No Hodgkin B Lymphoma
Conditions
Brief summary
The purpose of this study is to evaluate the efficacy (and safety) of the following treatment squeme:Ciclophosphamide, Vincristine, lyposomal Doxorrubicine (Myocet) and Prednisone,combined with Rituximab in first line treatment for patients with aggresive No Hodgkin B lymphoma and cardiovascular risk
Detailed description
Phase II, multicenter, open , 1-arm study.
Interventions
Pretreatment: vincristine 1mg at day -6 and Methylprednisolone 100 mg from -6 to day 0. Treatment: rituximab 375m/m2 + ciclophosphamide 750 mg/m2 + Vincristine 1.4 mg/m2 + Doxorrubicine 50 mg/m2 at day 1 and every 14d. Prednisone 100 mg/d from day 1 to 5 and every 14 d.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Patients with histological diagnosis of Lymphoma no Hodgkin B CD20+ high degree of mailgnancy 2. Patients no previously treated 3. stage III o IV 4. Informed consent 5. At least one measurable injury 6. Age \>18 7. ECOG 0-2 8. Life expectancy \>6 months 9. Cardiovascular risk defined as:Mild-moderate systolic dysfunction,isquemic cardiopathy, diabetes mellitus, hypertension,left ventricular hypertrophy, cardiac arrhythmia, moderate pulmonar hypertension 10. adequate organic functionallity (creatinine\<2mg/dl;bilirubin\<2mg/dl; ALT-AST-FA\<5 FSN; neutrphyls total count \>1.5x 109/l and platellet count \>100x1097l) 11. Use of a contraceptive method during study + 3 months -
Exclusion criteria
1. stage I or II with IPI=0 2. Symptomatic tumoral affection of Nervous central system 3. Lymphoma no hodgkin B indolent 4. Lymphoma no hodgkin B mantle-cell 5. Lymphoma no hodgkin T 6. lymphoprolifertaive syndrome post-transplantation or immunosuppression associated 7. cardiovacualr disease symptomatic 8. Cronic infection or acute serious 9. history of neoplasia in past 5 years 10. not able to understand the study or poor protocol adherence 11. Known Hypersensivity to any atudy drug 12. pregnant/lactant women 13. Previous participation in clinicla study in past 30 days 14. Previous treatment with antraciclines or any drug used in this study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Evaluate treatment efficacy by measuring response to treatment | at the end of study |
Secondary
| Measure | Time frame |
|---|---|
| Evaluate progression free survival | At the end of study |
| Evaluate event free survival | At the end of study |
| Evaluate tumor free survival | At the end of study |
| Evaluate overall survival | At the end of study |
| evaluate cardiotoxicity and tolerability | At the end of study |
| treatment adherence | At the end of study |
| time to progression | At the end of the study |
| dose intensity and relative dose intensity | At the end of the study |
| Evaluate response duration | At the end of study |
Countries
Spain