Prednisolone or Dexamethasone Combined With Chemotherapy in Treating Young Patients With Newly Diagnosed Lymphoblastic Lymphoma
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Purpose
RATIONALE: Drugs used in chemotherapy, such as prednisolone and dexamethasone, work in different ways to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. Giving more than one drug (combination chemotherapy) may kill more cancer cells. It is not yet known whether prednisolone is more effective than dexamethasone when given together with combination chemotherapy in treating lymphoblastic lymphoma.
PURPOSE: This phase III randomized clinical trial is studying prednisolone to see how well it works compared to dexamethasone when given together with combination chemotherapy in treating young patients with newly diagnosed lymphoblastic lymphoma.
| Condition | Intervention | Phase |
|---|---|---|
|
Lymphoma |
Drug: asparaginase Drug: cyclophosphamide Drug: cytarabine Drug: daunorubicin hydrochloride Drug: dexamethasone Drug: doxorubicin hydrochloride Drug: leucovorin calcium Drug: mercaptopurine Drug: methotrexate Drug: prednisolone Drug: thioguanine Drug: vincristine sulfate Procedure: radiation therapy |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Primary Purpose: Treatment |
| Official Title: | Treatment Protocol for T-Cell and B-Precursor Cell Lymphoblastic Lymphoma of the European Inter-Group Co-Operation on Childhood Non-Hodgkin-Lymphoma (EICNHL) |
- Conditional event-free survival [ Designated as safety issue: No ]
- Overall survival [ Designated as safety issue: No ]
- Acute and long-term toxicity [ Designated as safety issue: Yes ]
- Non-lymphoma-related deaths and early deaths (excluding deaths occurring after second line treatment for failure or relapse) [ Designated as safety issue: No ]
| Estimated Enrollment: | 600 |
| Study Start Date: | September 2004 |
| Estimated Primary Completion Date: | December 2009 (Final data collection date for primary outcome measure) |
Show Detailed Description
Eligibility| Ages Eligible for Study: | up to 21 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
DISEASE CHARACTERISTICS:
Histologically or cytologically confirmed lymphoblastic lymphoma (LBL)
- Stage I-IV disease
- T-cell LBL, precursor B-cell LBL, or LBL with an unknown immunophenotype
PATIENT CHARACTERISTICS:
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception during and for 3 months after completion of study treatment
- No known HIV or AIDS infection
- No severe immunodeficiency
- No other prior malignancy
- No prior disease that would preclude treatment with chemotherapy
PRIOR CONCURRENT THERAPY:
- More than 2 months since prior systemic corticosteroids for a duration of > 8 days
- No prior chemotherapy
- No prior radiotherapy
- No prior organ transplant
- No trimethoprim-sulfamethoxazole 6 days before or during methotrexate therapy
- No concurrent participation in another clinical trial
Contacts and Locations| Germany | |
| Kinderklinik | |
| Giessen, Germany, D-35385 | |
| Ireland | |
| Our Lady's Hospital for Sick Children Crumlin | |
| Dublin, Ireland, 12 | |
| United Kingdom | |
| Birmingham Children's Hospital | |
| Birmingham, England, United Kingdom, B4 6NH | |
| Institute of Child Health at University of Bristol | |
| Bristol, England, United Kingdom, BS2 8AE | |
| Addenbrooke's Hospital | |
| Cambridge, England, United Kingdom, CB2 2QQ | |
| Leeds Cancer Centre at St. James's University Hospital | |
| Leeds, England, United Kingdom, LS9 7TF | |
| Leicester Royal Infirmary | |
| Leicester, England, United Kingdom, LE1 5WW | |
| Royal Liverpool Children's Hospital, Alder Hey | |
| Liverpool, England, United Kingdom, L12 2AP | |
| Great Ormond Street Hospital for Children | |
| London, England, United Kingdom, WC1N 3JH | |
| Royal London Hospital | |
| London, England, United Kingdom, E1 1BB | |
| Royal Manchester Children's Hospital | |
| Manchester, England, United Kingdom, M27 4HA | |
| Sir James Spence Institute of Child Health | |
| Newcastle-Upon-Tyne, England, United Kingdom, NE1 4LP | |
| Queen's Medical Centre | |
| Nottingham, England, United Kingdom, NG7 2UH | |
| Oxford Radcliffe Hospital | |
| Oxford, England, United Kingdom, 0X3 9DU | |
| Children's Hospital - Sheffield | |
| Sheffield, England, United Kingdom, S10 2TH | |
| Southampton General Hospital | |
| Southampton, England, United Kingdom, SO16 6YD | |
| Royal Marsden - Surrey | |
| Sutton, England, United Kingdom, SM2 5PT | |
| Royal Belfast Hospital for Sick Children | |
| Belfast, Northern Ireland, United Kingdom, BT12 6BE | |
| Royal Aberdeen Children's Hospital | |
| Aberdeen, Scotland, United Kingdom, AB25 2ZG | |
| Royal Hospital for Sick Children | |
| Edinburgh, Scotland, United Kingdom, EH9 1LF | |
| Royal Hospital for Sick Children | |
| Glasgow, Scotland, United Kingdom, G3 8SJ | |
| Childrens Hospital for Wales | |
| Cardiff, Wales, United Kingdom, CF14 4XW | |
| Study Chair: | Robert F. Wynn, MD | Royal Manchester Children's Hospital |
| Investigator: | Tim O.B. Eden, MB, BS, FRCPE, FRCP, FRCPCH, F | Christie Hospital NHS Foundation Trust |
| Study Chair: | Alfred Reiter, MD | Kinderklinik |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00275106 History of Changes |
| Other Study ID Numbers: | CDR0000454508, CCLG-NHL-2004-08, EU-20598, CCLG-EURO-LIB-02, EICNHL-ERURO-LB02, EUDRACT-2004-0011861-17 |
| Study First Received: | January 10, 2006 |
| Last Updated: | November 10, 2008 |
| Health Authority: | Unspecified |
Keywords provided by National Cancer Institute (NCI):
|
stage I childhood lymphoblastic lymphoma stage II childhood lymphoblastic lymphoma stage III childhood lymphoblastic lymphoma stage IV childhood lymphoblastic lymphoma |
Additional relevant MeSH terms:
|
Lymphoma Precursor Cell Lymphoblastic Leukemia-Lymphoma Lymphoma, Non-Hodgkin Neoplasms by Histologic Type Neoplasms Lymphoproliferative Disorders Lymphatic Diseases Immunoproliferative Disorders Immune System Diseases Leukemia, Lymphoid Leukemia 6-Mercaptopurine Cytarabine Methotrexate Thioguanine |
Cyclophosphamide Asparaginase Daunorubicin Dexamethasone Doxorubicin Prednisolone Methylprednisolone Hemisuccinate Vincristine BB 1101 Dexamethasone acetate Methylprednisolone acetate Prednisolone acetate Methylprednisolone Dexamethasone 21-phosphate Prednisolone hemisuccinate |
ClinicalTrials.gov processed this record on May 23, 2013