Trial Outcomes & Findings for Intensive Chemotherapy and Rituximab in the Treatment of Burkitt Lymphoma (NCT NCT00126191)

NCT ID: NCT00126191

Last Updated: 2013-05-23

Results Overview

Complete Response (CR): Disappearance of all measurable or evaluable disease confirmed. Partial Response (PR): Reduction of 50% or greater in the sum of the products of the perpendicular diameters of all measurable. Of 8 High Risk participants, 7 met the primary response outcome. 1 High Risk participant did not meet protocol defined primary outcome response and died two months following enrollment.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

10 participants

Primary outcome timeframe

3 years

Results posted on

2013-05-23

Participant Flow

This BL protocl was IRB approved 01/18/05, activated 7/18/05. Participants were identified either in the outpatient clinic at DFCI or while admitted to our partner inpatient hospital, Brigham \& Women's Hospital. The study was closed to accrual 6/2/08 due to slow accrual.

Participants with previous chemotherapy or radiation, uncontrolled infection, concomitant malignancy (some exclusions), serious comorbid disease, pregnancy, and HIV+ were excluded. Subjects stratified according to risk: Single focus disease \<10cm and normal LGH=low risk, all others high risk.

Participant milestones

Participant milestones
Measure
Low Risk
Regimen A. Single focus of disease less than 10 cm in greatest dimension and a normal LDH. Participants at low risk received three cycles of Regimen A (AAA).
High Risk
Regimen A followed by Regimen B. Cycles A and B will then be repeated (ABAB).
Overall Study
STARTED
2
8
Overall Study
COMPLETED
2
6
Overall Study
NOT COMPLETED
0
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Low Risk
Regimen A. Single focus of disease less than 10 cm in greatest dimension and a normal LDH. Participants at low risk received three cycles of Regimen A (AAA).
High Risk
Regimen A followed by Regimen B. Cycles A and B will then be repeated (ABAB).
Overall Study
Physician Decision
0
1
Overall Study
Death
0
1

Baseline Characteristics

Intensive Chemotherapy and Rituximab in the Treatment of Burkitt Lymphoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Low Risk
n=2 Participants
Regimen A. Single focus of disease less than 10 cm in greatest dimension and a normal LDH. Participants at low risk received three cycles of Regimen A (AAA).
High Risk
n=8 Participants
Regimen A followed by Regimen B. Cycles A and B will then be repeated (ABAB).
Total
n=10 Participants
Total of all reporting groups
Age, Categorical
<=18 years
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
1 Participants
n=99 Participants
8 Participants
n=107 Participants
9 Participants
n=206 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Sex: Female, Male
Female
0 Participants
n=99 Participants
1 Participants
n=107 Participants
1 Participants
n=206 Participants
Sex: Female, Male
Male
2 Participants
n=99 Participants
7 Participants
n=107 Participants
9 Participants
n=206 Participants
Region of Enrollment
United States
2 participants
n=99 Participants
8 participants
n=107 Participants
10 participants
n=206 Participants

PRIMARY outcome

Timeframe: 3 years

Complete Response (CR): Disappearance of all measurable or evaluable disease confirmed. Partial Response (PR): Reduction of 50% or greater in the sum of the products of the perpendicular diameters of all measurable. Of 8 High Risk participants, 7 met the primary response outcome. 1 High Risk participant did not meet protocol defined primary outcome response and died two months following enrollment.

Outcome measures

Outcome measures
Measure
Low Risk
n=2 Participants
Regimen A. Single focus of disease less than 10 cm in greatest dimension and a normal LDH. Participants at low risk received three cycles of Regimen A (AAA).
High Risk
n=8 Participants
Regimen A followed by Regimen B. Cycles A and B will then be repeated (ABAB).
Response Rates (CR and PR) in Adults With Burkitt/Atypical Burkitt
2 participants
7 participants

SECONDARY outcome

Timeframe: Until disease progression up to 120 months

Population: One low-risk participant was lost to follow-up after 48 months of disease free survival.

Participants are followed after completion of protocol therapy until disease progression to determine disease free survival.

Outcome measures

Outcome measures
Measure
Low Risk
n=1 Participants
Regimen A. Single focus of disease less than 10 cm in greatest dimension and a normal LDH. Participants at low risk received three cycles of Regimen A (AAA).
High Risk
n=8 Participants
Regimen A followed by Regimen B. Cycles A and B will then be repeated (ABAB).
Disease Free Survival
84 Months
Interval 84.0 to 84.0
52 Months
Interval 2.0 to 83.0

Adverse Events

Low Risk

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

High Risk

Serious events: 2 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Low Risk
n=2 participants at risk
Regimen A. Single focus of disease less than 10 cm in greatest dimension and a normal LDH. Participants at low risk received three cycles of Regimen A (AAA).
High Risk
n=8 participants at risk
Regimen A followed by Regimen B. Cycles A and B will then be repeated (ABAB).
Metabolism and nutrition disorders
Bilirubin
50.0%
1/2 • Number of events 1
Grade 4 hematologic toxicities were not considered to be serious adverse events in this Burkitts Lymphoma study. Hospitalization without accompanying SAE did not constitute SAE for this study.
12.5%
1/8 • Number of events 1
Grade 4 hematologic toxicities were not considered to be serious adverse events in this Burkitts Lymphoma study. Hospitalization without accompanying SAE did not constitute SAE for this study.
General disorders
Fatigue
50.0%
1/2 • Number of events 1
Grade 4 hematologic toxicities were not considered to be serious adverse events in this Burkitts Lymphoma study. Hospitalization without accompanying SAE did not constitute SAE for this study.
12.5%
1/8 • Number of events 1
Grade 4 hematologic toxicities were not considered to be serious adverse events in this Burkitts Lymphoma study. Hospitalization without accompanying SAE did not constitute SAE for this study.
Endocrine disorders
Hyperuricemia
50.0%
1/2 • Number of events 1
Grade 4 hematologic toxicities were not considered to be serious adverse events in this Burkitts Lymphoma study. Hospitalization without accompanying SAE did not constitute SAE for this study.
12.5%
1/8 • Number of events 1
Grade 4 hematologic toxicities were not considered to be serious adverse events in this Burkitts Lymphoma study. Hospitalization without accompanying SAE did not constitute SAE for this study.

Other adverse events

Adverse event data not reported

Additional Information

Ann LaCasce, MD

DFCI

Phone: 617-632-5959

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place