Title
R-CHOP Versus R-mini-CEOP in Elderly Patients(>65)With DLBCL
A Randomized Phase III Randomized Study to Compare R-CHOP Versus R-mini-CEOP in Elderly Patients (>65 Years) With Diffuse Large B Cell Lymphoma (DLBCL)
Phase
Phase 3Lead Sponsor
Fondazione Italiana Diabete OnlusStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Diffuse Large B Cell Lymphoma (DLBCL) Elderly Patients (>65 Years)Intervention/Treatment
prednisone doxorubicin epirubicin vincristine cyclophosphamide vinblastine rituximab sargramostim ...Study Participants
226The study has the purpose to compare R-CHOP versus R-mini-CEOP in elderly patients (>65 years) with Diffuse Large B Cell Lymphoma (DLBCL).
750 mg/mq IV, day 1
50 mg/mq IV, day 1
50 mg/mq IV, day1
1,4 mg/mq (max 2 mg)IV, day 1
75 mg/mq IV, days 1-5
60 mg/mq IV/PO, days 1-5
50 mg/mq IV, day 1
5 mg/mq IV, day 1
375 mg/mq IV, day 1
300 µg tot., SC; days 7-11
R-CHOP (every 21 days) for six courses Cyclophosphamide: 750 mg/m2, IV, day 1 Doxorubicin: 50 mg/m2, IV, day 1 Vincristine: 1.4 (max 2) mg/m2, IV, day 1 Prednisone: 75 mg/m2, IV, days 1-5 Rituximab: 375 mg/m2, IV, day 1 G-CSF: 300 µg tota, SC; days 7-11
R-miniCEOP (every 21 days)for six courses Cyclophosphamide: 50 mg/m2, IV, day 1 Epirubicin: 50 mg/m2, IV, day 1 Vinblastine: 5 mg/m2, IV, day 1 Prednisone: 60 mg/m2, IV/PO, days 1-5 Rituximab: 375 mg/m2, IV, day 1 G-CSF: 300 µg tota, SC; days 7-11
Inclusion Criteria: Patients with untreated DLBCL aged 66 to 80 years without major accompanying diseases and considered as "non frail". Patients were classified as "non frail" (fit) if they had ADL (Activity of Daily Living) score of 6 less than three grade 3 Cumulative Illness Rating Score for Geriatrics (CIRS-G) co-morbidities and no grade 4 co-morbidities absence of geriatric syndrome Patients HIV negativity; Concurrent malignancy; Written Informed Consent. Exclusion Criteria: All other patients were classified as "unfit", and were excluded from randomization