Follicular LymphomaPhase 3NCT00774826
Multicentric Study, Three Randomized Arms (R-CVP vs R-CHOP vs R-FM),for Patients With Stage II-IV Follicular Lymphoma
A Phase 3 study testing R-CVP, R-CHOP and R-FM in people with Follicular Lymphoma, run by Fondazione Italiana Linfomi - ETS at 82 sites in Italy.
Trial summary
The purpose of this study is to define an improvement and theassessment of the Time to Treatment Failure in patients randomized in three different arms: R-CVP vs R-CHOP vs R-FM. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Follicular Lymphoma
- What is being tested?
- R-CVP, R-CHOP and R-FM
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 534 participants
- Where
- 82 sitesItaly
- Study dates
- Dec 2005to Mar 2014
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Histological DIAGNOSIS of B cell follicular lymphoma
- ECOG performance status 0-2
- Age range 18-75
- Ann Arbor Stage: II-IV
- Assessment of pathology with diagnostics biopsy
- Presence of one of these criteria:
Show all 27Show fewer
- B Sistemic symptoms B
- Extranodale pathology
- Cytopenia
- Splenomegaly
- Leukemia
- Serous effusion
- Ves > 20 mm/h
- Ldh > normal value
- Nodale or extranodal mass > 7 cm
- 3 or more nodal sites > 3 cm
- Adenopatic syndrome
- LVEF > 50%
- Normal hepatic (bilirubin < 1.5 mg/dl) and renal functionality (creatinin < 2 mg/dl). If there is a lymphoma it's allow values of bilirubin > 1.5 mg/dl and of creatinin > 2mg/dl
- No previous treatment for follicolar lymphoma unless RT-IF
- Lifetime > 6 mounth
- Absence of HbsAg, HCV e HIV
- Negative Coombs Test
- Negative pregnant test
- Cotracceptive method during the treatment and the follow three months
- Formal written consent
- Ability to follow the patients after the treatment for follow up
Who cannot join
- Histological Diagnosis of all type of lymphoma unless Follicularlymphoma, CD20 lymphoma, stage IIIb of follicular lymphoma and high degree lymphoma
- Stage I of Ann Arbor scale
- Central Nervous system involvement
- HIV, HBV OR HCV Positivity
- Cardiac Pathology
- Positive Coombs Test
Show all 11Show fewer
- Previous chemotherapeutic treatment
- Hypersensitivity to antibodyes or other murine proteins
- Previous cancer pathology unless in situ cervix and epithelial carcinomas
- Other type of infections
- Pregnant and nursing woman
Trial locations and contacts
82 sites in 1 country.
82 sites in 1 country
Italy82 sites
Ente ecclesiastico Ospedale generale regionale Miulli
Acquaviva Delle Fonti (BA)
Az.Ospedaliera SS.Antonio, Biagio e Cesare Arrigo-U.O.A.Ematologia
Alessandria
Presidio Ospedaliero C.Massaia di Asti
Asti
Istituto Nazionale Tumori
Aviano
IRCCS Istituto tumori Giovanni Paolo II
Bari
Divisione Medicina B Ospedale degli Infermi
Biella
Policlinico Sant'Orsola - Istituto di Ematologia e Oncologia medica L.e A. Seragnoli
Bologna
Ospedale di Bolzano Divisione di Ematologia e Centro Trapianti di Midollo Osseo
Bolzano
A.O.Spedali civili di Brescia
Brescia
Presidio Ospedaliero A.Perrino
Brindisi
Ospedale Businco, Divisione di Ematologia
Cagliari
Ospedale Civile
Camposanpiero (PD)
Istituto per la ricerca e la cura del cancro
Candiolo (TO)
Ospedale Ramazzini Day Hospital Oncologico
Carpi (Mo)
A.O. dell'Annunziata Unita' Operativa di Ematologia
Carpi (MO)
Ospedale Garibaldi-Nesima
Catania
Universita' degli studi di Catania
Catania
A.O. Pugliese A. Ciaccio
Catanzaro
A.O.Pugliese Ciaccio Diviisone di Ematologia
Catanzaro
Ospedale civico di Chivasso
Chivasso (TO)
Ospedale di Ciriè U.O.N.A. Oncologia servizio di Ematologia
Ciriè (TO)
Ospedale civile Divisione di Ematologia
Civitanova Marche (MC)
Ospedale San Sebastiano
Correggio (RE)
Presidio Ospedaliero Annunziata
Cosenza
Azienda istituti ospedalieri di Cremona
Cremona
Policlinico Careggi, cattedra e diviisone di Ematologia
Florence
E.O.Ospedali Galliera U.O.Ematologia
Genova
Ospedale San Martino - Divisione di Ematologia
Genova
Ospedale Felettino reparto di Oncologia
La Spezia
Ospedale Vito Fazzi
Lecce
Ospedale A.Manzoni Oncologia medica
Lecco
Ospedale Madonna delle grazie U.O. Ematologia
Matera
Azienda Ospedaliera Papardo
Messina
Policlinico universitario U.O. Ematologia
Messina
Azienda Ospedaliera Fatebenefratelli e Oftalmico
Milan
IRCCS San Raffaele Unità di Chemioterapia
Milan
Osp. San Carlo Borromeo Divisione di Oncologia Medica
Milan
Ospedale Maggiore IRCCS-Dipartimento di Ematologia
Milan
Ospedale Niguarda CA' Granda
Milan
Ospedale San Paolo U.O. Oncologia Medica
Milan
Policlinico di Modena - Università degli studi
Modena
Ospedale S. Gerardo Divisione di ematologia
Monza (MI)
AORN Cardarelli U.O.Ematologia
Naples
Ospedale P.F.Calvi dipartimento id Oncologia ed Ematologia
Noale
Presidio Ospedaliero Umberto I Medicina ed Onco-Ematologia
Nocera Inferiore
A.O. Maggiore della Carità S.C.D.U. Ematologia
Novara
A.O. di Padova Divisione di Oncologia Medica
Padova
Casa di cura La Maddalena Unita' di Ematologia
Palermo
Policlinico P.Giaccone
Palermo
Universita' degli studi di Parma
Parma
Policlinico San Matteo - Medicina generale
Pavia
Policlinico San Matteo
Pavia
Policlinico Monteluce Divisione di Ematologia
Perugia
Ospedale Santo Spirito Dipartimento di Ematologia
Pescara
Ospedale Santo Spirito-Dipartimento di Oncologia
Pescara
Ospedale Civile, Sezione di Ematologia
Piacenza
Ospedale S. Chiara Azienda ospedaliera pisana
Pisa
Presidio Ospedali riuniti "Bianchi, Melacrino, Morelli" Divisione di ematologia
Reggio Calabria
Azienda ospedaliera Arcispedale S.Maria Nuova
Reggio Emilia
Ospedale Oncologico regionale CROB
Rionero in Vulture (PZ)
A.O.S.Andrea Reparto di Ematologia e Immunoematologia
Roma
Azienda Policlinico Umberto I - La Sapienza
Roma
Istituto Regina Elena
Roma
Ospedale San Giacomo U.O. Ematologia
Roma
Policlinico A. Gemelli Università Cattolica del Sacro Cuore
Roma
Policlinico Universitario Campus biomedico
Roma
Policlinico Universitario Tor Vergata
Roma
Universita' La Sapienza
Roma
P.O. Roncilgione U.O. Ematologia
Ronciglione (VT)
Istituto clinco Humanitas
Rozzano (MI)
IRCCS Casa Sollievo della Sofferenza
San Giovanni Rotondo (FG)
Istituto di Ematologia Università degli studi di Sassari
Sassari
Ospedale civile DH oncologico
Sassuolo (MO)
Ospedale San Paolo
Savona
A.O. della Valtellina e della Valchiavenna Presidio Ospedaliero di Sondalo
Sondalo
Azienda Ospedaliera S. Maria
Terni, Terni
Ospedale S. Maria Clinica Medica Servizio Oncologico
Terni
A.O.San Giovanni Battista
Torino
A.O.Cardinale Panico Ematologia e centro trapianti
Tricase (LE)
Azienda Ospedaliera Ospedali riuniti di Trieste
Trieste
Ospedale di circolo e Fondazione Macchi
Varese
O.C.SS. Giovanni e Paolo - U.O. Ematologia
Venezia
About this study
Official title: Phase III Multicentric IIL Study, Three Randomized Arms (R-CVP vs R-CHOP vs R-FM),for Treatment of Patients With Stage II-IV Follicular Lymphoma
The purpose of this study is to define an improvement and theassessment of the Time to Treatment Failure in patients randomized in three different arms:
R-CVP vs R-CHOP vs R-FM.
Read the detailed description
Assessment of Overall Survival (OS)in patients treated with R-CVP, R-CHOP and R-FM. -Assessment of Progression Free Survival (PFS)in patients treated with R-CVP, R-CHOP - Assessment of Duration of Response (DR)in patients treated with R-CVP, R-CHOP and R-FM. - Assessment of Response Rate(RR) in patients treated with R-CVP, R-CHOP and R-FM. - Assessment of molecular Response Rate in patients treated with R-CVP, R-CHOP and R-FM. - Assessment of toxicity of R-CVP, R-CHOP, R-FM treatments.
- Conditions
- Follicular Lymphoma
- Being tested
- R-CVP, R-CHOP, R-FM
- Keywords
- Follicular lymphoma, Rituximab
- Medical subject headings
- Lymphoma, Follicular
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
R-CVPDrug
Rituximab: 375 mg/mq day 1 Ciclofosfamide: 750 mg/mq day 1, Vincristina: 1,4 mg/mq day 1 Prednisone: 40 mg/mq day 1-5,
R-CHOPDrug
Rituximab: 375 mg/mq day 1 Ciclofosfamide: 750 mg/mq day 1 Doxorubicina: 50 mg/mq day 1 Vincristina: 1.4 mg/mq day 1 Prednisone: 100 mg/mq day 1-5
R-FMDrug
Rituximab: 375 mg/mq day 1, Fludarabina: 25 mg/mq day 1-3, Mitoxantrone: 10 mg/mq day 1,
| Study group | Role | What they receive |
|---|---|---|
| 1 | Experimental | R-CVP x 3; Restaging if> RP then R-CVP x 5 Receives: Drug: R-CVP |
| 2 | Experimental | R-CHOP x 3; Restaging if > RP then R-CHOP x 3 plus 2 Rituximab Receives: Drug: R-CHOP |
| 3 | Experimental | R-FM x 3; Restaging if > RP then R-FM x 3 plus 2 Rituximab Receives: Drug: R-FM |
What is being measured
The primary outcome is the main question the study is designed to answer.
Assessment of the Time to Treatment Failure (TTF)in patients treated with R-CVP, R-CHOP and R-FM.
Measured: 2 years
Secondary outcomes (6)
Assessment of Overall Survival (OS)in patients treated with R-CVP, R-CHOP and R-FM. -
Measured: 3 years
Assessment of Progression Free Survival (PFS)in patients treated with R-CVP, R-CHOP
Measured: 2 years
Assessment of Duration of Response (DR)in patients treated with R-CVP, R-CHOP and R-FM.
Measured: 2 years
Assessment of Response Rate(RR) in patients treated with R-CVP, R-CHOP and R-FM.
Measured: 2 years
Assessment of molecular Response Rate in patients treated with R-CVP, R-CHOP and R-FM.
Measured: 2 years
Assessment of toxicity of R-CVP, R-CHOP, R-FM treatments.
Measured: 2 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Oct 2008 (estimated)
- Study startDec 2005
- Primary completionSep 2010
- Study completionMar 2014 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Follicular LymphomaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 534 participants (actual)
Sponsor and investigators
- Lead sponsor
- Fondazione Italiana Linfomi - ETS
- Sponsor type
- University, hospital or other
- Investigators
- Massimo Federico, PhD, Principal investigator, Azienda Ospedaliero-Universitaria di Modena
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00774826
- Sponsor's protocol ID
- IIL-FOLL05
- Other IDs
- Eudract Number 2005-005406-24
- Status last verified
- Feb 2011
- First submitted
- 14 Oct 2008
- Last updated
- 15 Feb 2011
- Results posted
- No
- Data monitoring committee
- No
Publications
Luminari S, Ferrari A, Manni M, Dondi A, Chiarenza A, Merli F, Rusconi C, Tarantino V, Tucci A, Vitolo U, Kovalchuk S, Angelucci E, Pulsoni A, Arcaini L, Angrilli F, Gaidano G, Stelitano C, Bertoldero G, Cascavilla N, Salvi F, Ferreri AJM, Vallisa D, Marcheselli L, Federico M. Long-Term Results of the FOLL05 Trial Comparing R-CVP Versus R-CHOP Versus R-FM for the Initial Treatment of Patients With Advanced-Stage Symptomatic Follicular Lymphoma. J Clin Oncol. 2018 Mar 1;36(7):689-696. doi: 10.1200/JCO.2017.74.1652. Epub 2017 Nov 2.
PubMed 29095677Rossi D, Bruscaggin A, La Cava P, Galimberti S, Ciabatti E, Luminari S, Rigacci L, Tucci A, Pulsoni A, Bertoldero G, Vallisa D, Rusconi C, Spina M, Arcaini L, Angrilli F, Stelitano C, Merli F, Gaidano G, Federico M, Palumbo GA. The genotype of MLH1 identifies a subgroup of follicular lymphoma patients who do not benefit from doxorubicin: FIL-FOLL study. Haematologica. 2015 Apr;100(4):517-24. doi: 10.3324/haematol.2014.108183. Epub 2015 Jan 16.
PubMed 25596266
Study at a glance
From the registry record, last updated by the sponsor on 15 Feb 2011. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase III Multicentric IIL Study, Three Randomized Arms (R-CVP vs R-CHOP vs R-FM),for Treatment of Patients With Stage II-IV Follicular Lymphoma
- ClinicalTrials.gov ID
- NCT00774826
- Acronym / sponsor ID
- IIL-FOLL05
- Conditions
- Follicular Lymphoma
- Keywords
- Follicular lymphoma, Rituximab
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 534 participants (actual)
- Lead sponsor
- Fondazione Italiana Linfomi - ETSUniversity, hospital or other
- Study start
- Dec 2005
- Primary completion
- Sep 2010 (actual)
- Study completion
- Mar 2014 (estimated)
- First posted
- 17 Oct 2008 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to define an improvement and theassessment of the Time to Treatment Failure in patients randomized in three different arms:
R-CVP vs R-CHOP vs R-FM.
Detailed description
Assessment of Overall Survival (OS)in patients treated with R-CVP, R-CHOP and R-FM. -Assessment of Progression Free Survival (PFS)in patients treated with R-CVP, R-CHOP - Assessment of Duration of Response (DR)in patients treated with R-CVP, R-CHOP and R-FM. - Assessment of Response Rate(RR) in patients treated with R-CVP, R-CHOP and R-FM. - Assessment of molecular Response Rate in patients treated with R-CVP, R-CHOP and R-FM. - Assessment of toxicity of R-CVP, R-CHOP, R-FM treatments.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| 1 | Experimental | Drug: R-CVPR-CVP x 3; Restaging if> RP then R-CVP x 5 |
| 2 | Experimental | Drug: R-CHOPR-CHOP x 3; Restaging if > RP then R-CHOP x 3 plus 2 Rituximab |
| 3 | Experimental | Drug: R-FMR-FM x 3; Restaging if > RP then R-FM x 3 plus 2 Rituximab |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (27 listed)
- Histological DIAGNOSIS of B cell follicular lymphoma
- ECOG performance status 0-2
- Age range 18-75
- Ann Arbor Stage: II-IV
- Assessment of pathology with diagnostics biopsy
Key exclusion criteria (11 listed)
- Histological Diagnosis of all type of lymphoma unless Follicularlymphoma, CD20 lymphoma, stage IIIb of follicular lymphoma and high degree lymphoma
- Stage I of Ann Arbor scale
- Central Nervous system involvement
- HIV, HBV OR HCV Positivity
- Cardiac Pathology
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| R-CVPRituximab: 375 mg/mq day 1 Ciclofosfamide: 750 mg/mq day 1, Vincristina: 1,4 mg/mq day 1 Prednisone: 40 mg/mq day 1-5, | Drug | 1 |
| R-CHOPRituximab: 375 mg/mq day 1 Ciclofosfamide: 750 mg/mq day 1 Doxorubicina: 50 mg/mq day 1 Vincristina: 1.4 mg/mq day 1 Prednisone: 100 mg/mq day 1-5 | Drug | 2 |
| R-FMRituximab: 375 mg/mq day 1, Fludarabina: 25 mg/mq day 1-3, Mitoxantrone: 10 mg/mq day 1, | Drug | 3 |
Primary outcome
Assessment of the Time to Treatment Failure (TTF)in patients treated with R-CVP, R-CHOP and R-FM.
Time frame: 2 years
6 secondary outcomes
Assessment of Overall Survival (OS)in patients treated with R-CVP, R-CHOP and R-FM. -
Time frame: 3 years
Assessment of Progression Free Survival (PFS)in patients treated with R-CVP, R-CHOP
Time frame: 2 years
Assessment of Duration of Response (DR)in patients treated with R-CVP, R-CHOP and R-FM.
Time frame: 2 years
Assessment of Response Rate(RR) in patients treated with R-CVP, R-CHOP and R-FM.
Time frame: 2 years
Assessment of molecular Response Rate in patients treated with R-CVP, R-CHOP and R-FM.
Time frame: 2 years
Assessment of toxicity of R-CVP, R-CHOP, R-FM treatments.
Time frame: 2 years
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Feb 2011.
- Derived from this study: PubMed 29095677Luminari S, Ferrari A, Manni M, Dondi A, Chiarenza A, Merli F, Rusconi C, Tarantino V, Tucci A, Vitolo U, Kovalchuk S, Angelucci E, Pulsoni A, Arcaini L, Angrilli F, Gaidano G, Stelitano C, Bertoldero G, Cascavilla N, Salvi F, Ferreri AJM, Vallisa D, Marcheselli L, Federico M. Long-Term Results of the FOLL05 Trial Comparing R-CVP Versus R-CHOP Versus R-FM for the Initial Treatment of Patients With Advanced-Stage Symptomatic Follicular Lymphoma. J Clin Oncol. 2018 Mar 1;36(7):689-696. doi: 10.1200/JCO.2017.74.1652. Epub 2017 Nov 2.
- Derived from this study: PubMed 25596266Rossi D, Bruscaggin A, La Cava P, Galimberti S, Ciabatti E, Luminari S, Rigacci L, Tucci A, Pulsoni A, Bertoldero G, Vallisa D, Rusconi C, Spina M, Arcaini L, Angrilli F, Stelitano C, Merli F, Gaidano G, Federico M, Palumbo GA. The genotype of MLH1 identifies a subgroup of follicular lymphoma patients who do not benefit from doxorubicin: FIL-FOLL study. Haematologica. 2015 Apr;100(4):517-24. doi: 10.3324/haematol.2014.108183. Epub 2015 Jan 16.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Massimo Federico, PhD principal investigator
Azienda Ospedaliero-Universitaria di Modena
82 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing R-CVP, R-CHOP and R-FM in people with Follicular Lymphoma, run by Fondazione Italiana Linfomi - ETS at 82 sites in Italy.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 27 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 15 Feb 2011. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 82 sites in Italy. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Assessment of the Time to Treatment Failure (TTF)in patients treated with R-CVP, R-CHOP and R-FM. (time frame: 2 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00774826, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Feb 2011.