Zevalin Plus BuCyE High-dose Therapy in B-cell Non-Hodgkin's Lymphoma
Combining 90Y-ibritumomab Tiuxetan With High-dose Chemotherapy of BuCyE and Autologous Stem Cell Transplantation in Patients With B-cell Non-Hodgkin's Lymphoma - an Open-labeled Phase II Study
1 other identifier
interventional
19
1 country
1
Brief Summary
In order to improve the clinical result of high-dose chemotherapy and autologous stem cell transplantation for B-cell non-Hodgkin's lymphoma, Zevalin will be added to the conditioning regimen. Investigators expect this radioimmunotherapy of Zevalin plus busulfan, cyclophosphamide and etoposide regimen will improve survival of relapsed or poor-risk B-cell non-Hodgkin's lymphoma.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2
Started Nov 2005
Typical duration for phase_2
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2005
CompletedFirst Submitted
Initial submission to the registry
June 13, 2006
CompletedFirst Posted
Study publicly available on registry
June 14, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2010
CompletedFebruary 17, 2016
February 1, 2016
3.3 years
June 13, 2006
February 13, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Event-free survival
Three year event-free survival rate would be reported.
the time from stem cell infusion to failure or death from any cause
Secondary Outcomes (2)
Overall survival
from stem cell infusion to death of any cause or last follow-up
Toxicity of the treatment combination
any toxicity due to study treatment during study period
Study Arms (1)
Zevalin-BuCyE
EXPERIMENTALhistologically confirmed, relapsed or refractory CD20 positive B-cell NHL including diffuse large B-cell, follicular, mantle cell, and Burkitt lymphomas.
Interventions
rituximab (IV, 250 mg/m2 on days -21 and -14) single dose of 90Y-ibritumomab (IV, 0.4 mCi/kg on day -14) Busulfan (IV, 0.8 mg/kg every 6 h from day -7 to day -5) Cyclophosphamide (IV, 50 mg/kg on days -3 and -2) Etoposide (IV, 200 mg/m2 every 12 h on days -5 and -4) Autologous stem cells infusion on day 0
Eligibility Criteria
You may qualify if:
- Histologically confirmed B-cell NHL in chemotherapy-sensitive relapse, in partial response to 1st line chemotherapy, or in complete response after 1st line chemotherapy with high IPI score at diagnosis
- Age \< 65 years old
- WHO performance status (PS) of 0-2
- ANC \> 1,500/mm3, platelet \> 100,000/mm3
- Cr \< 2.0 mg% or Ccr \> 50 mL/min
- Transaminase \< 3X upper normal value
- Bilirubin \< 2 mg/dL
- Life expectancy of at least 3 months
- Written informed consent
- Optimal harvest of autologous stem cells (CD34+ cells \> 5 million/kg plus 2 million/kg for back-up)
You may not qualify if:
- Prior hematopoietic stem cell transplantation
- Prior RIT
- Prior external radiation to \> 25% of active bone marrow
- CNS involvement of non-Hodgkin's lymphoma
- Serious comorbid diseases
- HIV or HTLV-1 associated malignancy
- History of other malignant disease in the previous 5 years, except squamous cell or basal cell carcinoma of skin or stage I uterine cervical carcinoma or cervical carcinoma in situ
- Known hypersensitivity to murine antibodies/proteins
- Pregnant or breast feeding female patients, adults without effective contraception up to 12 months after RIT
- Persistent toxic side effects from prior therapy
- Prior biologic or immunotherapy less than 4 weeks prior to entry on this study
- Investigational drugs less than 4 weeks prior to entry on this study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Asan Medical Centerlead
- Schering-Ploughcollaborator
Study Sites (1)
Asan Medical Center, Departement of Internal Medicine, Division of Oncology
Seoul, 138-736, South Korea
Related Publications (1)
Kang BW, Kim WS, Kim C, Jang G, Lee SS, Choi YH, Lee DH, Kim SW, Kim S, Ryu JS, Huh J, Lee JS, Suh C. Yttrium-90-ibritumomab tiuxetan in combination with intravenous busulfan, cyclophosphamide, and etoposide followed by autologous stem cell transplantation in patients with relapsed or refractory B-cell non-Hodgkin's lymphoma. Invest New Drugs. 2010 Aug;28(4):516-22. doi: 10.1007/s10637-009-9283-z. Epub 2009 Jun 23.
PMID: 19547918RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Cheolwon Suh, MD, PhD
Asan Medical Center
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- ASCT team
Study Record Dates
First Submitted
June 13, 2006
First Posted
June 14, 2006
Study Start
November 1, 2005
Primary Completion
February 1, 2009
Study Completion
May 1, 2010
Last Updated
February 17, 2016
Record last verified: 2016-02
Data Sharing
- IPD Sharing
- Will not share