Indolent Lymphoma
Conditions
Keywords
relapsed indolent lymphoma, gemcitabine, oxaliplatin, rituximab
Brief summary
The purpose of the phase I part is to determine the tolerability, the initial safety profile and maximum tolerated dose of oxaliplatin in combination with gemcitabine for indolent lymphoma. In the phase II part the investigators want to estimate the activity of gemcitabine and oxaliplatin in combination with rituximab for patients with relapsed/refractory indolent lymphoma.
Interventions
Rituximab 375 mg/m² day 0 or 1, Gemcitabine 1.000 mg/m² in 30 Min. day 1 and 15, Oxaliplatin 70 mg/m² in 120 Min. day 1 and 15 (in phase 1 dose escalation of Oxaliplatin in steps of 10 mg/m²), repetition at day 29 for 4 cycles
Sponsors
Study design
Eligibility
Inclusion criteria
* Need for therapy in patients with relapsed/refractory patients * Histological proven diagnosis of an indolent B-cell lymphoma according to the World Health Organization (WHO) classification belonging to one of the following entities: * follicular lymphoma * mantle cell lymphoma * lymphoplasmacytic lymphoma * nodal or splenic marginal zone lymphoma * measurable disease * lymphoma specific therapy in the last four weeks * WHO performance grade 0, 1 or 2
Exclusion criteria
* Patients suitable for high dose therapy * Transformation in high grade lymphoma * Leukocytes \< 1,5/nl or platelets \< 100/nl (except due to lymphoma)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Overall Remission Rate | end of therapy |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Progression Free Survival | 5 years | — |
| Median Overall Survival | 5 years | — |
| Toxicity | 5 years | Number of Participants With Treatment-Related Adverse Events as Assessed by WHO Toxicity Grading Scale |
Countries
Germany