Diffuse Large B-Cell Lymphoma, POOR PROGNOSIS
Conditions
Keywords
Large B-cell Lymphoma, Rituximab, ASCT
Brief summary
The purpose of this trial was to evaluate efficacy and safety of adding Rituximab to dose-dense and High-Dose Chemotherapy (HDC) with Autologous Stem Cell Transplantation (ASCT) as first line treatment in young patients with DLBCL at Intermediate-High and High risk aaIPI score
Interventions
375 mg/m2 on day 1
110 mg/m2 on day 3
1200 mg/m2 on day 3
1.4 mg/m2 (maximum 2 mg) on day 3
40 mg/m2 from day 1 to 5
(G-CSF 5 μg/Kg/day) from day 5 to day 11
8 mg/m2 for 3-day
2 g/m2/12 hours for six doses in 3-hour infusion
4 mg/m2/12 hours before ARA-C administration
300 mg/m2 on day -7
100 mg/m2/12 hours
140 mg/m2 on day -2
Involved Field Radiotherapy (IF-RT)
ASCT
Sponsors
Study design
Eligibility
Inclusion criteria
* previously untreated aggressive B-cell lymphoma (Diffuse Large B-Cell, * Primary Mediastinal, * Follicular grade III b Lymphoma); * age 18 to 60; * III-IV Ann Arbor stage; * 0-2 Eastern Cooperative Oncology Group (ECOG) performance status (PS); * intermediate-high (IH) and high (H) risk score according to age-adjusted International Prognostic Index (IPI). * Patients with Primary Mediastinal Lymphoma were included only if they had advanced stage III or IV disease.
Exclusion criteria
* HIV, * hepatitis B or C virus seropositivity; * CNS involvement at diagnosis; * abnormal renal, pulmonary and hepatic function; * left ventricular ejection fraction less than 45%; * pregnancy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Failure-free survival | Three years |
Countries
Italy