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CompletedNCT00000703Updated Nov 3, 2021

Chemotherapy and Azidothymidine, With or Without Radiotherapy, for High Grade Lymphoma in AIDS-Risk Group Members

An interventional study of Bleomycin sulfate and Vincristine sulfate in Lymphoma, Non-Hodgkin and HIV Infections, sponsored by National Institute of Allergy and Infectious Diseases (NIAID). Completed at 14 sites in United States. Open to participants aged 19 Years to 69 Years. Per ClinicalTrials.gov, last updated 2021-11-03.

Sponsored by National Institute of Allergy and Infectious Diseases (NIAID) · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
45
Ages
19 Years to 69 Years
Sex
All
01

Study summary

To determine the safety and effectiveness of a combination chemotherapy-radiation-zidovudine (AZT) treatment for patients with peripheral lymphoma.

Other chemotherapies have been tried in patients with AIDS related lymphomas, but the results have not been satisfactory. This study will show whether the combination of chemotherapy, radiation, and AZT is more effective and less toxic than previously used treatments.

Read the detailed description

Other chemotherapies have been tried in patients with AIDS related lymphomas, but the results have not been satisfactory. This study will show whether the combination of chemotherapy, radiation, and AZT is more effective and less toxic than previously used treatments.

All patients will receive combination chemotherapy and AZT. The combination chemotherapy will be repeated every 3 to 4 weeks for a maximum total of 6 cycles. Each cycle will consist of doxorubicin, bleomycin, cyclophosphamide, and vincristine on day 1, dexamethasone on days 1-5, and methotrexate on day 15. Patients with meningeal or bone marrow disease will receive radiation and intrathecal cytarabine (ARA-C) while those without will receive ARA-C without radiation. Patients with documented lymphomas in the central nervous system at initial workup will start radiation as soon as possible and intrathecal ARA-C (t.i.w. until cerebrospinal fluid is clear then every month for 1 year); patients with normal lumbar puncture, brain scan, and bone marrow at first diagnosis will begin radiation on day 1 of cycle 3 of chemotherapy. Lumbar punctures for evaluation will be done four times during the first cycle, on days 1, 8, 21, and 28. AZT will be administered every 4 hours, 7 days a week, beginning at the completion of combined chemotherapy, once the patient has achieved a complete remission of the lymphoma, and continuing for 1 year.

02

Conditions studied

  • Lymphoma, Non-Hodgkin
  • HIV Infections

Keywords

  • Vincristine
  • Lymphoma
  • Methotrexate
  • Cyclophosphamide
  • Cytarabine
  • Dexamethasone
  • Doxorubicin
  • Drug Therapy, Combination
  • Combined Modality Therapy
  • Acquired Immunodeficiency Syndrome
  • Antineoplastic Agents, Combined
  • Zidovudine
  • Bleomycin
03

In context

Lymphoma, Non-Hodgkin

2,043 studies on the registry are indexed under Lymphoma, Non-Hodgkin; 309 are open to participants now.

This study's enrollment of 45 is above the median of 40 across 1,744 interventional studies indexed under Lymphoma, Non-Hodgkin.

Browse Lymphoma, Non-Hodgkin studies →

Lead sponsor

National Institute of Allergy and Infectious Diseases (NIAID) is the lead sponsor of 2,445 studies on the registry; 182 are open to participants now.

Of its 402 completed or terminated interventional studies of FDA-regulated products, 300 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
19 Years to 69 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Concurrent Medication:

Allowed:

  • Ibuprofen.
  • Standard antiemetic agents.
  • Ganciclovir therapy for sight- or life-threatening Cytomegalovirus infection.
  • Zidovudine and methotrexate may be resumed during ganciclovir maintenance phase.

Exclusion criteria

Exclusion Criteria

Co-existing Condition:

The following patients will be excluded from the study:

  • Patients with recurrent infection that may interfere with the planned protocol.
  • Patients with a second active tumor other than nonmelanomatous skin cancer or Kaposi's sarcoma.
  • Patients with stage IE primary central nervous system lymphoma.

Concurrent Medication:

Excluded:

  • Corticosteroids.
  • Aspirin.
  • Acetaminophen.
  • Nonsteroidal anti-inflammatory drugs, except ibuprofen.
  • Chemotherapy for infection associated with neutropenia.
  • Zidovudine (AZT) for infection associated with neutropenia.
  • Investigational therapies, except ganciclovir therapy for sight- or life-threatening cytomegalovirus infection.
  • AZT and methotrexate will be suspended during induction therapy with ganciclovir.

The following patients will be excluded from the study:

  • Patients with recurrent infection that may interfere with the planned protocol.
  • Patients with a second active tumor other than nonmelanomatous skin cancer or Kaposi's sarcoma.
  • Patients with stage IE primary central nervous system lymphoma.

Prior Medication:

Excluded:

  • Zidovudine (AZT).
  • Excluded within 2 weeks of study entry:
  • Immunomodulating agents.
  • Antiretroviral therapy prior to diagnosis of lymphoma.

Patients must demonstrate the following clinical and laboratory findings:

  • Any stage of the disease, including stage I.
  • Newly diagnosed, previously untreated high-grade lymphoma.
  • Presence of measurable tumor parameter(s).
  • Adequate hepatic, renal, and bone marrow function.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Enrollment
45 participants
06

Study locations

14 sites
  • Los Angeles County - USC Med Ctr
    Los Angeles, California 90033, United States
  • UCLA CARE Ctr
    Los Angeles, California 90095, United States
  • San Francisco AIDS Clinic / San Francisco Gen Hosp
    San Francisco, California 941102859, United States
  • George Washington Univ Med Ctr
    Washington D.C., District of Columbia 20037, United States
  • Charity Hosp / Tulane Univ Med School
    New Orleans, Louisiana 70112, United States
  • Louisiana State Univ Med Ctr / Tulane Med School
    New Orleans, Louisiana 70112, United States
  • Tulane Univ School of Medicine
    New Orleans, Louisiana 70112, United States
  • Univ of Massachusetts Med Ctr
    Worcester, Massachusetts 01655, United States
  • Bellevue Hosp / New York Univ Med Ctr
    New York, New York 10016, United States
  • Saint Luke's - Roosevelt Hosp Ctr
    New York, New York 10025, United States
  • Mount Sinai Med Ctr
    New York, New York 10029, United States
  • Univ of Rochester Medical Center
    Rochester, New York 14642, United States
  • Milton S Hershey Med Ctr
    Hershey, Pennsylvania 170330850, United States
  • Julio Arroyo
    West Columbia, South Carolina 29169, United States
07

References and documents

Publications

  • Saag MS, Emini EA, Laskin OL, Douglas J, Lapidus WI, Schleif WA, Whitley RJ, Hildebrand C, Byrnes VW, Kappes JC, et al. A short-term clinical evaluation of L-697,661, a non-nucleoside inhibitor of HIV-1 reverse transcriptase. L-697,661 Working Group. N Engl J Med. 1993 Oct 7;329(15):1065-72. doi: 10.1056/NEJM199310073291502. PubMed 7690462 ↗
  • Levine AM, Wernz JC, Kaplan L, Rodman N, Cohen P, Metroka C, Bennett JM, Rarick MU, Walsh C, Kahn J, et al. Low-dose chemotherapy with central nervous system prophylaxis and zidovudine maintenance in AIDS-related lymphoma. A prospective multi-institutional trial. JAMA. 1991 Jul 3;266(1):84-8. PubMed 1710673 ↗
  • ICDB/89653727. Levine AM, et al. Low dose chemotherapy with CNS prophylaxis and zidovudine (AZT) maintenance for aids-related lymphoma: preliminary results of a multi-institutional study. Proc Annu Meet Am Soc Clin Oncol. 1989 8:A18
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 3, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00000703
Responsible party
Sponsor
First posted
Aug 31, 2001
Completion
Mar 1990
Last update
Nov 3, 2021

Study contacts

Levine A
study chair
View the source record on ClinicalTrials.gov ↗

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