A Phase II Study of Doxil (Liposomal Doxorubicin), Cyclophosphamide, Vincristine and Prednisone for AIDS-Related Systemic Lymphoma
OBJECTIVES: I. Determine the one year survival and complete response rate of patients
treated with doxorubicin HCl liposome/cyclophosphamide/vincristine/prednisone (Doxil-CVP)
for AIDS-related lymphoma. II. Evaluate the toxicity of a combination chemotherapy regimen,
Doxil-CVP, in this patient population. III. Evaluate the progression free and overall
survival after treatment with Doxil-CVP in this patient population. IV. Evaluate the effects
of treatment with Doxil-CVP on plasma viral mRNA levels, CD4+ lymphocyte count, and the
incidences and types of opportunistic infections in this patient population.
OUTLINE: Patients are stratified according to disease characteristics. All patients receive
a 30 minute infusion of doxorubicin HCl liposome IV, cyclophosphamide IV, and vincristine IV
on day 1. Patients also receive oral prednisone on days 1-5. Filgrastim (G-CSF) is
administered subcutaneously starting on day 6 and continues until the absolute neutrophil
count is at least 10,000/mm3. Treatment courses are repeated every 21 days. Patients with
lymphomatous bone marrow involvement and/or category J lymphoma receive cytarabine and
methotrexate intrathecally weekly for 4 weeks. Patients with lymphomatous meningitis receive
whole brain irradiation and an alternating intrathecal chemotherapy regimen. A minimum of 4
and a maximum of 8 courses are administered. Patients are removed from the study for
progressive disease, stable disease after 4 courses, a life threatening infection that would
delay treatment for more than 6 weeks, or any delay, except due to neutropenia, in
chemotherapy treatment for more than 6 weeks. Patients who achieve a complete response
receive an additional 2 courses of therapy. Patients are followed every 3 months for 2
years, every 6 months for 3 years, and annually thereafter.
PROJECTED ACCRUAL: A total of 38 patients will be accrued for this study.
Interventional
Primary Purpose: Treatment
Matthew D. Volm, MD
Study Chair
New York University School of Medicine
United States: Food and Drug Administration
CDR0000066385
NCT00003388
February 1999
Name | Location |
---|---|
Albert Einstein Comprehensive Cancer Center | Bronx, New York 10461 |
Stanford University Medical Center | Stanford, California 94305-5408 |
Veterans Affairs Medical Center - Palo Alto | Palo Alto, California 94304 |
MBCCOP-Our Lady of Mercy Cancer Center | Bronx, New York 10466 |
Raritan Bay Medical Center | Perth Amboy, New Jersey 08861 |