Follicular Lymphoma Clinical Trial
Official title:
Prospective Multicenter Study: Bendamustine in Combination With Rituximab as a First-line Therapy Followed by Maintenance Therapy With Rituximab in Patients With Follicular Lymphoma
- To evaluate the efficacy of bendamustine in combination with rituximab as first line in
patients with follicular lymphoma, 1-3A cytological type.
- To evaluate the safety, tolerability and feasibility of bendamustine in combination
with rituximab as 1st line in patients with follicular lymphoma, 1-3A cytological type.
- To evaluate the impact of the regimen modification (bendamustine dose modification
and/or extension of inter-cycle interval) into duration of complete and partial
responses.
- To evaluate estimated treatment duration, reasons of treatment withdrawal.
- To evaluate the possibility of unification and standardization of therapy protocol BR
(rituximab 375 mg/m2 on day 1 and bendamustine 90 mg/m2 on days 1-2).
- To evaluate factors affecting overall and progression-free survival.
Protocol involves 6 courses of rituximab and bendamustine with 26 days interval between each
course (one cycle continues 28 days). Control examination will be performed every two
courses (28, 56, 84 days of treatment) and will include (physical examination, monitoring of
clinical blood tests, biochemical blood tests, computed tomography, ultrasonography, in
patients with gastrointestinal tract involvement - fibrogastroduodenoscopy and colonoscopy).
Efficacy of therapeutic impact will be estimated as rates of complete remission, partial
remission, stable disease or progression based on tumor size reduction comparing with
pretreatment data and evaluated using computed tomography and expressed as a percentage.
Patients with partial or complete remission or stable disease after 2 courses continue
treatment. Patients with tumor progression excluded from issue. Patients which achieved a
complete remission after 2 courses may end treatment after 4 courses.
Safety, tolerability and feasibility which implies hematologic and non-hematologic toxicity
will be estimated using data of physical examination, monitoring of clinical blood tests,
biochemical blood tests and bone marrow analyses (cytological, morphological and genetic
tests).
;
Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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