Biocell Natural Killer Mixture in Diffuse Large B Cell Lymphoma (DLBCL) Patients (NKCell)
Primary Purpose
Diffuse Large B-cell Lymphoma
Status
Unknown status
Phase
Phase 3
Locations
Korea, Republic of
Study Type
Interventional
Intervention
NKM injection
Sponsored by
About this trial
This is an interventional treatment trial for Diffuse Large B-cell Lymphoma focused on measuring natural killer cell, DLBCL (Diffuse Large B Cell Lymphoma)
Eligibility Criteria
Inclusion Criteria:
- Men and women of the age between 20 and 70
- The patients who have measurable lesion using radiograph and have not received chemotherapy and radiation therapy after confirming DCBCL.
- The patients with Ann arbor Ⅰ, Ⅱ, Ⅲ, Ⅳ
- The patients who have not received NK / T-Cell lymphocyte therapy.
- The patients who are expected to survive for at least 3 months.
- The patients who or whose representative voluntary have written informed consent before performance of any study-related procedure.
- Women of child bearing potential must have a negative pregnancy test within 7 days prior to study registration and agree to use adequate birth control during study treatment.
- The patients with ADL classification (ECOG) scale 0, 1, 2
Patients who satisfy following hematologic criteria
- WBC ≥ 3,000 / ㎕
- platelet count ≥ 75,000 / ㎕
- serum total bilirubin ≤ two times of upper limit of normal values of each laboratory
- serum creatinine ≤ two times of upper limit of normal values of each laboratory
lymphoma patients who satisfy the following criteria
- good renal function (GFR> 50)
- good hepatic function (total bilirubin level ≤ three times of upper limit of normal values of each test laboratory transaminases ≤ 5 times of the upper limit of normal value of each testing laboratory)
- The patients with negative HIV surface antigen
- The patients with negative HBV
- The patients with negative HCV
- The patients who have not received immunotherapy.
- The patients who have not experienced tuberculosis infection within recent 6 months.
Exclusion Criteria:
- The minors under 20 years of age (In accordance with Civil Code)
- The patients diagnosed with other types of lymphoma
- The patients who have central nervous system or meningeal involvement by lymphoma.
- The patients who have contraindication of chemotherapy regimen
- The patients with another active severe disease.
- The patients who have history of cancer within 5 years
- Uncontrolled hypertension patients
- The patients who have hypersensitivity to Erythropoietin.
The patients who have the following diseases or the experience to have following disease within 3 months.
- Myocardial infarction
- Unstable coronary disease
- Uncontrolled cardiac insufficiency.
- Venous thrombosis
- Pulmonary embolism
- The patients who have experience to be treated with the pharmaceutical for clinical trials.
- Pregnant and lactating women or women of childbearing age not using adequate contraceptive method.
- The patients with clinically serious bacterial, viral or fungal infection
- The patients of the test group who have the problem in NK cell cultures (Investigator will decide on this criteria with basis generated during NK cell culture)
- Patients with autoimmune diseases
- The patients who underwent visceral resection related with Lymphoma.
Sites / Locations
- The Catholic University of korea
Arms of the Study
Arm 1
Arm 2
Arm Type
No Intervention
Active Comparator
Arm Label
control
Active
Arm Description
Rituximab 375mg/m2 IV administered on day 1. Cyclophosphamide 750mg/m2 IV for 2hours,Adriamycin 50mg/m2 ,Vincristine 1.4mg/m2 IV respectively. Prednisone 60mg P.O. per day for 5 days.
R-CHOP plus Natural Killer Cell therapy
Outcomes
Primary Outcome Measures
Event Free survival
Secondary Outcome Measures
Progression free survival
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT00846157
Brief Title
Biocell Natural Killer Mixture in Diffuse Large B Cell Lymphoma (DLBCL) Patients
Acronym
NKCell
Official Title
R-CHOP Therapy Compared With R-CHOP Plus Biocell Natural Killer Mixture in Patients With DLBCL (Diffuse Large B Cell Lymphoma);A Randomized, Open-label,Multi-center Trail
Study Type
Interventional
2. Study Status
Record Verification Date
February 2009
Overall Recruitment Status
Unknown status
Study Start Date
September 2007 (undefined)
Primary Completion Date
September 2011 (Anticipated)
Study Completion Date
September 2014 (Anticipated)
3. Sponsor/Collaborators
Name of the Sponsor
NKBio Co.Ltd.
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
Primary objective:
To compare the event free survival for 3years of R-CHOP plus Biocell Natural Killer Cell to R-CHOP therapy with DLBCL patients.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diffuse Large B-cell Lymphoma
Keywords
natural killer cell, DLBCL (Diffuse Large B Cell Lymphoma)
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
276 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
control
Arm Type
No Intervention
Arm Description
Rituximab 375mg/m2 IV administered on day 1. Cyclophosphamide 750mg/m2 IV for 2hours,Adriamycin 50mg/m2 ,Vincristine 1.4mg/m2 IV respectively. Prednisone 60mg P.O. per day for 5 days.
Arm Title
Active
Arm Type
Active Comparator
Arm Description
R-CHOP plus Natural Killer Cell therapy
Intervention Type
Biological
Intervention Name(s)
NKM injection
Other Intervention Name(s)
NKCell
Intervention Description
NKCell about 100mg IV for 6times in each chemotherapy period.
Primary Outcome Measure Information:
Title
Event Free survival
Time Frame
3 years
Secondary Outcome Measure Information:
Title
Progression free survival
Time Frame
3 years
10. Eligibility
Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Men and women of the age between 20 and 70
The patients who have measurable lesion using radiograph and have not received chemotherapy and radiation therapy after confirming DCBCL.
The patients with Ann arbor Ⅰ, Ⅱ, Ⅲ, Ⅳ
The patients who have not received NK / T-Cell lymphocyte therapy.
The patients who are expected to survive for at least 3 months.
The patients who or whose representative voluntary have written informed consent before performance of any study-related procedure.
Women of child bearing potential must have a negative pregnancy test within 7 days prior to study registration and agree to use adequate birth control during study treatment.
The patients with ADL classification (ECOG) scale 0, 1, 2
Patients who satisfy following hematologic criteria
WBC ≥ 3,000 / ㎕
platelet count ≥ 75,000 / ㎕
serum total bilirubin ≤ two times of upper limit of normal values of each laboratory
serum creatinine ≤ two times of upper limit of normal values of each laboratory
lymphoma patients who satisfy the following criteria
good renal function (GFR> 50)
good hepatic function (total bilirubin level ≤ three times of upper limit of normal values of each test laboratory transaminases ≤ 5 times of the upper limit of normal value of each testing laboratory)
The patients with negative HIV surface antigen
The patients with negative HBV
The patients with negative HCV
The patients who have not received immunotherapy.
The patients who have not experienced tuberculosis infection within recent 6 months.
Exclusion Criteria:
The minors under 20 years of age (In accordance with Civil Code)
The patients diagnosed with other types of lymphoma
The patients who have central nervous system or meningeal involvement by lymphoma.
The patients who have contraindication of chemotherapy regimen
The patients with another active severe disease.
The patients who have history of cancer within 5 years
Uncontrolled hypertension patients
The patients who have hypersensitivity to Erythropoietin.
The patients who have the following diseases or the experience to have following disease within 3 months.
Myocardial infarction
Unstable coronary disease
Uncontrolled cardiac insufficiency.
Venous thrombosis
Pulmonary embolism
The patients who have experience to be treated with the pharmaceutical for clinical trials.
Pregnant and lactating women or women of childbearing age not using adequate contraceptive method.
The patients with clinically serious bacterial, viral or fungal infection
The patients of the test group who have the problem in NK cell cultures (Investigator will decide on this criteria with basis generated during NK cell culture)
Patients with autoimmune diseases
The patients who underwent visceral resection related with Lymphoma.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Seok-Goo Cho, MD,PhD
Organizational Affiliation
Catholic Hematopoietic Stem Cell Transplantation Center in The Catholic University of Korea
Official's Role
Principal Investigator
Facility Information:
Facility Name
The Catholic University of korea
City
Banpo-Dong 505
State/Province
Seoul
ZIP/Postal Code
137-701
Country
Korea, Republic of
12. IPD Sharing Statement
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Biocell Natural Killer Mixture in Diffuse Large B Cell Lymphoma (DLBCL) Patients
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