Title
Ciclophosphamide, Vincristine, Myocet and Prednisone, With Rituximab in 1st-Line Treatment for Patients With No-Hodgkin B Lymphoma and Cardiovascular (CV) Risk
Phase II, Multicenter Trial to Evaluate the Efficacy and Safety of the Following Treatment Squeme:Ciclophosphamide, Vincristine, Lyposomal Doxorrubicine, Myocet and Prednisone,Combined With Rituximab in First Line Treatment for Patients With Aggresive No Hodgkin B Lymphoma and Cardiovascular Risk
Phase
Phase 2Study Type
InterventionalStatus
Unknown statusIndication/Condition
No Hodgkin B LymphomaIntervention/Treatment
prednisone doxorubicin vincristine cyclophosphamide rituximab ...Study Participants
44The purpose of this study is to evaluate the efficacy (and safety) of the following treatment squeme:Ciclophosphamide, Vincristine, lyposomal Doxorrubicine (Myocet) and Prednisone,combined with Rituximab in first line treatment for patients with aggresive No Hodgkin B lymphoma and cardiovascular risk
Phase II, multicenter, open , 1-arm study.
Pretreatment: vincristine 1mg at day -6 and Methylprednisolone 100 mg from -6 to day 0. Treatment: rituximab 375m/m2 + ciclophosphamide 750 mg/m2 + Vincristine 1.4 mg/m2 + Doxorrubicine 50 mg/m2 at day 1 and every 14d. Prednisone 100 mg/d from day 1 to 5 and every 14 d.
Inclusion Criteria: Patients with histological diagnosis of Lymphoma no Hodgkin B CD20+ high degree of mailgnancy Patients no previously treated stage III o IV Informed consent At least one measurable injury Age >18 ECOG 0-2 Life expectancy >6 months Cardiovascular risk defined as:Mild-moderate systolic dysfunction,isquemic cardiopathy, diabetes mellitus, hypertension,left ventricular hypertrophy, cardiac arrhythmia, moderate pulmonar hypertension adequate organic functionallity (creatinine<2mg/dl;bilirubin<2mg/dl; ALT-AST-FA<5 FSN; neutrphyls total count >1.5x 109/l and platellet count >100x1097l) Use of a contraceptive method during study + 3 months - Exclusion Criteria: stage I or II with IPI=0 Symptomatic tumoral affection of Nervous central system Lymphoma no hodgkin B indolent Lymphoma no hodgkin B mantle-cell Lymphoma no hodgkin T lymphoprolifertaive syndrome post-transplantation or immunosuppression associated cardiovacualr disease symptomatic Cronic infection or acute serious history of neoplasia in past 5 years not able to understand the study or poor protocol adherence Known Hypersensivity to any atudy drug pregnant/lactant women Previous participation in clinicla study in past 30 days Previous treatment with antraciclines or any drug used in this study