Title
Long-Term Follow-up of Tandem High-Dose Therapy With Peripheral Blood Stem Cell for Adults With High-Risk Age-Adjusted IPI Aggressive Non-Hodgkin's Lymphomas
Phase II Study Treatment of High Risk Non-Hodgkin's Lymphomas
Phase
Phase 2Lead Sponsor
French Innovative Leukemia OrganisationStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
LymphomaIntervention/Treatment
prednisone epirubicin cyclophosphamide autologous mononuclear stem cell vindesine ...Study Participants
45Phase II multicenter pilot trial (073) evaluating tandem HDT with PBSC support in aa-IPI=3 untreated aggressive NHL.
High-dose chemotherapy; untreated aggressive non-Hodgkin's lymphoma; high-risk; peripheral blood stem cell support Patients were aged from 15 to 60 years
cyclophosphamide 1200 mg/m² intravenously on day 1 (d1), epirubicin 100 mg/m² intravenously on d1, vindesine 3 mg/m² intravenously on d1 and prednisone 80 mg/m² orally or intravenously on d1-5, with two weeks intervals
The conditioning regimen of the first HDT was mitoxantrone 45 mg/m² intravenously on d1 + cytarabine 1000 mg/m² by a 3-hour infusion every 12 hours from d1-4. The conditioning regimen of the second HDT started d30 to d45 after the first stem cell infusion, and consisted of 1200 cGy total body irradiation (TBI) in 6 twice daily 200 cGy fractionated doses with a 800 cGy pulmonary shielding, followed by CBV: carmustine 300 mg/m² intravenously on d4, etoposide 200 mg/m² intravenously on d5-8 and cyclophosphamide 1500 mg/m² intravenously on d5-8.
Inclusion Criteria: patients aged from 15 to 60 years previously untreated histologically proven aggressive NHL high aa-IPI (equal to 3) proper underlying organ function Exclusion Criteria: transformed low-grade, lymphoblastic, mantle-cell, or Burkitt's lymphoma