Diffuse Large B-Cell Lymphoma (DLBCL), Follicular NHL Grade 3b
Conditions
Keywords
DLBCL, NHL 13, Rituximab, maintenance
Brief summary
This is a randomized, open label, phase III study to evaluate the ability of rituximab maintenance therapy to prolong event-free survival in aggressive NHL. Patients will be screened after successful standard induction therapy (CR or Cru following standard R-CHOP-like therapy with 8 infusions of rituximab plus CHOP-like chemotherapy (4-8 cycles). Patients will be followed until an event occurs as defined in the protocol. To evaluate the clinical efficacy of rituximab maintenance therapy as compared to observation in patients with aggressive B-cell Non-Hodgkins lymphoma or follicular lymphoma grade 3b who have achieved a complete remission after appropriate first-line therapy, measured by event-free survival (EFS), 440 patients with DLCBL or follicular NHL grade 3 (220 per arm) will be recruited.
Interventions
Rituximab 375mg/m2 i every 8 weeks for two years (12 infusions)
Sponsors
Study design
Eligibility
Inclusion criteria
* 4 to 8 cycles R-CHOP/like, total of 8x Rituximab * CR, CRu * ECOG/ 0.1 or 2 * Known IPI at time of diagnosis * Age \> 18 years * Negative pregnancy test * Men must agree not to father a child during the therapy
Exclusion criteria
* Transformed lymphoma * Secondary malignancy * Evidence of CNS - involvement * Significant cardiac disease * Creatinine \> 2.0 mg/dl * HIV, Hepatitis positive
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| event free survival | 4 years |
Secondary
| Measure | Time frame |
|---|---|
| progression free survival, overall survival and safety | four years |
Countries
Australia, Austria, Bosnia and Herzegovina, Brazil, Bulgaria, China, Croatia, Czechia, Estonia, Hong Kong, Israel, Latvia, Malaysia, Mexico, North Macedonia, Peru, Romania, Russia, Serbia, Slovakia, Slovenia, South Africa, Sweden, Taiwan, Thailand, Turkey (Türkiye)