An evaluation of therapy for B-cell lymphoma with Bortezomib | Recruiting
An evaluation of therapy for B-cell... | Recruiting
An evaluation of therapy for B-cell lymphoma with Bortezomib
REMoDLB

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Medical Conditions
  • Topic: National Cancer Research Network
  • Subtopic: Lymphoma
  • Disease: Lymphoma (non-Hodgkin's)
Primary Contact Details
Mrs Christine May
See all trial contact details
Recruitment Status
Recruiting
Trial source and source ID number
ISRCTN51837425

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This information is designed to help you decide whether this trial is of interest. In some cases it is provided as a link to more detailed patient information or it may still be awaited from the organisation running the trial. Please look again shortly if the information you need is not here or, if named, contact the researcher named above.
Summary
http://cancerhelp.cancerresearchuk.org/trials/a-trial-bortezomib-with-rchop-for-dlbcl-remodl-b
Research Details
  • This study of treatment for diffuse large Bcell lymphoma aims to determine whether adding bortezomib to standard combination chemotherapy and rituximab (RCHOP) can improve progression free survival. Molecular studies have indicated the heterogenous biology of this disease identifying two subgroups (ABC and GCB) and this knowledge will be applied prospectively to determine whether a subgroup of patients might benefit more from the addition of bortezomib. Patients will be randomised to one of two groups (RBCHOP or RCHOP) on the basis of their molecular subgroup.
Phase
Phase III
Study Design
Randomised trial
Study Type
Interventional
Intervention

RB-CHOP, Rituximab, Cyclophsophamide, vincristine, Prednisolone, Doxorubicin, Bortezomib; R-CHOP, Rituximab, Cyclophosphamide, Doxorubicin, Prenisolone, Vincristine; Follow Up Length: 60 month(s); Study Entry : Single Randomisation only

Intervention Type
Drug
Primary Outcome Measures
    Progression-free survival; Timepoint(s): The primary endpoint is progression-free survival.
Secondary Outcome Measures
    Disease-free survival; Timepoint(s): Disease-free survival will be measured from the time of documentation of disease-free state (CR or C; Event-free survival (time to treatment failure); Timepoint(s): Event-free survival (time to treatment failure) is measured from the day of registration to any trea; Overall survival; Timepoint(s): Overall survival will be measured from the day of registration to the date of death from any cause; Response duration; Timepoint(s): Response duration is defined as the time from documentation of response (ie,CR, CRu or PR) until the; Response Evaluation; Timepoint(s): Response will be assessed in accordance with the International Workshop Standardized Response Criter; Time to progression; Timepoint(s): Time to progression (TTP) is defined as the time from registration until documented lymphoma progres
Publication(s)
Sorry, this information is not available
Result Reports
Sorry, this information is not available
This information is designed to help you decide whether this trial is of interest. In some cases it is provided as a link to more detailed patient information or it may still be awaited from the organisation running the trial. Please look again shortly if the information you need is not here or, if named, contact the researcher named above.
Gender
Both
Age Range
Adult
Who Can Participate
Patient
Number of Participants
Planned Sample Size: 940; UK Sample Size: 940; Description: 940 patients with DLBCL
Participant Inclusion Criteria
    1. Histologically confirmed Diffuse large B-cell lymphoma (DLBCL), expressing CD20
    2. Sufficient diagnostic material should be available to forward to Haematological Malignancy Diagnostic Service (HDMS) for gene expression profiling and central pathology review
    3. Core biopsies are acceptable, however the molecular profiling success rate is inferior compared to larger surgically acquired tissue samples
    4. Best diagnostic practice encourages investigators to seek the latter approach whenever clinically appropriate
    5. Not previously treated for lymphoma and fit enough to receive combination chemoimmunotherapy with curative intent
    6. Age >18 years
    7. Stage IAX (bulk defined as lymph node diameter >10cm) to stage IV disease and deemed to require a full course of chemotherapy
    8. Eastern Cooperative Oncology Group (ECOG) performance status 0-2
    9. Adequate bone marrow function with platelets >100x109/L; neutrophils >1.0x109/L at study entry, unless lower figures are attributable to lymphoma
    10. Serum creatinine <150µmol/L, measured or calculated creatinine clearance >30mls/min, serum bilirubin <35µmol/L and transaminases <2.5x upper limit of normal at the time of study entry, unless attributable to lymphoma
    11. Cardiac function sufficient to tolerate 300mg/m2 of doxorubicin
    12. A pre-treatment echocardiogram is not mandated, but recommended in patients considered at higher risk of anthracycline cardiotoxicity
    13. No concurrent uncontrolled medical condition
    14. Life expectancy >3 months
    15. Adequate contraceptive precautions for all patients of child bearing potential
    16. A negative serum pregnancy test for females of child bearing potential or those <2 years after the onset of the menopause
    17. Patients will have provided written informed consent
    18. Target gender: male and female
    19. Lower age limit 18 years
Participant Exclusion Criteria
    1. Previous history of treated or untreated indolent lymphoma, however newly diagnosed patients with DLBCL who are found to also have small cell infiltration of the bone marrow or other diagnostic material (discordant lymphoma) will be eligible.
    2. Uncontrolled systemic infection
    3. History of cardiac failure of uncontrolled angina
    4. Clinical CNS involvement
    5. Serological positivity for Hepatitis C, B or known HIV infection. Viral serological testing is not mandated for study entry, but considered standard of care. Patients who are HepBsAg positive will not be eligible.
    6. Serious medical or psychiatric illness likely to affect participation or that may compromise the ability to give informed consent
    7. Active malignancy other than fully excised squamous or basal cell carcinoma of the skin or carcinoma in situ of the uterine cervix in the preceding 5 years
    8. History of allergic reaction to substances containing boron or mannitol
    9. Patient unwilling to abstain from green tea and preparations made from green tea as bortezomib may interact with these
    10. Any co-existing medical or psychological condition that would compromise ability to give informed consent
This information is designed to help you decide whether this trial is of interest. In some cases it is provided as a link to more detailed patient information or it may still be awaited from the organisation running the trial. Please look again shortly if the information you need is not here or, if named, contact the researcher named above.
Trial Location(s)
Southampton General Hospital
Southampton
England
SO16 6YD
Trial Contact(s)
Primary Trial Contact
Mrs Christine May
Other Trial Contacts
Sorry, this information is not available
Countries Recruiting
United Kingdom
This information is designed to help you decide whether this trial is of interest. In some cases it is provided as a link to more detailed patient information or it may still be awaited from the organisation running the trial. Please look again shortly if the information you need is not here or, if named, contact the researcher named above.
Scientific Title
A Randomised Evaluation of Molecular guided therapy for Diffuse large B-cell Lymphoma with Bortezomib
EudraCT Number
2010-022422-32
Funder(s)
  • Janssen-Cilag Ltd
Other Study ID Numbers
UKCRN ID: 9800
Sponsor(s)
Southampton University Hospitals NHS Trust (UK)
Key Dates

Recruitment Start Date

13 Apr 2011

Recruitment End Date

12 Apr 2020

Trial Start Date

13 Apr 2011

Trial End Date

12 Apr 2020

Date added to source

30 Mar 2011

Date updated in source

04 Oct 2011