Liposomal Vincristine in Treating Patients With Refractory or Relapsed Non-Hodgkin's Lymphoma
Lymphoma
About this trial
This is an interventional treatment trial for Lymphoma focused on measuring recurrent adult diffuse large cell lymphoma, recurrent adult immunoblastic large cell lymphoma, recurrent adult T-cell leukemia/lymphoma, anaplastic large cell lymphoma
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically confirmed aggressive non-Hodgkin's lymphoma including: Peripheral T-cell lymphoma not otherwise specified Anaplastic large null-/T-cell lymphoma Diffuse large B-cell lymphoma including: Primary mediastinal large B-cell lymphoma with sclerosis Intravascular large B-cell lymphoma Immunoblastic B-cell lymphoma T-cell-rich B-cell lymphoma Anaplastic large B-cell lymphoma At least one bidimensionally measurable lesion with clearly defined margins at least 2 cm in the largest dimension by physical examination or CT scan No prior or active CNS lymphoma or AIDS-related lymphoma Must have received 2 or more prior chemotherapy courses from time of diagnosis of aggressive lymphoma or from time of biopsy-proven transformation from indolent to aggressive Prior first and second-line therapy must have been combination chemotherapy Prior first-line chemotherapy regimen must have contained anthracycline Must have had at least a minor response to first-line therapy PATIENT CHARACTERISTICS: Age: 18 and over Performance status: ECOG 0-3 Life expectancy: Not specified Hematopoietic: Granulocyte count at least 500/mm^3 (unless due to lymphoma bone marrow involvement) Platelet count at least 50,000/mm^3 (unless due to lymphoma bone marrow involvement) Hepatic: Bilirubin no greater than 2 times upper limit of normal (ULN) ALT no greater than 4 times ULN Alkaline phosphatase no greater than 4 times ULN Renal: Not specified Neurologic: No prior neurological disorders unrelated to chemotherapy (including familial neurological diseases or acquired demyelinating disorders) No neuromuscular impairment (neuromotor, neurosensory, or neurocerebellar) No prior grade 3 or 4 sensory or motor neuropathy related to chemotherapy Other: No uncontrolled severe medical illness or infection HIV negative No other malignancies within the past 5 years except curatively resected basal cell skin cancer or carcinoma in situ of the cervix Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception PRIOR CONCURRENT THERAPY: Biologic therapy: See Radiotherapy No prior allogeneic bone marrow or peripheral blood stem cell transplantation At least 4 weeks since prior immunotherapy No concurrent biological agents Chemotherapy: See Disease Characteristics At least 4 weeks since prior chemotherapy Endocrine therapy: At least 4 weeks since prior corticosteroids at a dose greater than 10 mg/day of prednisone or equivalent Radiotherapy: Prior involved-field radiotherapy allowed if irradiated area is not the only source of measurable disease Prior total body radiotherapy with high-dose therapy and autologous stem cell transplantation allowed At least 4 weeks since prior radiotherapy No concurrent radiotherapy to any disease site Surgery: At least 4 weeks since prior major surgery except for diagnosis of lymphoma No concurrent surgical removal of any indicator lesion Other: At least 4 weeks since prior alternative or investigational anticancer treatment No other concurrent systemic anticancer therapy No other concurrent investigational drug No concurrent phenytoin No concurrent hepatic drug metabolism inhibitors or inducers (cytochrome P450 isoenzymes in the CYP 3A subfamily)
Sites / Locations
- USC/Norris Comprehensive Cancer Center and Hospital
- Jonsson Comprehensive Cancer Center, UCLA
- Robert H. Lurie Comprehensive Cancer Center, Northwestern University
- University of Illinois at Chicago
- Decatur Memorial Hospital Cancer Care Institute
- Cleveland Clinic Taussig Cancer Center
- University of Texas Health Center at Tyler
- Vermont Cancer Center
- Tom Baker Cancer Center - Calgary