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Burkitt's lymphoma

Burkitt's lymphoma (or "Burkitt's tumor", or "Malignant lymphoma, Burkitt's type") is a type of cancer that is associated with the Epstein-Barr virus, also the cause of mononucleosis as well as other cancers. It is named after Denis Parsons Burkitt, a surgeon who first described the disease in 1956 while working in equatorial Africa. more...

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Children affected with the disease often also had chronic malaria which is believed to have reduced resistance to the virus. This is known as classical African or endemic Burkitt's lymphoma.

Outside of central Africa, a type of non-Hodgkin's lymphoma is found where cancer cells have a similar appearance to the cancer cells of classical African or endemic Burkitt's lymphoma. This condition is known as the non-African or sporadic type of Burkitt's lymphoma. Again it is believed that impaired immunity provides an opening for development of the Epstein-Barr virus. The translocation of the myc gene is seen in this lymphoma. (t: 8;14)

Microscopy

Burkitt's lymphoma demonstrates a starry sky appearance due to the macrophage ingestion of tumor cells.

Treatment

  • Chemotherapy
    • cyclophosphamide
    • doxorubicin
    • vincristine
    • methotrexate
    • cytarabine
    • ifosfamide
    • etoposide

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A phase II study evaluating the safety and effectiveness of ABT-510 in subjects with refractory lymphoma - Clinical Trial Review
From Journal of Drugs in Dermatology, 8/1/03

Sponsored by: Abbott Laboratories

Purpose: The primary objective of this study is to assess the safety and effectiveness of ABT-510 in subjects with refractory lymphoma.

Study Type: Interventional

Study Design: Treatment

Ages eligible for study: 18 years and above, both genders

Inclusion Criteria:

* The subject is at least 18 years of age.

* The subject has histologically confirmed non-Hodgkin's Lymphoma (NHL) (excluding Burkitt's, Burkitt's type or HIV associated lymphoma) or Hodgkin's Lymphoma (HL) that is refractory to standard therapy or for which there is no known effective treatment.

* The subject must have measurable disease by the CHESON Criteria for Tumor Response.

* The subject has received no more than five prior therapies for lymphoma.

* The subject has an Eastern Cooperative Oncology Group (ECOG) Performance Score of 0-2.

* The subject is able to self-administer or has a caregiver who can reliably administer subcutaneous injections.

* The subject must have adequate bone marrow, renal and hepatic function as follows: * Bone marrow: White blood cell count (WBC) greater than or equal to 3,000/[mm.sup.3]; Platelets greater than or equal to 75,000/[mm.sup.3]; Hemoglobin greater than or equal to 8.5 g/dL; ANC greater than or equal to 1000/[mm.sup.3] * Renal function: Serum creatinine less than or equal to 2.0 mg/dL * Hepatic function: AST and ALT less than or equal to 3.0 X ULN.

* The subject must not be pregnant or lactating and all subjects (male and female) must use a contraceptive method deemed appropriate by the investigator while in the study and up to two months following completion of therapy.

* The subject has voluntarily signed and dated an Institutional Review Board (IRB)/Independent Ethics Committee (IEC) approved consent prior to any study specific procedures.

Exclusion Criteria:

* A subject will be ineligible for study participation if any of the following criteria are met:

* The subject has known Central Nervous System (CNS) metastasis.

* Brain CT within 28 days of enrollment is required to confirm absence of CNS metastases.

* Subjects with previously treated brain metastases are eligible if no evidence of disease is observed on CT.

* The subject has received any therapy for lymphoma including chemotherapy, antibody therapy, radiotherapy, or any investigational therapy within four weeks prior to study drug administration.

* The subject is receiving therapeutic anticoagulation therapy.

* Low dose anticoagulation for a catheter prophylaxis is permitted; PT/PTT must be within normal limits.

* The subject exhibits evidence of clinically significant uncontrolled condition(s) and/or is considered by the investigator to be unable to tolerate the proposed treatment or procedures.

* Subject has history of other previous malignancies within 5 years, with the exception of:

* Adequately treated in situ carcinoma of the cervix uteri; * Basal or squamous cell carcinoma of the skin.

Location and Contact Information:

Ray Knight, BS MBA Tel: 847-938-1378 E-mail: raymond.knight@abbott.com Alexandria Levine, MD, Principal Investigator

California

Study ID Numbers M02-457

NLM Identifier NCT00061672

COPYRIGHT 2003 Journal of Drugs in Dermatology
COPYRIGHT 2003 Gale Group

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