Title
Study of Standard CHOP Versus Biweekly CHOP in Aggressive Non-Hodgkin's Lymphoma (JCOG9809)
Randomized Phase III Study of Standard CHOP (S-CHOP) Versus Biweekly CHOP (Bi-CHOP) in Aggressive Non-Hodgkin's Lymphoma (JCOG9809)
Phase
Phase 3Lead Sponsor
Japan Clinical Oncology GroupStudy Type
InterventionalStatus
TerminatedIndication/Condition
Non-Hodgkin's LymphomaIntervention/Treatment
prednisone doxorubicin vincristine cyclophosphamide cycloheximide ...Study Participants
450The purpose of this trial is to investigate the clinical benefit of the dose intensified regimen, Bi-CHOP in comparison to standard CHOP for advanced intermediate or high grade non-Hodgkin's lymphoma (NHL).
The purpose of JCOG9809 was to determine whether treatment results of aggressive NHL could be improved by shortening intervals of CHOP chemotherapy with the prophylactic use of G-CSF. The primary endpoint was Progression Free Survival (PFS), and the planned accrual was 450. Until December, 2002, 323 patients with advanced aggressive NHL were randomized to standard CHOP arm (CHOP x 8, every three weeks) and biweekly CHOP arm (CHOP x 8, every two weeks).
Inclusion Criteria: Intermediate- or high-grade non-Hodgkin's lymphoma, excluding cutaneous t-cell lymphoma (CTCL), adult T-cell leukemia-lymphoma (ATL) and T-cell lymphoblastic lymphoma (T-LbL) (Working Formulation) Ann Arbor stage: II, III, IV No prior chemotherapy or radiotherapy Age: 15 to 69 Performance status (PS): 0, 1, 2 WBC >= 3,000 /mm3, ANC >= 1,200 /mm3, Platelet >= 75,000 /mm3 GOT/GPT <= 5 x Normal Upper Limit, T-Bil <= 2.0 mg/dL Creatinine <= 2.0 mg/dL Normal ECG, Ejection Fraction >= 50% PaO2 >= 65 mmHg Written informed consent Exclusion Criteria: Uncontrollable diabetes mellitus Severe complication (infection, heart failure, renal failure, liver failure, etc) Anamnesis of heart disease Acute or chronic hepatitis, liver cirrhosis and portal hypertension Synchronous or metachronous malignancy Severe pulmonary dysfunction Central nervous system (CNS) invasion HIV positive Hepatitis B surface antigen (HBs-Ag) positive Hepatitis C virus antibody (HCV-Ab) positive