Genetic Changes in Diffuse Aggressive Non-Hodgkin's Lymphoma
18 Years
N/A
Both
Lymphoma
Trial Information
Genetic Changes in Diffuse Aggressive Non-Hodgkin's Lymphoma
OBJECTIVES:
- Estimate the proportions of patients with diffuse aggressive non-Hodgkin's lymphoma who
have rearrangements affecting the MYC, BCL2, and BCL6 genes (determined by fluorescent
in situ hybridization), overtly amplified chromosomal regions, and nonrandom copy
number changes of chromosomal regions (determined by comparative genomic
hybridization).
- Investigate the prognostic importance of these genetic markers by studying their
relationships with clinical outcomes (e.g., response to therapy, failure-free survival,
and overall survival) in these patients.
- Investigate the interrelationships among these genetic and biological markers and their
relationships with clinical features of the disease, such as disease site (nodal vs
extranodal) and stage, in these patients.
OUTLINE: This is a multicenter study.
Tissue samples are obtained before treatment and at the time of documentation of refractory
disease in patients who do not achieve complete remission after induction therapy or at the
time of first relapse in patients who achieve a complete remission.
Samples are examined for rearrangements in the MYC, BCL2, BCL6, and IGH genes using
fluorescent in situ hybridization. DNA is examined by comparative genomic hybridization,
which allows cytogenetic detection of losses and gains of chromosomal regions in tumor
cells.
Patients do not receive the results of the genetic testing and the results do not influence
the type or duration of treatment.
PROJECTED ACCRUAL: A total of 391 patients will be accrued for this study within 5 years.
Inclusion Criteria
DISEASE CHARACTERISTICS:
- Histologically proven aggressive non-Hodgkin's lymphoma and registered to front-line
CALGB protocols (e.g, CLB-59903, 59909, 10002, and 50103)
- Diffuse small cleaved cell lymphoma
- Diffuse mixed small and large cell lymphoma
- Diffuse large cell lymphoma
- Diffuse large cell immunoblastic lymphoma
- Small noncleaved cell lymphoma
- Mantle cell lymphoma OR
- Previously entered on similar curative CALGB protocols (CLB-8852, CLB-8854, and
CLB-9351) with blocks or unstained slides of initial diagnosis available
PATIENT CHARACTERISTICS:
Age:
- Adult
Performance status:
- Not specified
Life expectancy:
- Not specified
Hematopoietic:
- Not specified
Hepatic:
- Not specified
Renal:
- Not specified
PRIOR CONCURRENT THERAPY:
Biologic therapy
- Not specified
Chemotherapy
- Not specified
Endocrine therapy
- Not specified
Radiotherapy
- Not specified
Surgery
- Not specified
Type of Study:
Interventional
Study Design:
Primary Purpose: Diagnostic
Principal Investigator
Raju S. K. Chaganti, PhD
Investigator Role:
Study Chair
Investigator Affiliation:
Memorial Sloan-Kettering Cancer Center
Authority:
United States: Federal Government
Study ID:
CDR0000067027
NCT ID:
NCT00003863
Start Date:
June 1999
Completion Date:
Related Keywords:
- Lymphoma
- stage I adult diffuse small cleaved cell lymphoma
- stage I adult diffuse mixed cell lymphoma
- stage I adult diffuse large cell lymphoma
- stage I adult immunoblastic large cell lymphoma
- stage I adult Burkitt lymphoma
- stage III adult diffuse small cleaved cell lymphoma
- stage III adult diffuse mixed cell lymphoma
- stage III adult diffuse large cell lymphoma
- stage III adult immunoblastic large cell lymphoma
- stage III adult Burkitt lymphoma
- stage IV adult diffuse small cleaved cell lymphoma
- stage IV adult diffuse mixed cell lymphoma
- stage IV adult diffuse large cell lymphoma
- stage IV adult immunoblastic large cell lymphoma
- stage IV adult Burkitt lymphoma
- recurrent adult diffuse small cleaved cell lymphoma
- recurrent adult diffuse mixed cell lymphoma
- recurrent adult diffuse large cell lymphoma
- recurrent adult immunoblastic large cell lymphoma
- recurrent adult Burkitt lymphoma
- stage I mantle cell lymphoma
- contiguous stage II adult diffuse small cleaved cell lymphoma
- contiguous stage II mantle cell lymphoma
- contiguous stage II adult diffuse mixed cell lymphoma
- contiguous stage II adult immunoblastic large cell lymphoma
- contiguous stage II adult diffuse large cell lymphoma
- contiguous stage II adult Burkitt lymphoma
- noncontiguous stage II adult diffuse small cleaved cell lymphoma
- noncontiguous stage II mantle cell lymphoma
- noncontiguous stage II adult diffuse mixed cell lymphoma
- noncontiguous stage II adult immunoblastic large cell lymphoma
- noncontiguous stage II adult diffuse large cell lymphoma
- noncontiguous stage II adult Burkitt lymphoma
- stage III mantle cell lymphoma
- stage IV mantle cell lymphoma
- recurrent mantle cell lymphoma
- Lymphoma
- Lymphoma, Non-Hodgkin
- Lymphoma, Large-Cell, Immunoblastic
Name | Location |
|---|---|
| Memorial Sloan-Kettering Cancer Center | New York, New York 10021 |
| Walter Reed Army Medical Center | Washington, District of Columbia 20307-5000 |
| University of Chicago Cancer Research Center | Chicago, Illinois 60637 |
| University of Minnesota Cancer Center | Minneapolis, Minnesota 55455 |
| Duke Comprehensive Cancer Center | Durham, North Carolina 27710 |
| CCOP - Kansas City | Kansas City, Missouri 64131 |
| CCOP - Southern Nevada Cancer Research Foundation | Las Vegas, Nevada 89106 |
| CCOP - Christiana Care Health Services | Wilmington, Delaware 19899 |
| CCOP - Mount Sinai Medical Center | Miami Beach, Florida 33140 |
| CCOP - North Shore University Hospital | Manhasset, New York 11030 |
| CCOP - Southeast Cancer Control Consortium | Winston-Salem, North Carolina 27104-4241 |
| MBCCOP - Massey Cancer Center | Richmond, Virginia 23298-0037 |
| CCOP - Illinois Oncology Research Association | Peoria, Illinois 61602 |
| Comprehensive Cancer Center at Wake Forest University | Winston-Salem, North Carolina 27157-1082 |
| Holden Comprehensive Cancer Center at University of Iowa | Iowa City, Iowa 52242-1002 |
| UMASS Memorial Cancer Center - University Campus | Worcester, Massachusetts 01605-2982 |
| Ellis Fischel Cancer Center at University of Missouri - Columbia | Columbia, Missouri 65203 |
| Siteman Cancer Center at Barnes-Jewish Hospital | Saint Louis, Missouri 63110 |
| Norris Cotton Cancer Center at Dartmouth-Hitchcock Medical Center | Lebanon, New Hampshire 03756-0002 |
| Cancer Institute of New Jersey at the Cooper University Hospital | Camden, New Jersey 08103-1489 |
| Lineberger Comprehensive Cancer Center at University of North Carolina - Chapel Hill | Chapel Hill, North Carolina 27599-7570 |
| Arthur G. James Cancer Hospital and Solove Research Institute at Ohio State University | Columbus, Ohio 43210-1240 |
| North Shore University Hospital | Manhasset, New York 11030 |
| Naval Medical Center - San Diego | San Diego, California 92134-3202 |
| Veterans Affairs Medical Center - San Francisco | San Francisco, California 94121 |
| Baptist Hospital East - Louisville | Louisville, Kentucky 40207 |
| CCOP - Syracuse Hematology-Oncology Associates of Central New York, P.C. | Syracuse, New York 13217 |
| Veterans Affairs Medical Center - Minneapolis | Minneapolis, Minnesota 55417 |
| Veterans Affairs Medical Center - Columbia (Truman Memorial) | Columbia, Missouri 65201 |
| Veterans Affairs Medical Center - Buffalo | Buffalo, New York 14215 |
| Veterans Affairs Medical Center - Syracuse | Syracuse, New York 13210 |
| Veterans Affairs Medical Center - Durham | Durham, North Carolina 27705 |
| Rebecca and John Moores UCSD Cancer Center | La Jolla, California 92093-0658 |
| Broward General Medical Center | Fort Lauderdale, Florida 33316 |
| Dana-Farber/Harvard Cancer Center at Dana Farber Cancer Institute | Boston, Massachusetts 02115 |
| Northeast Alabama Regional Medical Center | Anniston, Alabama 36207 |
| Veterans Affairs Medical Center - San Diego | San Diego, California 92161 |
| UCSF Comprehensive Cancer Center | San Francisco, California 94115 |
| Veterans Affairs Medical Center - Washington, DC | Washington, District of Columbia 20422 |
| Louis A. Weiss Memorial Hospital | Chicago, Illinois 60640 |
| West Suburban Center for Cancer Care | River Forest, Illinois 60305 |
| Fort Wayne Medical Oncology and Hematology, Incorporated | Fort Wayne, Indiana 46885-5099 |
| Veterans Affairs Medical Center - Las Vegas | Las Vegas, Nevada 89106 |
| Elmhurst Hospital Center | Elmhurst, New York 11373 |
| Queens Cancer Center of Queens Hospital | Jamaica, New York 11432 |
| Veterans Affairs Medical Center - Asheville | Asheville, North Carolina 28805 |
| Veterans Affairs Medical Center - Dallas | Dallas, Texas 75216 |
| Virginia Oncology Associates - Norfolk | Norfolk, Virginia 23502 |
| St. Mary's Medical Center | Huntington, West Virginia 25701 |
| Oklahoma University Medical Center | Oklahoma City, Oklahoma 73104 |
| Mount Sinai Medical Center | New York, New York 10029 |
| SUNY Upstate Medical University Hospital | Syracuse, New York 13210 |
| Vermont Cancer Center at University of Vermont | Burlington, Vermont 05405-0075 |
| Lombardi Cancer Center at Georgetown University Medical Center | Washington, District of Columbia 20007 |
| Greenebaum Cancer Center at University of Maryland Medical Center | Baltimore, Maryland 21201 |
| UNMC Eppley Cancer Center at the University of Nebraska Medical Center | Omaha, Nebraska 68198-7680 |
| New Hampshire Oncology-Hematology, PA - Hooksett | Hooksett, New Hampshire 03106 |
| NorthEast Oncology Associates - Concord | Concord, North Carolina 28025 |
| Oncology and Hematology Associates of Southwest Virginia, Incorporated - Roanoke | Roanoke, Virginia 24014 |
| Memorial Cancer Institute at Memorial Regional Hospital | Hollywood, Florida 33021 |
| Lakeland Cancer Care Center at Lakeland Hospital - St. Joseph | Saint Joseph, Michigan 49085 |
| New York Weill Cornell Cancer Center at Cornell University | New York, New York 10021 |
| Cape Fear Valley Medical Center | Fayetteville, North Carolina 28302-2000 |
| Lenoir Memorial Cancer Center | Kinston, North Carolina 28503-1678 |
| Comprehensive Cancer Center at Moore Regional Hospital | Pinehurst, North Carolina 28374 |
| Zimmer Cancer Center at New Hanover Regional Medical Center | Wilmington, North Carolina 28402-9025 |
| Miriam Hospital at Lifespan | Providence, Rhode Island 02906 |
| Veterans Affairs Medical Center - Chicago Westside Hospital | Chicago, Illinois 60612 |
| Cancer Care Center at Martha Jefferson Hospital | Charlottesville, Virginia 22902 |
