AMC-075 A Sequential Phase I/Randomized Phase II Trial of Vorinostat and Risk-Adapted Chemotherapy with Rituximab in HIV-Related B-Cell Non-Hodgkin’s Lymphoma HIV-related B-cell Non-Hodgkin’s Lymphoma Why this study is being done This study is being done to find more effective treatments for non-Hodgkin’s lymphoma in people with HIV. Vorinostat (Zolinza®) is approved for the treatment of another type of lymphoma, and is currently being tested in clinical trials for many cancers. By adding this drug to traditional chemotherapy, AMC investigators hope to improve current treatment options and long-term survival for your type of lymphoma. The study will also examine whether adding vorinostat to traditional lymphoma therapy (Rituximab plus dose-adjusted EPOCH) will have a positive effect in eliminating HIV and other viruses that are linked with lymphoma. What this study involves Clinical Trial Design: In this Phase II study, a computer program randomly assigns you by chance (50/50, like the flip of a coin) to receive standard treatment alone or with vorinostat. Neither you nor your doctor can choose the group you will be in. The study will compare the response rates (how well the treatment gets rid of the cancer) and recurrence rates (whether and how fast the cancer returns) of those who receive chemotherapy with and without vorinostat. This will help us see whether adding vorinostat makes the standard lymphoma treatment more effective. PHASE II Non-Hodgkin lymphoma Randomization Arm E: Arm F: Vorinostat + R-EPOCH R-EPOCH alone In this study, you will receive either vorinostat by mouth and Rituximab-EPOCH chemotherapy (Arm E) or R-EPOCH chemotherapy (Arm F) alone every three weeks repeated up to six times. R-EPOCH chemotherapy is routine treatment for your type of lymphoma. Giving you vorinostat plus chemotherapy is considered “experimental”. Who may take part in the study? Up to 90 patients will take part in this Phase II study. You will need to have a few tests that are normally done in patients with lymphoma before you are ready to start the trial to determine if you are eligible. Such tests include: – Checking the function of your heart – Several blood draws – Exams to find out where lymphoma is in your body–including body scans, a spinal fluid tap, and a bone marrow biopsy. How long will treatment last? Treatment is expected to last four and a half months. For more information, please contact or visit: Kelly Petrowski, AMC Study Coordinator, Ruth M. Rothstein CORE Center 312-572-4551 (phone) 312-942-6000 #1582 (pager) [email protected] (email) http://www.cancer.gov/clinicaltrials ClinicalTrials.gov Registration number: NCT01193842 http://clinicaltrials.gov/ct/show/NCT01193842 For more information about the AMC, visit http://www.AIDScancer.org/
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