Epirubicin and Rituximab in Treating Patients With Relapsed or Refractory B-Cell Non-Hodgkin's Lymphoma or Chronic Lymphocytic Leukemia
Leukemia, Lymphoma
About this trial
This is an interventional treatment trial for Leukemia focused on measuring B-cell chronic lymphocytic leukemia, refractory chronic lymphocytic leukemia, recurrent adult diffuse large cell lymphoma, recurrent adult diffuse mixed cell lymphoma, recurrent adult diffuse small cleaved cell lymphoma, recurrent adult Burkitt lymphoma, recurrent adult immunoblastic large cell lymphoma, recurrent grade 1 follicular lymphoma, recurrent grade 2 follicular lymphoma, recurrent grade 3 follicular lymphoma, recurrent mantle cell lymphoma, recurrent adult lymphoblastic lymphoma, recurrent marginal zone lymphoma, recurrent small lymphocytic lymphoma, extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue, nodal marginal zone B-cell lymphoma, splenic marginal zone lymphoma
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically confirmed B-cell non-Hodgkin's lymphoma (any grade) or chronic lymphocytic leukemia meeting 1 of the following criteria: Primary refractory disease Disease progression after at least 1 but no more than 4 prior cytotoxic chemotherapy regimens Rituximab administered alone is not considered 1 prior regimen High-dose chemotherapy with stem cell support is considered 1 prior regimen Bidimensionally measurable or evaluable disease outside prior irradiation port No clinical evidence of CNS involvement PATIENT CHARACTERISTICS: Age 18 and over Performance status ECOG 0-2 Life expectancy Not specified Hematopoietic Neutrophil count at least 2,000/mm^3* Platelet count at least 100,000/mm^3* NOTE: *Unless due to bone marrow involvement Hepatic Bilirubin no greater than 1.5 mg/dL SGOT and SGPT no greater than 2 times upper limit of normal (ULN) Renal Creatinine no greater than 2 times ULN Cardiovascular No unstable angina No uncontrolled congestive heart failure LVEF at least 45% Other Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception during and for 6 months after study treatment HIV negative No other concurrent primary malignancy except basal cell or squamous cell skin cancer, carcinoma in situ, or localized solid tumors cured more than 5 years ago No acute infection requiring systemic therapy No confusion, disorientation, or major psychiatric illness that would preclude understanding of informed consent PRIOR CONCURRENT THERAPY: Biologic therapy See Disease Characteristics At least 4 weeks since prior biologic therapy Chemotherapy See Disease Characteristics At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas) Prior cumulative doxorubicin dose no greater than 6 courses at 50 mg/m^2 Endocrine therapy Not specified Radiotherapy See Disease Characteristics No prior radiotherapy to the entire pelvis At least 4 weeks since prior radiotherapy Surgery Not specified Other More than 7 days since prior cimetidine No concurrent cimetidine
Sites / Locations
- Fox Chase Cancer Center