B-ALL, Burkitt and Burkitt like and Non-Hodgkin?s Lymphoma in Adults MedDRA version: 9.1 Level: LLT Classification code 10006595 Term: Burkitt's lymphoma
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: ? Mature B-cell-ALL (L3-ALL) ? High-grade non-Hodgkin's lymphoma of the following subtypes (WHO classification) - Burkitt?s lymphoma (incl. atypical Burkitt?s lymphoma) - Precursor B-lymphoblastic lymphoma - Anaplastic large-cell lymphoma (Ki1+, B-, T- or Null-cell type) - Mediastinal large B-cell lymphoma (subtype of diffuse large B-Cell lymphoma) ? Age = 18 years ? Patient?s Informed Consent Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Serious secondary diseases including psychiatric conditions, under which the required therapy compliance is not to be expected ? HIV infection ? Secondary lymphoma following prior chemotherapy/radiotherapy or an active second malignancy ? Known severe allergy to foreign proteins Pre-treatment (Exception: 1 cycle CHOP or similar, < 1 week of another chemotherapy) Pregnancy or nursing ? Absence of patient?s written informed consent ? Participation in other studies that interfere with the study therapy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: 1. Test of the tolerability and efficacy of new therapy elements to improve remission rates, overall survival and remission duration: - Administration of anti-CD20 (rituximab ) together with combination chemotherapy - Combination therapy with high-dose methotrexate and high-dose cytarabine together with conventional cytostatic agents (cycle C) - Prophylactic administration of G-CSF after every chemotherapy cycle - Localised irradiation after 6 cycles in patients with mediastinal tumor, CNS involvement and residual tumor;Secondary Objective: Test of the age-adapted therapy stratification according to biological age (<> 55 years) Definition of prognostic factors Setting up of a central pathology reference panel;Primary end point(s): improve remission rates, overall survival and remission duration: | — |
Countries
Italy