MedPath

PTLD: Multicentric Retrospective Study

Not yet recruiting
Conditions
PTLD
Registration Number
NCT06422715
Lead Sponsor
Fondazione Italiana Linfomi - ETS
Brief Summary

This is a multicentric observational retrospective cohort study of patients with histological diagnosis of PTLD.

The aim of the study is to analyze the clinical features and survival of patients who received a PTLD diagnosis with the target to assess a survival outcome, to obtain an epidemiologic and clinical characterization of the subpopulations affected by PTLD, to recognize unfavorable properties, to report the current treatment strategies, to provide rationale for the design of a prospective registry in order to develop future novel treatments.

Detailed Description

This is a multicentric observational retrospective cohort study of patients with histological diagnosis of PTLD. Retrospective data will be collected for all cases of PTLD diagnosed during a 10 years period since 1st January 2011 to 31th December 2021.

The following clinical characteristics of the patient at the time of PTLD diagnosis and pathology will be taken into consideration: positivity of EBV virus, serum LDH concentration, PTLD subtype (early lesion, polymorphic or monomorphic PTLD), lymphoma histotype, stage of disease according to the Ann Arbor classification and localization (nodal or extranodal), immunosuppressive regimen taken by the patient since the transplant, therapeutic approach adopted, and response obtained.

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
200
Inclusion Criteria
  • histological diagnosis of PTLD obtained from a biopsy sample (availability of stocked biopsy sample is requested but not mandatory);
  • age over 18 years at time of diagnosis of PTLD;
  • previously subjected to allogeneic transplantation (both SOT and HSCT);
  • diagnosis of PTLD obtained in 10 years' time frame (from 01/01/2011 to 31/12/2021);
  • free and voluntary written informed consent (included unreachable subjects according to Art. 36 UE Regulation 2016/679 and to the current Italian Privacy Regulation).
Exclusion Criteria
  • Patients not meeting the above-mentioned inclusion criteria.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Rate of Overall Survivalfrom diagnosis of PTLD to patient's death / last FUP - up to 18 months.

survival after PTLD incidence rating

clinical and epidemiological featuresfrom diagnosis of PTLD to patient's death/ last FUP - up to 18 months.

analyze the clinical and epidemiological features (e.g. positivity of EBV virus, serum LDH concentration, PTLD subtype (early lesion, polymorphic or monomorphic PTLD), lymphoma histotype, stage of disease according to the Ann Arbor classification and localization (nodal or extranodal), immunosuppressive regimen taken by the patient since the transplant, therapeutic approach adopted and response obtained) of PTLD patients

Secondary Outcome Measures
NameTimeMethod
Rate of Progression Free Survivalfrom diagnosis of PTLD to patient's death/ last FUP - up to 18 months.

compare outcomes according to treatment approaches

Overall Survival stratified by prognostic factorsfrom diagnosis of PTLD to patient's death/ last FUP - up to 18 months.

Overall Survival assessment stratified by prognostic factors (EBV, LDH, IPI, age, type of transplant)

Overall Response Ratefrom treatment of PTLD to patient's death / last FUP - up to 18 months.

investigate potential treatment effect modifications on outcomes according to patient characteristics

Progression Free Survival stratified by prognostic factorsfrom diagnosis of PTLD to patient's death/ last FUP - up to 18 months.

Progression Free Survival assessment stratified by prognostic factors (EBV, LDH, IPI, age, type of transplant)

Complete Response Rate to first and subsequent treatmentsfrom treatment of PTLD to patient's death / last FUP - up to 18 months.

investigate potential treatment effect modifications on outcomes according to patient

Trial Locations

Locations (22)

Centro Di Riferimento Oncologico Di Aviano, S.O.C. Oncologia Medica e dei Tumori Immunocorrelati

🇮🇹

Aviano, Italy

A.O. Spedali Civili di Brescia - Ematologia

🇮🇹

Brescia, Italy

Istituto Scientifico San Raffaele - Unitа Linfomi - Dipartimento Oncoematologia

🇮🇹

Milano, Italy

AOU Maggiore della Caritа di Novara - SCDU Ematologia

🇮🇹

Novara, Italy

IRCCS ISTITUTO ONCOLOGICO VENETO (IOV) - Oncologia 1

🇮🇹

Padova, Italy

IRCCS Policlinico San Matteo - Divisione di Ematologia

🇮🇹

Pavia, Italy

Policlinico Universitario Campus Bio-Medico - Ematologia - Trapianto cellule staminali - Medicina Trasfusionale e Terapia cellulare

🇮🇹

Roma, Italy

AOU Senese - U.O.C. Ematologia

🇮🇹

Siena, Italy

A.O. UNIVERSITARIA CITTA' DELLA SALUTE E DELLA SCIENZA DI TORINO - SC Ematologia

🇮🇹

Torino, Italy

Dipartimento di Medicina Traslazionale e di Precisione - Policlinico Umberto I - Università "La Sapienza" Istituto Ematologia

🇮🇹

Roma, Italy

A.O. Città della Salute e della Scienza - Ematologia Universitaria

🇮🇹

Torino, Italy

Azienda Sanitaria Universitaria Friuli Centrale (ASU FC) - SOC Clinica Ematologica

🇮🇹

Udine, Italy

ULSS 8 Berica - Ospedale S. Bortolo - Ematologia

🇮🇹

Vicenza, Italy

A.O. UNIVERSITARIA POLICLINICO S.ORSOLA-MALPIGHI DI BOLOGNA - Istituto di Ematologia "Seragnoli"

🇮🇹

Bologna, Italy

A.O. S. Croce e Carle - S.C. di Ematologia e Trapianto di Midollo Osseo

🇮🇹

Cuneo, Italy

A.O. UNIVERSITARIA CAREGGI DI FIRENZE - Unità funzionale di Ematologia

🇮🇹

Firenze, Italy

Azienda Ospedaliera Papa Giovanni XXIII - Ematologia

🇮🇹

Bergamo, Italy

Fondazione Policlinico Universitario A. Gemelli IRCCS - Università Cattolica S. Cuore - Ematologia

🇮🇹

Roma, Italy

Ospedale Businco - Divisione di Ematologia

🇮🇹

Cagliari, Italy

Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico - Ematologia

🇮🇹

Milano, MI, Italy

A.O. UNIVERSITARIA OSPEDALI RIUNITI - OSPEDALE UMBERTO I DI ANCONA - Clinica di Ematologia

🇮🇹

Ancona, Italy

ASST Grande Ospedale Metropolitano Niguarda - SC Ematologia

🇮🇹

Miano, Italy

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