Non-Hodgkin's Lymphoma
Conditions
Keywords
Transplantation Conditioning
Brief summary
The investigators developed a protocol utilizing once-daily intravenous busulfan/melphalan/etoposide regimen as a conditioning for high-dose therapy (HDT) in the patients with high risk or relapsed Non-Hodgkin's Lymphoma (NHL).
Detailed description
Treatment: busulfan 3.2 mg/kg/day i.v. on day -7, -6, and -5 etoposide 400 mg/m2 i.v. on day -5 and -4 melphalan 50mg/m2/day i.v. on day -3 and -2
Interventions
busulfan 3.2mg/kg iv on day -8, -7, and -6,
melphalan 50mg/m2/day i.v. on day -3 and -2
etoposide 400 mg/m2 i.v. on day -5 and -4
Sponsors
Study design
Eligibility
Inclusion criteria
1. Histologically confirmed aggressive NHL 2. Mantle cell lymphoma 3. salvage chemotherapy sensitive relapse/refractory NHL 4. Performance status: Eastern Cooperative Oncology Group (ECOG) 0-2. 5. Age; 18-65 6. Adequate renal function: serum creatinine ≤ 1.5mg/dL 7. Adequate liver functions: Transaminase (AST/ALT) \< 3 X upper normal value & Bilirubin \< 2 X upper normal value
Exclusion criteria
1. low grade NHL 2. Any other malignancies within the past 5 years except curatively treated non-melanoma skin cancer or in situ carcinoma of cervix uteri 3. Other serious illness or medical conditions * Unstable cardiac disease despite treatment, myocardial infarction within 6 months prior to study entry * History of significant neurological or psychiatric disorders * Active uncontrolled infection (viral, bacterial or fungal infection) 4. Pregnant or lactating women, women of childbearing potential not employing adequate contraception 5. HIV (+) 6. Patients who have hepatitis B virus (HBV) (+) are eligible. However, primary prophylaxis using antiviral agents (i.e. lamivudine) is recommended for HBV carrier to prevent HBV reactivation during whole treatment period
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| rate of event free survival | from date of ASCT until the the time of disease progression, relapse, or death, whichever came first, assessed at least 2 years | calculate from the date of ASCT until the time of disease progression, relapse, or death |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| rate of event free survival | at least 2 years | calculate from the date of ASCT until the time of death from any causes |
| rate of regimen related toxicity | up to 6 months | calculate toxicities |
Countries
South Korea