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Clinical Trial Details — Status: Active, not recruiting

Administrative data

NCT number NCT00003578
Other study ID # CDR0000066645
Secondary ID BNLI-LY02EU-9803
Status Active, not recruiting
Phase Phase 3
First received November 1, 1999
Last updated September 19, 2013
Start date January 1993

Study information

Verified date May 2007
Source National Cancer Institute (NCI)
Contact n/a
Is FDA regulated No
Health authority United States: Federal Government
Study type Interventional

Clinical Trial Summary

RATIONALE: Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die. Bone marrow transplantation may allow doctors to give higher doses of chemotherapy drugs and kill more cancer cells. It is not yet known whether high dose chemotherapy plus bone marrow transplantation is more effective than high dose chemotherapy alone for intermediate- or high-grade non-Hodgkin's lymphoma.

PURPOSE: Randomized phase III trial to compare the effectiveness of high dose chemotherapy with or without bone marrow transplantation in treating patients who have intermediate- or high-grade non-Hodgkin's lymphoma.


Description:

OBJECTIVES: I. Assess the value of early intensification with autologous bone marrow transplantation or stem cell support in patients with poor prognosis intermediate or high grade non-Hodgkin's lymphoma.

OUTLINE: This is a randomized, multicenter study. Patients are stratified by age (under 50 vs 50 and over), bone marrow involvement (yes vs no), and country. All patients receive cyclophosphamide, doxorubicin, and vincristine on day 1 and prednisone on days 1-5. Courses repeat every 21 days. Patients receive a minimum of 6 courses of treatment in the absence of disease progression and unacceptable toxicity. Arm I: Patients receive carmustine IV over 2 hours on day 1 in week 9 or 10. Etoposide and cytarabine IV are administered over 30 minutes on days 2-5. Melphalan IV is administered over 5 minutes on day 6. Patients receive cryopreserved bone marrow or peripheral blood stem cells on day 7. Arm II: Patients continue conventional therapy. Patients are followed at 8-9 weeks and 6 months.

PROJECTED ACCRUAL: This study will accrue 500 patients.


Recruitment information / eligibility

Status Active, not recruiting
Enrollment 500
Est. completion date
Est. primary completion date
Accepts healthy volunteers No
Gender Both
Age group 16 Years to 65 Years
Eligibility DISEASE CHARACTERISTICS: Histologically confirmed intermediate or high grade adult non-Hodgkin's lymphoma: Follicular large cell lymphoma Diffuse mixed cell lymphoma Diffuse large cell lymphoma Diffuse immunoblastic lymphoma Poor prognostic features defined as the presence of 2 or 3 of the following: Stage III/IV Lactase dehydrogenase greater than normal ECOG performance status 2-4 A new classification scheme for adult non-Hodgkin's lymphoma has been adopted by PDQ. The terminology of "indolent" or "aggressive" lymphoma will replace the former terminology of "low", "intermediate", or "high" grade lymphoma. However, this protocol uses the former terminology.

PATIENT CHARACTERISTICS: Age: 16 to 65 Performance status: See Disease Characteristics Life expectancy: Not specified Hematopoietic: Not specified Hepatic: See Disease Characteristics Renal: Not specified Other: No other medical condition prohibiting intensive therapy

PRIOR CONCURRENT THERAPY: At least 5 years since prior systemic therapy for cancer

Study Design

Allocation: Randomized, Primary Purpose: Treatment


Related Conditions & MeSH terms


Intervention

Drug:
CHOP regimen

carmustine

cyclophosphamide

cytarabine

doxorubicin hydrochloride

etoposide

melphalan

prednisone

vincristine sulfate

Procedure:
autologous bone marrow transplantation

peripheral blood stem cell transplantation


Locations

Country Name City State
Czech Republic Charles University Hospital Prague (Praha)
Denmark Aarhus Amtssygehus Aarhus
Denmark Rigshospitalet Copenhagen
Norway Norwegian Radium Hospital Oslo
Norway Ullevall Hospital Oslo
Norway University of Tromso Tromso
United Kingdom Stoke Mandeville Hospital Aylesbury-Buckinghamshire England
United Kingdom Ysbyty Gwynedd Bangor Wales
United Kingdom Royal United Hospital Bath England
United Kingdom Belfast City Hospital Trust Belfast Northern Ireland
United Kingdom Birmingham Heartlands and Solihull NHS Trust (Teaching) Birmingham England
United Kingdom City Hospital - Birmingham Birmingham England
United Kingdom Royal Bournemouth Hospital Bournemouth
United Kingdom Bristol Haematology and Oncology Centre Bristol England
United Kingdom Southmead Hospital Bristol England
United Kingdom Queen's Hospital, Burton Burton-upon-Trent England
United Kingdom Kent and Canterbury Hospital Canterbury England
United Kingdom Law Hospital Carluke UK
United Kingdom Cheltenham General Hospital Cheltenham England
United Kingdom Countess of Chester Hospital Chester England
United Kingdom Saint Richards Hospital Chichester
United Kingdom Derbyshire Royal Infirmary Derby England
United Kingdom Chase Farm Hospital Enfield
United Kingdom Epsom General Hospital Epsom Surrey
United Kingdom Grantham and District Hospital Grantham
United Kingdom Royal Free Hospital Hampstead, London England
United Kingdom Northwick Park Hospital Harrow England
United Kingdom Huddersfield Royal Infirmary Huddersfield, West Yorks England
United Kingdom King George Hospital Ilford, Essex
United Kingdom Ipswich Hospital NHS Trust Ipswich England
United Kingdom Queen Elizabeth Hospital King's Lynn
United Kingdom Leeds Teaching Hospital Trust Leeds England
United Kingdom University Hospitals of Leicester Leicester England
United Kingdom Royal Liverpool and Broadgreen Hospitals Liverpool England
United Kingdom Walton General Hospital Liverpool
United Kingdom Charing Cross Hospital London England
United Kingdom Middlesex Hospital- Meyerstein Institute London England
United Kingdom Newham General Hospital London
United Kingdom Saint Bartholomew's Hospital London England
United Kingdom St. Bartholomew's Hospital London England
United Kingdom St. Georges Hospital Medical School London England
United Kingdom St. Mary's Hospital London
United Kingdom University College London London England
United Kingdom University College London Medical School London England
United Kingdom Whipps Cross Hospital London England
United Kingdom Altnagelvin Area Hospital Londonderry Northern Ireland
United Kingdom Maidstone Hospital Maidstone England
United Kingdom Christie Hospital N.H.S. Trust Manchester England
United Kingdom Clatterbridge Centre for Oncology NHS Trust Merseyside England
United Kingdom Southport and Formby District General Hospital Merseyside England
United Kingdom West Middlesex Hospital Middlesex
United Kingdom Milton Keynes General Hospital Milton Keynes England
United Kingdom Mount Vernon Hospital Northwood England
United Kingdom Nottingham City Hospital NHS Trust Nottingham England
United Kingdom Oxford Radcliffe Hospital Oxford England
United Kingdom Derriford Hospital Plymouth England
United Kingdom East Surrey Hospital Redhill
United Kingdom Oldchurch Hospital Romford England
United Kingdom Rotherham District General Hospital-NHS Trust Rotherham
United Kingdom Pembury Hospital Royal Tunbridge Wells, Kent England
United Kingdom Scunthorpe General Hospital Scunthorpe
United Kingdom Sheffield Teaching Hospitals Sheffield England
United Kingdom Weston Park Hospital Sheffield England
United Kingdom Royal South Hants Hospital Southampton England
United Kingdom Staffordshire General Hospital Stafford
United Kingdom Royal Marsden Hospital Sutton England
United Kingdom Torbay Hospital Torquay Devon England
United Kingdom Hillingdon Hospital Uxbridge England
United Kingdom Sandwell District General Hospital West Bromwich England
United Kingdom Good Hope Hospital Trust West Midlands England
United Kingdom Pontefract General Infirmary West Yorks England
United Kingdom New Cross Hospital Wolverhampton England

Sponsors (1)

Lead Sponsor Collaborator
Lymphoma Trials Office

Countries where clinical trial is conducted

Czech Republic,  Denmark,  Norway,  United Kingdom, 

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