Combination Chemotherapy in Treating Patients With Relapsed or Refractory Intermediate-Grade or High-Grade Non-Hodgkin's Lymphoma

This study has been completed.
Information provided by:
National Cancer Institute (NCI) Identifier:
First received: August 3, 2000
Last updated: December 26, 2009
Last verified: October 2003

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells.

PURPOSE: Phase II trial to study the effectiveness of combining doxorubicin and topotecan in treating patients who have relapsed or refractory intermediate-grade or high-grade non-Hodgkin's lymphoma.

Condition Intervention Phase
Drug: doxorubicin hydrochloride
Drug: topotecan hydrochloride
Phase 2

Study Type: Interventional
Study Design: Masking: Open Label
Primary Purpose: Treatment
Official Title: A Phase II Study of Sequential Doxorubicin and Topotecan (Dox/Topo) in Relapsed or Refractory Intermediate- or High-Grade Non-Hodgkin's Lymphoma (NHL)

Resource links provided by NLM:

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

Study Start Date: July 2000
Detailed Description:


  • Determine the response rate and time to progression in patients with relapsed or refractory intermediate or high grade non-Hodgkin's lymphoma treated with doxorubicin and topotecan.
  • Determine the toxicity of this regimen in these patients.

OUTLINE: Patients receive doxorubicin IV over 5-10 minutes on day 1 and topotecan IV over 30 minutes on days 3-5. Treatment repeats every 21 days for up to 6 courses in the absence of disease progression.

Patients are followed every 6 months for 2 years and annually for the next 3 years.

PROJECTED ACCRUAL: Approximately 55 patients will be accrued for this study over 2.5 years.


Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No


  • Histologically confirmed recurrent or refractory non-Hodgkin's lymphoma of one of the following subtypes:

    • Follicular center lymphoma, grade 3
    • Diffuse large B-cell lymphoma
    • Diffuse large B-cell lymphoma, primary mediastinal B-cell lymphoma
    • Burkitt's lymphoma
    • High grade B-cell lymphoma, Burkitt-like
    • Anaplastic large cell lymphoma, CD30+ cell type
    • Anaplastic large cell lymphoma, T-cell type
    • Anaplastic large cell lymphoma, null-cell type
    • Anaplastic large cell lymphoma, Hodgkin's like
  • Bidimensionally measurable disease NOTE: 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.



  • Any age

Performance status:

  • Not specified

Life expectancy:

  • Not specified


  • Absolute neutrophil count at least 1,500/mm3
  • Platelet count at least 100,000/mm3


  • Bilirubin no greater than 2.0 mg/dL history of Gilbert's Disease
  • AST no greater than 2.5 times upper limit of normal


  • Creatinine normal


  • LVEF at least 45% by MUGA or echocardiogram


  • Not pregnant or nursing
  • Fertile patients must use effective contraception


Biologic therapy:

  • Not specified


  • Greater than 3 weeks since prior chemotherapy (6 weeks since prior nitrosoureas or mitomycin)
  • No greater than 96 mg/m2 mitoxantrone
  • No greater than 400 mg/m2 prior doxorubicin or combined total doxorubicin and mitoxantrone
  • No prior camptothecins
  • No other concurrent chemotherapy

Endocrine therapy:

  • No concurrent hormonal therapy except steroids for adrenal failure or hormones given for nondisease conditions (e.g., insulin for diabetes)
  • No concurrent dexamethasone or other steroidal antiemetics


  • Greater than 3 weeks since prior radiotherapy
  • No concurrent radiotherapy except whole brain irradiation for documented CNS disease


  • Not specified
  Contacts and Locations
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Please refer to this study by its identifier: NCT00006125

  Show 76 Study Locations
Sponsors and Collaborators
Cancer and Leukemia Group B
Study Chair: Nancy L. Bartlett, MD Washington University Siteman Cancer Center
  More Information

Additional Information:
Smith SM, Johnson JL, Niedzwiecki D, et al.: Sequential topoisomerase I (topo I) and topoisomerase II (topo II) inhibitors in relapsed/refractory aggressive NHL: results of CALGB 59906, a phase II study of doxorubicin and topotecan. [Abstract] Blood 104 (11): A-2500, 2004. Identifier: NCT00006125     History of Changes
Other Study ID Numbers: CDR0000068140, CLB-59906
Study First Received: August 3, 2000
Last Updated: December 26, 2009
Health Authority: United States: Federal Government

Keywords provided by National Cancer Institute (NCI):
recurrent grade 3 follicular lymphoma
recurrent adult diffuse large cell lymphoma
recurrent adult Burkitt lymphoma
anaplastic large cell lymphoma

Additional relevant MeSH terms:
Lymphoma, Non-Hodgkin
Immune System Diseases
Immunoproliferative Disorders
Lymphatic Diseases
Lymphoproliferative Disorders
Neoplasms by Histologic Type
Liposomal doxorubicin
Antibiotics, Antineoplastic
Antineoplastic Agents
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Pharmacologic Actions
Therapeutic Uses
Topoisomerase I Inhibitors
Topoisomerase II Inhibitors
Topoisomerase Inhibitors processed this record on July 01, 2015