Study of Untreated or Transformed Follicular Non-Hodgkin's Lymphoma With Fission-Derived Iodine I 131 Tositumomab

Exclusion Criteria

• •Greater than 25% of the intratrabecular marrow space involved by lymphoma in bone marrow biopsy specimens as assessed microscopically within 90 days of study enrollment. Bilateral posterior iliac crest core biopsies are required if the core obtained on a unilateral biopsy is less than 2 cm.
• •Prior chemotherapy, biologic therapy, steroids, or radiation therapy as treatment for their NHL within 28 days prior to study enrollment.
• •Prior Rituximab therapy within 120 days prior to study enrollment.
• •Prior radioimmunotherapy.
• •Prior splenectomy.
• •Splenomegaly defined as spleen mass greater than 700 grams.
• •Bulky disease as defined as any unidimensional measurement of lymphomatous mass exceeding 7 cm.
• •Prior malignancy other than lymphoma, except for adequately treated skin cancer, in situ cervical cancer, or other cancer for which the patient has a generally accepted risk of recurrence less than 20%.
• •Central nervous system involvement by lymphoma.
• •Evidence of active infection requiring IV antibiotics at the time of study enrollment.
• •Known HIV infection.
• •New York Heart Association class III or IV heart disease or other serious illness that would preclude evaluation.
• •Active obstructive hydronephrosis.
• •Evidence of clinically significant ascites or pleural effusion observed on screening physical exam or baseline CAT xcan.
• •Prior myeloablative therapy.
• •History of failed stem cell collection.
• •Pregnant or nursing patients. Patients of childbearing potential must undergo a serum pregnancy test within 7 days of study enrollment and radiolabeled antibody is not to be administered until a negative result is obtained. Males and females of childbearing age, must agree to use effective contraception for six months following the radioimmunotherapy.