RecruitingPhase 2Phase 3NCT07168980

Chemotherapy With Rituximab for Aggressive B-NHL in Children and Adolescents

Intensive Chemotherapy Combined With Early, Adequate, and Intensive Use of Rituximab for Aggressive B-NHL in Children and Adolescents

Sponsor

Children's Cancer Group, China

Enrollment

87 participants

Start Date

Jul 1, 2025

Study Type

INTERVENTIONAL

Conditions

Mature B-cell Non-Hodgkin Lymphoma

Summary

The purpose of this study is to test whether intensive chemotherapy combined with early, adequate, and intensive use of Rituximab for aggressive B-NHL in children and adolescents can improve the EFS and OS compared with the historical study CCCG-BNHL-2015.

Eligibility

Max Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This trial is studying chemotherapy combined with rituximab (an antibody that targets cancer cells) in children and teenagers with aggressive B-cell blood cancers including Burkitt lymphoma and diffuse large B-cell lymphoma (DLBCL). The study aims to improve treatment outcomes in young patients. **You may be eligible if...** - You are a child or adolescent with a confirmed mature B-cell lymphoma or leukemia (Burkitt, DLBCL, or similar aggressive B-cell cancer) - You have not previously received cancer treatment (except short-term steroids) - You are willing to attend follow-up visits as required **You may NOT be eligible if...** - You have follicular lymphoma, MALT lymphoma, or nodular marginal zone lymphoma (these are different, slower-growing types) - You have a congenital immune deficiency, chromosomal breakage syndrome, or prior organ transplant - You are HIV positive - You have had prior exposure to rituximab - Your cancer cells do not express the CD20 protein (rituximab only works on CD20-positive cells) - You are pregnant or breastfeeding Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGCyclophosphamide, Vincristine, Cytarabine, Doxorubincin, Prednisone

Cyclophosphamide 800mg/m2, D1, then 200mg/m2, D2\~4;Vincristine 1.5mg/m2 (MAX 2mg), D1; Cytarabine 1g/m2/dose, (2 doses, 12-hour interval), D4; Doxorubincin 20mg/m2, D2,3; Prednisone 60mg/m2, D1\~7;Intrathecal injection, D1;

DRUGDrug: Ifosphamide, Etoposide, Methotrexate, Vincristine, Prednisone

Ifosphamide 1.2g/m2, D1\~5; Etoposide, 60mg/m2, D3\~5; Methotrexate, 0.5g/m2, D1;Vincristine 1.5mg/m2 (MAX 2mg), D1; Prednisone 60mg/m2, D1\~7;Intrathecal injection, D1;

DRUGCyclophosphamide, Vincristine, Cytarabine, Doxorubincin, Prednisone

Cyclophosphamide 800mg/m2, D1, then 200mg/m2, D2\~4;Vincristine 1.5mg/m2 (MAX 2mg), D1; Cytarabine 1g/m2/dose, (2 doses, 12-hour interval), D4;Doxorubincin 20mg/m2, D2,3; Prednisone 60mg/m2, D1\~7;Intrathecal injection, D1,8;

DRUGIfosphamide, Etoposide, Methotrexate, Vincristine, Prednisone

Ifosphamide 1.2g/m2, D1\~5; Etoposide, 60mg/m2, D3\~5; Methotrexate, 0.5g/m2, D1;Vincristine 1.5mg/m2 (MAX 2mg), D1; Prednisone 60mg/m2, D1\~7;Intrathecal injection, D1

DRUGCyclophosphamide, Vindelsine, Cytarabine, Doxorubincin, Prednisone

Cyclophosphamide 800mg/m2, D1, then 200mg/m2, D2\~4; Vindelsine 3mg/m2 (MAX 5mg), D1; Cytarabine 2g/m2/dose, (2 doses, 12-hour interval), D4; Doxorubincin 20mg/m2, D2,3; Prednisone 60mg/m2, D1\~7;Intrathecal injection, D1,4(CNS2-3),8

DRUGIfosphamide, Etoposide, Methotrexate, Vindelsine, Prednisone

Ifosphamide 1.2g/m2, D1\~5; Etoposide, 100mg/m2, D3\~5; Methotrexate, 5g/m2, D1;Vindelsine 3mg/m2 (MAX 5mg), D1; Prednisone 60mg/m2, D1\~7;Intrathecal injection, D1,8

DRUGPrednisone,Vincristine, Cyclophosphamide

Prednisone 45mg/m2, D1\~7; Vincristine 1.5mg/m2(MAX 2mg), D1; Cyclophosphamide 300mg/m2, D1; Intrathecal injection, D1

Locations(1)

Shanghai Children's Medical Center

Shanghai, Shanghai Municipality, China

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NCT07168980

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