Non Hodgkin Lymphoma Clinical Trial
Combination Chemotherapy Followed by Peripheral Stem Cell Transplantation in Treating Children With Recurrent or Refractory Hodgkin’s or Non-Hodgkin’s Lymphoma
Summary
RATIONALE: Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die. Peripheral stem cell transplantation may allow doctors to give higher doses of chemotherapy and kill more cancer cells.
PURPOSE: Phase II trial to study the effectiveness of combination chemotherapy followed by peripheral stem cell transplantation in treating children who have recurrent or refractory Hodgkin's lymphoma or non-Hodgkin's lymphoma.
Full Description
OBJECTIVES:
Estimate the failure-free survival rate in a cohort of relapsed Hodgkin's lymphoma and non-Hodgkin's lymphoma patients after retrieval therapy which includes peripheral blood stem cell transplantation (PBSCT) in patients who achieve a complete remission or partial remission.
Estimate the post complete/partial remission failure-free survival rate in these patients.
Characterize the time to recovery of normal bone marrow function after transplantation in these patients.
OUTLINE: Patients receive 2 courses of reinduction chemotherapy followed by bone marrow biopsy and aspirate prior to peripheral blood stem cell (PBSC) harvest. If marrow involvement is still present at harvest, then 2 additional courses of induction chemotherapy are given.
The PBSC transplantation preparative regimen should begin within 2 weeks of completing reinduction therapy course, consisting of the following:
Carmustine IV over 3 hours on days -8, -7, and -6
Etoposide continuous IV over days -8, -7, and -6
Cyclophosphamide IV over 1 hour daily on days -5, -4, -3, and -2
Mesna as a 15 min infusion before each dose of cyclophosphamide then at 3, 6, 9, and 12 hours after initiation of each cyclophosphamide dose Methylprednisolone IV is given to protect lungs from the toxic effects of carmustine.
PROJECTED ACCRUAL: A total of 30 patients will be accrued in each subgroup.
Eligibility Criteria
DISEASE CHARACTERISTICS:
Histologically confirmed non-Hodgkin's lymphoma in first relapse or refractory after primary induction therapy
Histologically confirmed Hodgkin's lymphoma in first relapse after chemotherapy with more than one nodal region involved at relapse or refractory after primary induction therapy (i.e., failed to achieve remission at the conclusion of standard induction chemotherapy)
No prior radiotherapy only for low stage nodal disease
No greater than 4 courses of standard chemotherapy for low stage nodal disease
CSF or bone marrow involvement at time of study entry is allowed
PATIENT CHARACTERISTICS:
Age:
1 to 21 (at initial diagnosis)
Performance status:
Not specified
Life expectancy:
Not specified
Hematopoietic:
Not specified
Hepatic:
SGOT or SGPT less than 2.5 times normal
Bilirubin no greater than 1.5 mg/dL
Renal:
Creatinine less than 1.5 mg/dL
Glomerular filtration rate greater than 60 mL/min as measured by radionuclide scan or 24 hour urine collection for creatinine clearance
Cardiovascular:
Shortening fraction of at least 28% by echocardiogram
Ejection fraction of at least 40% by radionuclide angiogram echocardiogram
Pulmonary:
Total lung capacity (TLC) at least 50% OR
Vital capacity (VC) at least 65% of normal
DLCO at least 55% of normal
For children who are uncooperative to pulmonary function testing, no dyspnea at rest or with mild exercise, and a pulse oximetry of at least 95%
Other:
HIV negative
PRIOR CONCURRENT THERAPY:
Biologic therapy:
Not specified
Chemotherapy:
See Disease Characteristics
Endocrine therapy:
Not specified
Radiotherapy:
See Disease Characteristics
Surgery:
Not specified
Check Your Eligibility
Let’s see if you might be eligible for this study.
What is your age and gender ?
There are 224 Locations for this study
Birmingham Alabama, 35233, United States
Mobile Alabama, 36604, United States
Phoenix Arizona, 85016, United States
Tucson Arizona, 85724, United States
Little Rock Arkansas, 72205, United States
Downey California, 90242, United States
Duarte California, 91010, United States
La Jolla California, 92093, United States
Loma Linda California, 92354, United States
Long Beach California, 90801, United States
Los Angeles California, 90027, United States
Los Angeles California, 90048, United States
Los Angeles California, 90095, United States
Madera California, 93638, United States
Oakland California, 94609, United States
Orange California, 92868, United States
Orange California, 92868, United States
Palo Alto California, 94304, United States
Sacramento California, 95816, United States
Sacramento California, 95817, United States
San Diego California, 92120, United States
San Diego California, 92123, United States
San Francisco California, 94115, United States
San Francisco California, 94143, United States
Santa Barbara California, 93102, United States
Santa Clara California, 95051, United States
Travis Air Force Base California, 94535, United States
Denver Colorado, 80218, United States
Denver Colorado, 80218, United States
Denver Colorado, 80218, United States
Farmington Connecticut, 06360, United States
New Haven Connecticut, 06520, United States
Wilmington Delaware, 19899, United States
Washington District of Columbia, 20007, United States
Washington District of Columbia, 20010, United States
Washington District of Columbia, 20307, United States
Fort Lauderdale Florida, 33316, United States
Fort Myers Florida, 33908, United States
Gainesville Florida, 32610, United States
Hollywood Florida, 33021, United States
Jacksonville Florida, 32207, United States
Miami Florida, 33136, United States
Miami Florida, 33155, United States
Miami Florida, 33176, United States
Orlando Florida, 32803, United States
Orlando Florida, 32806, United States
Pensacola Florida, 32504, United States
St. Petersburg Florida, 33701, United States
Tampa Florida, 33677, United States
West Palm Beach Florida, 33407, United States
Atlanta Georgia, 30322, United States
Atlanta Georgia, 30342, United States
Augusta Georgia, 30912, United States
Macon Georgia, 31201, United States
Savannah Georgia, 31403, United States
Honolulu Hawaii, 96813, United States
Honolulu Hawaii, 96813, United States
Honolulu Hawaii, 96859, United States
Boise Idaho, 83712, United States
Chicago Illinois, 60601, United States
Chicago Illinois, 60612, United States
Chicago Illinois, 60612, United States
Chicago Illinois, 60614, United States
Oak Lawn Illinois, 60453, United States
Park Ridge Illinois, 60068, United States
Peoria Illinois, 61637, United States
Springfield Illinois, 62794, United States
Indianapolis Indiana, 46202, United States
Indianapolis Indiana, 46260, United States
Des Moines Iowa, 50308, United States
Des Moines Iowa, 50309, United States
Iowa City Iowa, 52242, United States
Wichita Kansas, 67214, United States
Lexington Kentucky, 40536, United States
Louisville Kentucky, 40202, United States
New Orleans Louisiana, 70112, United States
New Orleans Louisiana, 70118, United States
New Orleans Louisiana, 70121, United States
Bangor Maine, 04401, United States
Scarborough Maine, 04074, United States
Baltimore Maryland, 21201, United States
Baltimore Maryland, 21225, United States
Baltimore Maryland, 21231, United States
Boston Massachusetts, 02111, United States
Boston Massachusetts, 02115, United States
Springfield Massachusetts, 01107, United States
Worcester Massachusetts, 01655, United States
Ann Arbor Michigan, 48109, United States
Detroit Michigan, 48201, United States
Detroit Michigan, 48202, United States
Detroit Michigan, 48236, United States
East Lansing Michigan, 48824, United States
Flint Michigan, 48503, United States
Grand Rapids Michigan, 49503, United States
Kalamazoo Michigan, 49007, United States
Royal Oak Michigan, 48073, United States
Royal Oak Michigan, 48073, United States
Duluth Minnesota, 55805, United States
Minneapolis Minnesota, 55404, United States
Rochester Minnesota, 55905, United States
Saint Paul Minnesota, 55102, United States
Jackson Mississippi, 39216, United States
Kansas City Missouri, 64108, United States
Saint Louis Missouri, 63104, United States
Saint Louis Missouri, 63110, United States
Omaha Nebraska, 68114, United States
Omaha Nebraska, 68198, United States
Las Vegas Nevada, 89109, United States
Lebanon New Hampshire, 03756, United States
Hackensack New Jersey, 07601, United States
New Brunswick New Jersey, 08903, United States
Newark New Jersey, 07112, United States
Paterson New Jersey, 07503, United States
Summit New Jersey, 07901, United States
Albuquerque New Mexico, 87131, United States
Albany New York, 12208, United States
Bronx New York, 10461, United States
Brooklyn New York, 11201, United States
Brooklyn New York, 11203, United States
Brooklyn New York, 11212, United States
Brooklyn New York, 11219, United States
Buffalo New York, 14263, United States
Manhasset New York, 11030, United States
New Hyde Park New York, 11042, United States
New York New York, 10021, United States
New York New York, 10021, United States
New York New York, 10029, United States
New York New York, 10032, United States
Rochester New York, 14642, United States
Stony Brook New York, 11790, United States
Syracuse New York, 13210, United States
Valhalla New York, 10595, United States
Asheville North Carolina, 28801, United States
Chapel Hill North Carolina, 27599, United States
Charlotte North Carolina, 28232, United States
Charlotte North Carolina, 28233, United States
Durham North Carolina, 27710, United States
Greenville North Carolina, 27858, United States
Winston-Salem North Carolina, 27157, United States
Fargo North Dakota, 58103, United States
Akron Ohio, 44308, United States
Cincinnati Ohio, 45229, United States
Cleveland Ohio, 44106, United States
Cleveland Ohio, 44195, United States
Columbus Ohio, 43205, United States
Dayton Ohio, 45404, United States
Toledo Ohio, 43601, United States
Toledo Ohio, 43608, United States
Youngstown Ohio, 44501, United States
Oklahoma City Oklahoma, 73104, United States
Tulsa Oklahoma, 74136, United States
Tulsa Oklahoma, 74136, United States
Portland Oregon, 97201, United States
Portland Oregon, 97227, United States
Danville Pennsylvania, 17822, United States
Hershey Pennsylvania, 17033, United States
Philadelphia Pennsylvania, 19104, United States
Philadelphia Pennsylvania, 19134, United States
Pittsburgh Pennsylvania, 15213, United States
Providence Rhode Island, 02818, United States
Charleston South Carolina, 29425, United States
Columbia South Carolina, 29203, United States
Greenville South Carolina, 29605, United States
Sioux Falls South Dakota, 57105, United States
Sioux Falls South Dakota, 57117, United States
Johnson City Tennessee, 37604, United States
Knoxville Tennessee, 37901, United States
Memphis Tennessee, 38105, United States
Nashville Tennessee, 37232, United States
Amarillo Texas, 79106, United States
Austin Texas, 78701, United States
Dallas Texas, 75230, United States
Dallas Texas, 75235, United States
Fort Worth Texas, 76104, United States
Galveston Texas, 77555, United States
Houston Texas, 77030, United States
Houston Texas, 77030, United States
Lackland Air Force Base Texas, 78236, United States
Lubbock Texas, 79410, United States
San Antonio Texas, 78207, United States
San Antonio Texas, 78229, United States
Temple Texas, 76508, United States
Salt Lake City Utah, 84112, United States
Burlington Vermont, 05401, United States
Charlottesville Virginia, 22908, United States
Falls Church Virginia, 22042, United States
Norfolk Virginia, 23507, United States
Portsmouth Virginia, 23708, United States
Richmond Virginia, 23298, United States
Roanoke Virginia, 24013, United States
Seattle Washington, 98105, United States
Seattle Washington, 98109, United States
Seattle Washington, 98112, United States
Spokane Washington, 99210, United States
Tacoma Washington, 98415, United States
Tacoma Washington, 98431, United States
Charleston West Virginia, 25302, United States
Huntington West Virginia, 25701, United States
Morgantown West Virginia, 26506, United States
Green Bay Wisconsin, 54301, United States
Green Bay Wisconsin, 54301, United States
Green Bay Wisconsin, 54307, United States
La Crosse Wisconsin, 54601, United States
Madison Wisconsin, 53792, United States
Marshfield Wisconsin, 54449, United States
Milwaukee Wisconsin, 53226, United States
Randwick New South Wales, 2031, Australia
Westmead New South Wales, 2145, Australia
Brisbane Queensland, 4029, Australia
North Adelaide South Australia, 5006, Australia
Parkville Victoria, 3052, Australia
Perth Western Australia, 6001, Australia
Calgary Alberta, T2T 5, Canada
Edmonton Alberta, T6G 1, Canada
Vancouver British Columbia, V6H 3, Canada
Winnipeg Manitoba, R3E 0, Canada
St. John's Newfoundland and Labrador, A1B 3, Canada
Halifax Nova Scotia, B3J 3, Canada
Hamilton Ontario, L8N 3, Canada
London Ontario, N6C 2, Canada
Ottawa Ontario, K1H 8, Canada
Toronto Ontario, M5G 1, Canada
Montreal Quebec, H3H 1, Canada
Montreal Quebec, H3T 1, Canada
Sainte Foy Quebec, GIV 4, Canada
Sainte-Foy Quebec, G1V 4, Canada
Regina Saskatchewan, S4T 7, Canada
Saskatoon Saskatchewan, S7N 4, Canada
Groningen , 9700 , Netherlands
Auckland , , New Zealand
San Juan , 00936, Puerto Rico
Santurce , 00912, Puerto Rico
Bern , CH 30, Switzerland
Geneva , CH 12, Switzerland
Lausanne , CH 10, Switzerland
How clear is this clinincal trial information?

Please confirm you are a US based health care provider:
Yes, I am a health care Provider No, I am not a health care providerSign Up Now.
Take Control of Your Disease Journey.
Sign up now for expert patient guides, personalized treatment options, and cutting-edge insights that can help you push for the best care plan.