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临床试验/EUCTR2007-000821-23-FR
EUCTR2007-000821-23-FR进行中(未招募)1 期

A randomised Phase III trial to evaluate the efficacy of chemoimmunotherapy with the monoclonal antibody Campath-1H (Alemtuzumab) given in combination with 2-weekly CHOP (Cyclophosphamide, Doxorubicin, Vincristine and Prednisone) versus 2-weekly CHOP alone in elderly patients with previously untreated systemic T- cell Lymphoma Short Title: A-CHOP-14 (elderly) - A-CHOP-14 (elderly)

niversity Medicine Goettingen0 个研究点目标入组 274 人开始时间: 2009年8月18日最近更新:
适应症
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
274

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

入选标准

  • 1. Age:61 - 80 years
  • 2. Risk group:All risk groups, including stage I with bulk (= 7.5 cm) and stages II to IV, exept stage I with no further IPI risk factor (LDH, ECOG, stage, E>1) beside the age over 60
  • 3. Histology:Diagnosis of aggressive non-Hodgkin's lymphoma, confirmed by an excisional biopsy of a lymph node or by a sufficiently extensive biopsy of an extranodal involvement if there is no lymph node involvement. It will be possible to treat all peripheral T-lineage lymphomas with the exception of ALK-positive anaplastic large cell lymphoma and primary cutaneous T-cell lymphomas (Mycosis fungoides, Sezary syndrome and primary cutaneous CD30-positive lymphoproliferations, and transformed primary cutaneous T-cell lymphomas). These lymphomas comprise:
  • T cell -NHL:
  • peripheral T-cell lymphoma PTCL-NOS
  • Lennert's lymphoma
  • T-zone lymphoma
  • T-cell lymphoma of the AILD type
  • anaplastic large cell lymphoma
  • extranodal NK/T-cell lymphoma, nasal type
  • intestinal T/NK-cell lymphoma (? enteropathy)
  • hepatosplenic gamma-delta lymphoma
  • subcutaneous panniculitis-like PTCL
  • 4. Performance status:Performance status ECOG 0 - 2 (Karnofsky index: 60 - 100%). The general status of each patient is to be assessed at time of randomisation and can thus take place after initiation of prephase treatment. A performance status of ECOG 3 will allow inclusion, if it is lymphoma related. The pretreatment status is to be documented in the staging CRF; the performance after the prephase treatment is also to be documented in the relevant CRF for the prephase treatment (see Appendix). A definition of the performance status is provided in the Appendix.
  • 5. Declaration of center participation
  • 6. written consent of the patient
  • 7. measurable disease
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range

排除标准

  • 1.Stage I with IPI 0 and without bulk
  • 2.Already initiated lymphoma therapy (except for the prephase treatment specified for this study)
  • 3.Serious accompanying disorder or impaired organ function, in particular:
  • -Cardiac: angina pectoris CCS >2, cardiac failure NYHA >2 and/or EF <45% or FS<25% in echocardiography/nuclear medicine examination
  • - Pulmonary: abnormal blood gases; in this case, the patient is to be excluded if the resultant pulmonary function test shows FeV1<50% or a diffusion capacity <50% of the reference values
  • -Renal: creatinine >2 times the upper reference limit, unless related to NHL
  • -Hepatic: bilirubin >2 times the upper reference limit, unless related to NHL
  • -Uncontrollable diabetes mellitus (prephase treatment with prednisone!)
  • 4.Platelets <100 000/mm3, leukocytes <2500/mm3
  • 5.Bone marrow involvement >25%
  • 6.Primary leukemic manifestation of the lymphoma
  • 7.Known hypersensitivity to the medications to be used, especially murine or chimeric antibodies
  • 8.Known HIV-positivity
  • 9.Active hepatitis infection, active CMV infection, active systemic fungal infection, active infection with mycobacterium tuberculosis or atypical tuberculosis
  • 10.Suspicion that patient compliance will be poor
  • 11.Simultaneous participation in any other study protocol
  • 12.Prior chemo- or radiotherapy for malignancy
  • 13.Other concomitant malignant disease (history of active cancer during the past 5 years, except basal carcinoma of the skin or stage 0 cervical carcinoma)
  • 14.Non-conformity to eligibility criteria

研究者

发起方
niversity Medicine Goettingen

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