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Hydroxyurea in Treating Patients With Epstein-Barr Virus-Associated Primary CNS Lymphoma and AIDS

This study has been completed.

Sponsored by: St. Jude Children's Research Hospital
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00002940
  Purpose

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die.

PURPOSE: Phase II trial to study the effectiveness of hydroxyurea in treating patients with Epstein-Barr virus-associated primary CNS lymphoma and AIDS.


Condition Intervention Phase
Lymphoma
Drug: hydroxyurea
Phase II

MedlinePlus related topics:   Lymphoma   

ChemIDplus related topics:   Hydroxyurea   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Treatment
Official Title:   Hydroxyurea Treatment of EBV-Associated Primary CNS Lymphoma in Children and Adults With AIDS

Further study details as provided by National Cancer Institute (NCI):

Study Start Date:   October 1996

Detailed Description:

OBJECTIVES: I. Estimate the objective response rate of PCNSL in AIDS patients treated with hydroxyurea. II. Investigate whether levels of Epstein-Barr virus (EBV) DNA in the blood or cerebral spinal fluid are correlates of PCNSL disease activity.

OUTLINE: This is an open label pilot study. Patients receive oral hydroxyurea tid. A course of hydroxyurea consists of 4 weeks of therapy. On day 28, after the first course of treatment, tumor size is analyzed by MRI. If no reduction in tumor size is seen on day 28, hydroxyurea dose is increased. If a CR or PR is demonstrated, patients continue on the same treatment at the original dose. MRI evaluation is again taken on day 56 of treatment. Patients with progressive disease at this evaluation are considered to have no treatment response.

PROJECTED ACCRUAL: 15-25 patients will be enrolled. Approximately 8-10 patients will be accrued annually.

  Eligibility
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Criteria

DISEASE CHARACTERISTICS: Histologically proven EBV-associated primary CNS lymphoma HIV infection confirmed by a positive ELISA and Western blot

PATIENT CHARACTERISTICS: Age: Open to children and adults of any age Performance Status: Karnofsky at least 50% Life Expectancy: At least 4 weeks Hematopoietic: Hemoglobin at least 6.9 gm/dL ANC at least 500/mm3 Platelet count at least 50,000/mm3 Hepatic: Bilirubin no greater than 1.5 x upper limit of normal (ULN) (1.5 to 2.5 x ULN if receiving indinavir) Renal: Creatinine no greater than 1.5 x ULN Cardiovascular: Not specified Other: Not pregnant or nursing Contraception required in fertile patients

PRIOR CONCURRENT THERAPY: Biologic therapy: Not specified Chemotherapy: Not specified Endocrine therapy: Not specified Radiotherapy: Not specified Surgery: Not specified Other: Prior or concurrent antiretroviral therapy allowed No prior EBV-associated primary CNS lymphoma therapy within 1 week of study

  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00002940

Locations
United States, Louisiana
Louisiana State University Health Sciences Center - Shreveport    
      Shreveport, Louisiana, United States, 71130-3932
United States, Tennessee
Saint Jude Children's Research Hospital    
      Memphis, Tennessee, United States, 38105-2794

Sponsors and Collaborators
St. Jude Children's Research Hospital

Investigators
Study Chair:     Karen S. Slobod, MD     St. Jude Children's Research Hospital    
  More Information


Clinical trial summary from the National Cancer Institute's PDQ® database  This link exits the ClinicalTrials.gov site
 

Study ID Numbers:   CDR0000065389, SJCRH-DID-965, NCI-V97-1143
First Received:   November 1, 1999
Last Updated:   July 23, 2008
ClinicalTrials.gov Identifier:   NCT00002940
Health Authority:   United States: Federal Government

Keywords provided by National Cancer Institute (NCI):
AIDS-related primary CNS lymphoma  

Study placed in the following topic categories:
Virus Diseases
Lymphatic Diseases
Immunoproliferative Disorders
Hydroxyurea
Lymphoproliferative Disorders
Lymphoma
Central nervous system lymphoma, primary

Additional relevant MeSH terms:
Neoplasms
Antisickling Agents
Neoplasms by Histologic Type
Molecular Mechanisms of Pharmacological Action
Immune System Diseases
Antineoplastic Agents
Therapeutic Uses
Hematologic Agents
Enzyme Inhibitors
Nucleic Acid Synthesis Inhibitors
Pharmacologic Actions

ClinicalTrials.gov processed this record on October 07, 2008




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