Effect of recombinant Granulocyte Colony-Stimulating Factor (G-CSF) on the results of chemotherapy (CHOP) in elderly patients with intermediate-/high-grade Non-Hodgkin's Lymphoma: a prospective phase III study

ISRCTN ISRCTN26340837
DOI https://doi.org/10.1186/ISRCTN26340837
Secondary identifying numbers HO25
Submission date
20/12/2005
Registration date
20/12/2005
Last edited
09/11/2007
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

Not provided at time of registration

Study website

Contact information

Prof P Sonneveld
Scientific

Erasmus University Medical Centre
Department of Haematology
P.O. Box 2040
Rotterdam
3000 CA
Netherlands

Phone +31 (0)10 463 3589
Email p.sonneveld@erasmusmc.nl

Study information

Study designMulticentre, randomised, active controlled, parallel group trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific title
Study acronymHOVON 25 NHL
Study objectivesThe hypothesis to be tested is that the outcome in arm B is better than in arm A.

Objectives:
1. Evaluation of the effect of G-CSF on response and survival of Non-Hodgkin's Lymphoma (NHL) to therapy
2. Evaluation of the effect of prophylactic G-CSF on treatment-related morbidity and mortality
3. Evaluation of possible beneficial effect of G-CSF on patient adherence to Relative Dose Intensity of the standard therapy.
Ethics approval(s)Ethics approval received from the local medical ethics committee
Health condition(s) or problem(s) studiedNon Hogdkin's Lymphoma (NHL)
InterventionPatients will be randomised at entry between:
Arm A: CHOP every 3 weeks, 6 or 8 courses
Arm B: CHOP every 3 weeks, 6 or 8 courses and 300 mcg subcutaneous (s.c.) daily G-CSF

CHOP consists of cyclophosphamide, doxorubicin, vincristine and prednisone.
Intervention typeDrug
Pharmaceutical study type(s)
PhasePhase III
Drug / device / biological / vaccine name(s)Granulocyte Colony-Stimulating Factor (G-CSF), cyclophosphamide, doxorubicin, vincristine and prednisone (CHOP)
Primary outcome measureComplete Remission (CR) rate.
Secondary outcome measures1. Relapse rate
2. Event-free survival
3. Overall survival
4. Treatment-related morbidity
5. Therapy-related hospital admissions
6. Mortality
Overall study start date01/08/1994
Completion date05/09/2000

Eligibility

Participant type(s)Patient
Age groupSenior
SexBoth
Target number of participants410
Key inclusion criteria1. Previously untreated Non-Hodgkin’s Lymphoma
2. Ann Arbor stage II, III or IV
3. Intermediate- or high grade malignancy (Working Formulation), confirmed by histology
4. Aged greater than or equal to 65 years
5. Informed consent
Key exclusion criteria1. Treatment for NHL with chemotherapy or radiotherapy (local irradiation to life-threatening tumor infiltration is allowed)
2. Lymphoblastic lymphoma
3. Other malignant diseases, except localized squamous skin carcinoma
4. Severe heart failure requiring symptomatic treatment or a cardiac ejection fraction of less than 45%
5. Inadequate liver or renal function, ie serum creatinine or serum bilirubin > 15x the upper normal value, except when related to lymphoma organ infiltration
6. HIV positivity
Date of first enrolment01/08/1994
Date of final enrolment05/09/2000

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Erasmus University Medical Centre
Rotterdam
3000 CA
Netherlands

Sponsor information

Dutch Haemato-Oncology Association (Stichting Hemato-Oncologie Volwassenen Nederland) (HOVON) (Netherlands)
Research organisation

Vrije University Medical Centre (VUMC)
PO Box 7057
Amsterdam
1007 MB
Netherlands

Phone +31 (0)20 444 2693
Email hdc@hovon.nl
Website http://www.hovon.nl/
ROR logo "ROR" https://ror.org/056kpdx27

Funders

Funder type

Industry

Johnson & Johnson (The Netherlands)
Government organisation / For-profit companies (industry)
Alternative name(s)
Johnson & Johnson, johnson & Johnson Services, Inc., Johnson&Johnson, 强生公司, Johnson & Johnson Private Limited, ジョンソン・エンド・ジョンソント, J&J, JNJ
Location
United States of America
Commission for Medical Applied Research (Commissie voor Klinisch Toegepast Onderzoek [CKTO]) (The Netherlands)

No information available

Stichting Hemato-Oncologie voor Volwassenen Nederland (HOVON) (The Netherlands)

No information available

Roche Nederland B.V. (The Netherlands)

No information available

Amgen (The Netherlands)
Government organisation / For-profit companies (industry)
Alternative name(s)
Amgen Inc., Applied Molecular Genetics Inc.
Location
United States of America
Novartis Pharma B.V. (The Netherlands)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article Results 15/08/2003 Yes No