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Radiolabeled Monoclonal Antibody in Treating Patients With Previously Treated Large Cell Lymphoma



Radiolabeled Monoclonal Antibody in Treating Patients With Previously Treated Large Cell Lymphoma

For Condition: recurrent adult diffuse large cell lymphoma
Status: No longer recruiting
Sponsor(s): National Cancer Institute (NCI) , Ireland Cancer Center
Synopsis: RATIONALE: Radiolabeled monoclonal antibodies can locate tumor cells and deliver tumor-killing substances such as radioactive iodine to them without harming normal cells. PURPOSE: Phase I trial to study the effectiveness of radiolabeled monoclonal antibodies in treating patients who have large cell lymphoma that has been previously treated.
Details: OBJECTIVES: I. Determine the maximum tolerated dose of iodine I 131 monoclonal antibody Lym-1 in patients with previously treated diffuse large cell lymphoma. II. Determine the safety of this drug in these patients. III. Determine the response of patients to this drug. PROTOCOL OUTLINE: This is a dose-escalation, multicenter study. Patients receive unlabeled monoclonal antibody Lym-1 IV over 40 minutes followed 15-30 minutes later by iodine I 131 monoclonal antibody Lym-1 IV over 2 minutes. Cohorts of 3-6 patients receive escalating doses of iodine I 131 monoclonal antibody Lym-1 until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which at least 2 of 3 or 2 of 6 patients experience dose-limiting toxicity. Patients are followed weekly for 8 weeks and then every 3 months for 1 year. PROJECTED ACCRUAL: A total of 8-36 patients will be accrued for this study.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: 
Protocol Entry Criteria: PROTOCOL ENTRY CRITERIA: --Disease Characteristics-- Histologically confirmed B-cell diffuse large cell lymphoma - L-26 positive (i.e., CD20-positive) Failed 2 prior chemotherapy regimens At least 1 measurable lesion - At least 2 cm by physical exam or CT scan No active lymphomatous meningitis or other CNS involvement by lymphoma No significant marrow involvement (i.e., more than 20% of hematopoietic marrow elements from iliac crest biopsy) --Prior/Concurrent Therapy-- Biologic therapy: - No prior bone marrow or peripheral blood stem cell transplantation - No prior radioimmunotherapy - Prior unlabeled monoclonal antibody therapy allowed - At least 120 hours since prior filgrastim (G-CSF) or sargramostim (GM-CSF) - At least 1 month since prior epoetin alfa Chemotherapy: - See Disease Characteristics - No concurrent chemotherapy Endocrine therapy: Not specified Radiotherapy: - See Biologic therapy - No prior total body irradiation (TBI) - At least 6 months since prior radiotherapy (over 3,00 cGy) to more than 20% of marrow-bearing space (i.e., pelvis and spine) - No concurrent large-field radiotherapy (i.e., TBI, hemibody radiation, or radiation fields that include more than 20% of active marrow to a dose of over 3,000 cGy) - Concurrent localized radiotherapy is allowed to current or impending serious complication (e.g., bronchial obstruction by hilar lymph nodes or impending fracture due to lytic bone lesions) Surgery: Not specified Other: - Recovered from prior anti-lymphoma therapy - At least 120 hours since prior whole blood or platelet transfusion - No concurrent anticoagulants or antiplatelet drugs - No concurrent medications known to inhibit blood clotting or platelet aggregation (e.g., aspirin) --Patient Characteristics-- Age: 18 and over Performance status: Karnofsky 60-100% Life expectancy: At least 3 months Hematopoietic: - WBC at least 3,500/mm3 - Granulocyte count at least 1,500/mm3 - Platelet count at least 125,000/mm3 Hepatic: - Bilirubin no greater than 2 times upper limit of normal (ULN) - AST/ALT no greater than 3 times ULN - Alkaline phosphatase no greater than 3 times ULN Renal: Creatinine no greater than 2 times ULN Cardiovascular: - No electrocardial evidence of Q-wave myocardial infarction within the past 6 months - No congestive heart failure - No New York Heart Association class III or IV heart disease Other: - HIV negative - Negative human anti-mouse antibodies (i.e., less than 74 ng/mL) - No known antiplatelet antibodies - No other malignancy except basal cell skin cancer or carcinoma in situ of the cervix - Not pregnant or nursing - Negative pregnancy test - Fertile patients must use effective contraception
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
OmerKoc,  Study Chair,  Ireland Cancer Center

Ireland Cancer Center
Cleveland,  Ohio,  44106-5065
United States
 


Additional Information:
Study ID Numbers:
  CDR0000069110;  BRLX-303680,CWRU-090036,NCI-G01-2038,CWRU-BRLX-1400
Study Start Date: March 2001
Record last reviewed: June 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00028613

Other Recurrent Adult Diffuse Large Cell Lymphoma Studies:
1. Combination Chemotherapy in Treating Patients With Relapsed or Refractory Intermediate-Grade or High-Grade Non-Hodgkin's Lymphoma

2. Yttrium Y 90 Ibritumomab Tiuxetan and Rituximab in Treating Patients With Non-Hodgkin's Lymphoma

3. LY317615 in Treating Patients With Relapsed or Refractory Lymphoma

4. BMS-247550 in Treating Patients With Relapsed or Refractory Aggressive Non-Hodgkin's Lymphoma

5. Liposomal Vincristine in Treating Patients With Refractory or Relapsed Non-Hodgkin's Lymphoma

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Radiolabeled Monoclonal Antibody in Treating Patients With Previously Treated Large Cell Lymphoma

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