New hope for lymphoma patients who Can't handle standard chemo
NCT ID NCT01679119
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested two different drug combinations for people with a type of blood cancer called diffuse large B-cell lymphoma (DLBCL) who cannot take the usual strong chemotherapy. The trial compared a newer drug (inotuzumab ozogamicin) plus standard therapy against another common combination. The goal was to see which works better and is safer for these patients, with 129 participants taking part.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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129 people
The number who actually took part.
- Started
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Oct 2013
- Finished
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Mar 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
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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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: * Informed written consent for the trial * Histologically proven diffuse large B cell lymphoma (DLBCL) according to the current World Health Organisation (WHO) classification including all morphological variants. The B cell nature of the proliferation must be verified by demonstration of CD20 positivity. A concurrent (synchronous) diagnosis of low grade lymphoma (e.g. on bone marrow trephine or presence of both low grade and DLBCL in a lymph node biopsy) or previous diagnosis of low grade lymphoma which hasn't been treated with a systemic therapy is permitted * Bulky Stage IA (lymph node or lymph node mass ≥ 10cm in maximum diameter), stage IB, stage II, stage III and stage IV disease * ECOG performance status 0-2 * Measurable disease * Age 18 ≥ years * Adequate contraceptive precautions for all patients of childbearing potential * History of malignant disease diagnosed at any time in the past with completed radical treatment and the risk of relapsing within the next 5 years is \<10%. Patients previously treated should be free of sequelae of treatment which would compromise the delivery of study drugs as compared with other eligible patients. * No previous chemotherapy, radiotherapy or other investigational drug for this indication - previous corticosteroids up to a dose equivalent to prednisolone 1mg/kg/day for up to 14 days are permitted prior to randomisation EITHER * Unsuitable for anthracycline-containing chemotherapy due to impaired cardiac function defined by an ejection fraction of ≤ 50% OR Left ventricle ejection fraction \> 50% but in the presence of significant co-morbidities (diabetes mellitus, hypertension or ischaemic heart disease) precluding anthracycline-containing chemotherapy as determined by treating physician. Co-morbidities must be documented on the randomisation form and CIRS score recorded * Adequate bone marrow function (Platelets \> 100x109/l, WBC \> 3.0x109/l, Neutrophils \> 1.5x109/l) at time of study entry unless attributed to bone marrow infiltration by DLBCL * Life expectancy \> 3 months Exclusion criteria: * Symptomatic central nervous system or meningeal involvement by DLBCL * Previous diagnosis of low grade lymphoma which has been treated with a systemic therapy * Non-bulky stage IA disease * ECOG performance status 3-4 * History of chronic liver disease or suspected alcohol abuse * Serum bilirubin greater than upper limit of normal unless attributable to Gilberts syndrome or haemolysis * Alanine and/or aspartate aminotransferase levels (ALT and/or AST) and alkaline phosphatase (ALP) greater than 2.5 times the upper limit of normal * Glomerular filtration rate (GFR) \< 30ml/min. GFR calculated by Cockroft-Gault (not eGFR). * Serological evidence of active hepatitis B or C infection whether acute or chronic (defined as positive anti-HCV serology; positive HBsAg). All positive HBcAb results should also be excluded on safety grounds regardless of HBsAg or HBV DNA status. Antibodies to Hepatitis B surface antigen (anti-HBs) due to a history of past vaccination is acceptable * Known history of HIV seropositive status * Patients with a history of Venoocclusive Disease (VOD) and Sinusoidal Obstructive Syndrome (SOS) * Patients with a screening of QTcF interval \>470msec * Medical or psychiatric conditions compromising the patient's ability to give informed consent * Women who are pregnant or lactating * LVEF \> 50% in the absence of significant co-morbidities that preclude anthracycline use * Patients with a history of severe allergic/anaphylactic reaction to any humanised monoclonal antibody * Patients with serious active infection
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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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Aintree University Hospital
Liverpool, United Kingdom
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Beatson West of Scotland Cancer Centre (including Gartnavel Royal Hospital)
Glasgow, United Kingdom
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Bristol Oncology Centre
Bristol, United Kingdom
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Castle Hill Hospital
Cottingham, United Kingdom
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Christie Hospital
Manchester, United Kingdom
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Churchill Hospital
Oxford, United Kingdom
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Darent Valley Hospital
Dartford, United Kingdom
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Derriford Hospital
Plymouth, United Kingdom
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Freeman Hospital
Newcastle, United Kingdom
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Guy's Hospital (including St Thomas's Hospital)
London, United Kingdom
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James Paget University Hospital
Great Yarmouth, United Kingdom
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Kent and Canterbury Hospital
Canterbury, United Kingdom
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Kettering General Hospital
Kettering, United Kingdom
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Kings Mill Hospital
Sutton in Ashfield, United Kingdom
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Leicester Royal Infirmary
Leicester, United Kingdom
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Luton and Dunstable Hospital
Luton, United Kingdom
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Medway Maritime Hospital
Gillingham, United Kingdom
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Norfolk and Norwich University Hospital
Norwich, United Kingdom
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North Hampshire Hospital
Basingstoke, United Kingdom
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North Tyneside Hosptial (including Wansbeck Hospital and Hexham General Hospital)
North Shields, United Kingdom
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Northwick Park Hospital
Harrow, United Kingdom
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Nottingham City Hospital
Nottingham, United Kingdom
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Princess Royal University Hospital
Orpington, United Kingdom
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Queen's Hospital
Romford, United Kingdom
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Royal Bournemouth Hospital
Bournemouth, United Kingdom
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Royal Cornwall Hospital
Truro, United Kingdom
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Royal Devon & Exeter Hospital
Exeter, United Kingdom
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Royal Free Hospital
London, United Kingdom
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Royal Hampshire County Hospital
Winchester, United Kingdom
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Royal Liverpool University Hospital
Liverpool, United Kingdom
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Royal United Hospital
Bath, United Kingdom
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Southampton General Hospital
Southampton, United Kingdom
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St James's University Hospital
Leeds, United Kingdom
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Stoke Mandeville Hospital (including Wycombe Hospital)
Aylesbury, United Kingdom
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Torbay Hospital
Torquay, United Kingdom
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University College London Hospital
London, United Kingdom
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University Hospital, Coventry
Coventry, United Kingdom
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West Suffolk Hospital
Bury St Edmunds, United Kingdom
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Worcester Royal Hospital (including Kidderminster Hospital and Alexandra Hospital)
Worcester, United Kingdom
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Wythenshawe Hospital (including Trafford General Hospital)
Wythenshawe, United Kingdom
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- A randomized, Open-Label, multicenter phase III clinical study of JS203 plus chemotherapy versus rituximab plus chemotherapy in patients with Relapsed/Refractory diffuse large B-Cell lymphoma
- Can engineered immune cells beat tough B-Cell cancers?
- Can a smart drug deliver a One-Two punch to advanced cancers?
- Can a single injection reprogram immune cells to fight cancer?
- Can immune cells plus a checkpoint drug outsmart lymphoma?
- Can an immune booster outsmart brain lymphoma?