Chemotherapy and Radiotherapy for Osteolymphoma

Overview[ - collapse ][ - ]

Purpose This trial is intended to determine the results obtained when standard treatment for Non Hodgkin's lymphoma is applied to the disease in a rare subtype which arises in bone. Patients in the study undergo a detailed assessment, then treatment with chemotherapy and radiotherapy, followed by close monitoring.
ConditionOsteolymphoma
InterventionDrug: Cyclophosphamide, Doxorubicin, Vincristine, Prednisolone.
Radiation: Radiotherapy
PhaseN/A
SponsorTrans-Tasman Radiation Oncology Group (TROG)
Responsible PartyTrans-Tasman Radiation Oncology Group (TROG)
ClinicalTrials.gov IdentifierNCT00141648
First ReceivedAugust 30, 2005
Last UpdatedSeptember 29, 2009
Last verifiedSeptember 2009

Tracking Information[ + expand ][ + ]

First Received DateAugust 30, 2005
Last Updated DateSeptember 29, 2009
Start DateSeptember 2000
Estimated Primary Completion DateFebruary 2008
Current Primary Outcome MeasuresOverall Survival. The time from registration to the date of death [Time Frame: Main analysis when accrual is complete at approx. 10 years.] [Designated as safety issue: No]
Current Secondary Outcome Measures
  • Time to local or regional failure. Measured from registration. [Time Frame: Main analysis when accrual is complete at approx. 10 years.] [Designated as safety issue: No]
  • Pathological fracture rate. Measured from registration. [Time Frame: Main analysis when accrual is complete at approx. 10 years.] [Designated as safety issue: Yes]

Descriptive Information[ + expand ][ + ]

Brief TitleChemotherapy and Radiotherapy for Osteolymphoma
Official TitleA Prospective Non-randomised Trial of Chemotherapy and Radiotherapy for Osteolymphoma
Brief Summary
This trial is intended to determine the results obtained when standard treatment for Non
Hodgkin's lymphoma is applied to the disease in a rare subtype which arises in bone.
Patients in the study undergo a detailed assessment, then treatment with chemotherapy and
radiotherapy, followed by close monitoring.
Detailed Description
Patients with non-Hodgkin's lymphoma arising primarily in bone have been studied using a
number of different names making literature searching difficult. The term Osteolymphoma has
been proposed to make searching easier in the future. Patients in this study undergoing
staging which includes isotope bone scanning and PET scanning where available. Eligible
patients then undergo treatment with three cycles of CHOP chemotherapy at conventional doses
and shrinking field radiotherapy to a total of 45 Gy. Monoclonal antibodies are not included
as good results have been obtained without using them. After treatment the patients are
regularly monitored. The trial is presented twice per year at the meetings of TROG, ALLG and
AROLG.
Study TypeInterventional
Study PhaseN/A
Study DesignAllocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
ConditionOsteolymphoma
InterventionDrug: Cyclophosphamide, Doxorubicin, Vincristine, Prednisolone.
Given intravenously on days 1,11,43: Cyclophosphamide 750mg/m2, doxorubicin 50mg/m2, vincristine 1.4mg/m2. Given orally on days 1-5,22-27: Pednisolone 50mg/m2
Other Names:
Endoxan, Caelyx, Vincristine sulfate injection, PredsoneRadiation: Radiotherapy
Total 45 Gy in 25 fractions
Other Names:
Radiation
Study Arm (s)Experimental: 1
Chemotherapy followed by radiotherapy to begin 3 weeks after the last cycle.

Recruitment Information[ + expand ][ + ]

Recruitment StatusCompleted
Estimated Enrollment70
Estimated Completion DateFebruary 2008
Estimated Primary Completion DateFebruary 2007
Eligibility Criteria
Inclusion Criteria:

- Histologically confirmed non-Hodgkin's lymphoma in a bony site

- Limited extraosseous disease

- Ann Arbor stage IE

- Age >17

- ECOG performance status <3

- Expected survival > 6 months

- Patients capable of childbearing are using adequate contraception.

- Written informed consent

Exclusion Criteria:

- Previous radiotherapy

- Previous malignancy

- Medically unfit to undergo treatment
GenderBoth
Ages17 Years
Accepts Healthy VolunteersNo
ContactsNot Provided
Location CountriesAustralia, New Zealand

Administrative Information[ + expand ][ + ]

NCT Number NCT00141648
Other Study ID NumbersTROG 99.04
Has Data Monitoring CommitteeNo
Information Provided ByTrans-Tasman Radiation Oncology Group (TROG)
Study SponsorTrans-Tasman Radiation Oncology Group (TROG)
CollaboratorsAustralasian Leukaemia and Lymphoma Group
Australasian Radiation Oncology Lymphoma Group
Wesley Research Institute
Investigators Study Chair: David Christie, FRANZCR East Coasr Cancer Centre
Verification DateSeptember 2009

Locations[ + expand ][ + ]

Royal Prince Alfred Hospital
Camperdown, New South Wales, Australia, 2050
Liverpool Hospital
Liverpool, New South Wales, Australia, 1871
Calvary Mater Newcastle
Newcastle, New South Wales, Australia, 2310
Westmead Hospital
Wentworthville, New South Wales, Australia, 2145
Wollongong Hospital
Wollongong, New South Wales, Australia
The Wesley Radiation Oncology Pty Ltd
Auchenflower, Queensland, Australia, 4006
Royal Brisbane Hospital
Herston, Queensland, Australia, 4029
Mater QRI
South Brisbane, Queensland, Australia, 4101
North Queensland Oncology Service
Townsville, Queensland, Australia, 4810
East Coast Cancer Centre, John Flynn Hospital
Tugun, Queensland, Australia, 4224
Princess Alexandra Hospital
Woolloongabba, Queensland, Australia, 4102
Royal Adelaide Hospital
Adelaide, South Australia, Australia, 5000
Royal Hobart Hospital
Hobart, Tasmania, Australia, 7000
Launceston General Hospital
Launceston, Tasmania, Australia, 7250
Peter MacCallum Cancer Centre
East Melbourne, Victoria, Australia, 3002
Andrew Love Cancer Care Centre, Geelong Hospital
Geelong, Victoria, Australia, 3220
Sir Charles Gairdner Hospital
Nedlands, Western Australia, Australia, 6009
Auckland Hospital
Auckland, New Zealand, 1001
Waikato Hospital
Hamilton, New Zealand, 3200
Palmerston North Hospital
Palmerston North, New Zealand