Intergroup Trial for Children or Adolescents With Primary Mediastinal Large B-Cell Lymphoma: DA-EPOCH-Rituximab Evaluation

Overview[ - collapse ][ - ]

Purpose Phase II trial to determine the efficacy of Dose Adjusted-EPOCH-Rituximab regimen in children and adolescent with primary mediastinal large B cell lymphoma in terms of event free survival.
ConditionPrimary Mediastinal Large B Cell Lymphoma
InterventionDrug: Etoposide, Doxorubicin, Vincristine, Cyclophosphamide, Rituximab
PhasePhase 2
SponsorGustave Roussy, Cancer Campus, Grand Paris
Responsible PartyGustave Roussy, Cancer Campus, Grand Paris
ClinicalTrials.gov IdentifierNCT01516567
First ReceivedJanuary 19, 2012
Last UpdatedNovember 25, 2013
Last verifiedNovember 2013

Tracking Information[ + expand ][ + ]

First Received DateJanuary 19, 2012
Last Updated DateNovember 25, 2013
Start DateDecember 2011
Estimated Primary Completion DateDecember 2021
Current Primary Outcome MeasuresEvent free survival [Time Frame: 36 months] [Designated as safety issue: No]Minimum time to death from any cause, presence of viable cells in residue after 6th DA-EPOCH course, relapse, progressive disease, or second malignancy measured from registration.
Current Secondary Outcome Measures
  • Survival [Time Frame: 5 years] [Designated as safety issue: No]Overall survival
  • Acute toxicity [Time Frame: 6 months] [Designated as safety issue: Yes]Acute toxicity during treatment according to NCI-CTC V4
  • Long term toxicity [Time Frame: 5 years] [Designated as safety issue: Yes]Long term toxicity, especially immune reconstitution, cardiac toxicity

Descriptive Information[ + expand ][ + ]

Brief TitleIntergroup Trial for Children or Adolescents With Primary Mediastinal Large B-Cell Lymphoma: DA-EPOCH-Rituximab Evaluation
Official TitleIntergroup Trial for Children or Adolescents With B-Cell NHL or B-AL: Evaluation of Rituximab Efficacy and Safety in High Risk Patients - Phase II Trial of DA-EPOCH-Rituximab in PMLBL
Brief Summary
Phase II trial to determine the efficacy of Dose Adjusted-EPOCH-Rituximab regimen in
children and adolescent with primary mediastinal large B cell lymphoma in terms of event
free survival.
Detailed DescriptionNot Provided
Study TypeInterventional
Study PhasePhase 2
Study DesignEndpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
ConditionPrimary Mediastinal Large B Cell Lymphoma
InterventionDrug: Etoposide, Doxorubicin, Vincristine, Cyclophosphamide, Rituximab
6 courses of Dose Adjusted-EPOCH-Rituximab Rituximab 375 mg/m² i.v.: one injection at each of the 6 courses of EPOCH.
Study Arm (s)Experimental: DA-EPOCH-R
6 courses of Dose Adjusted-EPOCH-Rituximab

Recruitment Information[ + expand ][ + ]

Recruitment StatusRecruiting
Estimated Enrollment40
Estimated Completion DateDecember 2021
Estimated Primary Completion DateJune 2019
Eligibility Criteria
Inclusion Criteria:

- Histologically proven Primary Mediastinal Large B-Cell Lymphoma (PMLBL).

- PMLBL without central nervous system (CNS) involvement.

- 6 months to less than 18 years of age at the time of consent.

- Males and females of reproductive potential must agree to use an effective
contraceptive method during the treatment, and after the end of treatment: during
twelve months for women, taking into account the characteristics of rituximab

- Complete initial work-up within 8 days prior to treatment that allows definite
staging.

- Able to comply with scheduled follow-up and with management of toxicity.

- Signed informed consent from patients and/or their parents or legal guardians

Exclusion Criteria:

- Follicular lymphoma, mucosa-associated lymphoid tissue (MALT) and nodular marginal
zone

- PMLBL patients with CNS involvement

- Patients with congenital immunodeficiency, chromosomal breakage syndrome, prior organ
transplantation, previous malignancy of any type, or known positive HIV serology.

- Evidence of pregnancy or lactation period.

- There will be no exclusion criteria based on organ function.

- Past or current anti-cancer treatment except corticosteroids during less than one
week.

- Tumor cell negative for CD20

- Prior exposure to rituximab.

- Severe active viral infection, especially hepatitis B.

- Hepatitis B carrier status history of hepatitis B virus (HBV) or positive serology.

- Participation in another investigational drug clinical trial.

- Patients who, for any reason, are not able to comply with the national legislation.
GenderBoth
Ages6 Months
Accepts Healthy VolunteersNo
ContactsContact: Catherine PATTE, MD
33 1 42 11 41 76
catherine.patte@igr.fr
Location CountriesBelgium, France, Hungary, Italy, Netherlands, Spain

Administrative Information[ + expand ][ + ]

NCT Number NCT01516567
Other Study ID NumbersInter B-NHL Ritux 2010 Phase 2
Has Data Monitoring CommitteeYes
Information Provided ByGustave Roussy, Cancer Campus, Grand Paris
Study SponsorGustave Roussy, Cancer Campus, Grand Paris
CollaboratorsChildren's Oncology Group
Investigators Study Chair: Catherine PATTE, MD Institut Gustave Roussy, Villejuif, FRANCEStudy Chair: Thomas GROSS, MD Children's Oncology Group, USA
Verification DateNovember 2013

Locations[ + expand ][ + ]

University Hospitals Leuven
Leuven, Belgium, 3000
Active, not recruiting
Gustave Roussy
Villejuif, France, 94805
Contact: Catherine Patte, MD | 0142114176+33 | catherine.patte@igr.fr
Principal Investigator: Catherine Patte, MD
Recruiting
2nd Dept. of Pediatrics Semmelweis Univ.
Budapest, Hungary, 1094
Active, not recruiting
Associazione Italiana di Ematologia ed Oncologia Pediatrica
Padova, Italy, 35128
Contact: Angelo Roselo, MD | + 39 049 821 3579 | angelo.rosolen@unipd.it
Principal Investigator: Angelo Roselo, MD
Recruiting
Emma Children's Hospital
Amsterdam, Netherlands, 1105 AZ
Active, not recruiting
Sociedad Española de Hematología y Oncología Pediátricas
Valencia, Spain, 46010
Active, not recruiting