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CompletedNCT01493479FIZZUpdated Oct 15, 2019

Phase II Study of Fractionated 90Y Ibritumomab Tiuxetan (Zevalin) Radioimmunotherapy as an Initial Therapy of Follicular Lymphoma

A Phase 2 interventional study of 90Y Ibritumomab tiuxetan and Rituximab in Follicular Lymphoma, sponsored by The Christie NHS Foundation Trust. Completed at 7 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-10-15.

Sponsored by The Christie NHS Foundation Trust · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Registered 4 years 6 months after the study started (first participant enrolled Jun 2007, registered Dec 2011).
Phase
Phase 2
Study type
Interventional
Enrollment
76
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

90Y Ibritumomab tiuxetan (zevalin) has demonstrated consistently high response rates in patients who have received previous treatment for lymphoma. More than two-thirds of the patients who achieve CR go on to experience durable remissions lasting for years. Despite these highly promising clinical results with radioimmunotherapy (RIT) in relapsed follicular lymphoma there is very little data using RIT in previously untreated follicular lymphoma. The objective of this trial is to evaluate the safety and efficacy of two fractions of Zevalin in patients with previously untreated follicular lymphoma in a Phase II study.

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Conditions studied

  • Follicular Lymphoma
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In context

Lymphoma

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

This study's enrollment of 76 is above the median of 40 across 4,508 interventional studies indexed under Lymphoma.

Browse Lymphoma studies →

Lead sponsor

The Christie NHS Foundation Trust is the lead sponsor of 99 studies on the registry; 25 are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients must have a histologically confirmed CD20 +ve follicular lymphoma grades I to IIIa.
  • Patients with at least one of the following symptoms requiring initiation of treatment: (as outlined by the modified BNLI/GELF criteria below)

    • Nodal mass > 7cm in its greater diameter
    • B symptoms
    • Elevated serum LDH or beta2-microglobulin
    • involvement of at least 3 nodal sites (each with a diameter > 3 cm)
    • symptomatic splenic enlargement
    • compressive syndrome
  • Patients must have an ECOG performance status less than or equal to 2 and an anticipated survival of at least 6 months.
  • Patients must have an absolute granulocyte count of above 1,500/mm3, and a platelet count of above 100,000/mm3 post 4 weeks of unlabelled Rituximab. A hemoglobin >= 8.0 g/dl
  • Patients must have adequate renal function (defined as calculated creatinine clearance > 30 ml/mn), hepatic function (defined as total bilirubin \<1.5 times upper limit of normal), and hepatic transaminases (defined as AST \<5 times upper limit of normal)
  • Patients must have given informed consent prior to study entry.

Exclusion criteria

Exclusion Criteria:

  • Patients with a mean of >20% of the intratrabecular marrow space involved with lymphoma on bone marrow biopsy following induction Rituximab therapy.
  • Transformed follicular lymphoma and discordant lymphoma
  • Patients with active obstructive hydronephrosis.
  • Patients with initial disease bulk greater than 10cm.
  • Patients with evidence of active infection requiring i.v. antibiotics at the time of study entry.
  • Patients with congestive heart failure stage III or IV of NYHA classification, myocardial infraction or unstable angina within 6 months or other serious illness that would preclude evaluation.
  • Patients with left VEF \< 40%
  • Patients with large pleural or peritoneal effusions.
  • Patients with known HIV infection or active HBV (HbsAg positivity) or HCV infection.
  • Known Hypersensitivity to murine antibodies or proteins
  • Patients who are pregnant or breast-feeding. Male and female patients must agree to use effective contraception for 12 months following 90Y-ibritumomab tiuxetan antibody therapy.
  • Patients with prior malignancy other than lymphoma, except for adequately-treated skin cancer, cervical cancer in situ, or other cancer for which the patient has been disease-free for 5 years.
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
76 participants (actual)

Study arms

  • Experimental
    Fractionated Initial Zevalin

    Drug: 90Y Ibritumomab tiuxetan · Drug: Rituximab

Interventions

  • Drug90Y Ibritumomab tiuxetan

    2 x iv infusions of 11.1 MBq/kg. 1st infusion at week 1, 2nd during weeks 9-13. 2nd infusion may be reduced to 7.4MBq/kg in the case of grade 3 haematological toxicity following the 1st infusion.

    Also known as: Zevalin

  • DrugRituximab

    All patients receive 2 x iv infusions of 250 mg/m2 Rituximab given 7-8 days apart prior to each zevalin infusion. The 2nd rituximab infusion is given immediately prior to Zevalin. In addition patients with greater than 20% bone marrow involvement at screening receive rituximab pretreatment prior to entering the main treatment phase of the trial, consisting of 4 x weekly iv doses of rituximab(375 mg/m2). This is followed by a repeat bone marrow biopsy, bone marrow involvement must have fallen to \<= 20% to enter the main treatment phase of the trial.

    Also known as: Mabthera

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What researchers measure

Primary outcomes

  1. Overall response rate

    According to Cheson criteria to standardize response for non-Hodgkin's lymphoma, 1999.

    Time frame: Assessed 3 months post treatment

  2. Combined Complete Response rate

    According to Cheson criteria to standardize response for non-Hodgkin's lymphoma, 1999.

    Time frame: Assessed 3 months post treatment

  3. Partial Response Rate

    According to Cheson criteria to standardize response for non-Hodgkin's lymphoma, 1999.

    Time frame: Assessed 3 months post treatment

Secondary outcomes

  1. Time to disease progression

    Time frame: Assessed 3 months post treatment, repeated assessment up to 5 years follow-up

  2. Response duration

    To be assessed for patients achieving a response, including assessment of overall survival and time until next treatment.

    Time frame: Assessed 3 months post treatment, repeated assessment up to 5 years follow-up

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Study locations

7 sites
  • Centre Hospitalier Universitaire de Lille
    Lille, France
  • Centre Hospitalier Universitaire de Nantes
    Nantes, France
  • Centre Henri Becquerel
    Rouen, France
  • St George's Hospital
    London, United Kingdom
  • The Christie NHS Foundation Trust
    Manchester, M20 4BX, United Kingdom
  • Poole Hospital NHS Foundation Trust
    Poole, United Kingdom
  • Southampton University Hospital
    Southampton, United Kingdom
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References and documents

Publications

  • Illidge TM, Mayes S, Pettengell R, Bates AT, Bayne M, Radford JA, Ryder WD, Le Gouill S, Jardin F, Tipping J, Zivanovic M, Kraeber-Bodere F, Bardies M, Bodet-Milin C, Malek E, Huglo D, Morschhauser F. Fractionated (9)(0)Y-ibritumomab tiuxetan radioimmunotherapy as an initial therapy of follicular lymphoma: an international phase II study in patients requiring treatment according to GELF/BNLI criteria. J Clin Oncol. 2014 Jan 20;32(3):212-8. doi: 10.1200/JCO.2013.50.3110. Epub 2013 Dec 2. PubMed 24297953 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 15, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01493479
Lead sponsor
The Christie NHS Foundation Trust
Collaborators
Bayer
Responsible party
Emmie Taylor (Lead Clinical Trial Manager, The Christie NHS Foundation Trust) — Principal investigator
First posted
Dec 16, 2011
Start date
Jun 6, 2007
Primary completion
Jan 2011
Completion
Nov 6, 2015
Last update
Oct 15, 2019

Study contacts

Timothy Illidge, Prof
principal investigator · The Christie NHS Foundation Trust

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Oct 2019. You cannot join it, but the record below documents what was studied.

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