Rituximab, Bortezomib, Doxorubicin, Dexamethasone, and Chlorambucil as First-Line Therapy in Treating Older Patients With Stage II, Stage III, or Stage IV Mantle Cell Lymphoma

This study has been completed.
Information provided by:
National Cancer Institute (NCI)
ClinicalTrials.gov Identifier:
First received: August 22, 2008
Last updated: May 10, 2011
Last verified: December 2008

RATIONALE: Monoclonal antibodies, such as rituximab, can block cancer growth in different ways. Some block the ability of cancer cells to grow and spread. Others find cancer cells and help kill them or carry cancer-killing substances to them. Bortezomib may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth and by blocking blood flow to the tumor. Drugs used in chemotherapy, such as doxorubicin, dexamethasone, and chlorambucil, work in different ways to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. Giving combination chemotherapy together with rituximab and bortezomib may kill more cancer cells.

PURPOSE: This phase II trial is studying how well giving rituximab together with bortezomib, doxorubicin, dexamethasone, and chlorambucil works as first-line therapy in treating older patients with stage II, stage III, or stage IV mantle cell lymphoma.

Condition Intervention Phase
Biological: rituximab
Drug: bortezomib
Drug: chlorambucil
Drug: dexamethasone
Drug: doxorubicin hydrochloride
Phase 2

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Masking: Open Label
Primary Purpose: Treatment
Official Title: First-line Treatment of Mantle Cell Lymphoma of Patients Aged 65 to 80 Years. Evaluate the Efficacy, Toxicity, and Molecular Prognostic Factors of a Proteosome Inhibitor (PS341-Velcade®) in Association With Chemotherapy and Immunotherapy With Rituximab (Schema RiPAD + C)

Resource links provided by NLM:

Further study details as provided by National Cancer Institute (NCI):

Primary Outcome Measures:
  • Overall response rate after 4 courses of therapy [ Designated as safety issue: No ]

Estimated Enrollment: 39
Study Start Date: June 2007
Primary Completion Date: May 2011 (Final data collection date for primary outcome measure)
Detailed Description:



  • Evaluate the efficacy of rituximab, bortezomib, doxorubicin hydrochloride, dexamethasone, and chlorambucil as first-line therapy in patients with stage II-IV mantle cell lymphoma.


  • Determine the complete response rate in these patients.
  • Determine the efficacy, in terms of complete and overall response, by F18 fludeoxyglucose scan.
  • Determine overall, disease-free, and event-free survival of these patients.
  • Assess tolerability of this regimen in these patients.
  • Evaluate the impact of factors, described in previous protocols, on response to therapy and survival.
  • Assess the impact of residual disease in cerebrospinal fluid on survival.

OUTLINE: This is a multicenter study.

Patients receive rituximab IV on day 1 (days 1 and 8 of the first course only); bortezomib IV on days 1, 4, 8, and 11; doxorubicin hydrochloride IV continuously over 24 hours on days 1-4; dexamethasone IV on days 1-4; and oral chlorambucil on days 20-29. Treatment repeats every 5 weeks for 4 courses in the absence of disease progression or unacceptable toxicity.

Patients who achieve at least 50% response receive 2 additional courses of therapy.


Ages Eligible for Study:   65 Years to 80 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No


  • Diagnosis of mantle cell lymphoma

    • Stage II-IV disease
  • No neuromeningeal disease


  • WHO performance status 0-2
  • No prior cancer except for carcinoma in situ of the cervix or basal cell skin cancer
  • LVEF > 50%
  • HIV-negative
  • Hepatitis B- and C-negative
  • No hepatocellular, renal, or bone marrow insufficiency unrelated to lymphoma


  • Not specified
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Please refer to this study by its ClinicalTrials.gov identifier: NCT00740415

CHU de Grenoble - Hopital Michallon
Grenoble, France, 38043
Sponsors and Collaborators
Groupe Ouest Est d'Etude des Leucémies et Autres Maladies du Sang GOELAMS
Study Chair: Remy Gressin, MD CHU de Grenoble - Hopital de la Tronche
  More Information

Additional Information:
No publications provided

ClinicalTrials.gov Identifier: NCT00740415     History of Changes
Other Study ID Numbers: CDR0000589544, GOELAMS-MANTEAU-2006-SA, INCA-RECF0475
Study First Received: August 22, 2008
Last Updated: May 10, 2011
Health Authority: United States: Federal Government

Keywords provided by National Cancer Institute (NCI):
contiguous stage II mantle cell lymphoma
noncontiguous stage II mantle cell lymphoma
stage III mantle cell lymphoma
stage IV mantle cell lymphoma

Additional relevant MeSH terms:
Lymphoma, Mantle-Cell
Lymphoma, Non-Hodgkin
Neoplasms by Histologic Type
Lymphoproliferative Disorders
Lymphatic Diseases
Immunoproliferative Disorders
Immune System Diseases
Dexamethasone acetate
Dexamethasone 21-phosphate
Liposomal doxorubicin
BB 1101
Anti-Inflammatory Agents
Therapeutic Uses
Pharmacologic Actions
Autonomic Agents
Peripheral Nervous System Agents
Physiological Effects of Drugs
Central Nervous System Agents
Gastrointestinal Agents
Hormones, Hormone Substitutes, and Hormone Antagonists

ClinicalTrials.gov processed this record on September 29, 2014