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CompletedNCT00393107Updated Oct 26, 2006

Safety and Efficacy of Fludarabine and Cyclophosphamide + Rituximab

A Phase 2 interventional study of rituximab and rituximab,fludarabine, cyclophosphamide in Follicular Lymphoma, sponsored by Gruppo Italiano Studio Linfomi. Completed at 9 sites in Italy. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2006-10-26.

Sponsored by Gruppo Italiano Studio Linfomi · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
54
Allocation
Non-randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

Purpose of this study was to assess the safety profile and the anti-lymphoma activity of the FC+R combination.

Read the detailed description

The natural history of follicular lymphomas is characterized by a high initial response rate to chemotherapy followed invariably by relapse, with subsequent remissions of progressively shorter duration. The majority of patients eventually die of their disease. As yet, there is no gold standard for the treatment of newly diagnosed or relapsed advanced FL.Rituximab(R) has been shown to be a highly effective agent in the treatment of FL, either alone or in combination with chemotherapy. The ability of R to sensitize indolent lymphoma derived cell lines to cytotoxic chemotherapy agents has been demonstrated. Furthermore, fludarabine (F) may also sensitize cells to the effects of R. Cyclophosphamide (C) and F have shown in vivo synergistic activity. In view of the single agent activity and demonstrated synergy between C and F, and between F and R, we evaluated FC+R in previously treated patients with advanced FL. The primary aim of this study was to assess the safety profile and clinical activity of the FC+R combination. The secondary goal was to evaluate the ability of the treatment to convert bone marrow Bcl2 positivity such that patients achieved molecular remissions.

02

Conditions studied

  • Follicular Lymphoma

Keywords

  • follicular lymphoma
  • non-Hodgkin lymphoma
  • Fludarabine
  • Cyclophosphamide
  • Rituximab
  • combination
  • immuno-chemotherapy
  • relapsed
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 54 is above the median of 40 across 4,508 interventional studies indexed under Lymphoma.

Browse Lymphoma studies →

Lead sponsor

Gruppo Italiano Studio Linfomi is the lead sponsor of 13 studies on the registry; none 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

Inclusion criteria

  • histologically documented WHO grade 1-2 ,CD20+,follicular lymphoma
  • relapsed Follicular lymphoma
  • stage III or IV disease
  • Stage II patients are eligible if they present with B symptoms or bulky disease
  • to have a need for therapy in the opinion of treating clinician
  • measurable disease
  • expected survival of 6 months or more
  • age 18 to 70 years
  • to have undergone \< 3 lines of chemotherapy
  • performance status of 0 to 2

Exclusion criteria

Exclusion Criteria:

  • known HIV infections
  • Known Hepatitis B or C
  • CNS lymphoma
  • previous malignancies, or cardiac, renal, hepatic, or respiratory failure
  • Pregnant or lactating women and patients of child bearing potential unless using birth control measures
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
54 participants

Interventions

  • Drugrituximab
  • Drugrituximab,fludarabine, cyclophosphamide
06

What researchers measure

Primary outcomes

  1. Toxicity during the treatment period

  2. Efficacy evaluated in terms of complete and partial response 1 month after the end of therapy

Secondary outcomes

  1. Efficacy evaluated in terms of molecular response ( bone marrow Bcl2 negativity after treatment)

07

Study locations

9 sites
  • Ospedale di Arezzo
    Arezzo, 52100, Italy
  • Ospedale Maggiore di Milano
    Milano, 20100, Italy
  • Ospedale Monteluce
    Perugia, 06110, Italy
  • Ospedale di Pescara
    Pescara, 89100, Italy
  • Ospedale di Piacenza
    Piacenza, 29100, Italy
  • Ospedale di Pisa
    Pisa, 56100, Italy
  • Ospedale di Reggio Calabria
    Reggio Calabria, 89100, Italy
  • Ospedale S. Maria Nuova
    Reggio Emilia, 42100, Italy
  • Ospedale Molinette
    Torino, 10100, Italy
08

References and documents

Publications

  • Alas S, Bonavida B. Rituximab inactivates signal transducer and activation of transcription 3 (STAT3) activity in B-non-Hodgkin's lymphoma through inhibition of the interleukin 10 autocrine/paracrine loop and results in down-regulation of Bcl-2 and sensitization to cytotoxic drugs. Cancer Res. 2001 Jul 1;61(13):5137-44. PubMed 11431352 ↗
  • Alas S, Emmanouilides C, Bonavida B. Inhibition of interleukin 10 by rituximab results in down-regulation of bcl-2 and sensitization of B-cell non-Hodgkin's lymphoma to apoptosis. Clin Cancer Res. 2001 Mar;7(3):709-23. PubMed 11297268 ↗
  • Di Gaetano N, Xiao Y, Erba E, Bassan R, Rambaldi A, Golay J, Introna M. Synergism between fludarabine and rituximab revealed in a follicular lymphoma cell line resistant to the cytotoxic activity of either drug alone. Br J Haematol. 2001 Sep;114(4):800-9. doi: 10.1046/j.1365-2141.2001.03014.x. PubMed 11564066 ↗
  • Bellosillo B, Villamor N, Colomer D, Pons G, Montserrat E, Gil J. In vitro evaluation of fludarabine in combination with cyclophosphamide and/or mitoxantrone in B-cell chronic lymphocytic leukemia. Blood. 1999 Oct 15;94(8):2836-43. PubMed 10515887 ↗
  • Sacchi S., Tucci A, Merli F, Orsucci L, Cervetti G, Occhini U, Liberati M, Tarantini G, Callea V, Brugiatelli M, Lauta VM, Baldini L, Luminari S, Federico M. Dipartimento di Oncologia ed Ematologia,. Phase II Study with Fludarabine and Cyclophosphamide Plus Rituximab (FC+R) in Relapsed Follicular Lymphoma Patients. ASH 2002. Blood 99, 2002 Ab n° 530

Related links

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 26, 2006, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00393107
Lead sponsor
Gruppo Italiano Studio Linfomi
First posted
Oct 26, 2006
Start date
Mar 2000
Completion
Aug 2006
Last update
Oct 26, 2006

Study contacts

Sacchi Stefano, MD
principal investigator · GISL
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2006. You cannot join it, but the record below documents what was studied.

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