New drug combo may keep rare lymphoma at bay after transplant
NCT ID NCT00310037
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study looked at whether giving the drug bortezomib after intensive chemotherapy, immunotherapy, and a stem cell transplant can help prevent mantle cell lymphoma from coming back. 151 patients were randomly assigned to receive bortezomib either as maintenance (long-term) or consolidation (short-term) therapy. The goal was to see how many patients remained cancer-free 18 months after treatment. Results suggest this approach may improve outcomes, but more research is needed.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- bortezomib
- What this could lead to
- If successful, this approach could help keep mantle cell lymphoma from coming back after intensive treatment, potentially extending the time patients live without their cancer progressing.
- What could go wrong
- This is a phase 2 trial with a moderate number of participants, so results are not definitive. Bortezomib can cause side effects like nerve damage, fatigue, and low blood counts, and it may not work for everyone.
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
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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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151 people
The number who actually took part.
- Started
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Jun 2006
- Finished
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Jun 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 to 69 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.
1. Documentation of Disease A. Histologic Documentation: * Histologically documented mantle cell lymphoma with co-expression of CD20 (or CD19) and CD5 and lack of CD23 expression by immunophenotyping AND at least one of the following confirmatory tests: * positive immunostaining for cyclin D1; OR * the presence of t(11;14) on cytogenetic analysis; OR * molecular evidence of bcl-1/IgH rearrangement. * Cases that are CD5-negative and/or CD23-positive will be eligible provided that the histopathology is consistent with mantle cell lymphoma AND positive for cyclin D1, t(11;14), or bcl-1/IgH rearrangement.A tissue block should be submitted to the CALGB Pathology Coordinating Office for central pathology review. * A diagnosis based on peripheral blood or bone marrow is allowed. If the diagnosis is based only on blood, in addition to the immunophenotype and molecular confirmation above, a peripheral blood smear must be available for central pathology review. If the diagnosis is based on a bone marrow biopsy, the tissue block should be submitted. * Note: Failure to submit pathology materials within 60 days of patient registration will be considered a major protocol violation. B. Extent of Disease: * Stage I-IV. Patients with nodular histology mantle cell lymphoma must have Ann Arbor stage III or IV disease to be eligible. Patients with mantle zone histology will not be eligible because of their relatively favorable prognosis. Patients with other mantle cell histologies are eligible regardless of stage. * No active CNS disease defined as symptomatic meningeal lymphoma or known CNS parenchymal lymphoma. A lumbar puncture demonstrating mantle cell lymphoma at the time of registration to this study is not an exclusion for study enrollment. 2. Prior Treatment: A. Patients must be previously untreated or have received no more than one prior cycle of chemotherapy and/or rituximab treatment. B. No prior radiation therapy for mantle cell lymphoma. C. ≥ 2 weeks since major surgery. D. ≥ 3 weeks since prior chemotherapy. 3. Age Eligibility: Age ≥ 18 years and \< 70 years 4. Murine Products Hypersensitivity Eligibility: No known hypersensitivity to murine products. 5. Use of Systemic Corticosteroids Eligibility: No medical condition requiring chronic use of systemic corticosteroids. 6. Eligibility Criteria on HIV Infection: No HIV infection. Patients with a history of intravenous drug abuse or any behavior associated with an increased risk of HIV infection should be tested for exposure to the HIV virus. Patients who test positive or who are known to be infected are not eligible due to an increased risk of infection with this regimen. An HIV test is not required for entry on this protocol, but is required if the patient is perceived to be at risk. 7. Non-pregnant and non-nursing: Non-pregnant and non-nursing. Treatment under this protocol would expose an unborn child to significant risks. Women and men of reproductive potential should agree to use an effective means of birth control. 8. HepBSAg or HepC Ab Eligibility: Patients who test positive for HepBSAg or HepC Ab are eligible provided all of the following criteria are met: A. bilirubin ≤ 2 x upper limit of normal; AND B. AST ≤ 3 x upper limit of normal; AND C. liver biopsy demonstrates ≤ grade 2 fibrosis and no cirrhosis. Hepatitis B surface Ag(+) patients will be treated with lamivudine (3TC) throughout protocol therapy and for 6-12 months thereafter. 9. Secondary Malignancy Eligibility: Patients with a "currently active" second malignancy, other than non-melanoma skin cancers are not eligible. This includes Waldenstrom's Macroglobulinemia, since such patents have experienced transient increases in IgM following initiation of rituximab, with the potential for hyperviscosity syndrome requiring plasmapheresis. Patients are not considered to have a "currently active" malignancy if they have completed anti-cancer therapy, and are considered by their physician to be at less than 30% risk of relapse. 10. Initial Required Laboratory Values: * LVEF by MUGA or ECHO ≥ 45% * Creatinine ≤ 2.0 mg/dL * Total Bilirubin ≤ 2.0 mg/dL (Unless attributable to Gilbert's Disease) * u-HCG or serum HCG Negative (If patient of childbearing potential).
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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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Arthur G. James Cancer Hospital and Richard J. Solove Research Institute at Ohio State University Comprehensive Cancer Center
Columbus, Ohio, 43210-1240, United States
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BroMenn Regional Medical Center
Normal, Illinois, 61761, United States
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CCOP - Illinois Oncology Research Association
Peoria, Illinois, 61615, United States
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CCOP - North Shore University Hospital
Manhasset, New York, 11030, United States
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Community Cancer Center
Normal, Illinois, 61761, United States
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Community Hospital of Ottawa
Ottawa, Illinois, 61350, United States
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Dana-Farber/Brigham and Women's Cancer Center
Boston, Massachusetts, 02115, United States
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Dana-Farber/Harvard Cancer Center at Dana Farber Cancer Institute
Boston, Massachusetts, 02115, United States
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Don Monti Comprehensive Cancer Center at North Shore University Hospital
Manhasset, New York, 11030, United States
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Eureka Community Hospital
Eureka, Illinois, 61530, United States
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Galesburg Clinic, PC
Galesburg, Illinois, 61401, United States
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Graham Hospital
Canton, Illinois, 61520, United States
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Illinois CancerCare - Bloomington
Bloomington, Illinois, 61701, United States
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Illinois CancerCare - Canton
Canton, Illinois, 61520, United States
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Illinois CancerCare - Carthage
Carthage, Illinois, 62321, United States
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Illinois CancerCare - Community Cancer Center
Normal, Illinois, 61761, United States
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Illinois CancerCare - Eureka
Eureka, Illinois, 61530, United States
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Illinois CancerCare - Galesburg
Galesburg, Illinois, 61401, United States
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Illinois CancerCare - Havana
Havana, Illinois, 62644, United States
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Illinois CancerCare - Kewanee Clinic
Kewanee, Illinois, 61443, United States
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Illinois CancerCare - Macomb
Macomb, Illinois, 61455, United States
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Illinois CancerCare - Monmouth
Monmouth, Illinois, 61462, United States
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Illinois CancerCare - Pekin
Pekin, Illinois, 61603, United States
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Illinois CancerCare - Peru
Peru, Illinois, 61354, United States
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Illinois CancerCare - Princeton
Princeton, Illinois, 61356, United States
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Illinois CancerCare - Spring Valley
Spring Valley, Illinois, 61362, United States
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Illinois Valley Community Hospital
Peru, Illinois, 61354, United States
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Lineberger Comprehensive Cancer Center at University of North Carolina - Chapel Hill
Chapel Hill, North Carolina, 27599-7295, United States
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Long Island Jewish Medical Center
New Hyde Park, New York, 11040, United States
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Mason District Hospital
Havana, Illinois, 62644, United States
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McDonough District Hospital
Macomb, Illinois, 61455, United States
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Memorial Hospital
Carthage, Illinois, 62321, United States
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Methodist Medical Center of Illinois
Peoria, Illinois, 61636, United States
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Monter Cancer Center of the North Shore-LIJ Health System
Lake Success, New York, 11042, United States
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Norris Cotton Cancer Center at Dartmouth-Hitchcock Medical Center
Lebanon, New Hampshire, 03756-0002, United States
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OSF Holy Family Medical Center
Monmouth, Illinois, 61462, United States
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OSF St. Francis Medical Center
Peoria, Illinois, 61637, United States
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Oncology Hematology Associates of Central Illinois, PC - Ottawa
Ottawa, Illinois, 61350, United States
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Oncology Hematology Associates of Central Illinois, PC - Peoria
Peoria, Illinois, 61615, United States
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Perry Memorial Hospital
Princeton, Illinois, 61356, United States
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Proctor Hospital
Peoria, Illinois, 61614, United States
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Roswell Park Cancer Institute
Buffalo, New York, 14263-0001, United States
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SUNY Upstate Medical University Hospital
Syracuse, New York, 13210, United States
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Siteman Cancer Center at Barnes-Jewish Hospital - Saint Louis
St Louis, Missouri, 63110, United States
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St. Joseph Medical Center
Bloomington, Illinois, 61701, United States
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UCSF Helen Diller Family Comprehensive Cancer Center
San Francisco, California, 94115, United States
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University of Chicago Cancer Research Center
Chicago, Illinois, 60637-1470, United States
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Wake Forest University Comprehensive Cancer Center
Winston-Salem, North Carolina, 27157-1096, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Off-the-Shelf Gene-Edited immune cells tested against Hard-to-Treat lymphoma
- Triple drug combo targets mantle cell lymphoma
- New drug joins standard chemotherapy in fight against B-Cell lymphoma
- Which lymphoma drug combo works best? a new study aims to find out
- Can a Three-Drug combo erase mantle cell lymphoma without chemotherapy?
- Can a single injection reprogram immune cells to fight cancer?