NCT01148446

Brief Summary

The study has the purpose to compare R-CHOP versus R-mini-CEOP in elderly patients (\>65 years) with Diffuse Large B Cell Lymphoma (DLBCL).

Trial Health

80
On Track

Trial Health Score

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

Enrollment
226

participants targeted

Target at P25-P50 for phase_3

Geographic Reach
1 country

11 active sites

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

January 1, 2003

Completed
3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2006

Completed
4.5 years until next milestone

First Submitted

Initial submission to the registry

June 21, 2010

Completed
1 day until next milestone

First Posted

Study publicly available on registry

June 22, 2010

Completed
Last Updated

June 22, 2010

Status Verified

June 1, 2010

Enrollment Period

3 years

First QC Date

June 21, 2010

Last Update Submit

June 21, 2010

Conditions

Keywords

DLBCLR-CHOPR-CEOPElderly patients

Outcome Measures

Primary Outcomes (1)

  • Event Free Survival (EFS)

    2 years

Secondary Outcomes (3)

  • Complete Remission (CR) rate

    2 years

  • Disease Free Survival (DFS)

    2 years

  • Multidimensional Evaluation Scale for the definition of "frail" and "non frail" patients

    2 years

Study Arms (2)

R-CHOP

EXPERIMENTAL

R-CHOP (every 21 days) for six courses Cyclophosphamide: 750 mg/m2, IV, day 1 Doxorubicin: 50 mg/m2, IV, day 1 Vincristine: 1.4 (max 2) mg/m2, IV, day 1 Prednisone: 75 mg/m2, IV, days 1-5 Rituximab: 375 mg/m2, IV, day 1 G-CSF: 300 µg tota, SC; days 7-11

Drug: CyclophosphamideDrug: DoxorubicinDrug: VincristineDrug: PrednisoneDrug: RituximabDrug: G-CSF

R-mini-CEOP

EXPERIMENTAL

R-miniCEOP (every 21 days)for six courses Cyclophosphamide: 50 mg/m2, IV, day 1 Epirubicin: 50 mg/m2, IV, day 1 Vinblastine: 5 mg/m2, IV, day 1 Prednisone: 60 mg/m2, IV/PO, days 1-5 Rituximab: 375 mg/m2, IV, day 1 G-CSF: 300 µg tota, SC; days 7-11

Drug: CyclophosphamideDrug: PrednisoneDrug: EpirubicinDrug: VinblastineDrug: RituximabDrug: G-CSF

Interventions

750 mg/mq IV, day 1

R-CHOP

50 mg/mq IV, day1

R-CHOP

1,4 mg/mq (max 2 mg)IV, day 1

R-CHOP

75 mg/mq IV, days 1-5

R-CHOP

50 mg/mq IV, day 1

R-mini-CEOP

5 mg/mq IV, day 1

R-mini-CEOP

375 mg/mq IV, day 1

R-CHOPR-mini-CEOP
G-CSFDRUG

300 µg tot., SC; days 7-11

R-CHOPR-mini-CEOP

Eligibility Criteria

Age66 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsOlder Adult (65+)

You may qualify if:

  • Patients with untreated DLBCL aged 66 to 80 years without major accompanying diseases and considered as "non frail".
  • Patients were classified as "non frail" (fit) if they had
  • ADL (Activity of Daily Living) score of 6
  • less than three grade 3 Cumulative Illness Rating Score for Geriatrics (CIRS-G) co-morbidities and no grade 4 co-morbidities
  • absence of geriatric syndrome
  • Patients HIV negativity;
  • Concurrent malignancy;
  • Written Informed Consent.

You may not qualify if:

  • All other patients were classified as "unfit", and were excluded from randomization

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (11)

S.C. di Ematologia, Spedali Civili

Brescia, Brescia, 25123, Italy

Location

Ospedale di Vigevano

Vigevano, Pavia, Italy

Location

Ospedale Garibaldi-Nesima

Catania, Italy

Location

Ospedale civile Divisione di Ematologia

Civitanova Marche (MC), Italy

Location

Ospedale San Sebastiano

Correggio (RE), Italy

Location

Presidio Ospedaliero Annunziata

Cosenza, Italy

Location

Istituto Vito Fazzi

Lecce, Italy

Location

Azienda Ospedaliera Policlinico

Modena, Italy

Location

AO Arcispedale S.Maria Nuova Ematologia

Reggio Emilia, Italy

Location

Ospedale civile DH oncologico

Sassuolo (MO), Italy

Location

Ospedale San Giovanni Battista - Molinette

Torino, Italy

Location

Related Publications (2)

  • Shi Q, Schmitz N, Ou FS, Dixon JG, Cunningham D, Pfreundschuh M, Seymour JF, Jaeger U, Habermann TM, Haioun C, Tilly H, Ghesquieres H, Merli F, Ziepert M, Herbrecht R, Flament J, Fu T, Coiffier B, Flowers CR. Progression-Free Survival as a Surrogate End Point for Overall Survival in First-Line Diffuse Large B-Cell Lymphoma: An Individual Patient-Level Analysis of Multiple Randomized Trials (SEAL). J Clin Oncol. 2018 Sep 1;36(25):2593-2602. doi: 10.1200/JCO.2018.77.9124. Epub 2018 Jul 5.

  • Merli F, Luminari S, Rossi G, Mammi C, Marcheselli L, Tucci A, Ilariucci F, Chiappella A, Musso M, Di Rocco A, Stelitano C, Alvarez I, Baldini L, Mazza P, Salvi F, Arcari A, Fragasso A, Gobbi PG, Liberati AM, Federico M. Cyclophosphamide, doxorubicin, vincristine, prednisone and rituximab versus epirubicin, cyclophosphamide, vinblastine, prednisone and rituximab for the initial treatment of elderly "fit" patients with diffuse large B-cell lymphoma: results from the ANZINTER3 trial of the Intergruppo Italiano Linfomi. Leuk Lymphoma. 2012 Apr;53(4):581-8. doi: 10.3109/10428194.2011.621565. Epub 2011 Nov 15.

MeSH Terms

Conditions

Lymphoma, Large B-Cell, Diffuse

Interventions

CyclophosphamideDoxorubicinVincristinePrednisoneEpirubicinVinblastineRituximabGranulocyte Colony-Stimulating Factor

Condition Hierarchy (Ancestors)

Lymphoma, B-CellLymphoma, Non-HodgkinLymphomaNeoplasms by Histologic TypeNeoplasmsLymphoproliferative DisordersLymphatic DiseasesHemic and Lymphatic DiseasesImmunoproliferative DisordersImmune System Diseases

Intervention Hierarchy (Ancestors)

Phosphoramide MustardsNitrogen Mustard CompoundsMustard CompoundsHydrocarbons, HalogenatedHydrocarbonsOrganic ChemicalsPhosphoramidesOrganophosphorus CompoundsDaunorubicinAnthracyclinesNaphthacenesPolycyclic Aromatic HydrocarbonsHydrocarbons, AromaticHydrocarbons, CyclicPolycyclic CompoundsAminoglycosidesGlycosidesCarbohydratesVinca AlkaloidsSecologanin Tryptamine AlkaloidsIndole AlkaloidsAlkaloidsHeterocyclic CompoundsIndolesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingIndolizidinesIndolizinesPregnadienediolsPregnadienesPregnanesSteroidsFused-Ring CompoundsAntibodies, Monoclonal, Murine-DerivedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulinsColony-Stimulating FactorsGlycoproteinsGlycoconjugatesHematopoietic Cell Growth FactorsCytokinesIntercellular Signaling Peptides and ProteinsPeptidesBiological Factors

Study Officials

  • Francesco Merli, MD

    U.O.A. di Ematologia Azienda Ospedale S. Maria Nuova

    STUDY CHAIR
  • Marilena Bertini, MD

    U.O.A. di Ematologia Ospedale Molinette

    STUDY CHAIR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER

Study Record Dates

First Submitted

June 21, 2010

First Posted

June 22, 2010

Study Start

January 1, 2003

Primary Completion

January 1, 2006

Last Updated

June 22, 2010

Record last verified: 2010-06

Locations