is to see if low intensity chemotherapy given together with the new drug 90Y Zevalin, followed by a transplant of blood or marrow stem cells from a donor can increase the length of remission in patients with leukemia and lymphoma. The safety of this treatment will also be studied.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
70

participants targeted

Target at P75+ for phase_1 lymphoma

Timeline
Completed

Started Oct 2002

Longer than P75 for phase_1 lymphoma

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

October 1, 2002

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

November 6, 2002

Completed
2 days until next milestone

First Posted

Study publicly available on registry

November 8, 2002

Completed
9.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2011

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2011

Completed
1.5 years until next milestone

Results Posted

Study results publicly available

June 13, 2013

Completed
Last Updated

June 13, 2013

Status Verified

June 1, 2013

Enrollment Period

9.2 years

First QC Date

November 6, 2002

Results QC Date

April 22, 2013

Last Update Submit

June 11, 2013

Conditions

Keywords

LeukemiaLymphomaLymphoid MalignancyCyclophosphamideCytoxanNeosarFludarabineFludarabine PhosphateFludaraRituximabRituxanZevalinIndium Zevalin90Y ZevalinCD-20-positiveB-cell LymphomaCD-20-positive B-cell LymphomaNHLCLLChronic Lymphocytic LeukemiaAllogeneic Stem Cell TransplantationASCT

Outcome Measures

Primary Outcomes (1)

  • Number of Participants With Graft Failure

    Graft failure is defined as either lack of hematologic recovery or lack of or loss of detectable donor cells.

    100 days

Study Arms (1)

90Y Zevalin in ASCT

EXPERIMENTAL

Allogeneic Stem Cell (AST) Transplantation with 90Y Zevalin/Cyclophosphamide/Fludarabine as a preparative regimen.

Drug: Zevalin RadioimmunotherapyDrug: RituximabDrug: FludarabineDrug: CyclophosphamideProcedure: Allogeneic Stem Cell Transplantation

Interventions

Escalating single dose of 90Y Zevalin 0.2-0.3-0.4 mCi/kg

Also known as: 90Y Zevalin
90Y Zevalin in ASCT

250 mg/m\^2 on day 1 and day 8

Also known as: Rituxan
90Y Zevalin in ASCT

30 mg/m\^2/day for 3 days

Also known as: Fludarabine phosphate, Fludara
90Y Zevalin in ASCT

750 mg/m\^2/day for 3 days, given on the same days as fludarabine, at 4-hour intervals

Also known as: Cytoxan, Neosar
90Y Zevalin in ASCT

Allogeneic stem cell transplantation 2 days after chemotherapy

Also known as: ASCT
90Y Zevalin in ASCT

Eligibility Criteria

Age18 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients in relapse or considered at high risk for relapse or refractory CD-20-positive B-cell NHL or CLL. Patients considered for high risk of relapse are patients who do not achieve complete response (CR) with frontline chemotherapy, CLL is Richter's and CLL with high risk chromosomal abnormalities.
  • Measurable disease.
  • Age 18-70 years, expected survival \>/= 3 months, performance status 0 to 2.
  • Availability of a matched related donor.
  • \</+ 50% bone marrow involvement.
  • CLL with \</+ 10,000 circulating lymphocytes.
  • Availability of a matched related or unrelated donor.

You may not qualify if:

  • Prior myeloablative therapies or radioimmunotherapy.
  • Prior external beam radiation therapy to \>25% of active bone marrow.
  • Prior therapy with 90Y Zevalin or Campath.
  • CNS lymphoma, HIV, HTLV-1 positivity, some creatinine \>1.6 mg/dl or serum bilirubin \>1.5 mg/dl.
  • Pregnancy or lactation.
  • Symptomatic pulmonary or cardiac disease.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

MD Anderson Cancer Center

Houston, Texas, 77030, United States

Location

Related Publications (1)

  • Khouri IF, Saliba RM, Erwin WD, Samuels BI, Korbling M, Medeiros LJ, Valverde R, Alousi AM, Anderlini P, Bashir Q, Ciurea S, Gulbis AM, de Lima M, Hosing C, Kebriaei P, Popat UR, Fowler N, Neelapu SS, Samaniego F, Champlin RE, Macapinlac HA. Nonmyeloablative allogeneic transplantation with or without 90yttrium ibritumomab tiuxetan is potentially curative for relapsed follicular lymphoma: 12-year results. Blood. 2012 Jun 28;119(26):6373-8. doi: 10.1182/blood-2012-03-417808. Epub 2012 May 14.

Related Links

MeSH Terms

Conditions

LymphomaLeukemiaLymphoma, B-CellLeukemia, Lymphocytic, Chronic, B-Cell

Interventions

Rituximabfludarabinefludarabine phosphateCyclophosphamide

Condition Hierarchy (Ancestors)

Neoplasms by Histologic TypeNeoplasmsLymphoproliferative DisordersLymphatic DiseasesHemic and Lymphatic DiseasesImmunoproliferative DisordersImmune System DiseasesHematologic DiseasesLymphoma, Non-HodgkinLeukemia, B-CellLeukemia, LymphoidChronic DiseaseDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Antibodies, Monoclonal, Murine-DerivedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulinsPhosphoramide MustardsNitrogen Mustard CompoundsMustard CompoundsHydrocarbons, HalogenatedHydrocarbonsOrganic ChemicalsPhosphoramidesOrganophosphorus Compounds

Results Point of Contact

Title
Issa Khouri, MD / Professor
Organization
UT MD Anderson Cancer Center

Study Officials

  • Issa F. Khouri, MD

    M.D. Anderson Cancer Center

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 6, 2002

First Posted

November 8, 2002

Study Start

October 1, 2002

Primary Completion

December 1, 2011

Study Completion

December 1, 2011

Last Updated

June 13, 2013

Results First Posted

June 13, 2013

Record last verified: 2013-06

Locations