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Mature B-Cell LymphomaPhase 2/3NCT01046825

Mature B-Cell Lymphoma And Leukemia Study III

A Phase 2/3 study testing COPAD, COP, COPD M3, CYM and COP, COPADM8, CYVE in people with Mature B-Cell Lymphoma, run by St. Jude Children's Research Hospital at 4 sites in 3 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

This is a phase III clinical trial using risk-adapted therapy. Treatment outcomes for children with B-cell NHL are excellent. Further improvements in outcome will likely be achieved through more focused study of the biology of the tumors and prospective studies of the late effects of treatment. Read more about this study

Who is it for?
Ages Up to 21 years
Conditions the study is for
Mature B-Cell Lymphoma
What is being tested?
COPAD, COP, COPD M3, CYM and COP, COPADM8, CYVE
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
128 participants
Where
4 sitesin 3 countries
Study dates
9 Sep 2010to Aug 2027
Phase
Phase 2/3
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 Up to 21 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • St. Jude participants and collaborating sites participating in therapeutic and biological objectives:
  • Participant must have a histologic diagnosis of a mature B cell lymphoma (e.g., Burkitt lymphoma/leukemia, atypical Burkitt lymphoma, diffuse large B-cell lymphoma, mediastinal large B-cell lymphoma, mature B-cell lymphoma NOS) as defined in the WHO classification.
  • Participant must be previously untreated, (no more than 72 hours of steroids, one intrathecal chemotherapy treatment, and/or emergency radiation).
  • Participant must be < 22 years of age at the time of diagnosis
  • For selected higher-risk CD20+ Group B and all CD20+ Group C participants receiving rituximab only (e.g., those with MLBLC, Stage III with LDH ≥ 2 times upper limit of normal (ULN), and/or bone marrow/CNS involvement: All participants who will receive rituximab must have hepatitis screening prior to enrollment. Participants whose results indicate that they are carrier of hepatitis B can still be treated per Group B or C but will NOT receive rituximab. This screening must be done for eligibility for participants who will receive rituximab, BUT the results are not needed prior to enrollment:
  • Hepatitis B immunization status (vaccination Yes or No)
Show all 17Show fewer
  • HBsAg
  • Anti-HBs antibody
  • Anti-HBc antibody.
  • All participants must have screening prior to enrollment; participants whose results indicate that they are carrier of hepatitis B can still be treated per group B and C but will NOT receive rituximab
  • HIV test has been obtained within 42 days. Participants who test positive for HIV cannot be enrolled on therapeutic part of study, but are still eligible for biology studies.
  • Informed consent must be obtained according to St. Jude guidelines before enrollment into study.
  • Participants from Collaborating Sites Participating in Biological Objectives Only:
  • Participant must have a histologic diagnosis of a mature B cell lymphoma (e.g., Burkitt lymphoma/leukemia, atypical Burkitt lymphoma, diffuse large B-cell lymphoma, mediastinal large B-cell lymphoma, mature B-cell lymphoma NOS) as defined in the WHO classification.
  • Participant must be < 22 years of age at the time of diagnosis.
  • Participant must be previously untreated (no more than 72 hours of steroids, one intrathecal chemotherapy treatment, and/or emergency radiation) at the time of the diagnostic biopsy.
  • Informed consent must be obtained by local PI or his/her designee according to ICH/Good Clinical Practice and local guidelines before enrollment into study.

Who cannot join

  • Participants from Collaborating Sites Participating in Therapeutic and Biological Objectives:
  • Participants known to be HIV positive (for therapeutic part of protocol, HIV participants are eligible for biology studies).
  • Participants who are pregnant or lactating.
  • Inability or unwillingness of research participant or legal guardian to consent.
  • Participants from Collaborating Sites Participating in Biological Objectives Only:
  • Inability or unwillingness of research participant or legal guardian to consent.
  • Histologic diagnosis other than a mature B-cell lymphoma as defined in the WHO classification.

Trial locations and contacts

4 sites in 3 countries.

4 sites in 3 countries

United States2 sites
  • St. Jude Children's Research Hospital

    Memphis, Tennessee, 38105

  • Rady Children's Hospital San Diego

    San Diego, California, 92123

Other trials in United States

Egypt1 site
  • Children's Cancer Hospital

    Cairo, 11787

Other trials in Egypt

Singapore1 site
  • National University Health System

    Singapore, 119228

Other trials in Singapore

About this study

This is a phase III clinical trial using risk-adapted therapy. Treatment outcomes for children with B-cell NHL are excellent. Further improvements in outcome will likely be achieved through more focused study of the biology of the tumors and prospective studies of the late effects of treatment. Toward this end, this study features a spectrum of prospective biologic and late effect studies performed in patients treated with a modified regimen derived from the very successful LMB-96 regimen.

Read the detailed description
  1. This study will perform analysis of newly diagnosed mature B-cell lymphomas (e.g. Burkitt lymphoma/leukemia, DLBCL, and MLBCL) obtained from participants in different parts of the world.
  2. This study will describe the types and frequency of mutations in the ARF-HDM2-TP53 pathway, in B-cell lymphomas in the United States and that found in selected geographic regions of the world.
  3. This study will describe the expression of ARF-HDM2-TP53 and PUMA-associated pathways in B-cell lymphomas in the United States and that found in B-cell lymphomas of other selected geographic regions of the world.
  4. This study will describe the pattern and frequency of XLP gene mutations presenting with B-cell lymphomas in the United States and selected geographic regions.
  5. This study will describe the frequency of EBV-positive B-cell lymphomas in the United States and selected geographic regions of the world: and will describe the pattern of EBV protein and gene expression (e.g., EBNA 3) in EBV-positive lymphomas and the study will compare patterns of EBV protein and gene expression with clinical, laboratory and outcome data.

Exploratory Aims:

To estimate the complete response rate, event-free survival, and overall survival rates in patients with Burkitt lymphoma (BL), Burkitt leukemia/B-cell acute leukemia (B-ALL) and diffuse large B-cell lymphoma (DLBCL) treated with a stage-adapted regimen based on the St. Jude B-cell II protocol.

Being tested
COPAD, COP, COPD M3, CYM, COP, COPADM8, CYVE
Keywords
Lymphoma, Leukemia, Non-Hodgkin's Lymphoma
Medical subject headings
Lymphoma, Leukemia, Lymphoma, Non-Hodgkin

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • COPADDrug

    Also called VCR, prednisone, Adriamycin, cytoxan

    Vincristine Prednis(ol)one, Cyclophosphamide, Doxorubicin, G-CSF

    In the event the patient cannot receive G-CSF, Pegfilgrastim can be substituted.

  • COP, COPD M3, CYMDrug

    Also called Elitek, Cytoxan, VCR, prednisone

    GROUP B Treatment Details Intravenous fluids should be given at a rate of 3000 mL/m2/day. Use of rasburicase may preclude the need for HCO3 Pre-Phase: Cyclophosphamide, Vincristine, Prednis(ol)one, IT medications Induction (2 cycles): Vincristine, Prednis(ol)one, Methotrexate, Leucovorin, Cyclophosphamide, Doxorubicin, IT medications, G-CSF, Rituximab Consolidation (2 cycles): Methotrexate, Leucovorin, Cytarabine, IT medications, G-CSF, Rituximab

    In the event the patient cannot receive G-CSF, Pegfilgrastim can be substituted.

  • COP, COPADM8, CYVEDrug

    Also called Elitek, cytoxan, VCR, prednisone

    Treatment: Intravenous fluids should be given at a rate of 3000 mL/m2/day. Use of rasburicase may preclude the need for HCO3.

    COP Pre-Phase: Cyclophosphamide, Vincristine, Prednis(ol)one, IT medications, Leucovorin.

    COPADM8 Induction (2 cycles): Vincristine, Prednis(ol)one, Methotrexate, Leucovorin, Cyclophosphamide, Doxorubicin, Rituximab, IT medications, G-CSF CYVE Consolidation (2 cycles): Cytarabine, High-Dose Ara-C, Etoposide, Rituximab, G-CSF.

    Maintenance No.1: Vincristine, Prednis(ol)one, Cyclophosphamide, Methotrexate, Leucovorin, Doxorubicin, IT medications, G-CSF.

    Maintenance No.2: Cytarabine, Etoposide, G-CSF, IT Medications. Maintenance No.3: Vincristine, Prednis(ol)one, Cyclophosphamide, Doxorubicin, G-CSF, IT Medications.

    Maintenance No. 4: Cytarabine, Etoposide, G-CSF, IT Medications.

    In the event the patient cannot receive G-CSF, Pegfilgrastim can be substituted.

Study groups in NCT01046825
Study groupRoleWhat they receive
Group AOtherCompletely resected stage I or completely resected abdominal stage II lesions. Group A will include: COPAD x 2 cycles.
Receives: Drug: COPAD
Group BOtherAll cases not eligible for Group A or Group C. (Murphy Stage III and non-CNS Stage IV) Group B will include the intervention COP, COPD M3, CYM as follows: Pre-Phase: COP Induction: COPAD M3 x 2 cycles Consolidation: CYM x 2 cycles.
Receives: Drug: COP, COPD M3, CYM
Group COtherAny CNS involvement and/or bone marrow involvement ≥ 25% blasts. For CNS involvement one or more of the following applies: 1. Any L3 blasts in CSF 2. Cranial nerve palsy (if not explained by extracranial tumor) 3. Clinical spinal cord compression 4. Isolated intracerebral mass 5. Parameningeal extension: cranial and/or spinal Group C will include the intervention COP, COPADM8, CYVE as follows: Pre-Phase: COP Induction: COPADM8 cycle 1 Induction: COPADM8 Cycle 2 Consolidation: CYVE x 2 cycles and Maintenance
Receives: Drug: COP, COPADM8, CYVE

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Gene Differential Expression Profiling of Burkitt Lymphoma (BL) vs. Non-BL in the US and Other Selected Geographic Regions of the World

    Gene expression levels in BL vs. non-BL will be analyzed through approximately 22,000 probesets on the Affymetrix U133A GeneChip by using two-factor analysis of variance model for each gene.

    Measured: 1 year after the participant is enrolled

  2. Catalog and Estimate Frequencies of Copy Number Variations in Childhood Lymphomas

    The prevalence of CNVs between different subtypes of childhood lymphomas and geographic regions will be reported and compared with exact chi-square or Fisher's test. The CNVs are derived from Affymetrix SNP arrays.

    Measured: 1 year after the participant is enrolled

  3. Integrated Analysis of CNVs and Gene Expressions in the US and Other Selected Geographic Regions of the World

    The association between the identified CNVs and gene expressions in the study cohort will be examined by using general linear models, and multiple tests will be considered. Gene expressions are measured by Affymetrix U133A arrays and CNVs are derived from Affymetrix SNP arrays.

    Measured: 1 year after the participant is enrolled

  4. Pattern and Frequency of XLP Gene Mutations Presenting With B-cell Lymphomas in the United States and Selected Geographic Regions

    Frequency of XLP mutation among boys will be calculated in each geographical region as well as in all regions pooled. The frequency is reported here as the number of boys with XLP gene mutations found in B-cell lymphomas boys.

    Measured: 1 year after the participant enrollment

  5. Frequency of EBV Protein Expression (e.g., EBNA 3) in EBV-positive Lymphomas

    Frequency of EBV-positive BL will be calculated for each geographical region.

    Measured: 1 year after the participant is enrolled

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Jan 2010 (estimated)
  2. Study start9 Sep 2010
  3. Primary completion31 Aug 2023
  4. Study completionAug 2027 (estimated)

Resources

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 2/3
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
128 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01046825
Sponsor's protocol ID
SJBC3
Other IDs
NCI-2011-01251
Status last verified
May 2026
First submitted
8 Jan 2010
Last updated
2 Jun 2026
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing COPAD, COP, COPD M3, CYM and COP, COPADM8, CYVE in people with Mature B-Cell Lymphoma, run by St. Jude Children's Research Hospital at 4 sites in 3 countries.

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 17 inclusion and 7 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: under way, not looking for participants, as of the sponsor's last update on 2 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in United States, Egypt, Singapore. 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 combined phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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?

Yes. Results are posted in the registry (first posted 30 May 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Gene Differential Expression Profiling of Burkitt Lymphoma (BL) vs. Non-BL in the US and Other Selected Geographic Regions of the World (time frame: 1 year after the participant is enrolled). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 2 Jun 2026.

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