Study to Assess the Effectiveness of RCHOP With or Without VELCADE in Previously Untreated Non-Germinal Center B-Cell-like Diffuse Large B-Cell Lymphoma Patients
Non-Germinal B-Cell-like (GCB) Diffuse Large B-cell Lymphoma (DLBCL)
About this trial
This is an interventional treatment trial for Non-Germinal B-Cell-like (GCB) Diffuse Large B-cell Lymphoma (DLBCL)
Eligibility Criteria
Each patient must meet all of the following inclusion criteria to be enrolled in the study:
Inclusion Criteria:
- Patients with previously untreated DLBCL that has been sub classified as the non-GCB subtype.
- At least 1 measurable tumor mass.
- Availability of paraffin block with sufficient tumor tissue.
- No evidence of central nervous system lymphoma.
- Eastern Cooperative Oncology Group (ECOG) performance status of < or equal to 2.
- Female patients who are post menopausal, surgically sterile, or agree to practice 2 effective methods of contraception or abstain from heterosexual intercourse.
- Male patients who agree to practice effective barrier contraception or agree to abstain from heterosexual intercourse.
Patients meeting any of the following exclusion criteria are not to be enrolled in the study:
Exclusion Criteria:
- Diagnosed or treated for a malignancy other than DLBCL within 2 years of first dose or evidence of active malignancy other than DLBCL.
- Peripheral neuropathy of Grade 2 or greater.
- Known history of human immunodeficiency virus (HIV) infection, unless receiving highly active antiretroviral therapy (HAART).
- Active infection requiring systemic therapy.
- Major surgery within 2 weeks before first dose.
- Patients with a left ventricular ejection fraction (LVEF) or less than 45%.
- Myocardial infarction with 6 months of enrollment or evidence of current uncontrolled cardiovascular conditions as described in the protocol.
- History of allergic reaction/ hypersensitivity attributable to boron, mannitol, polysorbate 80 or sodium citrate dehydrate, or anaphylaxis or immunoglobulin E (IgE)-mediated hypersensitivity to murine proteins or to any component of rituximab.
Sites / Locations
- Tower Cancer Research Foundation
- Fountain Valley Regional Hospital
- St. Jude Heritage Healthcare
- Moores Cancer Center- UCSD
- Antelope Valley Cancer Center
- Loma Linda University Cancer Center
- University of Southern California
- Jonsson Comprehensive Cancer Center
- TORI- Central Pharmacy
- TORI- Central Regulatory
- Oncology Care Medical Associates
- Bay Area Cancer Research Group
- Wilshire Oncology Medical Group
- Sharp Healthcare
- Central Coast Medical Oncology Corporation
- Rocky Mountain Cancer Center
- Florida Cancer Specialists
- Florida Cancer Specialists & Research Institute
- Alves/ Domenech Oncology-Hematology Clinic
- Florida Cancer Institute ATI
- MD Anderson Cancer Center of Orlando
- Coastal Oncology, PL
- Winship Cancer Institute at Emory University
- Georgia Cancer Specialists
- Dublin Hematology and Oncology
- Rush University Medical Center
- Central Indiana Cancer Centers
- Cancer Care Center Inc. P.C.
- Iowa Blood and Cancer Care
- Iowa Oncology Research Association
- Siouxland Hematology and Oncology Associates LLP
- Kansas City Cancer Center, LLC
- Sinai Hospital of Baltimore
- St. Agnes Hospital of Baltimore
- Holy Cross Hospital
- Lahey Clinic Medical Center
- Berkshie Hematology Oncology
- Barbara Ann Karmanos Cancer Institute
- Mid Michigan Physicians
- Duluth Clinic
- St. Luke's Hospital Cancer Care Center
- Missouri Cancer Associates
- Saint Luke's Cancer Institute
- Hackensack University Medical Center
- Hematology/Oncology Associates of Northern New Jersey, P.A.
- Hematology Oncology Associates of South Jersey
- St. Luke's- Roosevelt Medical Center
- Cornell
- Raleigh Hematology Oncology Associates P.C.
- Summa Health System
- Oncology Hematology Care
- Kaiser Group Health
- Hematology and Oncology Associates of NEPA
- UPMC Cancer Center
- Guthrie Clinic
- Berks Hematology Oncology Associates
- South Carolina Oncology Associates, PA
- Chattanooga Oncology and Hematology Associates, PC
- Tennessee Oncology
- Texas Oncology Cancer Center
- US Oncology- Central Drug
- US Oncology- Central Laboratory
- Oncology Consultants P.A.
- Oncology Consultants
- US Oncology- Central Regulatory
- Tyler Cancer Center
- Texoma Cancer Center
- Virginia Cancer Institute
- Puget Sound Cancer Centers
- Northwest Cancer Specialists PC
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
RCHOP
Vc-RCHOP
RCHOP [rituximab, cyclophosphamide, doxorubicin, prednisone] administered as follows: rituximab 375 mg/m^2 intravenous (IV) infusion, cyclophosphamide 750 mg/m^2 IV infusion, doxorubicin 50 mg/m^2 IV injection and vincristine 1.4 mg/m^2 (maximum total dose 2 mg) IV injection on Day 1 with prednisone orally on Days 1 through 5 of a 21-day (3-week) cycle for 6 cycles.
Vc-RCHOP [bortezomib (VELCADE®), rituximab, cyclophosphamide, doxorubicin, prednisone] administered as follows: bortezomib (VELCADE ®) 1.3 mg/m^2 administered intravenous (IV) push on Days 1 and 4 of each cycle with RCHOP administered as follows: rituximab 375 mg/m^2 intravenous (IV) infusion, cyclophosphamide 750 mg/m^2 IV infusion, doxorubicin 50 mg/m^2 IV injection and vincristine 1.4 mg/m^2 (maximum total dose 2 mg) IV injection on Day 1 with prednisone orally on Days 1 through 5 of a 21-day (3-week) cycle for 6 cycles.