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HIV InfectionsPhase 4LINFOTARGAMNCT00466258

LINFOTARGAM: Treatment With Chemotherapy Plus Rituximab and Highly Active Antiretroviral Therapy in Patients With Diffuse Large B Cell Lymphoma and Infection With the Human Immunodeficiency Virus (HIV)

A Phase 4 study testing R-CHOP, Highly active antiretroviral therapy and Central nervous system (CNS) prophylaxis in people with HIV Infections and Diffuse Large B Cell Lymphoma, run by PETHEMA Foundation at 15 sites in Spain.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Main objective: To evaluate the applicability of the treatment: 1. To evaluate the treatment toxicity according to the Common Terminology Criteria (CTC) version 3.0 of the National Cancer Institute (NCI). 2. Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
HIV Infections, Diffuse Large B Cell Lymphoma
What is being tested?
R-CHOP, Highly active antiretroviral therapy and Central nervous system (CNS) prophylaxis
How many people
50 participants
Where
15 sitesSpain
Study dates
Oct 2006to Nov 2009
Phase
Phase 4
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 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients with HIV infection diagnosed with DLBCL in any stage (I-IV according to the Ann Arbor classification) not previously treated for the lymphoma.
  • Patients with CD20-positive diffuse large B-cell lymphoma
  • Aged from 18 to 70 years old
  • Any score of International Prognostic Index. (It is also applicable in patients with non-Hodgkin lymphoma [NHL] infected with HIV.)
  • ECOG performance status 0 to 3
  • Written informed consent
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  • Absolute neutrophil count > 1.5 x 10^9/L.
  • Absence of synchronic or non-synchronic neoplasia with the exception of non-melanoma skin tumors or in situ cervical carcinoma.
  • CD4+ lymphocyte count > 100/µL

Who cannot join

  • Patients with diffuse large B cell lymphoma previously treated.
  • Patients with primary central nervous system lymphoma.
  • Patients with Burkitt or Burkitt-like NHL.
  • CD4+ lymphocyte count < 100/µL
  • Opportunistic infections or other AIDS-related neoplasias in activity.
  • Active drug-addiction.
Show all 12Show fewer
  • Pregnant or lactating women or adults of fertile age who do not use an effective contraceptive method.
  • Patients with serious altered renal function (creatinine > 2.5 x upper limit of normal [ULN]) or hepatic [bilirubin, ALT or AST > 2.5 x ULN], except if the investigators suspect that they are caused by the disease.
  • Cardiac insufficiency with ejection fraction < 40%
  • Patients with serious psychiatric diseases that can interfere with their capacity to understand the study (including alcoholism or active drug-addiction).
  • ECOG > 3
  • Patients with a known hypersensitivity to murine proteins or any other component of the study drugs.

Trial locations and contacts

15 sites in 1 country.

15 sites in 1 country

Spain15 sites
  • Germans Trias i Pujol

    Badalona, Barcelona

  • H. Clínic i Provincial, Barcelona

    Barcelona, Barcelona

  • H. Vall d'Hebron, Barcelona

    Barcelona, Barcelona

  • Hospital del Mar

    Barcelona, Barcelona

  • Hospital Sant Pau, Barcelona

    Barcelona, Barcelona

  • ICO - Duran i Reynals, Hospitalet de Llobregat

    Barcelona, Barcelona

  • ICO - Josep Trueta

    Girona, Girona

  • H. Gregorio Marañón

    Madrid, Madrid

  • Consorci Sanitari de Mataró

    Mataró, Barcelona

  • H. Son Llatzer

    Palma de Mallorca, Balearic Islands

  • Hospital de Navarra

    Pamplona, Navarre

  • H. Parc Taulí

    Sabadell, Barcelona

  • H. Joan XXIII

    Tarragona, Tarragona

  • Consorci Sanitari de Terrassa

    Terrassa, Barcelona

  • Hospital Universitario Dr. Peset

    Valencia, Valencia

Other trials in Spain

About this study

Official title: LINFOTARGAM: First-line Treatment With Dose-dense Chemotherapy Plus Rituximab (R-CHOP/14) and Highly Active Antiretroviral Therapy (HAART) in Patients With Diffuse Large B Cell Lymphoma (DLBCL) and Infection With the Human Immunodeficiency Virus (HIV)

Main objective:

  • To evaluate the applicability of the treatment:
Read more
  1. To evaluate the treatment toxicity according to the Common Terminology Criteria (CTC) version 3.0 of the National Cancer Institute (NCI).
  2. To evaluate opportunistic and non-opportunistic infections after 6 cycles of treatment with rituximab plus cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP) administered every 14 days and highly active antiretroviral therapy (HAART) in patients with diffuse large B cell lymphoma (DLBCL) and HIV infection.
  3. To evaluate the adherence to the treatment with 6 cycles of R-CHOP considering the delays in the administration of the cycles and the reductions in the doses of chemotherapy (planned dose administered in predicted term).

Secondary objectives:

  • To evaluate the efficacy of the treatment in patients with DLBCL and HIV infection after 6 cycles of treatment with R-CHOP administered every 14 days (R-CHOP/14):
  1. To determine the global response and complete remission tax.
  2. To evaluate the duration of the response.
  3. To evaluate the probability of event-free survival in 5 years.
  4. To evaluate the probability of global survival in 5 years.
  • To identify predictive factors of response after 6 cycles of treatment with R-CHOP administered every 14 days in patients with DLBCL and HIV infection.
  • To evaluate the impact of the therapeutic combination of R-CHOP and HAART in the parameters of the HIV infection (HIV viral load and CD4+ lymphocyte count).
Read the detailed description

This is a clinical trial with a pharmaceutical drug used in the same conditions of authorization.

Being tested
R-CHOP, Highly active antiretroviral therapy, Central nervous system (CNS) prophylaxis, Prophylaxis of opportunistic infections and support treatment
Keywords
Diffuse large B cell lymphoma, HIV, R-CHOP, Highly active antiretroviral therapy, Treatment Experienced
Medical subject headings
HIV Infections, Lymphoma, Large B-Cell, Diffuse

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • R-CHOPDrug

    • Cyclophosphamide 750 mg/m2 i.v. day 1
    • Adriamycin 50 mg/m2 i.v. day 1
    • Vincristine 1,4 mg/m2 i.v. day 1
    • Prednisone 100 mg i.v or oral. days 1-5.
  • Highly active antiretroviral therapyDrug

    Combined antiretroviral treatment (TARGA) wich include at lest 3 drugs. The combination should be accepted as an initial or rescue treatment.

  • Central nervous system (CNS) prophylaxisDrug

    methotrexate (12 mg) cytarabine (30 mg) hydrocortisone (20 mg)

  • Prophylaxis of opportunistic infections and support treatmentDrug

    Pegfilgrastim

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. treatment toxicity according to the CTC criteria (version 3.0) of the National Cancer Institute (NCI)

    Measured: 6 months

  2. opportunistic and non-opportunistic infections rate after 6 cycles of treatment with R-CHOP administered every 14 days and HAART in patients with DLBCL and HIV infection

    Measured: 6 months

  3. adherence to the treatment with 6 cycles of R-CHOP considering the delays in the administration of the cycles and the reductions in the doses of chemotherapy (planned dose administered in predicted term)

    Measured: 6 months

Secondary outcomes (7)
  1. efficacy of the treatment in patients with DLBCL and HIV infection after 6 cycles of treatment with R-CHOP administered every 14 days

    Measured: 1 year

  2. global response and complete remission rate

    Measured: 1 year

  3. duration of the response

    Measured: 5 years

  4. event-free survival probability in 5 years

    Measured: 5 years

  5. global survival probability in 5 years

    Measured: 5 years

  6. predictive factors of the response after 6 cycles of treatment with R-CHOP administered every 14 days in patients with DLBCL and HIV infection

    Measured: 2 years

  7. impact of the therapeutic combination of R-CHOP and HAART in the parameters of the HIV infection (HIV viral load and CD4+ lymphocyte count)

    Measured: 1 year

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Apr 2007 (estimated)
  2. Study startOct 2006
  3. Primary completionMay 2009
  4. Study completionNov 2009

Resources

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 4
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
50 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00466258
Sponsor's protocol ID
2006-003750-23
Other IDs
LINFOTARGAM
Acronym
LINFOTARGAM
Status last verified
Nov 2009
First submitted
25 Apr 2007
Last updated
25 Nov 2009
Results posted
No
Data monitoring committee
Yes

Publications

  • Engels EA, Goedert JJ. Human immunodeficiency virus/acquired immunodeficiency syndrome and cancer: past, present, and future. J Natl Cancer Inst. 2005 Mar 16;97(6):407-9. doi: 10.1093/jnci/dji085. No abstract available.

    PubMed 15769998
  • Noy A. Update in HIV-associated lymphoma. Curr Opin Oncol. 2004 Sep;16(5):450-4. doi: 10.1097/00001622-200409000-00007.

    PubMed 15314514
  • Bonnet F, Lewden C, May T, Heripret L, Jougla E, Bevilacqua S, Costagliola D, Salmon D, Chene G, Morlat P. Malignancy-related causes of death in human immunodeficiency virus-infected patients in the era of highly active antiretroviral therapy. Cancer. 2004 Jul 15;101(2):317-24. doi: 10.1002/cncr.20354.

    PubMed 15241829
  • Carrieri MP, Pradier C, Piselli P, Piche M, Rosenthal E, Heudier P, Durant J, Serraino D. Reduced incidence of Kaposi's sarcoma and of systemic non-hodgkin's lymphoma in HIV-infected individuals treated with highly active antiretroviral therapy. Int J Cancer. 2003 Jan 1;103(1):142-4. doi: 10.1002/ijc.10790. No abstract available.

    PubMed 12455069
  • Ribera JM, Navarro JT. [Lymphomas in patients with HIV infection. A change for the better]. Enferm Infecc Microbiol Clin. 2004 Jun-Jul;22(6):313-4. doi: 10.1157/13063040. No abstract available. Spanish.

    PubMed 15228895
  • Hoffmann C, Chow KU, Wolf E, Faetkenheuer G, Stellbrink HJ, van Lunzen J, Jaeger H, Stoehr A, Plettenberg A, Wasmuth JC, Rockstroh J, Mosthaf F, Horst HA, Brodt HR. Strong impact of highly active antiretroviral therapy on survival in patients with human immunodeficiency virus-associated Hodgkin's disease. Br J Haematol. 2004 May;125(4):455-62. doi: 10.1111/j.1365-2141.2004.04934.x.

    PubMed 15142115
  • Navarro JT, Lloveras N, Ribera JM, Oriol A, Mate JL, Feliu E. The prognosis of HIV-infected patients with diffuse large B-cell lymphoma treated with chemotherapy and highly active antiretroviral therapy is similar to that of HIV-negative patients receiving chemotherapy. Haematologica. 2005 May;90(5):704-6.

    PubMed 15921395
  • Spina M, Carbone A, Vaccher E, Gloghini A, Talamini R, Cinelli R, Martellotta F, Tirelli U. Outcome in patients with non-hodgkin lymphoma and with or without human immunodeficiency virus infection. Clin Infect Dis. 2004 Jan 1;38(1):142-4. doi: 10.1086/380129. Epub 2003 Dec 5.

    PubMed 14679461
  • J Berenguer, R Rubio, JM Ribera, A Antela, J Santos, P Miralles, et al. 10Th Congress of Retroviruses and Opportunistic infections. 2003. Characteristics and outcome of AIDS-related non-Hodgkin's lymphoma before and alter the introduction of HAART (GESIDA 23/01). Abstract 802

  • Simonelli C, Spina M, Cinelli R, Talamini R, Tedeschi R, Gloghini A, Vaccher E, Carbone A, Tirelli U. Clinical features and outcome of primary effusion lymphoma in HIV-infected patients: a single-institution study. J Clin Oncol. 2003 Nov 1;21(21):3948-54. doi: 10.1200/JCO.2003.06.013.

    PubMed 14581418
  • Pantanowitz Lbeckwith B, Dezube BJ. HIV-associated plasma cell neoplasia. HIV AIDS Rev 2004; 3: 47-50.

  • Mate JL, Navarro JT, Ariza A, Ribera JM, Castella E, Junca J, Tural C, Nomdedeu JF, Bellosillo B, Serrano S, Granada I, Milla F, Feliu E. Oral solid form of primary effusion lymphoma mimicking plasmablastic lymphoma. Hum Pathol. 2004 May;35(5):632-5. doi: 10.1016/j.humpath.2003.11.005.

    PubMed 15138941
  • Navarro JT, Ribera JM, Junca J, Milla F. Anorectal lymphoma without effusion associated with human herpesvirus-8 and type 1 Epstein-Barr virus in an HIV-infected patient. Hum Pathol. 2003 Jun;34(6):630. doi: 10.1016/s0046-8177(03)00093-5. No abstract available.

    PubMed 12827623
  • Skiest DJ, Crosby C. Survival is prolonged by highly active antiretroviral therapy in AIDS patients with primary central nervous system lymphoma. AIDS. 2003 Aug 15;17(12):1787-93. doi: 10.1097/00002030-200308150-00007.

    PubMed 12891064
  • JM Ribera, A Oriol, M Morgades, E Gonzalez-Barca, A López-Guillermo, A López, et al. Treatment with rituximab, CHOP and highly active antiretroviral therapy (HAART) in AIDS-related diffuse large B-cell lymphomas (DLBCL). Study of 60 patients. American Society of Hematology. 47th Annual Meeting. Atlanta, December 10-13, 2005. Abstract 774. Blood 2005, 106 (11): 228a.

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing R-CHOP, Highly active antiretroviral therapy and Central nervous system (CNS) prophylaxis in people with HIV Infections and Diffuse Large B Cell Lymphoma, run by PETHEMA Foundation at 15 sites in Spain.

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 9 inclusion and 12 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 25 Nov 2009. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 15 sites in Spain. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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?

treatment toxicity according to the CTC criteria (version 3.0) of the National Cancer Institute (NCI) (time frame: 6 months). The study lists 3 primary outcomes in all. 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 NCT00466258, which also lists 30 linked publications.

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 25 Nov 2009.

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