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临床试验/ISRCTN11038174
ISRCTN11038174进行中(未招募)2 期

Randomised, open label study of rituximab/ibrutinib vs rituximab/chemotherapy in older patients with untreated mantle cell lymphoma

niversity Hospitals Plymouth NHS Trust0 个研究点目标入组 400 人开始时间: 2015年10月21日最近更新:
适应症

试验速览

阶段
2 期
状态
进行中(未招募)
发起方
入组人数
400

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

性别
All

入选标准

  • Current inclusion criteria as of 18/04/2023:
  • 1. Male/female patients aged 60 years and over
  • 2. Pathologically confirmed MCL, with documentation of monoclonal B cells that have a chromosome translocation t(11;14)(q13;q32) and/or overexpress cyclin D1
  • 3. Stage II-IV disease, measurable by imaging and requiring treatment in the opinion of the treating clinician
  • 4. No previous treatment for MCL (other than localised radiotherapy or 7-day pulse of steroids for symptom control)
  • 5. Performance status ECOG 0-2
  • 6. Absolute neutrophil count >1.0 x 10(9)/L or platelets >100 x 10(9)/L independent of growth factor support or unless related to lymphoma
  • 7. AST and/or ALT <3xULN
  • 8. Total bilirubin =1.5xULN unless bilirubin rise is due to Gilbert’s syndrome or of non-hepatic origin
  • 9. Calculated creatinine clearance >30 mL/min
  • 10. Cardiac function sufficient to tolerate either rituximab-CHOP or rituximab-bendamustine chemotherapy
  • 11. Able to give voluntary written informed consent
  • 12. Willingness and ability to take Pneumocystis jiroveci pneumonia prophylaxis
  • Previous inclusion criteria:
  • 1. Male/female patients 60 years and over
  • 2. Pathologically confirmed MCL, with documentation of monoclonal B cells that have a chromosome translocation t(11;14)(q13;q32) and/or overexpress cyclin D1
  • 3. Stage II-IV disease, measurable by imaging and requiring treatment in the opinion of the treating clinician
  • 4. No previous treatment for MCL (other than localised radiotherapy or 7 day pulse of steroids for symptom control)
  • 5. Performance status ECOG 0-2
  • 6. Absolute neutrophil count >1.0x109/L or platelets >100x109 /L independent of growth factor support or unless related to lymphoma
  • 7. AST and/or ALT <3xULN
  • 8. Total bilirubin =1.5xULN unless bilirubin rise is due to Gilbert’s syndrome or of non-hepatic origin
  • 9. Calculated creatinine clearance >30mL/min
  • 10. Cardiac function sufficient to tolerate 300mg/m2 of doxorubicin. A pre-treatment echocardiogram is not mandated, but recommended in patients considered at higher risk of anthracycline cardiotoxicity
  • 11. Able to give voluntary written informed consent

排除标准

  • Current exclusion criteria as of 18/04/2023:
  • 1. Patients considered fit enough to undergo autologous or allogeneic stem cell transplant as treatment for MCL
  • 2. Known serological positivity for HBV, HCV, HIV
  • 3. Vaccinated with live vaccines within 4 weeks prior to Day 1 of Cycle 1
  • 4. Major surgery within 2 weeks prior to Day 1 of Cycle 1
  • 5. Diagnosed with or treated for any other malignancy than MCL within 2 years prior to Day 1 of Cycle 1 (except BCC, SCC or any in situ malignancy)
  • 6. Active systemic infection requiring treatment
  • 7. Male subjects with female partners of childbearing potential who are unwilling to use appropriate contraception methods whilst on study treatment
  • 8. Women who are pregnant or breastfeeding
  • 9. Serious medical or psychiatric illness likely to interfere with participation in this clinical study
  • 10. Concurrent treatment with another investigational agent
  • 11. CNS involvement of MCL
  • Previous exclusion criteria:
  • 1. Patients considered fit enough to undergo autologous or allogeneic stem cell transplant as treatment for MCL
  • 2. Known serological positivity for HBV, HCV, HIV
  • 3. Vaccinated with live vaccines within four weeks prior to Day 1 of Cycle 1
  • 4. Major surgery within two weeks prior to Day 1 of Cycle 1
  • 5. Diagnosed with or treated for any other malignancy than MCL within 2 years prior to Day 1 of Cycle 1 (except BCC, SCC or any in situ malignancy)
  • 6. Active systemic infection requiring treatment
  • 7. Male subjects with female partners of childbearing potential who are unwilling to use appropriate contraception methods whilst on study treatment (see section 8.4)
  • 8. Women who are pregnant or breastfeeding
  • 9. Serious medical or psychiatric illness likely to interfere with participation in this clinical study
  • 10. Concurrent treatment with another investigational agent

研究者

发起方
niversity Hospitals Plymouth NHS Trust

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