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Brief Title: Primary Rituximab and Maintenance
Official Title: Advanced Follicular Lymphoma Evaluating the Benefit of Maintenance Therapy With Rituximab (MabThera®) After Induction of Response With Chemotherapy Plus Rituximab in Comparison With no Maintenance Therapy
Study ID: NCT00140582
Brief Summary: * Objectives * Primary objective: To evaluate in patients with advanced follicular lymphoma the benefit of maintenance therapy with rituximab after induction of response with chemotherapy plus rituximab in comparison with no maintenance therapy * Secondary objective: To evaluate response rates, event driven survival endpoints (EFS, PFS, OS) and quality of life of four different chemotherapy regimens combined with rituximab, with or without maintenance with rituximab, for first line treatment of advanced stage follicular lymphoma. * Study Design This is an international open-label, multicentre, randomized study with two treatment phases. In the induction phase patients have to respond to 1st line induction treatment in order to be eligible for randomization to the second phase of maintenance treatment or observation. After the maintenance period patients will be included in the follow up phase for 3 years.
Detailed Description: Study medication * First period: Induction of response with 8 x rituximab combined with 8 cycles of CVP or 6 cycles of CHOP in 21-day cycles or 6 cycles of FCM in 28-day cycles or 6 cycles of MCP in 28-day cycles. * Second period: rituximab 375 mg/m2 every 8 weeks for 24 months (12 injections) or control with no treatment
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Fundaleu Hospital, Buenos Aires, , Argentina
Australian Leukemia and Lymphoma Group, Melbourne, , Australia
Université de Gent, Gent, , Belgium
Groupe d'Etude des Lymphomes de l'adulte, Mont-Godinne, , Belgium
Hospital Samaritano, Sao Paulo, , Brazil
Fundación Santafé de Bogotá, Bogota, , Colombia
Amtssygehuset i Herlev, Herlev, , Denmark
Polyclinique Bordeaux Nord, Bordeaux, , France
Hôpital Henri Mondor, Créteil, , France
Hématologie CHU de Lille, Lille, , France
Centre Léon Bérard, Lyon, , France
Institut Curie, Paris, , France
Hôpital Saint Louis, Paris, , France
Hématologie Adultes - Hôpital Necker, Paris, , France
Service d'Hématologie - Centre Hospitalier Lyon-Sud, Pierre-Bénite cedex, , France
Centre Hospitalier Robert Debré, Reims, , France
Centre Henri Becquerel, Rouen, , France
Hématologie CHU Purpan, Toulouse, , France
Institut Gustave Roussy, Villejuif, , France
HOVON, Utrecht, , Netherlands
Australia New Zealand Leukemia Lymphoma Group, Auckland, , New Zealand
Instituo Nacional de Enfermedades Neoplasicas, Lima, , Peru
Hospital Clinic Barcelona, Barcelona, , Spain
King Chulalongkorn Memorial Hospital, Bangkok, , Thailand
Name: Gilles A Salles, MD PhD
Affiliation: Lymphoma Study Association
Role: PRINCIPAL_INVESTIGATOR