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TerminatedNCT00087009Updated Mar 19, 2013

Beta-Glucan and Rituximab in Treating Young Patients With Relapsed or Progressive Lymphoma or Leukemia, or Lymphoproliferative Disorder Related to Donor Stem Cell Transplantation

A Phase 1 interventional study of beta-glucan and rituximab in Leukemia, Lymphoma and Lymphoproliferative Disorder, sponsored by Memorial Sloan Kettering Cancer Center. Terminated at 1 site in United States. Open to participants aged Up to 21 Years. Per ClinicalTrials.gov, last updated 2013-03-19.

Sponsored by Memorial Sloan Kettering Cancer Center · Phase 1, Interventional, and Treatment

Why this study was terminated
Lack of Accrual
Phase
Phase 1
Study type
Interventional
Enrollment
3
Allocation
Non-randomized
Ages
Up to 21 Years
Sex
All
01

Study summary

RATIONALE: Monoclonal antibodies such as rituximab can locate cancer cells and either kill them or deliver cancer-killing substances to them without harming normal cells. Beta-glucan may increase the effectiveness of rituximab by making cancer cells more sensitive to the monoclonal antibody.

PURPOSE: This phase I trial is studying the side effects and best dose of beta-glucan when given together with rituximab in treating young patients with relapsed or progressive lymphoma or leukemia or with lymphoproliferative disorder related to donor stem cell transplantation.

Read the detailed description

OBJECTIVES:

Primary

  • Determine the maximum tolerated dose of beta-glucan when given in combination with rituximab in pediatric patients with relapsed or progressive CD20-positive lymphoma or leukemia or post-allogeneic stem cell transplant-related lymphoproliferative disorder.
  • Determine the toxicity of this regimen, with special emphasis on the degree of B-cell depletion and immune suppression, in these patients.
  • Determine the effects of beta-glucan on leukocyte-mediated cytotoxic effects in patients treated with this regimen.

Secondary

  • Determine the antitumor effect of this regimen in these patients.

OUTLINE: This is a dose-escalation study of beta-glucan. Patients are assigned to 1 of 2 treatment groups according to diagnosis.

  • Group I (lymphoma or leukemia): Patients receive rituximab IV on days 1, 8, 15, and 22 and oral beta-glucan once daily on days 1-28 (days 8-28 of course 1). Treatment repeats every 42 days for 4 courses in the absence of disease progression or unacceptable toxicity.
  • Group II (post-allogeneic stem cell transplant-related lymphoproliferative disorder): Patients receive rituximab IV on days 1, 4, 8, 15, and 22 and oral beta-glucan once daily on days 8-28. Beginning on day 42, patients with responding disease may receive monthly rituximab prophylaxis until their CD4 cell count is > 200/mm\^3.

Cohorts of 6 patients receive escalating doses of beta-glucan until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 6 patients experience dose-limiting toxicity.

Patients are followed every 3 months for 2 years.

PROJECTED ACCRUAL: A total of 6-24 patients will be accrued for this study within 2 years.

02

Conditions studied

  • Leukemia
  • Lymphoma
  • Lymphoproliferative Disorder

Keywords

  • post-transplant lymphoproliferative disorder
  • recurrent childhood acute lymphoblastic leukemia
  • recurrent childhood large cell lymphoma
  • recurrent childhood lymphoblastic lymphoma
  • recurrent childhood small noncleaved cell lymphoma
  • recurrent/refractory childhood Hodgkin lymphoma
  • AIDS-related peripheral/systemic lymphoma
  • AIDS-related primary CNS 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 3 is below the median of 40 across 4,509 interventional studies indexed under Lymphoma.

Browse Lymphoma studies →

Lead sponsor

Memorial Sloan Kettering Cancer Center is the lead sponsor of 1,930 studies on the registry; 328 are open to participants now.

Of its 129 completed or terminated interventional studies of FDA-regulated products, 66 (51%) have results posted.

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

04

Who can participate

Ages eligible
Up to 21 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed diagnosis of 1 of the following:

    • B-cell non-Hodgkin's lymphoma (NHL)
    • Hodgkin's lymphoma
    • Post-transplant lymphoproliferative disorder (PTLD)
    • Lymphoblastic leukemia
  • CD20-positive disease verified by immunophenotyping at original diagnosis, disease relapse, or disease progression
  • Refractory to conventional therapy, defined as 1 of the following:

    • Medically refractory HIV-associated NHL
    • Refractory or recurrent lymphoblastic leukemia
    • PTLD
    • In > first relapse or progression of B-cell NHL or Hodgkin's lymphoma
  • Measurable (CT scan or MRI) or evaluable (marrow metastases or circulating lymphoblasts) disease within 4 weeks after completion of prior systemic (including systemic steroids) therapy

PATIENT CHARACTERISTICS:

Age

  • Under 22

Performance status

  • Not specified

Life expectancy

  • Not specified

Hematopoietic

  • Absolute neutrophil count > 500/mm\^3*
  • Platelet count > 10,000/mm\^3* NOTE: *Excluding patients with PTLD or CD20-positive lymphoblastic leukemia

Hepatic

  • Hepatic toxicity ≤ grade 2

Renal

  • Creatinine clearance ≥ 60 mL/min
  • Renal toxicity ≤ grade 2

Cardiovascular

  • Cardiac toxicity ≤ grade 2

Pulmonary

  • Pulmonary toxicity ≤ grade 2

Immunologic

  • Human anti-mouse antibody (HAMA) ≤ 1,000 units/mL
  • Human anti-chimeric antibody titer negative
  • No active, life-threatening infections except Epstein-Barr virus-associated lymphoproliferative disorder
  • No history of allergy to mouse proteins
  • No history of allergy to rituximab or other chimeric monoclonal antibodies
  • No history of allergy to beta-glucan or oats, barley, mushrooms, or yeast

Other

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • Grade 3 hearing deficit allowed
  • Gastrointestinal toxicity ≤ grade 2
  • Neurologic toxicity ≤ grade 2
  • No severe major organ toxicity

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • See Disease Characteristics
  • More than 4 weeks since prior rituximab
  • No prior mouse antibodies
  • No prior chimeric antibodies

Chemotherapy

  • Not specified

Endocrine therapy

  • See Disease Characteristics

Radiotherapy

  • Not specified

Surgery

  • Not specified
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
3 participants (actual)

Study arms

  • Experimental
    Group I

    Patients receive rituximab IV on days 1, 8, 15, and 22 and oral beta-glucan once daily on days 1-28 (days 8-28 of course 1). Treatment repeats every 42 days for 4 courses.

    Biological: beta-glucan · Biological: rituximab

  • Experimental
    Group II

    Patients receive rituximab IV on days 1, 4, 8, 15, and 22 and oral beta-glucan once daily on days 8-28. Beginning on day 42, patients with responding disease may receive monthly rituximab prophylaxis.

    Biological: beta-glucan · Biological: rituximab

Interventions

  • Biologicalbeta-glucan

    Given orally

  • Biologicalrituximab

    Given IV

06

What researchers measure

Primary outcomes

  1. maximum tolerated dose

    Time frame: 2 years

Secondary outcomes

  1. safety

    Time frame: 2 years

07

Study locations

1 site
  • Memorial Sloan-Kettering Cancer Center
    New York, New York 10021, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 19, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00087009
Lead sponsor
Memorial Sloan Kettering Cancer Center
Collaborators
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
Jul 12, 2004
Start date
May 2004
Primary completion
Aug 2008
Completion
Aug 2008
Last update
Mar 19, 2013

Study contacts

Shakeel Modak, MD
principal investigator · Memorial Sloan Kettering Cancer Center
Nai-Kong V. Cheung, MD, PhD
principal investigator · Memorial Sloan Kettering Cancer Center
Trudy N. Small, MD
principal investigator · Memorial Sloan Kettering Cancer Center
Tanya Trippett, MD
principal investigator · Memorial Sloan Kettering Cancer Center
View the source record on ClinicalTrials.gov ↗

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