Non Hodgkin Lymphoma Clinical Trial
Monoclonal Antibody Therapy in Treating Patients With Relapsed or Refractory Non-Hodgkin’s Lymphoma
Summary
RATIONALE: Monoclonal antibodies can locate cancer cells and either kill them or deliver cancer-killing substances to them without harming normal cells.
PURPOSE: Randomized phase II trial to compare the effectiveness of two different monoclonal antibody regimens in treating patients who have relapsed or refractory non-Hodgkin's lymphoma.
Full Description
OBJECTIVES:
Compare the relative safety of 3 different regimens of monoclonal antibody Hu1D10 in patients with relapsed or refractory grade I, II, or III B-cell non-Hodgkin's lymphoma.
Compare the preliminary tumor response and progression-free survival of patients treated with these regimens.
OUTLINE: This is a randomized, multicenter study. Patients are randomized to 1 of 3 treatment arms.
Arm I: Patients receive monoclonal antibody (MOAB) Hu1D10 IV over approximately 2 hours on days 1, 8, 15, and 22.
Arm II: Patients receive MOAB Hu1D10 as in arm I at a higher dose.
Arm III:Patients receive MOAB Hu1D10 IV on days 1, 3, 5, 8, 10, 12, 15, 17, 19, 22, 24, and 26.
Treatment in all arms continues in the absence of disease progression or unacceptable toxicity.
Patients are followed at weeks 1, 4, and 12 and then at months 6, 9, 12, 18, and 24.
PROJECTED ACCRUAL: A total of 60 patients will be accrued for this study.
Eligibility Criteria
DISEASE CHARACTERISTICS:
Histologically confirmed relapsed or refractory grade I, II, or III non-Hodgkin's lymphoma (NHL), including follicular, small lymphocytic, or marginal zone/MALT lymphoma
Previously treated with radiotherapy, immunotherapy, and/or chemotherapy for NHL
Progression of disease or no response since last treatment for NHL
1D10+ lymphoma by immunohistochemistry or flow cytometry
Bidimensionally measurable disease at least 2 cm in a single dimension
No CNS metastases
Circulating tumor cells no greater than 5,000/mm^3
PATIENT CHARACTERISTICS:
Age:
18 and over
Performance status:
ECOG 0-2
Life expectancy:
At least 3 months
Hematopoietic:
Platelet count at least 75,000/mm^3 (unless disease related)
Neutrophil count at least 1,000/mm^3 (unless disease related)
Hemoglobin greater than 8.0 g/dL
Hepatic:
Bilirubin less than 2.5 mg/dL
SGOT less than 4 times upper limit of normal
Renal:
Creatinine less than 2.5 mg/dL
Cardiovascular:
No clinically significant cardiac disease (New York Heart Association class III or IV)
No evidence of myocardial infarction or cardiac arrhythmia (unless surgically repaired) within the past 6 months
Pulmonary:
No clinically significant pulmonary disease
Other:
No other malignancy within the past 2 years except non-melanoma skin cancer or carcinoma in situ
No significant psychiatric or CNS impairment
No active serious infection
Not pregnant or nursing
Negative pregnancy test
Fertile patients must use effective contraception during and for 1 month after study
Negative anti-Hu1D10 antibody response (HAHA/HAMA)
HIV negative
PRIOR CONCURRENT THERAPY:
Biologic therapy:
See Disease Characteristics
At least 4 weeks since prior interferon therapy
At least 3 months since prior immunotherapy
No prior monoclonal antibody Hu1D10
Chemotherapy:
See Disease Characteristics
At least 4 weeks since prior cytotoxic chemotherapy
Endocrine therapy:
At least 4 weeks since prior corticosteroids (more than 10 mg prednisone/day)
No concurrent corticosteroids at more than 10 mg prednisone/day for pre-existing diseases or adverse reactions
Radiotherapy:
See Disease Characteristics
At least 4 weeks since prior external beam radiotherapy
At least 3 months since prior radioimmunotherapy
Surgery:
Not specified
Other:
No other concurrent lymphoma therapy
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There is 1 Location for this study
Freemont California, 94555, United States
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