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Note: This record shows only the 20 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ClinicalTrials.gov
Last refreshed on: 8 April 2013
Main ID:  NCT00210353
Date of registration: 13/09/2005
Primary sponsor: International Extranodal Lymphoma Study Group (IELSG)
Public title: Randomized Trial of Chlorambucil Versus Chlorambucil Plus Rituximab Versus Rituximab in MALT Lymphoma
Scientific title: Multicenter Randomized Trial of Chlorambucil Versus Chlorambucil Plus Rituximab Versus Rituximab in Extranodal Marginal Zone B-cell Lymphoma of Mucosa Associated Lymphoid Tissue (MALT Lymphoma)
Date of first enrolment: January 2003
Target sample size: 450
Recruitment status: Active, not recruiting
URL:  http://clinicaltrials.gov/show/NCT00210353
Study type:  Interventional
Study design:  Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment  
Countries of recruitment
Belgium France Italy Spain Switzerland United Kingdom
Contacts
Name:   Catherine Thieblemont, MD
Address: 
Telephone:
Email:
Affiliation:  Centre Hospitalier Lyon Sud, Hematology. Lyon
Name:   Emilio Montserrat, MD
Address: 
Telephone:
Email:
Affiliation:  Clinic Hospital Universitari, Hematology. Barcelona
Name:   Giovanni Martinelli, MD
Address: 
Telephone:
Email:
Affiliation:  Hemato-oncology. European Oncology Institute. Milan
Name:   Maurizio Martelli, MD
Address: 
Telephone:
Email:
Affiliation:  Hematology. Università La Sapienza. Roma
Name:   Emanuele Zucca, MD
Address: 
Telephone:
Email:
Affiliation:  International Extranodal Lymphoma Study Group/Oncology Institute of Southern Switzerland. Bellinzona
Name:   Peter Johnson, MD
Address: 
Telephone:
Email:
Affiliation:  Oncology Unit. Southampton General Hospital. Southampton
Key inclusion & exclusion criteria

Inclusion 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. age > 18

7. life expectancy of at least 1 year

8. ECOG performance status 0-2

9. no prior diagnosis of neoplasm within 5 years, except cervical intraepithelial
neoplasia type 1 (CIN1) or localized 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 <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 arrhythmias, 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 (WBC >3.0x109/L, ANC >1.5x109/L, PLT
>100x109/L), unless due to lymphoma involvement

17. no major impairment of renal function (serum creatinine <1,5x upper normal) or liver
function (ASAT/ALAT <2,5 upper normal, total bilirubin <2,5x upper normal), unless
due to lymphoma involvement

18. no evidence of active opportunistic infections

19. no known HIV infection

20. no active HBV and/or 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
randomization



Age minimum: 18 Years
Age maximum: N/A
Gender: Both
Health Condition(s) or Problem(s) studied
Lymphoma, Mucosa-Associated Lymphoid Tissue
Intervention(s)
Drug: chlorambucil (drug)
Drug: rituximab
Drug: rituximab+chlorambucil
Primary Outcome(s)
Event-free-survival (EFS) (failure or death from any cause) for all patients [Time Frame: 5 years]
Secondary Outcome(s)
Acute and long-term toxicity [Time Frame: 5 years]
Complete and partial remission rates for all patients [Time Frame: end of treatment]
Overall survival for all patients [Time Frame: 5 years]
Progression-free-survival (PFS) (disease progression or death from lymphoma: for all patients [Time Frame: 5 years]
Response duration (time to relapse or progression) for responder patients [Time Frame: 5 years]
Secondary ID(s)
IELSG19
Source(s) of Monetary Support
Please refer to primary and secondary sponsors
Secondary Sponsor(s)
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