Vaccine Therapy and Sargramostim Compared With Placebo and Sargramostim Following Rituximab in Treating Patients With Non-Hodgkin's Lymphoma
Lymphoma
About this trial
This is an interventional treatment trial for Lymphoma focused on measuring contiguous stage II grade 1 follicular lymphoma, contiguous stage II grade 2 follicular lymphoma, contiguous stage II grade 3 follicular lymphoma, noncontiguous stage II grade 1 follicular lymphoma, noncontiguous stage II grade 2 follicular lymphoma, noncontiguous stage II grade 3 follicular lymphoma, stage I grade 1 follicular lymphoma, stage I grade 2 follicular lymphoma, stage I grade 3 follicular lymphoma, stage III grade 1 follicular lymphoma, stage III grade 2 follicular lymphoma, stage III grade 3 follicular lymphoma, stage IV grade 1 follicular lymphoma, stage IV grade 2 follicular lymphoma, stage IV grade 3 follicular lymphoma, recurrent grade 1 follicular lymphoma, recurrent grade 2 follicular lymphoma, recurrent grade 3 follicular lymphoma
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically confirmed follicular B-cell non-Hodgkin's lymphoma (NHL) Grade 1, 2, or 3 Meets 1 of the following criteria for treatment with rituximab: Treatment naïve Relapsed or refractory disease after prior chemotherapy Relapsed after a prior documented response (i.e., complete or partial response) to rituximab of at least 6 months duration Tumor accessible for biopsy OR existing biopsy material (taken within the past 6 months) suitable for vaccine preparation Measurable or evaluable disease after tumor tissue procurement for vaccine production No more than 2 prior treatment regimens for NHL Single regimens include any of the following: Maintenance rituximab Rituximab administered once weekly for 8 courses Cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) plus rituximab* NOTE: *CHOP followed by rituximab at time of relapse is considered 2 treatment regimens No history of CNS lymphoma or meningeal lymphomatosis PATIENT CHARACTERISTICS: Age 18 and over Performance status ECOG 0-1 Life expectancy Not specified Hematopoietic Absolute granulocyte count ≥ 1,500/mm^3 Platelet count ≥ 75,000/mm^3 (unless related to bone marrow involvement by lymphoma) Hemoglobin ≥ 10g/dL Hepatic Not specified Renal Not specified Cardiovascular No congestive heart failure Pulmonary No compromised pulmonary function Immunologic HIV negative No prior allergic response to GM-CSF No active bacterial, viral, or fungal infection Other Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception No psychiatric disorder that would preclude study participation No other malignancy within the past 2 years except nonmelanoma skin cancer or carcinoma in situ of the cervix No other serious nonmalignant disease that would preclude study participation PRIOR CONCURRENT THERAPY: Biologic therapy See Disease Characteristics See Chemotherapy At least 4 weeks since prior immunotherapy No prior radiolabeled anti-lymphoma antibody (e.g., iodine I 131 tositumomab or ibritumomab tiuxetan) No prior autologous or allogeneic stem cell transplantation No prior lymphoma-specific idiotype immunotherapy (e.g., Id vaccine) No prior investigational vaccine or immunotherapeutic containing keyhole limpet hemocyanin (KLH) Chemotherapy See Disease Characteristics At least 4 weeks since prior chemotherapy More than 9 months since prior fludarabine More than 2 years since prior chemotherapy/rituximab combination therapy (e.g., CHOP/rituximab or cyclophosphamide, vincristine, and prednisone [CVP]/rituximab) No more than 6 total prior treatment courses with fludarabine Endocrine therapy No concurrent steroids for allergic reaction to sargramostim (GM-CSF) Radiotherapy See Biologic therapy At least 4 weeks since prior radiotherapy Surgery Not specified Other At least 4 weeks since prior experimental therapy No concurrent systemic immunosuppressive therapy No other concurrent anti-lymphoma therapy
Sites / Locations
- Comprehensive Cancer Center at University of Alabama at Birmingham
- Mayo Clinic Scottsdale
- Tower Cancer Research Foundation
- Rebecca and John Moores UCSD Cancer Center
- Samuel Oschin Comprehensive Cancer Institute at Cedars-Sinai Medical Center
- USC/Norris Comprehensive Cancer Center and Hospital
- Hoag Cancer Center at Hoag Memorial Hospital Presbyterian
- Kaiser Permanente Medical Center - Kaiser Foundation Hospital - San Diego
- Sharp Memorial Hospital Cancer Center
- UCSF Comprehensive Cancer Center
- Stanford Cancer Center at Stanford University Medical Center
- Kaiser Permanente Medical Center - Vallejo
- Rocky Mountain Cancer Centers - Denver Midtown
- Medical Oncology Hematology Consultants, P.A. at Helen F. Graham Cancer Center
- Lombardi Cancer Center at Georgetown University Medical Center
- Center for Hematology-Oncology - Boca Raton
- University of Florida Health Science Center - Jacksonville
- H. Lee Moffitt Cancer Center and Research Institute at University of South Florida
- North Idaho Cancer Center
- Robert H. Lurie Comprehensive Cancer Center at Northwestern University
- Rush University Medical Center
- Indiana University Cancer Center
- Kansas Masonic Cancer Research Institute at the University of Kansas Medical Center
- Markey Cancer Center at University of Kentucky Chandler Medical Center
- Ochsner Cancer Institute at Ochsner Clinic Foundation
- Greater Baltimore Medical Center
- Dana-Farber/Harvard Cancer Center at Dana Farber Cancer Institute
- Barbara Ann Karmanos Cancer Institute
- Josephine Ford Cancer Center at Henry Ford Hospital
- Mayo Clinic Cancer Center
- Siteman Cancer Center at Barnes-Jewish Hospital
- Montana Cancer Specialists at Montana Cancer Center
- New Mexico Cancer Center
- Our Lady of Mercy Medical Center Comprehensive Cancer Center
- North Shore University Hospital
- Beth Israel Medical Center - Philipps Ambulatory Care Center
- Memorial Sloan-Kettering Cancer Center
- James P. Wilmot Cancer Center at University of Rochester Medical Center
- Comprehensive Cancer Center at Wake Forest University
- Mid Dakota Clinic, P. C.
- Roger Maris Cancer Center at MeritCare Hospital
- Charles M. Barrett Cancer Center at University Hospital
- Ireland Cancer Center at University Hospitals of Cleveland and Case Western Reserve University
- Cleveland Clinic Taussig Cancer Center
- Arthur G. James Cancer Hospital and Solove Research Institute at Ohio State University
- Providence Cancer Center at Providence Portland Medical Center
- Kaiser Permanente Medical Office - Interstate Medical Office Central
- Cancer Institute at Oregon Health and Science University
- Geisinger Medical Center
- Fox Chase-Temple Cancer Center
- Western Pennsylvania Cancer Institute at Western Pennsylvania Hospital
- Sarah Cannon Cancer Center at Centennial Medical Center
- Baylor University Medical Center - Dallas
- M.D. Anderson Cancer Center at University of Texas
- Cancer Care Network of South Texas
- University of Virginia Cancer Center
- Swedish Cancer Institute at Swedish Medical Center - First Hill Campus
- North Star Lodge Cancer Center at Yakima Valley Memorial Hospital
- University of Wisconsin Comprehensive Cancer Center
- Marshfield Clinic - Marshfield Center