Non-Hodgkin's Lymphoma
Conditions
Brief summary
This study investigates toxicity and efficacy of 2 x R-DHAP followed by High dose chemotherapy R-TEC and autologous stem cell transplantation in patients with relapsed or refractory aggressive Non- Hodgkins's Lymphoma.
Detailed description
Initial Cytoreduction is performed with DHAP- protocol using dexamethasone, cytarabine and cisplatin followed by high dose chemotherapy with treosulfan, etoposide and cisplatin (TEC) an autologous peripheral blood stem cell transplantation(aPBSCT). In case of only partial remission a second identical high dose chemotherapy and aPBSCT follows. Patients with primary refractory disease or early relapse within 6 months should receive a allogenous stem cell transplantation. For Patients with CD 20 positive B-cell lymphoma the chemotherapy regiments DHAP and TEC are combined with rituximab.
Sponsors
Study design
Eligibility
Inclusion criteria
* first relapse or primary refractory disease of aggressive Non-Hodgkin's lymphoma stage I-IV * pretreatment with systemic therapy * 18-65 years of age * Performance status:ECOG 0-2 * Granulocyte count \>1.5/µm3, Platelet count \>100/µm3 * Creatinine -Clearance ≥ 1 ml/sec * GPT/GOT ≤ 1.5 x normal (except tumour related) * Bilirubine \< 22 µmol/l * no participation in another study 3 month before and during this study * informed consent
Exclusion criteria
* Second neoplasia in history or existing except basalioma or squamous epithelium carcinoma of the skin or removed cervical intraepithelial neoplasia * CNS- involvement by lymphoma * respiratory Partial- or global insufficiency * cardiac insufficiency (NYHA-Stage 3-4, EF \< 30 %) * severe neurological or psychiatric disease * pregnancy * HIV positivity ,active virus hepatitis, bacterial infection * No follow up procedures ensured
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Toxicity | — |
Secondary
| Measure | Time frame |
|---|---|
| remission rate | — |
| remission duration | — |
| overall survival | — |
| relapse free survival | — |
Countries
Germany