Filgrastim and Chemotherapy Followed by Peripheral Stem Cell Transplant in Treating Patients With Hodgkin’s Lymphoma or Non-Hodgkin’s Lymphoma

DISEASE CHARACTERISTICS:

One of the following histologically confirmed diagnoses

High grade non-Hodgkin's lymphoma:

Immunoblastic or small noncleaved cell lymphoma (Burkitt's or non-Burkitt's) in complete or partial remission after initial therapy
Localized (stage I or Zeigler stage A) small noncleaved (Burkitt's or non-Burkitt's) after relapse or incomplete response to initial therapy
Lymphoblastic lymphoma in second or greater complete or partial response
High risk lymphoblastic lymphoma in first complete remission or after initial therapy (high risk factors include stage IV disease, LDH greater than 2 times normal, and 2 or more extranodal sites)

Intermediate grade non-Hodgkin's lymphoma:

Diffuse large cell lymphoma
Diffuse mixed cell lymphoma
Diffuse small cleaved cell lymphoma
Follicular large cell lymphoma
In second or greater complete or partial remission OR

High risk in first complete remission or after initial therapy

High risk features include:

No complete response after 12 weeks of initial combination chemotherapy
Bulky disease (greater than 10 cm nodal masses or mediastinal disease involving greater than 1/3 of the chest diameter
Malignant pleural effusion
Liver involvement
LDH greater than 2 times upper limit of normal at diagnosis
At least 2 extranodal sites

Low grade non-Hodgkin's lymphoma:

Follicular small cleaved cell lymphoma
Follicular mixed cell lymphoma
Diffuse small lymphocytic lymphoma
In first or greater complete response OR
Following initial treatment if complete response is not achieved
In second or greater complete or partial response if treated at diagnosis without clinical symptoms necessitating treatment
T-cell lymphoma (nonlymphoblastic, intermediate, or high grade lymphomas) after initial therapy whether or not complete response is achieved

Hodgkin's lymphoma

Stage I and II disease treated with primary radiotherapy and failure of at least one combination chemotherapy regimen
Stage III and IV disease with failure on mechlorethamine, vincristine, procarbazine, and prednisone (MOPP)-like regimen, alternative noncross resistant regimen (e.g., doxorubicin, bleomycin, vinblastine, and dacarbazine [ABVD]), or a combination (e.g., MOPP-ABV)

High risk features allowed including:

Failure to achieve initial complete remission with MOPP and/or ABVD and crossover or hybrid therapy
Relapse within 6 months after initial therapy
Relapse after initial radiotherapy with complete response longer than 1 year since initial therapy and subsequent failure on MOPP and/or ABVD or hybrid
Bulky mediastinal disease after initial therapy and residual mass of at least 5 cm with other features of persisting disease (e.g., Gallium scan positive, high LDH, enlarging on serial x-rays, or positive biopsy)
No HIV or HTLV-1 associated lymphomas
No resistant or refractory lymphoma (no partial response following up to 3 courses of combination chemotherapy)
No active ischemic or degenerative CNS disease NOTE: A new classification scheme for adult non-Hodgkin's lymphoma has been adopted by PDQ. The terminology of "indolent" or "aggressive" lymphoma will replace the former terminology of "low", "intermediate", or "high" grade lymphoma. However, this protocol uses the former terminology.

PATIENT CHARACTERISTICS:

Age:

70 and under

Performance status:

Age 65-70 years:

Karnofsky 80-100%

Under 65 years:

ECOG 0-1 (2 allowed if symptoms are directly related to lymphoma)

Life expectancy:

Greater than 8 weeks

Hematopoietic:

Not specified

Hepatic:

No prior or current chronic liver disease
Bilirubin no greater than 1.5 mg/dL
AST and alkaline phosphatase less than 2 times normal

Renal:

Age 65-70 years:

Creatinine clearance greater than 60 mL/min (if creatinine at least 1.5 mg/dL)

Under 65 years:

Creatinine no greater than 1.5 mg/dL OR
Creatinine clearance greater than 50 mL/min

Cardiovascular:

LVEF at least 45% by MUGA
No symptoms of cardiac disease
No active ischemic heart disease
No uncontrolled hypertension

Pulmonary:

Age 65-70 years:

If history of smoking or respiratory symptoms, spirometry and DLCO must be greater than 50% of predicted

All ages:

No obstructive airway disease
No resting hypoxemia (PO_2 less than 80)
DLCO at least 50% of predicted

Other:

No poorly controlled diabetes

PRIOR CONCURRENT THERAPY:

Biologic therapy:

Not specified

Chemotherapy:

See Disease Characteristics
Must have prior chemotherapy to attempt to achieve complete response

Endocrine therapy:

Not specified

Radiotherapy:

See Disease Characteristics
No radiotherapy to residual disease prior to transplantation

Surgery:

Not specified

Other:

Concurrent IV antibiotic therapy allowed for fever or signs of infection