Unique ID issued by UMIN | UMIN000003867 |
---|---|
Receipt number | R000004653 |
Scientific Title | Phase 1 study of fludarabine combined with rituximab followed by Zevalin for patients with relapsed or refractory indolent B cell lymphoma |
Date of disclosure of the study information | 2010/07/05 |
Last modified on | 2014/07/04 13:03:35 |
Phase 1 study of fludarabine combined with rituximab followed by Zevalin for patients with relapsed or refractory indolent B cell lymphoma
Fludarabine combined with rituximab followed by Zevalin for patients with relapsed or refractory indolent B cell lymphoma
Phase 1 study of fludarabine combined with rituximab followed by Zevalin for patients with relapsed or refractory indolent B cell lymphoma
Fludarabine combined with rituximab followed by Zevalin for patients with relapsed or refractory indolent B cell lymphoma
Japan |
Indolent B cell lymphoma
Hematology and clinical oncology |
Malignancy
NO
To evaluate the safety and efficacy of fludarabine conbined with riutximab followed by Zevalin therapy
Safety,Efficacy
Exploratory
Explanatory
Phase I
Periods from the initiation of Zevalin therapy to the time of bone marrow recovery, neutrophil count is more than 1000/mm3 and pletlet count is more than 50000/mm3.
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
As dose limiting toxicity, delayed bone marrow recovery is selected.
Delayed bone marrow recovery is defined that neutrophil count less than 1000/ mm3 or platelet count less than 50000/mm3 after 12 weeks of Zevalin therapy.
In FR therapy, rituximab at 375 mg/m2 is administered on day 1 of each treatment cycle along with oral dosing of fludarabine phosphate tablets once daily from day 1 through 5 every 28 days.
In level 1, treated with two courses of FR therapy followed by Zevalin therapy.
In level 2, treated with three courses of FR therapy followed by Zevalin therapy.
Evaluate three patients at level 1.
1) If zero of three have DLT, then go to level 2.
2) If one of three have DLT, then evaluate an additional three patients at level 1.
a)If one of six have DLT, then go to level 2.
b)If two of six have DLT, then level 1 is recommended.
c) If at least three of six have DLT, discontinue this trial.
3) If at least two of three have DLT, then discontinue this trial.
Evaluate six patients at level 2.
1) If two or less of six have DLT, level 2 is recommended.
2)If at least three of six have DLT, level 1 is recommended.
20 | years-old | <= |
79 | years-old | >= |
Male and Female
(a)Have had diagnosis of indolent B cell lymphoma
(b)Relapsed or refractory patients
(c)The number of previous chemotherapy regimens is two or less
(d)After rituximab more than 12 weeks
(e)After previous chemotherapy more than 4 weeks
(f)CD20 positive by flowcytometry or immunohistochemistory
(g)Aged 20 - 79
(h)PS 0 - 2
(i)Without CNS involvement
(j)Have measurable lesions(diameter more than 1.5cm)
(k)Have adequate organs functions
(l)Gave written informed consent
(m)Expectet survival period more than three manths
(n)Not pregnant or lactating
(o)Consent to contraception
(a)History of hematopoietic stem cell transplantation
(b)History of whole pelvic or whole abdomen radiation
(c)Received G-CSF or erythropoietin or transfusion less than one week before registration
(d)Taken an operation less than four weeks before registration
(e)History of Zevalin therapy
(f)History of the treatment of purin analogs
(g)Have active systemic infections
(h)Have a serious complication(cardiac dysfunction, hepatic failure, or renal failure)
(i)Have a serious digestive organ symptom
(j)Have a serious bleeding tendency
(k) Positive for HBs antigen, HCV antibody, or HIV antibody.
(l)Have an interstitial pneumonia or fibrosis
(m)Active cancers
(n)Have or history of autoimmune hemolytic anemia
(o)Have aglucoma
(p) Otherwise judged by investigator to be unsuitable
12
1st name | |
Middle name | |
Last name | Hideo Harigae |
Tohoku University Graduate School of Medicine
Hematology & Rheumatology
1-1 Seryou-machi, Aoba-ku Sendai
022-717-7165
kishizaw@med.tohoku.ac.jp
1st name | |
Middle name | |
Last name | Kenichi Ishizawa |
Tohoku University Graduate School of Medicine
Hematology & Rheumatology
1-1 Seryou-machi, Aoba-ku Sendai
022-717-7165
kishizaw@med.tohoku.ac.jp
Tohoku Hematology Form
Tohoku Hematology Form
Other
NO
2010 | Year | 07 | Month | 05 | Day |
Unpublished
Completed
2009 | Year | 10 | Month | 01 | Day |
2010 | Year | 01 | Month | 01 | Day |
2014 | Year | 07 | Month | 01 | Day |
2010 | Year | 07 | Month | 04 | Day |
2014 | Year | 07 | Month | 04 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000004653