Lymphoma Clinical Trial
Official title:
PHASE II TRIAL OF FLUDARABINE AND SANDOSTATIN FOR RELAPSED LOW-GRADE NON-HODGKIN'S LYMPHOMA
RATIONALE: Drugs used in chemotherapy and hormone therapy use different ways to stop cancer
cells from dividing so they stop growing or die. Combining more than one drug may kill more
cancer cells.
PURPOSE: Phase II trial to study the effectiveness of fludarabine plus octreotide in
treating patients who have relapsed low-grade non-Hodgkin's lymphoma.
OBJECTIVES: I. Determine the response rate and duration of response to fludarabine combined
with octreotide and to octreotide alone in patients with relapsed indolent non-Hodgkin's
lymphoma. II. Determine serum insulin-like growth factor-1 (IGF-1) and IGF-1 binding protein
levels before and after treatment in this patient population. III. Determine somatostatin
receptor subtypes in lymphoma biopsy samples from selected patients.
OUTLINE: Patients receive fludarabine IV over 10-30 minutes on days 1-5. Patients not
currently receiving octreotide, receive a test dose of octreotide subcutaneously on day 1
during course 1 only and then receive octreotide intramuscularly monthly on day 1. Treatment
repeats every 28 days for 4-6 courses. Patients then receive octreotide alone for 6-8
courses. Some patients may then receive another 12 courses of octreotide alone, for a total
of 2 years of treatment. Patients are followed every 3 months for 5 years or until disease
progression.
;
Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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