Ocular Adnexal Mucosa-Associated Lymphoid Tissue Lymphoma
Conditions
Keywords
OAL, MALT, conjunctiva, indolent, CD20+
Brief summary
Phase II, monocentric, open label study to assess safety and activity of intralesional Rituximab for the treatment of indolent CD20+ lymphoma of conjunctiva.
Detailed description
Preliminary data suggest intralesional rituximab is able to revert resistance to systemic rituximab in patients with CD20+ indolent lymphoma of the conjunctiva, and the addition of autologous serum seems to exhibit a synergistic effect on tumor regression. These two main aspects will be assessed in this trial.
Interventions
10-20 mg (1-2 ml) rituximab once a week for 4 weeks; followed by 10-20 mg (1-2 ml) rituximab monthly per six months
patients in PD or SD during or after administration of 6 doses monthly rituximab will be administered the same dose of intralesional rituximab supplemented by autologous serum
Sponsors
Study design
Eligibility
Inclusion criteria
* histological diagnosis of CD20+ B cell lymphoma subtypes: marginal zone lymphoma, grade 1-2 follicular lymphoma, plasmocytic lymphoma, small lymphocyte lymphoma * conjunctival localization alone (1EA stage; mono- or bilateral) * at least one measurable lesion * age \>/= 18 years * ECOG-PS \</=3 * HIV 1-2 negativity * at least one previous treatment (antibiotic or rituximab)
Exclusion criteria
* concomitant conventional (chemo-, radiation, immuno-), experimental (antibiotic) or corticosteroid anticancer therapy * known allergy to rituximab * systemic symptoms * concurrent diagnosis of pemphigus * postsurgical conjunctival scars
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| assessment of safety | During experimental treatment (within 7 months from trial registration) | assessment of safety of intralesional rituximab in terms of incidence of \>/= G4 adverse events during the experimental treatment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| assessment of activity | at the end of experimental treatment (at 7th month from trial registration) | assessment of activity of intralesional rituximab in terms of overall partial and complete response and duration of response |
Countries
Italy