Rituximab, Prednisone, Cyclophosphamide, Doxorubicin, Vincristine, and Yttrium Y 90 Ibritumomab Tiuxetan in Treating Patients With Previously Untreated Mantle Cell Lymphoma
Lymphoma
About this trial
This is an interventional treatment trial for Lymphoma focused on measuring contiguous stage II mantle cell lymphoma, noncontiguous stage II mantle cell lymphoma, stage III mantle cell lymphoma, stage IV mantle cell lymphoma
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically confirmed mantle cell lymphoma with expression of bcl-1 and CD20 Stage II-IV disease Measurable or evaluable disease Measurable disease defined as at least 1 bidimensionally measurable lesion at least 2 cm by imaging scan A spleen at least 17 cm or having discrete filling defects by CT scan will constitute evaluable disease provided that no explanation other than lymphomatous involvement (e.g., portal hypertension or other liver disease) is likely No known CNS lymphoma PATIENT CHARACTERISTICS: Age 18 and over Performance status ECOG 0-2 Life expectancy At least 6 months Hematopoietic WBC greater than 2,500/mm^3* Platelet count greater than 100,000/mm^3* NOTE: *Unless due to disease in bone marrow Hepatic Bilirubin less than 1.5 mg/dL (1.5-3.0 mg/dL if due to liver involvement by lymphoma) ALT and AST no greater than 2.5 times upper limit of normal (unless due to liver involvement by lymphoma) Renal Creatinine less than 2.0 mg/dL Calcium no greater than 11.5 mg/dL Cardiovascular LVEF greater than 45% Other Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception during and for 1 year after study participation HIV negative No other malignancy except treated carcinoma in situ of the cervix or squamous cell or basal cell skin cancer or any other surgically cured malignancy from which the patient has been disease-free for at least 3 years No other concurrent serious medical condition or active infection that would preclude ability to deliver standard prednisone, cyclophosphamide, doxorubicin, and vincristine (CHOP) chemotherapy PRIOR CONCURRENT THERAPY: Biologic therapy No prior immunotherapy Chemotherapy No prior chemotherapy Endocrine therapy Prior corticosteroids allowed provided the course was no more than 2 weeks in duration Radiotherapy No prior radiotherapy Surgery Not specified
Sites / Locations
- Comprehensive Cancer Center at University of Alabama at Birmingham
- CCOP - Mayo Clinic Scottsdale Oncology Program
- City of Hope Comprehensive Cancer Center
- Veterans Affairs Medical Center - Palo Alto
- Stanford Cancer Center at Stanford University Medical Center
- CCOP - Colorado Cancer Research Program, Incorporated
- CCOP - Christiana Care Health Services
- MBCCOP - Howard University Cancer Center
- Veterans Affairs Medical Center - Gainesville
- Veterans Affairs Medical Center - Miami
- H. Lee Moffitt Cancer Center and Research Institute at University of South Florida
- Veterans Affairs Medical Center - Tampa (Haley)
- Winship Cancer Institute of Emory University
- Veterans Affairs Medical Center - Atlanta (Decatur)
- Veterans Affairs Medical Center - Lakeside Chicago
- Robert H. Lurie Comprehensive Cancer Center at Northwestern University
- CCOP - Central Illinois
- CCOP - Evanston
- CCOP - Illinois Oncology Research Association
- Swedish-American Regional Cancer Center
- CCOP - Carle Cancer Center
- Indiana University Cancer Center
- Veterans Affairs Medical Center - Indianapolis (Roudebush)
- CCOP - Northern Indiana CR Consortium
- CCOP - Cedar Rapids Oncology Project
- CCOP - Iowa Oncology Research Association
- John Stoddard Cancer Center at Iowa Methodist Medical Center
- Mercy Cancer Center at Mercy Medical Center - Des Moines
- John Stoddard Cancer Center at Iowa Lutheran Hospital
- Burgess Health Center
- CCOP - Wichita
- Veterans Affairs Medical Center - Wichita
- MBCCOP - LSU Health Sciences Center
- CCOP - Ochsner
- Cancer Center at Tufts - New England Medical Center
- Beth Israel Deaconess Medical Center
- CCOP - Michigan Cancer Research Consortium
- CCOP - Kalamazoo
- CCOP - Duluth
- Veterans Affairs Medical Center - Minneapolis
- University of Minnesota Cancer Center
- Mayo Clinic Cancer Center
- CCOP - Metro-Minnesota
- Veterans Affairs Medical Center - Omaha
- CCOP - Missouri Valley Cancer Consortium
- Midlands Cancer Center at Midlands Community Hospital
- CCOP - Southern Nevada Cancer Research Foundation
- Norris Cotton Cancer Center at Dartmouth-Hitchcock Medical Center
- Veterans Affairs Medical Center - East Orange
- CCOP - Northern New Jersey
- Cancer Institute of New Jersey at UMDNJ - Robert Wood Johnson Medical School
- MBCCOP - University of New Mexico HSC
- Albert Einstein Cancer Center at Albert Einstein College of Medicine
- MBCCOP-Our Lady of Mercy Cancer Center
- Veterans Affairs Medical Center - Brooklyn
- Veterans Affairs Medical Center - New York
- NYU Cancer Institute at New York University Medical Center
- CCOP - Merit Care Hospital
- MetroHealth's Cancer Care Center at MetroHealth Medical Center
- Cleveland Clinic Taussig Cancer Center
- CCOP - Columbus
- CCOP - Toledo Community Hospital
- CCOP - Oklahoma
- CCOP - Geisinger Clinic and Medical Center
- Penn State Cancer Institute at Milton S. Hershey Medical Center
- Hahnemann University Hospital
- Abramson Cancer Center of the University of Pennsylvania
- Fox Chase Cancer Center
- Hillman Cancer Center at University of Pittsburgh Cancer Institute
- Veterans Affairs Medical Center - Pittsburgh
- CCOP - MainLine Health
- CCOP - Sioux Community Cancer Consortium
- Veterans Affairs Medical Center - Tennessee Valley Healthcare System - Nashville Campus
- Vanderbilt-Ingram Cancer Center at Vanderbilt Medical Center
- CCOP - Scott and White Hospital
- CCOP - St. Vincent Hospital Cancer Center, Green Bay
- Veterans Affairs Medical Center - Madison
- University of Wisconsin Comprehensive Cancer Center
- CCOP - Marshfield Clinic Research Foundation
- Medical College of Wisconsin Cancer Center
- Veterans Affairs Medical Center - Milwaukee (Zablocki)
- Westmead Hospital
- Instituto de Enfermedades Neoplasicas
- MBCCOP - San Juan
- Veterans Affairs Medical Center - San Juan
- San Juan City Hospital
- Pretoria Academic Hospital