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Patients Against Lymphoma

 

Treatments or Clinical Trials Clinical Trials of Interest
Overcoming Relapsed / Refractory lymphomas

Last update: 08/10/2010

Relapsed / Refractory

Studies GROUPED BY:
Monoclonal Antibody  | Novel Chemo Agents | Novel Targeted Agents
Novel Radio- / Immunotherapy Protocols
| Novel Chemo-immunotherapy Protocols |
  Stem cell transplant-based   For DLBCL, not SCT| Radioimmunotherapy with Stem Cell Transplant

TOPIC SEARCH Drug Resistance and Lymphoma in ClinicalTrials.gov | 
Clinical Trials for Refractory Lymphoma

Goal:  Treating the disease using investigational therapies or new combinations of 
therapies that that may overcome drug resistance.  
NOTE: By definition, clinical trials are investigational, and it is therefore  not known if the goals of treatments will be realized. 

 


Monoclonal Antibody

Monoclonal antibodies are man-made antibodies (proteins) that target receptors on lymphoma cells.

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Rituxan versus Bexxar at Relapse 

Condition: Relapsed Follicular Non-Hodgkin's Lymphoma

 
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Fenretinide* and Rituxan*

Condition:
B-cell lymphomas, including CLL

TOPIC SEARCH Mechanisms - PubMed
TOPIC SEARCH Outcome data - Medscape | PubMed
TOPIC SEARCH Safety or Toxicity -  PubMed 

 


potential next generation anti-cd20 antibody
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AME-133v  (modified anti-cd20 antibody)

Condition: Relapsed follicular lymphoma, or Refractory cd-20 positive NHL
with "low affinity form of Fc?RIIIa (F/F or F/V at position 158) as determined by FcR genotyping; " 

TOPIC SEARCH Mechanisms - PubMed

potential next generation anti-cd20 antibody
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HuMax-CD20 to Treat Early Stage Non-Hodgkin's Follicular Lymphoma

Condition: 
  • Relapsed or refractory follicular lymphoma grade I-II
  • Tumor verified to be CD20 positive
  • CT scan showing demarcated lesions


HuMax-CD20 in Chronic Lymphocytic Leukemia 

Rationale and goal:  The purpose of this trial is to determine the safety and efficacy of HuMax-CD20 as a treatment for
 

Novel Chemotherapy Agents

Monoclonal antibodies are man-made antibodies (proteins) that target receptors on lymphoma cells.

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novel chemotherapy agent - similar to anthracyclines
 
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Pixantrone (BBR 2778) Versus Other Chemotherapeutic Agents 
 
Condition: Third line Relapsed Aggressive Lymphoma, Non-Hodgkin

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Novel Targeted Agents

Drugs that target pathways that may have high specificity to Lymphoma cells.

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Azacitidine With Rituximab, Vincristine, and Cyclophosphamide in Refractory
Follicular Lymphoma http://clinicaltrials.gov/ct2/show/NCT00901069
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All CLL/Lymphoma studies incorporating Azacytidine http://bit.ly/2qDAXc

 
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BMS-247550 (epothilone) 

 
Conditions: Relapsed or Refractory Aggressive Non-Hodgkin's Lymphoma - 
including grade 3 follicular

 
TOPIC SEARCH Mechanisms - PubMed
TOPIC SEARCH Outcome data - ASCO | Medscape | PubMed
TOPIC SEARCH Safety or Toxicity - ASCO | PubMed 


 
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Btk Inhibitor in Recurrent  B Cell Lymphoma

Conditions: Relapsed or DLBCL (non-GCB subype)

Details: http://bit.ly/9zOLVV  

 


Combining novel chemo and  targeted agents
 

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SDX-105 (Bendamustin/Treanda™) with Bortezomib (Velcade) 
 
Condition: Relapsed or Refractory Indolent Non-Hodgkin's Lymphoma or B-CLL

 
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MGCD0103 Given Three Times Weekly
 
Condition: Relapsed or refractory DLBCL or Follicular Lymphoma
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CD3 immunotoxin therapy of cutaneous T cell lymphoma http://bit.ly/b8Wvma

This novel immunotoxin has dramatic clinical activity even at the lowest dose in CTCL patients and merits applications at higher doses in CTCL and other CD3+ T cell leukemia/lymphoma patients. The lymphodepletion with recovery of T regulatory cells suggests the drug may be beneficial for immunosuppression of T cell autoimmune disorders.

Clinical trials: http://bit.ly/cz7jlZ
 

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Novel Immunotherapy Protocols

 experimental ways to activate the immune system to target Lymphoma cells.

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Wilm's Tumor 1 Protein Vaccine ... for relapsed NHL after allo SCT http://bit.ly/cGFFDG 

Patients with the blood antigen HLA-A2 and the WT1 cancer protein who have persistent or recurrent blood cancers after [allo] stem cell transplantation.

Background: "Most patients [with blood cancers] including NHL have a protein called Wilm's Tumor 1 (WT1) in their cancer cells. This protein is thought to be able to influence the growth of these cancers.

A vaccine made with the WT1 protein may boost the immune system to help fight these cancers in patients whose cancer cells contain the protein."

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Donor Natural Killer Cell Infusion, Rituxan, Aldesleukin (IL-2), and Chemotherapy

Condition:  relapsed cd-20 positive NHL or CLL


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Escalating Doses of Adoptively Infused Ex Vivo Expanded Autologous Natural Killer (NK) Cells Against Hematological Malignancies  

 

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Intratumoral Injection of CPG 7909, Combined With Low dose Local Radiation
 
NOTE:  Study closed as of March 2008,  might reopen before end of  year.

Condition: 
low-grade B-cell lymphoma of any initial stage or mycosis fungoides of stage IB-IVA. B-cell lymphoma patients must have failed at least one prior treatment. Mycosis fungoides patients must have failed or have been intolerant of at least 2 topical or one systemic treatment.

combining radiotherapy with radioimmunotherapy
 

combining targeted agents with radioimmunotherapy
 

utilizing genetically altered t-cells to target lymphoma cells
 
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Cellular Immunotherapy using Genetically Modified Autologous CD20-specific CD8+ T Cell Clones

And: 
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Cellular Immunotherapy With Autologous CD8+ Cytotoxic T Lymphocyte Clones After Chemo (Cyclophosphamide, Vincristine, and Prednisone)

Condition: Relapsed CD20+ follicular lymphoma
 

utilizing genetically altered t-cells to target lymphoma cells
 

novel immune modulating / targeted agent
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Lenalidomide (Revlimid) 
 
Condition: Relapsed or Refractory Hodgkin Disease
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Lenalidomide (Revlimid)
 
Conditions: Refractory CLL or SLL


TOPIC SEARCH Mechanisms - PubMed
TOPIC SEARCH Outcome data - ASCO | Medscape | PubMed
TOPIC SEARCH Safety or Toxicity - ASCO | PubMed 

 

combines Rituxan with an immune modulating agent
 

 


combines a targeted agent with rituxan immunotherapy
 

 


combines radioimmunotherapy with monoclonal antibody to treat challenging CNS lymphoma
 

combines Rituxan and Radioimmunotherapy with an immune adjuvant
 

combines Radioimmunotherapy with a second agent in T-cell and Hodgkins lymphomas
 

adoptive immunotherapy in EBV-positive lymphomas
 


Novel Chemo-immunotherapy protocols

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Stem Cell Transplant (SCT)-based protocols

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utilizing cord blood for stem cell graft
 

utilizing graft versus lymphoma affect
  • SCT Donor Stem Cell Transplant
     
    Conditions:
     
       Childhood Hodgkin's lymphoma; 
       Childhood non-Hodgkin's lymphoma; Leukemia; 
       Lymphoma; myelodysplastic and myeloproliferative diseases -
          (eligible if relapse from Auto SCT)

the goal of treatment is to consolidate SCT with investigational vaccine therapy

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For DLBCL, not eligible or desiring Stem Cell Transplant (SCT)

 

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Radioimmunotherapy and Stem Cell Transplant

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Radioimmunotherapy as part of conditioning for  Stem Cell Transplantation
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professional medical advice or to replace your relationship with a physician.
For all medical concerns,  you should always consult your doctor. 
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