Study Combining Zevalin With High-Dose Chemotherapy Prior to Autologous StemCell Transplant in Patients With Relapsed, Refractory, or Transformed Non-Hodgkin's Lymphoma
Recruitment status was Not yet recruiting
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Purpose
This aim of this study to evaluate the safety and efficacy of combining a single course of Yttrium 90 Ibritumomab Tiuxetan, a radiolabeled monoclonal antibody ( Zevalin ), with high-dose BEAM chemotherapy and autologous peripheral stem cell transplantation in patients with relapsed, refractory, or transformed Non-Hodgkin's lymphoma.
| Condition | Intervention | Phase |
|---|---|---|
|
Non-Hodgkin's Lymphoma |
Drug: Yttrium 90 Ibritumomab Tiuxetan ( Zevalin ) |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Phase II Non-Randomized Study Combining Yttrium 90 Ibritumomab Tiuxetan (Zevalin) With High-Dose Chemotherapy Prior to Autologous Stem Cell Transplantation in Patients With Relapsed, Refractory, or Transformed Non-Hodgkin's Lymphoma |
- Overall response rate
- Survival Data, adverse events, molecular response
| Estimated Enrollment: | 40 |
| Study Start Date: | March 2007 |
Relapse rates after chemotherapy for relapsed, refractory or transformed Non-Hodgkin's lymphoma (NHL)remain very high. NHL is a radiosensitive tumor. We hypothesize that targeted radioimmunotherapy combined with high-dose chemotherapy may increase response and survival rates in a safe and reliable manner.
Eligibility| Ages Eligible for Study: | 18 Years to 70 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Age >=18 to <=70 years
Relapsed or refractory Stage III or IV, grade 1,2, or 3 Follicular Lymphoma or transformed follicular lymphoma, mantle cell lymphoma, marginal zone lymphoma, Waldenstrom's macroglobulinemia, or diffuse large B-Cell lymphoma as defined by the WHO and:
- Expressing the CD 20 antigen
- ECOG performance 0-2
- Written informed consent
- Prior collection of at least 2.5x10^6 CD34-positive peripheral blood stem cells/kg.
Exclusion Criteria:
- Abnormal renal function (Creatinine >2.5x upper limit of normal (ULN)
- Abnormal hepatic function (Bilirubin >2xULN, ALT/AST >3x ULN)
- Cardiac ejection fraction <40%
- Severe defects in pulmonary function tests (DLCO<70% predicted, FEV1, FVC<60% predicted) or receiving continuous oxygen
- A history of human anti-mouse antibodies (HAMA) or known type 1 hypersensitivity or anaphylactic proteins to any component of the Zevalin therapy.
- Female patients who are pregnant or breast feeding, and adults of reproductive potential who are not employing an effective method of birth control during study treatment
- Prior radiotherapy to >25% of the bone marrow or >20 Gy to critical organ (lung, liver, kidney, spinal cord).
- CNS lymphoma
- Ongoing infection
- Prior treatment with radioimmunotherapy
Contacts and Locations| Contact: Ahmed Galal, MD | 514-934-1934 ext 31558 | galala@muhchem.mcgill.ca |
| Canada, Quebec | |
| McGill University Health Center, Royal Victoria Hospital | Not yet recruiting |
| Montreal, Quebec, Canada, H3A1A1 | |
| Contact: Ahmed Galal, MD 514-934-1934 ext 31558 galala@muhchem.mcgill.ca | |
| Principal Investigator: Ahmed Galal, MD | |
| Principal Investigator: | Ahmed Galal, MD | McGill University Health Center, Royal Victoria Hospital |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00438581 History of Changes |
| Other Study ID Numbers: | BMA-05-017-ZEV |
| Study First Received: | February 20, 2007 |
| Last Updated: | February 26, 2007 |
| Health Authority: | Canada: Health Canada |
Keywords provided by McGill University:
|
Zevalin Autologous one Marrow Transplant Non-Hodgkin's Lymphoma |
Additional relevant MeSH terms:
|
Lymphoma Lymphoma, Non-Hodgkin Neoplasms by Histologic Type Neoplasms Lymphoproliferative Disorders Lymphatic Diseases |
Immunoproliferative Disorders Immune System Diseases Antibodies, Monoclonal Immunologic Factors Physiological Effects of Drugs Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 16, 2013