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Brief Title: Denileukin Diftitox in Treating Patients With Non-Hodgkin's Lymphoma
Official Title: A Phase II Study of DAB 389 IL-2, an Interleukin-2 Fusion Toxin, for Previously Treated Stage II, III, and IV Follicular Low-Grade Non-Hodgkin's Lymphoma
Study ID: NCT00003615
Brief Summary: RATIONALE: Immunotoxins such as denileukin diftitox can locate cancer cells and kill them without harming normal cells. This may be an effective treatment for non-Hodgkin's lymphoma. PURPOSE: Phase II trial to study the effectiveness of denileukin diftitox in treating patients who have non-Hodgkin's lymphoma that has not responded to previous treatment.
Detailed Description: OBJECTIVES: I. Determine the objective response rate in patients with previously treated stage I, II, III, or IV low- or intermediate-grade B-cell non-Hodgkin's lymphoma treated with denileukin diftitox. II. Determine the time to progression, duration of remission, and time to treatment failure in patients after treatment with this therapy. III. Determine the toxicity of this therapy in these patients. IV. Correlate the results of the inteleukin-2 receptor assay with treatment outcomes in these patients. OUTLINE: Patients are stratified according to interleukin-2 receptor classification (positive vs negative). Patients receive immunotoxin therapy with denileukin diftitox IV over 15-60 minutes on days 1-5. Treatment repeats every 21 days for 2-6 courses in the absence of disease progression or unacceptable toxicity. Patients are followed every 3 months for 2 years, every 6 months for 3 years, and then annually thereafter. PROJECTED ACCRUAL: A total of 33 patients will be accrued for the interleukin-2 (IL-2) receptor-positive stratum and a total of 11-44 patients will be accrued for the IL-2 receptor-negative stratum.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Robert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, Illinois, United States
Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States
CCOP - Southern Nevada Cancer Research Foundation, Las Vegas, Nevada, United States
Trinitas Hospital - Jersey Street Campus, Elizabeth, New Jersey, United States
Hunterdon Regional Cancer Center, Flemington, New Jersey, United States
Hackensack University Medical Center, Hackensack, New Jersey, United States
Morristown Memorial Hospital, Morristown, New Jersey, United States
Riverview Medical Center - Booker Cancer Center, Red Bank, New Jersey, United States
Overlook Hospital, Summit, New Jersey, United States
CCOP - Geisinger Clinic and Medical Center, Danville, Pennsylvania, United States
Name: Timothy M. Kuzel, MD
Affiliation: Robert H. Lurie Cancer Center
Role: STUDY_CHAIR