Chlorambucil versus chlorambucil plus rituximab versus rituximab alone in malt lymphoma
ISRCTN | ISRCTN11144129 |
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DOI | https://doi.org/10.1186/ISRCTN11144129 |
Secondary identifying numbers | 1294 |
- Submission date
- 18/06/2010
- Registration date
- 18/06/2010
- Last edited
- 19/10/2018
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year
Plain English summary of protocol
Contact information
Mrs Louisa Little
Scientific
Scientific
MP131, University of Southampton Clinical Trials Unit
Tremona Road
Southampton
SO16 6YD
United Kingdom
Phone | +44 23 8120 5331 |
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lal@soton.ac.uk |
Study information
Study design | Multicentre randomised interventional treatment trial |
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Primary study design | Interventional |
Secondary study design | Randomised controlled trial |
Study setting(s) | Hospital |
Study type | Treatment |
Participant information sheet | Not available in web format, please use the contact details below to request a patient information sheet |
Scientific title | Multi-centre randomised trial of chlorambucil versus chlorambucil plus rituximab versus rituximab alone in extranodal marginal zone b-cell lymphoma of mucosa associated lymphoid tissue (malt lymphoma) |
Study acronym | IELSG19/MALT Trial |
Study objectives | The aim of the study is to assess the therapeutic activity and the safety of the combination of chlorambucil and rituximab in mucosa associated lymphoid tissue (MALT) lymphomas and to determine whether the addition of ritxuiamb to chlorambucil will improve the outcome of MALT lymphoma in comparison to treatment with chlorambucil alone. Also to compare the anti-tumor activity and safety of rituximab alone versus chlorambucil alone. |
Ethics approval(s) | South East Multi-Centre Research Ethics Committee, 30/04/2003 (ref: 03/1/031). Amendment approved on the 30/10/2006. |
Health condition(s) or problem(s) studied | Topic: National Cancer Research Network; Subtopic: Lymphoma; Disease: Lymphoma (non-Hodgkin's) |
Intervention | ARM A: Chlorambucil 6 mg/m2 daily orally (p.o.) for 42 consecutive days (weeks 1 - 6) ARM B: Chlorambucil 6 mg/m2 daily p.o. for 42 consecutive days (weeks 1 - 6) and rituximab 375 mg/m2 intravenous (iv) on days 1, 8, 15, 22 during the first month (4 weekly doses) ARM C: Rituximab 375 mg/m2 iv on days 1, 8, 15, 22 during the first month (4 weekly doses) Study entry: single randomisation only |
Intervention type | Drug |
Pharmaceutical study type(s) | |
Phase | Phase III |
Drug / device / biological / vaccine name(s) | Chlorambucil, rituximab |
Primary outcome measure | Event-free-survival (EFS) (failure or death from any cause) for all patients |
Secondary outcome measures | 1. Complete and partial remission rates for all patients 2. Response duration (time to relapse or progression) for responder patients 3. Progression-free-survival (PFS) (disease progression or death from lymphoma: for all patients 4. Overall survival for all patients 5. Acute and long-term toxicity |
Overall study start date | 01/08/2003 |
Completion date | 30/06/2010 |
Eligibility
Participant type(s) | Patient |
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Age group | Adult |
Lower age limit | 18 Years |
Sex | Both |
Target number of participants | Planned sample size: 450 |
Key inclusion criteria | To be eligible for inclusion in this trial, patients must fulfill all the following criteria: 1. Histologically proven diagnosis of CD20-positive marginal zone B-cell lymphoma of MALT type arisen at any extranodal site 2. Any stage (Ann Arbor I - IV) 3. Either de novo, or relapsed disease following local therapy (including surgery, radiotherapy and antibiotics for H. pylori-positive gastric lymphoma) 4. No evidence of histologic transformation to a high grade lymphoma 5. Measurable or evaluable disease 6. Aged greater than 18 years 7. Life expectancy of at least 1 year 8. Eastern Cooperative Oncology Group (ECOG) performance status 0 - 2 9. No prior diagnosis of neoplasm within 5 years, except cervical intraepithelial neoplasia type 1 (CIN1) or localised non-melanomatous skin cancer 10. No prior chemotherapy 11. No prior immunotherapy with any anti-CD20 monoclonal antibody 12. No prior radiotherapy in the last 6 weeks 13. No corticosteroids during the last 28 days, unless prednisone chronically administered at a dose less than 20 mg/day for indications other than lymphoma or lymphoma-related symptoms 14. No evidence of clinically significant cardiac disease, as defined by history of symptomatic ventricular arrhytmias, congestive heart failure or myocardial infarction within 12 months before study entry 15. No evidence of symptomatic central nervous system (CNS) disease 16. No impairment of bone marrow function (white blood cells [WBC] greater than 3.0 x 10^9/L, absolute neutrophil count [ANC] greater than 1.5 x 10^9/L, platelets [PLT] greater than 100 x 10^9/L), unless due to lymphoma involvement 17. No major impairment of renal function (serum creatinine less than 1.5 x upper normal) or liver function (aspartate aminotransferase [ASAT]/alanine aminotransferase [ALAT] less than 2.5 upper normal, total bilirubin less than 2.5 x upper normal), unless due to lymphoma involvement 18. No evidence of active opportunistic infections 19. No known human immunodeficiency virus (HIV) infection 20. No active hepatitis B virus (HBV) and/or hepatitis C virus (HCV) infection 21. No pregnant or lactating status 22. Appropriate contraceptive method in women of childbearing potential or men 23. Absence of any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule; those conditions should be discussed with the patient before registration in the trial 24. Informed consent must be given according to national/local regulations before randomisation |
Key exclusion criteria | Does not meet inclusion criteria |
Date of first enrolment | 01/08/2003 |
Date of final enrolment | 30/06/2010 |
Locations
Countries of recruitment
- England
- United Kingdom
Study participating centre
MP131, University of Southampton Clinical Trials Unit
Southampton
SO16 6YD
United Kingdom
SO16 6YD
United Kingdom
Sponsor information
Southampton University Hospitals NHS Trust (UK)
Hospital/treatment centre
Hospital/treatment centre
Tremona Road
Southampton
SO16 6YD
England
United Kingdom
Website | http://www.soton.ac.uk/ |
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https://ror.org/0485axj58 |
Funders
Funder type
Research organisation
International Extranodal Lymphoma Study Group (UK)
No information available
Results and Publications
Intention to publish date | |
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Individual participant data (IPD) Intention to share | No |
IPD sharing plan summary | Not provided at time of registration |
Publication and dissemination plan | Not provided at time of registration |
IPD sharing plan |
Study outputs
Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
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Plain English results | No | Yes |
Editorial Notes
19/10/2018: Cancer Research UK lay results summary link added to Results (plain English)
12/12/2017: No publications found in PubMed, verifying study status with principal investigator.