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CompletedNCT00079261Updated Sep 24, 2012

Cyclophosphamide, Doxorubicin, Vincristine, and Prednisone With or Without Gemcitabine in Treating Patients With Previously Untreated Aggressive Non-Hodgkin's Lymphoma

A Phase 2 interventional study of CHOP regimen and cyclophosphamide in Lymphoma and Small Intestine Cancer, sponsored by European Organisation for Research and Treatment of Cancer - EORTC. Completed at 6 sites in 5 countries. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2012-09-24.

Sponsored by European Organisation for Research and Treatment of Cancer - EORTC · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
25
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

RATIONALE: Drugs used in chemotherapy, such as cyclophosphamide, doxorubicin, vincristine, prednisone, and gemcitabine, work in different ways to stop cancer cells from dividing so they stop growing or die. Combining more than one chemotherapy drug may kill more cancer cells.

PURPOSE: This randomized phase II trial is studying giving combination chemotherapy together with gemcitabine to see how well it works compared to giving combination chemotherapy alone in treating patients with previously untreated aggressive stage II, stage III, or stage IV non-Hodgkin's lymphoma.

Read the detailed description

OBJECTIVES:

Primary

  • Compare the complete response rate (confirmed or unconfirmed) in patients with previously untreated aggressive non-Hodgkin's lymphoma treated with cyclophosphamide, doxorubicin, vincristine, and prednisone with vs without gemcitabine.

Secondary

  • Compare the safety profile of these regimens in these patients.
  • Compare the feasibility of these regimens, defined as the proportion of courses given as scheduled, in these patients.
  • Compare freedom from treatment failure in patients treated with these regimens.

OUTLINE: This is an open-label, randomized, multicenter study. Patients are stratified according to participating center, International Prognostic Index score (0-2 vs 3-5), and histology (B cell vs T cell). Patients are randomized to 1 of 2 treatment arms.

  • Arm I: Patients receive CHOP chemotherapy comprising cyclophosphamide IV, doxorubicin IV, and vincristine IV on day 1 and oral or IV prednisone on days 1-5.
  • Arm II: Patients receive CHOP chemotherapy as in arm I and gemcitabine IV over 30 minutes on days 1 and 8.

In both arms, treatment repeats every 3 weeks for 3 courses in the absence of unacceptable toxicity or progressive disease. Patients achieving partial response or complete or unconfirmed complete response receive an additional 5 courses of therapy (for a total of 8 courses).

Patients are followed every 3 months for 3 years, every 6 months for 2 years, and then annually thereafter.

PROJECTED ACCRUAL: A total of 76-82 patients (38-41 per treatment arm) will be accrued for this study within 2 years.

02

Conditions studied

  • Lymphoma
  • Small Intestine Cancer

Keywords

  • contiguous stage II grade 3 follicular lymphoma
  • noncontiguous stage II grade 3 follicular lymphoma
  • stage III grade 3 follicular lymphoma
  • stage IV grade 3 follicular lymphoma
  • contiguous stage II adult diffuse large cell lymphoma
  • noncontiguous stage II adult diffuse large cell lymphoma
  • stage III adult diffuse large cell lymphoma
  • stage IV adult diffuse large cell lymphoma
  • anaplastic large cell lymphoma
  • angioimmunoblastic T-cell lymphoma
  • adult grade III lymphomatoid granulomatosis
  • small intestine lymphoma
03

In context

Lymphoma

5,578 studies on the registry are indexed under Lymphoma; 825 are open to participants now.

This study's enrollment of 25 is below the median of 40 across 4,508 interventional studies indexed under Lymphoma.

Browse Lymphoma studies →

Lead sponsor

European Organisation for Research and Treatment of Cancer - EORTC is the lead sponsor of 342 studies on the registry; 23 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed aggressive non-Hodgkin's lymphoma (NHL) of 1 of the following WHO subtypes:

    • Diffuse large B large cell lymphoma (including all clinical and morphologic variants)
    • Grade 3 follicular lymphoma
    • Extranodal T/NK cell lymphoma, nasal type
    • Enteropathy-type T cell lymphoma
    • Hepato-splenic T cell lymphoma
    • Peripheral T cell lymphoma, unspecified
    • Angioimmunoblastic lymphoma
    • Anaplastic large cell lymphoma, systemic type
  • Stage II-IV disease
  • At least 1 site of measurable disease (e.g., lymph node or lymph node mass)
  • The following subtypes are not allowed:

    • Mantle cell lymphoma
    • Burkitt's lymphoma
    • Precursor B or T cell lymphoma
    • Primary cutaneous B or T cell lymphoma
  • No CNS involvement by lymphoma

PATIENT CHARACTERISTICS:

Age

  • 18 to 70

Performance status

  • Not specified

Life expectancy

  • Not specified

Hematopoietic

  • WBC > 3,000/mm\^3
  • Neutrophil count > 1,000/mm\^3
  • Platelet count > 100,000/mm\^3

Hepatic

  • Bilirubin \< 2.5 times normal (unless due to lymphoma)
  • ALT and AST \< 2.5 times normal (unless due to lymphoma)

Renal

  • Creatinine \< 2.0 mg/dL

Cardiovascular

  • No severe cardiac disease that would preclude study participation or limit life expectancy

Pulmonary

  • FEV_1 and DLCO ≥ 75% of predicted (unless due to lymphoma)
  • No severe pulmonary disease that would preclude study participation or limit life expectancy

Other

  • Not pregnant or nursing
  • Fertile patients must use effective contraception
  • HIV negative
  • No other prior or concurrent malignancy except basal cell skin cancer or carcinoma in situ of the cervix
  • No severe neurologic or metabolic disease that would preclude study participation or limit life expectancy
  • No psychological, familial, sociological, or geographical condition that would preclude study compliance and follow-up

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • No concurrent monoclonal antibodies

Chemotherapy

  • No other concurrent chemotherapy

Endocrine therapy

  • Not specified

Radiotherapy

  • No prior radiotherapy
  • No concurrent radiotherapy

Surgery

  • Not specified

Other

  • No prior cytotoxic agents
  • No prior treatment for NHL
  • No other concurrent anticancer therapy
  • No other concurrent investigational drugs
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Masking
None (open label)
Enrollment
25 participants (actual)

Interventions

  • DrugCHOP regimen
  • Drugcyclophosphamide
  • Drugdoxorubicin hydrochloride
  • Druggemcitabine hydrochloride
  • Drugprednisone
  • Drugvincristine sulfate
06

What researchers measure

Primary outcomes

  1. Complete response as assessed by Cheson criteria

Secondary outcomes

  1. Toxicity as assessed by CTC 2.0

  2. Proportion of courses given as scheduled

  3. Freedom from treatment failure as assessed by Cheson criteria

07

Study locations

6 sites
  • U.Z. Gasthuisberg
    Leuven, B-3000, Belgium
  • Algemeen Ziekenhuis Sint-Augustinus
    Wilrijk, 2610, Belgium
  • University Hospital Rebro
    Zagreb, 41000, Croatia
  • National Cancer Institute - Cairo
    Cairo, Egypt
  • Institut Bergonie
    Bordeaux, 33076, France
  • Universitair Medisch Centrum St. Radboud - Nijmegen
    Nijmegen, NL-6500 HB, Netherlands
08

References and documents

Publications

  • Aurer I, Eghbali H, Raemaekers J, Khaled HM, Fortpied C, Baila L, van der Maazen RW; EORTC Lymphoma Group. Gem-(R)CHOP versus (R)CHOP: a randomized phase II study of gemcitabine combined with (R)CHOP in untreated aggressive non-Hodgkin's lymphoma--EORTC lymphoma group protocol 20021 (EudraCT number 2004-004635-54). Eur J Haematol. 2011 Feb;86(2):111-6. doi: 10.1111/j.1600-0609.2010.01540.x. Epub 2010 Dec 22. PubMed 20942843 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 24, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00079261
Lead sponsor
European Organisation for Research and Treatment of Cancer - EORTC
Responsible party
Sponsor
First posted
Mar 10, 2004
Start date
Jan 2004
Primary completion
Mar 2007
Last update
Sep 24, 2012

Study contacts

Igor Aurer, MD, PhD
study chair · University Hospital Rebro
View the source record on ClinicalTrials.gov ↗

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