Rituximab adjunctive therapy for Burkitt's lymphoma

ISRCTN ISRCTN90296187
DOI https://doi.org/10.1186/ISRCTN90296187
Secondary identifying numbers National Health Sciences Research NHSRC #15/5ll28l
Submission date
25/05/2016
Registration date
17/06/2016
Last edited
15/11/2024
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
Burkitt’s lymphoma is an uncommon form of non-Hodgkin lymphoma. It is a cancer that affects a type of white blood cells called lymphocytes. The aim of this study is to find out whether the addition of a single dose of the drug rituximab to standard anti-lymphoma treatment will improve outcomes in Burkitt's lymphoma, relapsed and resistant.

Who can participate?
Children aged under 14 with Burkitt's lymphoma

What does the study involve?
All patients receive the standard treatment for Burkitt's lymphoma and are randomly allocated into three groups. Group One receives one additional dose of 375mg/m2 of rituximab on Day 15. Group Two receives one additional dose of 50mg/m2 of rituximab on Day 15. Group Three receives no additional rituximab. The three groups are compared for the number of children in clinical complete remission at the end of chemotherapy and 1 year later.

What are the possible benefits and risks of participating?
Not provided at time of registration

Where is the study run from?
Queen Elizabeth Central Hospital (Malawi)

When is the study starting and how long is it expected to run for?
June 2016 to March 2024

Who is funding the study?
1. Alumni of University of Birmingham (UK)
2. The Scott Hampton Foundation for Burkitt's Research (UK)

Who is the main contact?
Prof. Mark Drayson
m.t.drayson@bham.ac.uk

Contact information

Prof Mark Drayson
Scientific

Clinical Immunology Service
Institute of Immunology and Immunotherapy
Medical School
University of Birmingham
Edgbaston
Birmingham
B15 2TT
United Kingdom

Phone +44 (0)121 414 4069
Email m.t.drayson@bham.ac.uk
Dr George Chagaluka
Scientific

The Paediatric Department
Queen Elizabeth Central Hospital
Blantyre
Box 95
Malawi

Prof Elizabeth Molyneux
Scientific

The Paediatric Department
Queen Elizabeth Central Hospital
Blantyre
Box 95
Malawi

Study information

Study designOpen-label randomised phase II study
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details to request a patient information sheet
Scientific titleAn open-label, randomised, phase 2 study of rituximab as adjunctive therapy in the treatment of Burkitt’s lymphoma at QECH, Blantyre, Malawi
Study acronymRIBULY
Study objectivesAddition of rituximab to standard anti-lymphoma therapy will improve outcome in newly diagnosed, relapsed and resistant Burkitt's Lymphoma.
Ethics approval(s)National Health Sciences Research Committee, Ministry Of Health, Lilongwe 3, Malawi, 12/06/2015, ref: NHSRC #15/5ll28l
Health condition(s) or problem(s) studiedBurkitt's lymphoma
InterventionThis study tests whether the addition of a single dose of rituximab to standard anti-lymphoma therapy will improve outcome in newly diagnosed, relapsed and resistant eBL. All patients will receive the standard therapy for Burkitt's lymphoma and will be randomised into 3 groups:

Group One will receive 1 additional dose of 375mg/m2 of rituximab on Day 15
Group Two will receive 1 additional dose of 50mg/m2 of rituximab on Day 15
Group Three will receive no additional rituximab

The study will compare between these three groups for the number of children in Clinical Complete Remission at the end of chemotherapy and a year later.
Intervention typeDrug
Pharmaceutical study type(s)
PhasePhase II
Drug / device / biological / vaccine name(s)Not provided at time of registration
Primary outcome measureClinical Complete Remission rate at end of chemotherapy
Secondary outcome measures1. Clinical Complete Remission rate at one year post chemotherapy
2. Severe adverse effects of rituximab
Overall study start date20/06/2016
Completion date01/03/2024

Eligibility

Participant type(s)Patient
Age groupChild
Upper age limit14 Years
SexBoth
Target number of participantsA total of 180 cases are expected to be enrolled in 3 yrs
Total final enrolment293
Key inclusion criteria1. Child <14 yrs of age with proven Burkitt's lymphoma (BL) or relapse or resistant BL
2. After full information, the guardians have given written informed consent, and the child if appropriate will be asked for assent
3. The guardian and patient will be willing and able to complete treatment and follow-up
Key exclusion criteria1. Patients known to be allergic to trial medications
2. Patients or their guardians who do not consent
3. Pregnant and/or breastfeeding patients
Date of first enrolment20/06/2016
Date of final enrolment01/03/2023

Locations

Countries of recruitment

  • Malawi

Study participating centre

Queen Elizabeth Central Hospital
Paediatric Department
Blantyre
PO Box 95
Malawi

Sponsor information

University of Malawi College of Medicine
University/education

Private Bag 360
Chichiri
Blantyre
Box 3
Malawi

Phone +265 (0)1 871 911
Email registrar@medcol.mw
Website http://www.medcol.mw/contact-us/
ROR logo "ROR" https://ror.org/04vtx5s55

Funders

Funder type

University/education

Alumni of University of Birmingham, UK

No information available

The Scott Hampton Foundation for Burkitt's Research

No information available

Results and Publications

Intention to publish date30/06/2025
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination plan
IPD sharing planThe datasets generated during and/or analysed during the current study are/will be available upon request from the TMG. Summary data including baseline characteristics and outcome data will be available after the primary publication for up to 5 years from the end of the study. Data will be shared with any researchers for whom the scope and purpose of the data sharing are agreed by the TMG, all participants have agreed to use of data for research, no identifiable data will be released and patients will have a unique trial number assigned. The researchers encourage data sharing and all reasonable requests will be reviewed favourably.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Abstract results 20/10/2024 15/11/2024 No No

Additional files

ISRCTN90296187 SIOP 2024 Abstract.pdf

Editorial Notes

15/11/2024: The following changes were made to the trial record:
1. The total final enrolment was changed from 220 to 293.
2. Publication reference added.
11/05/2022: The following changes have been made:
1. The recruitment end date has been changed from 01/06/2019 to 01/03/2023.
2. The overall trial end date has been changed from 31/05/2022 to 01/03/2024 and the plain English summary has been updated to reflect this change.
3. The intention to publish date has been changed from 30/11/2022 to 30/11/2024.
06/05/2021: The following changes were made to the trial record:
1. The overall trial end date was changed from 31/05/2020 to 31/05/2022.
2. The intention to publish date was changed from 31/05/2021 to 30/11/2022.
3. The total final enrolment number and IPD sharing statement were added.
22/02/2018: Plain English summary added.