Rituximab Plus Bendamustine as Front Line Treatment in Frail Elderly (>70 Years) Patients With DLBCL: a Phase II Multicenter Study of the FIL
Diffuse Large B-cell Lymphoma
About this trial
This is an interventional treatment trial for Diffuse Large B-cell Lymphoma
Eligibility Criteria
Inclusion Criteria:
- Histologically proven CD20 positive diffuse large B-cell non-Hodgkin's lymphoma
- Age > 70 years
- No previous treatment
FRAIL patients defined as follows (see Appendices B-E) Age > 80 years with UNFIT profile, i.e.
- ADL > 5 residual functions
- IADL > 6 residual functions
- CIRS 5-8 co-morbidities of grade 2
or Age < 80 years with
- ADL < 4 residual functions, or
- IADL < 5 residual functions, or
CIRS : 1 co-morbidity of grade 3-4, or > 8 co-morbidities of grade 2
- Life expectancy > 6 months
- Written informed consent
- Accessibility of patient for treatment and follow up
Exclusion Criteria:
- History of other malignancies within 5 years prior to study entry except for adequately treated carcinoma in situ of the cervix or basal or squamous cell skin cancer
- Previous exposure to cytotoxic agents
- Suspect or clinical evidence of CNS involvement by lymphoma
- HBsAg, HCV or HIV positivity; HBcAb positivity is accepted only with concomitant treatment with Lamivudine
- AST /ALT > twice upper the normal range; bilirubin > twice upper the normal range; serum creatinine > 2.5 mg /dl
- Evidence of any severe active acute or chronic infection
- Concurrent co-morbid medical condition which might exclude administration of full dose chemotherapy
- Senile dementia
- Any other co-existing medical or psychological condition that would preclude participation in the study or compromise ability to give informed consent
Sites / Locations
- Ente Eccl.Osp.Gen.Reg.'Miulli'Recruiting
- Ospedale S. Nicola Pellegrino Di TraniRecruiting
- Irccs Ospedale Casa Sollievo Della SofferenzaRecruiting
- Irst - Istituto Scientifico Romagnolo Per Lo Studio E La Cura Dei TumoriRecruiting
- Ospedale Generale Di ZonaRecruiting
- Nuovo Ospedale Di Sassuolo S.P.A.Recruiting
- Irccs Centro Di Riferimento Oncologico (Cro)Recruiting
- Irccs Centro Di Riferimento Oncologico Di Basilicata (Crob)Recruiting
- Ospedale Bianchi - Melacrino - MorelliRecruiting
- P.O. Umberto IRecruiting
- Ospedale Civile Di IvreaRecruiting
- Ospedale Civile Ss. Antonio E Biagio Di AlessandriaRecruiting
- Asp Di Bolzano - Comprensorio Sanitario Di BolzanoRecruiting
- Pres.Ospedal.Spedali Civili BresciaRecruiting
- Stabilimento "Perrino"Recruiting
- Ospedale Armando Businco -Recruiting
- A.O. Universitaria Ospedale Vittorio Emanuele E Ferrarotto Di CataniaRecruiting
- Nuovo Ospedale Garibaldi - NesimaRecruiting
- Osp.Generale Di Zona ValduceRecruiting
- Presidio Ospedaliero AnnunziataRecruiting
- A.O. Universitaria S. Martino Di GenovaRecruiting
- Presidio Ospedaliero MateraRecruiting
- A.O. Universitaria Policlinico Martino Di MessinaRecruiting
- Azienda Ospedaliera PapardoRecruiting
- Irccs Istituto Nazionale Dei Tumori (Int)Recruiting
- Ospedale S. Carlo BorromeoRecruiting
- Ospedale Ca' Granda-NiguardaRecruiting
- A.O. Universitaria Policlinico Di ModenaRecruiting
- Azienda Ospedaliera S. Gerardo Di MonzaRecruiting
- Irccs Istituto Oncologico Veneto (Iov)Recruiting
- A.O. Universitaria Policlinico Giaccone Di PalermoRecruiting
- A.O. "V. Cervello"Recruiting
- Casa Di Cura La Maddalena Di PalermoRecruiting
- A.O. Universitaria Di ParmaRecruiting
- Ospedale Civile Spirito SantoRecruiting
- Ausl Di PiacenzaRecruiting
- A.O. Universitaria PisanaRecruiting
- Ospedale S. Maria Delle Croci Di Di RavennaRecruiting
- Ospedale Di S. Maria NuovaRecruiting
- Ospedale Di RiminiRecruiting
- Irccs Istituto Regina Elena (Ifo)Recruiting
- Ospedale S. EugenioRecruiting
- Azienda Osp. S.Giovanni/Addolorata RomaRecruiting
- A.O.Oo.Rr.S.Giovanni Di Dio E Ruggi D'ArRecruiting
- A.O. Universitaria Policlinico Di SassariRecruiting
- A.O. Universitaria SeneseRecruiting
- Stabilimento Ss. AnnunziataRecruiting
- Azienda Ospedaliera "S. Maria"Recruiting
- Ematologia 1 - A.O. UNIVERSITARIA S. GIOVANNI BATTISTA-MOLINETTE DI TORINORecruiting
- Ematologia 2 - A.O. UNIVERSITARIA S. GIOVANNI BATTISTA-MOLINETTE DI TORINORecruiting
- Ematologia - OSPEDALE DI CIRCOLO E FONDAZIONE MACCHIRecruiting
- Oncologia - OSPEDALE DI CIRCOLO E FONDAZIONE MACCHIRecruiting
Arms of the Study
Arm 1
Experimental
Bendamustine
Bendamustine is a novel chemotherapeutic agent, a hybrid of a purine analogue and an alkylator. It shows only partial in vitro cross-resistance with other alkylating agents and it is clinically well tolerated. In fact it has shown to be active in vitro against cell lines which are resistant to other alkylating agents. Preclinical data demonstrate that bendamustine acts in two distinct ways to kill cancer cells: it damages the DNA in cancer cells, which leads to cell death by a process known as apoptosis (programmed cell death) as well as by an alternate cell death pathway known as mitotic catastrophe (a disruption of normal cell division). This dual-effect may be attributable to its unique chemical structure.Bendamustine has demonstrated clinical activity in patients with chronic lymphocytic leukaemia, patients with relapsed indolent NHL, mantle cell lymphoma, multiple myeloma and several solid tumors.