Clinical Trial: Combination Chemotherapy in Treating Patients With AIDS-Related Non-Hodgkin's Lymphoma

This study is currently recruiting patients.

Sponsors and Collaborators: Ireland Cancer Center
National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)


RATIONALE: Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die. Combining more than one drug may kill more cancer cells.

PURPOSE: Phase II trial to study the effectiveness of combining lomustine, etoposide, cyclophosphamide, and procarbazine in treating patients who have AIDS-related non-Hodgkin's lymphoma.

Condition Treatment or Intervention Phase
AIDS-related diffuse large cell lymphoma
AIDS-related diffuse mixed cell lymphoma
AIDS-related diffuse small cleaved cell lymphoma
AIDS-related immunoblastic large cell lymphoma
AIDS-related lymphoblastic lymphoma
AIDS-related small noncleaved cell lymphoma
 Drug: cyclophosphamide
 Drug: etoposide
 Drug: filgrastim
 Drug: lomustine
 Drug: procarbazine
 Procedure: biological response modifier therapy
 Procedure: chemotherapy
 Procedure: colony-stimulating factor therapy
 Procedure: cytokine therapy
Phase II

MedlinePlus related topics:  Lymphoma

Study Type: Interventional
Study Design: Treatment

Official Title: Phase II Study of Lomustine, Etoposide, Cyclophosphamide, and Procarbazine in Patients With AIDS-Related Non-Hodgkin's Lymphoma

Further Study Details: 


OUTLINE: This is a multicenter study.

Patients receive oral lomustine on day 1 (course 1 only), oral etoposide on days 1-3, and oral cyclophosphamide and oral procarbazine on days 22-26. Patients may also receive filgrastim (G-CSF) subcutaneously on days 5-21 and 28-42. Treatment repeats every 6 weeks for 2 courses in the absence of disease progression or unacceptable toxicity.

Quality of life is assessed at baseline, on days 1 and 22 of each course, at day 84, and then every 3 months for 1 year.

Patients are followed at day 84 and then every 3 months.

PROJECTED ACCRUAL: A total of 66 patients (22 in the United States and 44 in Africa) will be accrued for this study within 3-4 years.


Ages Eligible for Study:  16 Years and above,  Genders Eligible for Study:  Both



  • Diagnosis of acquired immune deficiency syndrome
  • Histologically confirmed stage I, II, III, or IV intermediate- or high-grade non-Hodgkin's lymphoma
  • B-cell, T-cell, or indeterminate immunologic phenotype
  • Measurable or evaluable disease
  • No clinical, radiographic, or cytological evidence of CNS parenchymal, vitreal, or leptomeningeal involvement by lymphoma NOTE: A new classification scheme for adult non-Hodgkin's lymphoma has been adopted by PDQ. The terminology of "indolent" or "aggressive" lymphoma will replace the former terminology of "low", "intermediate", or "high" grade lymphoma. However, this protocol uses the former terminology.


  • 18 and over (in the United States)
  • 16 and over (in Africa)

Performance status

  • ECOG 0-3

Life expectancy

  • At least 6 weeks


  • WBC at least 1,500/mm3
  • Platelet count at least 50,000/mm3


  • Bilirubin no greater than 3.0 mg/dL


  • Creatinine no greater than 3.0 mg/dL


  • Concurrent active infection for which patient is receiving treatment allowed provided clinical status is stable
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective barrier contraception


  • Not specified


Endocrine therapy

  • Not specified


  • Prior radiotherapy for stage I or II disease allowed provided there is documentation of disease progression


  • Not specified


Location and Contact Information

      Josephine Ford Cancer Center at Henry Ford Health System, Detroit,  Michigan,  48202-2608,  United States; Recruiting
Nalini Janakiraman, MD  313-916-3820 

New York
      Herbert Irving Comprehensive Cancer Center at Columbia University, New York,  New York,  10032,  United States; Recruiting
Gwen Lucille Nichols, MD  212-305-5705 

      Ireland Cancer Center at University Hospitals of Cleveland and Case Western Reserve University, Cleveland,  Ohio,  44106-5065,  United States; Recruiting
Scot C. Remick, MD  216-844-1196 

      University of Nairobi College of Health Sciences, Nairobi,  Kenya; Recruiting
Walter O. Mwanda  254-2-222-080 

      Uganda Cancer Institute, Kampala,  Uganda; Recruiting
Edward Katongole-Mbidde  256 41 540410 

Study chairs or principal investigators

Scot C. Remick, MD,  Study Chair,  Ireland Cancer Center   

More Information

Clinical trial summary from the National Cancer Institute's PDQ® database

Study ID Numbers:  CDR0000258098; CWRU-029828J; CWRU-2498; NCI-G02-2126; NCT00049439
Record last reviewed:  November 2002
Last Updated:  December 6, 2004
Record first received:  November 12, 2002 Identifier:  NCT00049439
Health Authority: United States: Federal Government processed this record on 2005-04-08

Cache Date: April 9, 2005