Mantle Cell LymphomaPhase 2NCT00285389
Treatment of Mantle Cell Lymphoma at Diagnosis for Patients Under 65 Years
A Phase 2 study testing Adriblastin, dexamethasone and Chlorambucil in people with Mantle Cell Lymphoma, run by French Innovative Leukemia Organisation at 3 sites in France.
Trial summary
Phase II study to test in first line the VAD (Vincristine Adriablastine Dexamethasone) + C (Chlorambucil ) regimen associated to rituximab ( R-VAD + C ) in a cohort of young patients under 66 years with a mantle cell lymphoma and also the test the role of an in vivo marrow purge with rituximab before an autologous… Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Mantle Cell Lymphoma
- What is being tested?
- Adriblastin, dexamethasone and Chlorambucil
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 39 participants
- Where
- 3 sitesFrance
- Study dates
- Feb 2002to Dec 2008
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Mantel cell lymphoma
- CD 20+
- At diagnosis or without anterior chemotherapy
- Age >18 and < 66 years
- Ann Arbor ii, III or IV
- ECOG <3
Show all 11Show fewer
- contraindication for rituximab treatment
- Informed consent signed
- No cancer anteriory
- Renal and hepatic function compatible with the treatment
- Ventricular Fraction > 50 % with echographic method and > 40% with isotopic method
Who cannot join
- Other type of lymphoma
- age<18 ou > 66 years
- Informed consent not signed
- anterior cancer
- Contraindication to rituximab
- Cardiac insufficiency
Trial locations and contacts
3 sites in 1 country.
France3 sites
Regional university hospital
Besançon, 25000
Regional university hospital
Rennes, 35033
REgional Hospital
Tours, 37000
About this study
Official title: Treatment in First Line of Mantle Cell Lymphoma for Patients Under 66 Years by the VAD-CHLORAMBUCIL -Rituximab Regimen Followed by Intensification and Autologous PBSC Transplantation After Marrow Purging With Rituximab
Phase II study to test in first line the VAD (Vincristine Adriablastine Dexamethasone) + C (Chlorambucil ) regimen associated to rituximab ( R-VAD + C ) in a cohort of young patients under 66 years with a mantle cell lymphoma and also the test the role of an in vivo marrow purge with rituximab before an autologous stem cell transplantation for the consolidation of the patients which fulfilled a response to 4 cycles of (R VAD + C) regimen.
Read the detailed description
All patients at diagnosis with a stage II, III or IV an arbor disease are treated with 4 cycles of (R VAD +C) .
The responders more than RP > 50% received 2 other cycles before to be intensified with alkeran 140 mg/ m2 and a 8 grays TBI over 4 days before an autologous PBSCT.The stem cell collection is realised after a mobilisation with HD Cyclophosphamide (4 mg/m2) after the four R-(VAD + C) cycles and purged by a rituximab injection 10 days before the collection.
There is an clinical and molecular evaluation of the strategy
- Conditions
- Mantle Cell Lymphoma
- Being tested
- Adriblastin, dexamethasone, Chlorambucil, rituximab, cyclophosphamide
- Keywords
- Mantle cell lymphoma, Chemotherapy, Autologous PBSCT, Molecular evaluation
- Medical subject headings
- Lymphoma, Mantle-Cell
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AdriblastinDrug
dexamethasoneDrug
ChlorambucilDrug
rituximabDrug
cyclophosphamideDrug
alkeranDrug
Total body irradiation (8Gy/4fr)Procedure or surgery
vincristineDrug
0,4 mg/day day 1 to day 4
| Study group | Role | What they receive |
|---|---|---|
| VAD Clorambucil Rituximab | Experimental | Not described Receives: Drug: Adriblastin; Drug: dexamethasone; Drug: Chlorambucil; Drug: rituximab; Drug: cyclophosphamide; Drug: alkeran; Procedure: Total body irradiation (8Gy/4fr); Drug: vincristine |
What is being measured
The primary outcome is the main question the study is designed to answer.
failure event free survival at 3 years
Measured: 3 YEARS
Secondary outcomes (5)
Response rate after 4 R-(VAD+C) cycles
Measured: 4 months
Incident of Molecular residual disease on blood, marrow and stem cell collection
Measured: 3 years
Safety of the R-( VAD+C) regimen
Measured: 8 months
Overall survival
Measured: 3 years
Efficacy of the stem cell collection after HD Cyclosphosphamide mobilization and rituximab purging
Measured: 8 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Feb 2006 (estimated)
- Study startFeb 2002
- Primary completionDec 2005
- Study completionDec 2008
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Mantle Cell LymphomaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 39 participants (actual)
Sponsor and investigators
- Lead sponsor
- French Innovative Leukemia Organisation
- Sponsor type
- University, hospital or other
- Collaborators
- Hoffmann-La Roche
- Investigators
- Remy GRESSIN, MD, Principal investigator, French Innovative Leukemia Organisation
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00285389
- Sponsor's protocol ID
- MANTEAU 2001
- Status last verified
- Feb 2009
- First submitted
- 31 Jan 2006
- Last updated
- 12 Feb 2009
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Gressin R, Caulet-Maugendre S, Deconinck E, Tournilhac O, Gyan E, Moles MP, El Yamani A, Cornillon J, Rossi JF, Le Gouill S, Lepeu G, Damaj G, Celigny PS, Maisonneuve H, Corront B, Vilque JP, Casassus P, Lamy T, Colonna M, Colombat P; French GOELAMS Group. Evaluation of the (R)VAD+C regimen for the treatment of newly diagnosed mantle cell lymphoma. Combined results of two prospective phase II trials from the French GOELAMS group. Haematologica. 2010 Aug;95(8):1350-7. doi: 10.3324/haematol.2009.011759. Epub 2010 Mar 10.
PubMed 20220059
Study at a glance
From the registry record, last updated by the sponsor on 12 Feb 2009. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Treatment in First Line of Mantle Cell Lymphoma for Patients Under 66 Years by the VAD-CHLORAMBUCIL -Rituximab Regimen Followed by Intensification and Autologous PBSC Transplantation After Marrow Purging With Rituximab
- ClinicalTrials.gov ID
- NCT00285389
- Acronym / sponsor ID
- MANTEAU 2001
- Conditions
- Mantle Cell Lymphoma
- Keywords
- Mantle cell lymphoma, Chemotherapy, Autologous PBSCT, Molecular evaluation
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 39 participants (actual)
- Lead sponsor
- French Innovative Leukemia OrganisationUniversity, hospital or other
- Collaborators
- Hoffmann-La Roche
- Study start
- Feb 2002
- Primary completion
- Dec 2005 (actual)
- Study completion
- Dec 2008 (actual)
- First posted
- 2 Feb 2006 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Phase II study to test in first line the VAD (Vincristine Adriablastine Dexamethasone) + C (Chlorambucil ) regimen associated to rituximab ( R-VAD + C ) in a cohort of young patients under 66 years with a mantle cell lymphoma and also the test the role of an in vivo marrow purge with rituximab before an autologous stem cell transplantation for the consolidation of the patients which fulfilled a response to 4 cycles of (R VAD + C) regimen.
Detailed description
All patients at diagnosis with a stage II, III or IV an arbor disease are treated with 4 cycles of (R VAD +C) .
The responders more than RP > 50% received 2 other cycles before to be intensified with alkeran 140 mg/ m2 and a 8 grays TBI over 4 days before an autologous PBSCT.The stem cell collection is realised after a mobilisation with HD Cyclophosphamide (4 mg/m2) after the four R-(VAD + C) cycles and purged by a rituximab injection 10 days before the collection.
There is an clinical and molecular evaluation of the strategy
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| VAD Clorambucil Rituximab | Experimental | Drug: Adriblastin, Drug: dexamethasone, Drug: Chlorambucil, Drug: rituximab, Drug: cyclophosphamide, Drug: alkeran, Procedure: Total body irradiation (8Gy/4fr), Drug: vincristine |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (11 listed)
- Mantel cell lymphoma
- CD 20+
- At diagnosis or without anterior chemotherapy
- Age >18 and < 66 years
- Ann Arbor ii, III or IV
Key exclusion criteria (6 listed)
- Other type of lymphoma
- age<18 ou > 66 years
- Informed consent not signed
- anterior cancer
- Contraindication to rituximab
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Adriblastin | Drug | VAD Clorambucil Rituximab |
| dexamethasone | Drug | VAD Clorambucil Rituximab |
| Chlorambucil | Drug | VAD Clorambucil Rituximab |
| rituximab | Drug | VAD Clorambucil Rituximab |
| cyclophosphamide | Drug | VAD Clorambucil Rituximab |
| alkeran | Drug | VAD Clorambucil Rituximab |
| Total body irradiation (8Gy/4fr) | Procedure or surgery | VAD Clorambucil Rituximab |
| vincristine0,4 mg/day day 1 to day 4 | Drug | VAD Clorambucil Rituximab |
Primary outcome
failure event free survival at 3 years
Time frame: 3 YEARS
5 secondary outcomes
Response rate after 4 R-(VAD+C) cycles
Time frame: 4 months
Incident of Molecular residual disease on blood, marrow and stem cell collection
Time frame: 3 years
Safety of the R-( VAD+C) regimen
Time frame: 8 months
Overall survival
Time frame: 3 years
Efficacy of the stem cell collection after HD Cyclosphosphamide mobilization and rituximab purging
Time frame: 8 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Feb 2009.
- Derived from this study: PubMed 20220059Gressin R, Caulet-Maugendre S, Deconinck E, Tournilhac O, Gyan E, Moles MP, El Yamani A, Cornillon J, Rossi JF, Le Gouill S, Lepeu G, Damaj G, Celigny PS, Maisonneuve H, Corront B, Vilque JP, Casassus P, Lamy T, Colonna M, Colombat P; French GOELAMS Group. Evaluation of the (R)VAD+C regimen for the treatment of newly diagnosed mantle cell lymphoma. Combined results of two prospective phase II trials from the French GOELAMS group. Haematologica. 2010 Aug;95(8):1350-7. doi: 10.3324/haematol.2009.011759. Epub 2010 Mar 10.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Remy GRESSIN, MD principal investigator
French Innovative Leukemia Organisation
3 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Adriblastin, dexamethasone and Chlorambucil in people with Mantle Cell Lymphoma, run by French Innovative Leukemia Organisation at 3 sites in France.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 11 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 12 Feb 2009. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 3 sites in France. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
failure event free survival at 3 years (time frame: 3 YEARS). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00285389, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Feb 2009.