Gemcitabine in Treating Patients With Newly Diagnosed, Relapsed, or Chemotherapy-Resistant Mantle Cell Lymphoma

Study Overview
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Brief Summary
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RATIONALE: Drugs used in chemotherapy, such as gemcitabine, work in different ways to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. PURPOSE: This phase II trial is studying how well gemcitabine works in treating patients with newly diagnosed, relapsed, or chemotherapy-resistant mantle cell lymphoma.

Detailed Description
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OBJECTIVES: Primary Determine the efficacy of gemcitabine, in terms of objective response and tolerability, in patients with newly diagnosed, relapsed, or chemotherapy-resistant mantle cell lymphoma. Secondary Determine the time to progression and time to treatment failure in patients treated with this drug. Determine the response duration in patients treated with this drug. Determine the adverse reactions in patients treated with this drug. OUTLINE: This is a multicenter study. Patients receive gemcitabine IV over 30 minutes on days 1 and 8. Treatment repeats every 3 weeks for up to 9 courses in the absence of disease progression or unacceptable toxicity. After completion of study treatment, patients are followed every 3 months for 1 year, every 6 months for 1 year, and then annually for 3 years. PROJECTED ACCRUAL: A total of 10-29 patients will be accrued for this study within 2 years.

Official Title
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Master Protocol for Mantle Cell Lymphoma A Multicenter Phase II Trial Testing Gemcitabine for the Treatment of Patients With Newly Diagnosed, Relapsed or Chemotherapy Resistant Mantle Cell Lymphoma

Conditions
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Lymphoma

Intervention / Treatment
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* Drug: gemcitabine hydrochloride


Participation Criteria
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Eligibility Criteria
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DISEASE CHARACTERISTICS: Histologically confirmed mantle cell lymphoma meeting 1 of the following criteria: Newly diagnosed Chemotherapy resistant Relapsed disease after no more than 2 prior lines of chemotherapy Measurable disease At least 1 unidimensionally measurable lesion ≥ 11 mm by CT scan No prior or current CNS lymphoma or lymphomatous meningosis PATIENT CHARACTERISTICS: Age 18 and over Performance status WHO 0-1 Life expectancy Not specified Hematopoietic Neutrophil count ≥ 1,500/mm^3 (1,000/mm^3 in case of bone marrow infiltration) Platelet count ≥ 100,000/mm^3 (75,000/mm^3 in case of bone marrow infiltration) Hepatic Bilirubin ≤ 2 times upper limit of normal (ULN) Alkaline phosphatase ≤ 2 times ULN AST and ALT ≤ 2 times ULN No active hepatitis Renal Creatinine clearance ≥ 50 mL/min Cardiovascular No congestive heart failure No New York Heart Association class III or IV heart disease No unstable angina pectoris No significant cardiac arrhythmia or arrhythmia requiring chronic treatment No myocardial infarction within the past 3 months Immunologic No active autoimmune disease No ongoing infection (e.g., HIV) Other Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception during and for 12 months after study participation No other malignancy within the past 5 years except nonmelanoma skin cancer or adequately treated carcinoma in situ of the cervix No uncontrolled diabetes mellitus No gastric ulcers No other uncontrolled medical condition that would preclude study participation PRIOR CONCURRENT THERAPY: Biologic therapy No concurrent thalidomide Chemotherapy See Disease Characteristics Endocrine therapy Not specified Radiotherapy Prior radiotherapy allowed provided indicator lesions were not in the irradiated field No concurrent radiotherapy to the lungs or mediastinum Surgery Not specified Other More than 30 days since prior systemic anticancer treatment More than 30 days since prior clinical trial participation No other concurrent anticancer drugs No other concurrent experimental drugs

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Masking: None (Open Label)


Arms and Interventions

| Intervention/Treatment |
| --- |
|Drug: gemcitabine hydrochloride|nan|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Objective response at end of study treatment |  |  | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Adverse reactions at end of study treatment |  |  | 
| Time to progression |  |  | 
| Response duration |  |  | 
| Time to treatment failure at end of study treatment |  |  | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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recurrent mantle cell lymphoma, stage I mantle cell lymphoma, contiguous stage II mantle cell lymphoma, noncontiguous stage II mantle cell lymphoma, stage III mantle cell lymphoma, stage IV mantle cell lymphoma