New combo therapy shows promise for kids with rare lymphoma
NCT ID NCT01516567
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This phase 2 trial tested a combination of chemotherapy drugs (etoposide, doxorubicin, vincristine, cyclophosphamide) plus the targeted drug rituximab in 47 children and teens with primary mediastinal large B-cell lymphoma. The goal was to see how well the regimen prevented the cancer from coming back. Researchers also tracked side effects during and after treatment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- DA-EPOCH-Rituximab (a combination of chemotherapy drugs etoposide, doxorubicin, vincristine, cyclophosphamide, and the targeted antibody rituximab)
- What this could lead to
- If successful, this could point toward an effective chemotherapy regimen for children with this rare lymphoma, potentially improving survival rates.
- What could go wrong
- This is a small, single-arm phase 2 trial with only 47 participants, so results may not apply broadly. Chemotherapy carries risks like infection, heart damage, and long-term immune effects.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
-
47 people
The number who actually took part.
- Started
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Apr 2012
- Finished
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Nov 2022
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
6 months to 17 years
- Sex
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Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Histologically proven Primary Mediastinal Large B-Cell Lymphoma (PMLBL). * PMLBL without central nervous system (CNS) involvement. * 6 months to less than 18 years of age at the time of consent. * Males and females of reproductive potential must agree to use an effective contraceptive method during the treatment, and after the end of treatment: during twelve months for women, taking into account the characteristics of rituximab * Complete initial work-up within 8 days prior to treatment that allows definite staging. * Able to comply with scheduled follow-up and with management of toxicity. * Signed informed consent from patients and/or their parents or legal guardians Exclusion Criteria: * Follicular lymphoma, mucosa-associated lymphoid tissue (MALT) and nodular marginal zone * PMLBL patients with CNS involvement * Patients with congenital immunodeficiency, chromosomal breakage syndrome, prior organ transplantation, previous malignancy of any type, or known positive HIV serology. * Evidence of pregnancy or lactation period. * There will be no exclusion criteria based on organ function. * Past or current anti-cancer treatment except corticosteroids during less than one week. * Tumor cell negative for CD20 * Prior exposure to rituximab. * Severe active viral infection, especially hepatitis B. * Hepatitis B carrier status history of hepatitis B virus (HBV) or positive serology. * Participation in another investigational drug clinical trial. * Patients who, for any reason, are not able to comply with the national legislation.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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2nd Dept. of Pediatrics Semmelweis Univ.
Budapest, 1094, Hungary
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Associazione Italiana di Ematologia ed Oncologia Pediatrica
Padova, 35128, Italy
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Children Oncology Group Operations centres
Monrovia, Canada
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Emma Children's Hospital
Amsterdam, 1105 AZ, Netherlands
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Gustave Roussy
Villejuif, 94805, France
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Rectorat of Medical University
Wroclaw, Poland
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Sociedad Española de Hematología y Oncología Pediátricas
Valencia, 46010, Spain
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University Hospitals Leuven
Leuven, 3000, Belgium
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University of Birmingham
Birmingham, United Kingdom
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