DIFFUSE LARGE B CELL NON HODGKIN LYMPHOMA (DLBCL) MedDRA version: 14.1 Level: PT Classification code 10012821 Term: Diffuse large B-cell lymphoma recurrent System Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: DLBC non Hodgkin lymphoma not in CR after first line therapy, or in early relapse after first or second line chemotherapy or primary refractory to first line treatment . PET positivity at study entry and after the 2nd R-DHAP before the first ASCT Age: 18-65 y No Bone Marrow involvement DLCO, FEV1, FVC > 50% predicted LVEF greater than 45% HIV negative Non active HBV/HCV infection Are the trial subjects under 18? no Number of subjects for this age range: 0 F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 37 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Previous ASCT High risk comorbidities for acute treatment complications Primary CNS DLBC non Hodgkin lymphoma Bone Marrow involvement Any active,uncontrolled infections Hypercalcemia Recent Cytokine administration ( peg-filgastrim in 21 d.), other cytokines in 7 d. before study entry Pregnant woman or not willing to use contraception
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: examine the efficacy and safety of Plerixafor in combination with G - CSF and chemotherapy, in order to collect an optimal number of peripheral blood HSC in patients with DLBC non Hodgkin lymphoma in order to perform a tandem ASCT.;Secondary Objective: Number of apheresis to reach the target of 6 x 106/kg CD34 Toxicity of the mobilization procedure Toxicity of double autologous Engrafment early and late overall Survival Disease free survival at six twelve months Progression-free survival at six twelve months;Primary end point(s): Assess the percentage of patients who reach the target value of CD34 positive> = 6 x 106/kg;Timepoint(s) of evaluation of this end point: 24 months.After treatment of the last patient enrolled | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Number of apheresis to reach the target of 6 x 106/kg CD34 + cells;Timepoint(s) of evaluation of this end point: 24 months.After treatment of the last patient enrolled | — |
Countries
Italy
Contacts
AZIENDA OSPEDALIERA CARDINALE G.PANICO-TRICASE (LECCE)