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A Randomized, Open-Label, Multicenter, Phase 2 Study of the Combination of VELCADE, Rituximab, Cyclophosphamide, Doxorubicin, and Prednisone (VR CAP) or Rituximab, Cyclophosphamide, Doxorubicin, Vincristine, and Prednisone (R-CHOP) in Subjects With Newly Diagnosed Non-Germinal Center B Cell Subtype of Diffuse Large B-Cell Lymphoma


Phase 2
18 Years
N/A
Open (Enrolling)
Both
Lymphoma, Large B-Cell, Diffuse

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Trial Information

A Randomized, Open-Label, Multicenter, Phase 2 Study of the Combination of VELCADE, Rituximab, Cyclophosphamide, Doxorubicin, and Prednisone (VR CAP) or Rituximab, Cyclophosphamide, Doxorubicin, Vincristine, and Prednisone (R-CHOP) in Subjects With Newly Diagnosed Non-Germinal Center B Cell Subtype of Diffuse Large B-Cell Lymphoma


This is an open-label (all people know the identity of the intervention), randomized (the
study medication is assigned by chance), active-control (an active substance that is
compared with a study medication to test whether the medication has a real effect in a
clinical study), parallel-group (each group of participants will be treated at the same
time), multicenter (study conducted at multiple sites), and multinational study. The study
consists of 3 phases including: the screening phase (up to 4 weeks before the administration
of study medication); treatment phase (up to 18 weeks); and a posttreatment phase (1 year).
Approximately 164 participants will be randomly assigned to 1 of the 2 treatment arms:
Treatment Arm A (participants will receive 6 cycles of VR-CAP) or Treatment Arm B
(participants will receive 6 cycles of R-CHOP). After 1-year posttreatment phase,
participants will be followed for an additional 1 year for overall survival (the interval
between the date of randomization and the date of death), disease progression, and
subsequent anti-lymphoma therapy. Safety evaluations will include assessment of adverse
events, clinical laboratory tests, vital signs, physical examination, and eastern
cooperative oncology group performance status which will be monitored throughout the study.


Inclusion Criteria:



- Histologically confirmed Stage I to IV non-Non-Germinal Center B-Cell Subtype of
Diffuse Large B-Cell Lymphoma

- At least 1 measurable site of disease

- An Eastern Cooperative Oncology Group performance status of 0, 1, or 2

- Adequate laboratory values

- Agrees to protocol-defined use of effective contraception

Exclusion Criteria:

- Transformed lymphomas (follicular, T-cell, or Hodgkin's lymphoma) and active central
nervous system lymphoma

- Diagnosed or treated for a malignancy other than non-Hodgkin's lymphoma

- Prior chemotherapy for lymphoma and prior treatment with extended radiotherapy

- Peripheral neuropathy or neuralgia of Grade 2 or worse

- Uncontrolled or severe cardiovascular disease

- Active systemic infection including active hepatitis B infection, human
immunodeficiency virus (HIV)/acquired immuno deficiency syndrome (AIDS)

Type of Study:

Interventional

Study Design:

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Percentage of Participants who will Achieve Complete Response (CR)

Outcome Description:

CR is defined as complete disappearance of all detectable clinical evidence of disease and disease-related symptoms present before therapy. It will be evaluated by computed tomography (CT) scan and positron emission tomography (PET) scan with supportive clinical evidences. CT scan and PET scan will be done at the end of Cycles 3 and 6.

Outcome Time Frame:

From the date of randomization until progressive disease or start of alternate therapy, or withdrawal from the study; as assessed for approximately 6 months after the randomization of the last participant

Safety Issue:

No

Principal Investigator

Janssen Research & Development, LLC Clinical Trial

Investigator Role:

Study Director

Investigator Affiliation:

Janssen Research & Development, LLC

Authority:

United States: Food and Drug Administration

Study ID:

CR017398

NCT ID:

NCT01826084

Start Date:

January 2010

Completion Date:

June 2013

Related Keywords:

  • Lymphoma, Large B-Cell, Diffuse
  • Lymphoma, Large B-Cell, Diffuse
  • B-cell lymphoma
  • VELCADE
  • Rituximab
  • Cyclophosphamide
  • Doxorubicin
  • Prednisone
  • Vincristine
  • Complete response rate
  • VR-CAP
  • R-CHOP
  • Lymphoma
  • Lymphoma, B-Cell
  • Lymphoma, Large B-Cell, Diffuse

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