Title
Rituximab in Addition to Chemotherapy With Autologous Stem Cell Transplantation as Treatment Diffuse Large B-Cell Lymphoma
Programma di Terapia Per Pazienti Affetti da Linfoma Diffuso a Grandi Cellule B CD20 Positive
Phase
Phase 2Study Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Diffuse Large B-Cell Lymphoma POOR PROGNOSISStudy Participants
94The purpose of this trial was to evaluate efficacy and safety of adding Rituximab to dose-dense and High-Dose Chemotherapy (HDC) with Autologous Stem Cell Transplantation (ASCT) as first line treatment in young patients with DLBCL at Intermediate-High and High risk aaIPI score
1.4 mg/m2 (maximum 2 mg) on day 3
40 mg/m2 from day 1 to 5
375 mg/m2 on day 1
110 mg/m2 on day 3
1200 mg/m2 on day 3
(G-CSF 5 μg/Kg/day) from day 5 to day 11
8 mg/m2 for 3-day
2 g/m2/12 hours for six doses in 3-hour infusion
4 mg/m2/12 hours before ARA-C administration
300 mg/m2 on day -7
100 mg/m2/12 hours
140 mg/m2 on day -2
Involved Field Radiotherapy (IF-RT)
ASCT
Inclusion Criteria: previously untreated aggressive B-cell lymphoma (Diffuse Large B-Cell, Primary Mediastinal, Follicular grade III b Lymphoma); age 18 to 60; III-IV Ann Arbor stage; 0-2 Eastern Cooperative Oncology Group (ECOG) performance status (PS); intermediate-high (IH) and high (H) risk score according to age-adjusted International Prognostic Index (IPI). Patients with Primary Mediastinal Lymphoma were included only if they had advanced stage III or IV disease. Exclusion Criteria: HIV, hepatitis B or C virus seropositivity; CNS involvement at diagnosis; abnormal renal, pulmonary and hepatic function; left ventricular ejection fraction less than 45%; pregnancy.