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临床试验/EUCTR2014-005069-60-AT
EUCTR2014-005069-60-AT进行中(未招募)1 期

R-CPOP as first line therapy for elderly patients with DLBCL and for patients with limited cardiac function with DLBCL - Pix in DLBCL first line

Medical Center - University of Freiburg0 个研究点目标入组 60 人开始时间: 2017年2月22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
60

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

性别
All

入选标准

  • 1. Written informed consent obtained according to international guidelines and local laws
  • 2. Male or female patients aged = 18 years without upper age limit
  • 3. Previously untreated and histologically confirmed diffuse large B-cell lymphoma (DLBCL) or follicular lymphoma grade 3B according to REAL/WHO classification
  • 4. At least one objectively bi-dimensionally measurable lesion as demonstrated by CT, spiral CT, or MRI that can be followed for response as target lesion; patients with the following sites of disease are NOT eligible:
  • - Patients with only skin lesions or only palpable lymph nodes
  • - Patients with spleen or bone marrow as only site of disease
  • 5. Life expectancy = 3 months according to investigator´s opinion
  • 6. Ann Arbor stage: II-IV
  • 7. Ability to understand the nature of the trial and the trial-related procedures and to comply with them
  • 8. Criteria for stratification:
  • Population 1:
  • Age = 75 years (without limited cardiac function) not eligible for standard R-CHOP 21 treatment
  • Population 2:
  • Impaired cardiac function, characterised by:
  • First 10 patients:
  • Ejection fraction: = 40% and = 50%
  • Additional patients:
  • Ejection fraction: > 30% and = 50%
  • Note: Patients = 75 years of age with impaired cardiac function are eligible for population 2.
  • 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 30
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 30

排除标准

  • 1. Severe pulmonary, hepatic or renal comorbidities which make the patient ineligible for cytotoxic drug treatment
  • 2. Severe cardiac impairment, e.g. NYHA class IV, (with the exception of inclusion criterion 8), or resting cardiac troponin T levels >0.05 ng/ml (according to > grade 1 CTCAE 3.0) which makes the patient ineligible for cytotoxic drug treatment
  • 3. Prior treatment for lymphoma other than pre-treatment with steroids
  • 4. History of indolent lymphoma
  • 5. Manifestation of DLBCL disease in central nervous system (CNS)
  • 6. Active hepatitis B or C, serologic positivity for HIV infection
  • 7. HIV-related lymphoma
  • 8. Immunisation with live virus vaccines within the last 14 days
  • 9. Major thoracic and/or abdominal surgery within the 4 weeks before trial registration from which the patient has not fully recovered except for diagnosis of non-Hodgkin lymphoma (NHL); patients who have had minor surgery may be enrolled after a = 1 week recovery period except for diagnosis of NHL
  • 10. Serious (NCI CTCAE grade 3-4) intercurrent infection at the time of trial registration or deep-seated or systemic mycotic infection.
  • 11. Active or history of another malignancy except cured basal cell carcinoma of skin or carcinoma in situ of uterine cervix; patients who have been in remission from another previous malignancy for > 5 years will be considered eligible
  • 12. Known hypersensitivity to pixantrone, or any drugs or excipients of the associated chemotherapy R-CPOP that the patient will receive
  • 13. Simultaneous participation in other interventional trials and/or participation before the end of a required restriction period
  • 14. Participation in a clinical trial within the last 30 days before being registered in this trial
  • 15. Known or persistent abuse of medication, drugs or alcohol
  • 16. Person who is in a relationship of dependence/employment with the sponsor or the investigator
  • 17. For female patients of child-bearing potential: current or planned pregnancy, nursing period
  • 18. Unwillingness to use an adequate contraception method during chemotherapy treatment until six months thereafter:
  • for male patients (unless vasectomised):
  • 18.1 a latex condom during sexual contact with females of childbearing potential
  • for female patients of child-bearing potential:
  • 18.2 mechanical method (female condom, diaphragm or coil) used in combination with a spermicide; hormonal intra-uterine device or hormonal contraception in combination with a mechanical method of contraception

研究者

发起方
Medical Center - University of Freiburg

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