This study is testing a combination of chemo-immuno therapy called RBM. RBM consists of combination of drugs: rituximab, bendamustine, and melphalan followed by reinfusion of the participants own stem cells which is called autologous stem cell transplant (ASCT). Compared to the standard BEAM regimen, this RBM regimen may or may not be less effective in lymphoma, but will likely have fewer side effects.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
28
rituximab 375 mg/m2 on days -11 and -4, The second dose of rituximab (day -4) is administered 7 days after the first dose (day -11), +/- 1 day. Rituximab may be administered by a local oncologist. If the participant has a CD20 negative tumor, rituximab can be omitted from the conditioning regimen.
bendamustine 160 mg/m2 intravenously on days -3 and -2
melphalan 140 mg/m2 intravenously on day -1 before the reinfusion of autologous stem cells on day 0.
reinfusion of autologous stem cells on day 0.
Memorial Sloan Kettering Cancer Center
New York, New York, United States
Dose limiting toxicities (DLT)
are defined as grade \> 3, non-hematologic toxicity related to treatment excluding grade 3 nausea or vomiting responsive to anti-emetic treatment, grade 3 diarrhea responding to anti-diarrheal treatment, grade 3 fatigue, grade 3 skin rash responsive to topical or systemic steroids, grade 3 fevers (\> 40 degrees Celsius for \< 24 hours) and alopecia per CTCAE
Time frame: 1 year
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