A phase III Multicenter,Randomized study comparing consolidation with 90yttrium-Labeled ibritumomab tiuxetan (Zevalin®) radioimmunotherapy vs autologous stem cell transplantation (ASCT) in patients with Relapsed/Refractory follicular lymphoma (FL) aged 18-65 years
NCT ID NCT01827605
First seen Sep 09, 2026 · Last updated Sep 09, 2026
Summary
This is a Phase III, multicenter, open-label, randomized and controlled study to compare the efficacy of a consolidation therapy with RIT versus ASCT in patients with FL in CR or PR after second or third line chemotherapy supplemented with rituximab.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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159 people
The number who actually took part.
- Start date
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Jan 2012
- Finished
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Jan 2024
- 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 to 65 years
- 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: * Age 18-65 * Histologically documented diagnosis of grade I-IIIa FL defined according to WHO guidelines 2008 (Re-biopsy required) * Availability of BM and PB for Minimal Residual Disease (MRD) analysis (see Appendix I) * Relapsed or refractory disease after ≤ two chemotherapy lines at least one containing Rituximab (Rituximab maintenance is UNOTU considered a therapeutic line) * Clinical indication of treatment i.e. Stage II-IV who require therapy according to SIE and GELF criteria (see Appendix II) * ECOG performance status 0-2 (unless disease-related) (see Appendix III) * Availability of histological material for centralized revision * Laboratory values: * ANC ≥ 1500/mmc unless due to marrow involvement by lymphoma and/or platelets ≥ 100000/mmc unless due to marrow involvement by lymphoma * Serum creatinine ≤ 1.5 x ULN, unless it is disease related * Bilirubin ≤ 1.5 x ULN (or ≤ 3.0 x ULN, if patient has Gilbert syndrome) * AST/SGOT and/or ALT/SGPT ≤ 2.5 x ULN if not lymphoma related or ≤ 5.0 x ULN in case of lymphoma liver involvement * Adequate cardiac function: LVEF \> 50% by echocardiography or MUGA scan * Not pregnant or breast-feeding * Willingness to use effective contraception during the study and 3 months after the end of treatment * No other prior malignancies except for adequately treated non-melanoma skin cancer, carcinoma in situ of the cervix, or other cancer from which the patient has been disease-free for ≥ 5 years (see Exclusion criteria 14) * Signed informed written consent Exclusion Criteria: * Grade IIIb FL, transformed FL or histologies different from FL * Previous treatment with \> two lines of chemotherapy ± rituximab Maintenance is UNOTU considered a therapeutics line) * Previous ASCT or RIT treatment * CNS involvement by lymphoma * HBV positivity with the exception of patients who are seropositive because of hepatitis B virus vaccination and patients HbcAb positive and HbsAg negative with undetectable serum HBV-DNA. Occult carriers: must receive treatment with Lamivudine 100 mg for the duration of treatment program and at least 12 months after treatment cessation; HBV-DNA levels and HBsAg will be monitored every month * HCV positivity with elevated transaminases or INR or APTT or active virus replication * HIV positivity * Any concurrent medical condition requiring long term use (\> one month) of systemic corticosteroids * Active bacterial, viral, or fungal infection requiring systemic therapy * Any concurrent medical or psychiatric condition which might impair administration of therapy or preclude the ability to give informed consent * Treatment with an experimental agent within 30 days prior to study entry * Myelosuppressive chemo or biological therapy within three weeks before study entry (use rituximab course delivered as maintenance is not an exclusion therapy) * Major surgery other than diagnosis within 4 weeks prior to study entry * Previous i.v. or i.m. treatments with murine or animal derived antibodies
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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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A O Papardo
Messina, Italy
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A.O. Niguarda
Milan, MI, 20162, Italy
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A.O. SS. Antonio e Biagio e C. Arrigo
Alessandria, Alessandria, 15121, Italy
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A.O.U. San Martino
Genova, GE, 16132, Italy
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Ausl Ravenna
Ravenna, Italy
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Azienda Ospedaliera "Bianchi Melacrino Morelli"
Reggio Calabria, RC, 89125, Italy
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Azienda Ospedaliera V. Cervello
Palermo, Italy, 90146, Italy
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Clinica di Ematologia - A.O.U. S. Maria di Udine
Udine, Italy
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Clinica di ematologia AOU Umberto I Ospedali Riuniti
Ancona, Ancona, 60100, Italy
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Divisione di Ematologia Osp. Businco
Cagliari, Italy
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Emat Univ - Città della salute e della scienza di Torino
Torino, TO, 10126, Italy
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Ematologia Policlinico San Matteo
Pavia, Pavia, 27100, Italy
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Ematologia con Trapianto Policlinico Universitario Consorziale
Bari, Bari, 70124, Italy
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Ematologia e Trapianto IRCCS, Istituto Nazionale dei Tumori
Milan, Milano, Italy
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Ematologia, A.O. San Gerardo
Monza, Milano, 20052, Italy
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Filippo Gherlizoni
Treviso, Italy
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IRCC Onco-Ematologia
Candiolo, Italy
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IRCCS San Raffaele Unità di Chemioterapia
Milan, Italy
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IRCCS-Centro di riferimento oncologico UO di ematologia e Trapianto Cellule Staminali
Rionero in Vulture, Potenza, 85028, Italy
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Istituto Pascale Oncoematologia
Naples, Italy
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Ospedale Ferrarotto
Catania, Italy
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Ospedale Policlinico G.B. Rossi (Borgo Roma) Di Verona
Verona, VR, 37126, Italy
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Ospedale S. Francesco
Nuoro, Italy
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Ospedale San Bortolo
Vicenza, VI, 36100, Italy
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Ospedale Santa Maria della Misericordia
Perugia, Italy
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Ospedale Santo Spirito Dipartimento di Ematologia
Pescara, Italy
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Policlinico Careggi Clinica Ematologica
Florence, Italy
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Policlinico di Modena - Università degli studi
Modena, Italy
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Presidio Ospedaliero "A. Tortora"
Pagani, SA, 84014, Italy
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Presidio Ospedaliero A.Perrino - Divisione di Ematologia
Brindisi, Italy
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SC Ematologia AO Santa Maria Nuova IRCCS
Reggio Emilia, Reggio Emilia, 42123, Italy
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SC Ematologia Città della salute e della scienza di Torino
Torino, Italy
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SCDU Ematologia - Università del Piemonte Orientale
Novara, Novara, 28100, Italy
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Spedali Civili
Brescia, Brescia, Italy
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U.O. Complessa di Ematologia Ospedale di Parma
Parma, Parma, 43100, Italy
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UO Ematologia Osp. Cardinale Panico
Tricase, Italy
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Unità Ematologia Ospedale Civile di Piacenza
Piacenza, Piacenza, 29100, Italy
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Univeristà La Sapienza
Roma, Italy
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