EUCTR2016-002272-27-DE进行中(未招募)1 期
Improvement of Outcome in Elderly Patients or Patients not eligible for high-dose chemotherapy with Aggressive Non-Hodgkin Lymphoma in first Relapse or Progression by adding Nivolumab to Gemcitabine, Oxaliplatin plus Rituximab in case of B-cell lymphoma - NIVEA
Saarland University0 个研究点目标入组 388 人开始时间: 2017年1月9日最近更新:
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
- 388
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
- •- all patient >65 years of age or > 18 years if not eligible for neither autologous nor allogeneic stem cell transplantation
- •- >65 years of age or older than 18 years if HCT-CI score > 2 or patients who underwent prior autologous stem cell transplantation and are not eligible for allogeneic stem cell transplantation
- •-Diagnosis of aggressive Non-Hodgkin’s lymphoma, based on an excisional biopsy of a lymph node or on an appropriate sample of a lymph node or of an extranodal involvement at initial diagnosis or relapse or progression. The entities treated in the study will be based on the WHO 2017 classification
- •-Performance status ECOG 0 – 2
- •- Patients must have only one prior chemotherapy regimen including an anthracycline. The last cytotoxic drug must be given at least four weeks prior randomization. Rituximab must be part of the first-line regimen in case of B-cell lymphoma (except for primary CD20- negative lymphoma). Patients may have received prior radiation therapy as part of their first-line therapy.
- •- Men who are sexually active with women of childbearing potential (WOCBP) must use any contraceptive method with a failure rate of less than 1% per year
- •- Written informed consent of the patient
- •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 38
- •F.1.3 Elderly (>=65 years) yes
- •F.1.3.1 Number of subjects for this age range 350
排除标准
- •-Already initiated lymphoma therapy after first relapse or progression (except for the prephase Treatment)
- •-Serious accompanying disorder or impaired organ function (except when due to lymphoma involvement)
- •-WBC < 2.5 G/l, Neutrophils < 2 G/l, Platelets < 100 G/l (does not apply if cytopenia is caused by lymphoma)
- •-Prolongation of QTc interval > 450 ms, demonstrated in one electrocardiogram (done as triplicate). This does not apply for patients with a block of the right and/or left bundle branch.
- •-Family history for Long QT-syndrome
- •-Patients with an active, known or suspected autoimmune disease
- •-no requirement for immunosuppressive doses of systemic corticosteroids (except for treatment of lymphoma)
- •-Chronic active hepatitis B or C
- •- HIV-infection
- •- Patients with a severe immunodeficiency
- •- Previous therapy with Nivolumab, Gemcitabine or Oxaliplatin
- •- Patients with a currently active” second malignancy other than non-melanoma skin cancer
- •- CNS involvement of lymphoma (intracerebral, meningeal, intraspinal intradural) or primary CNS lymphoma
- •- Persistent neuropathy grade >2 (NCI CTC-AE v4.03) (unless due to lymphoma involvement)
- •-Pregnancy or breast-feeding women
- •- Women of childbearing potential (WOCBP)
- •- Active serious infections not controlled by oral and/or intravenous antibiotics or antifungal medication
- •- Any medical condition which in the opinion of the investigator places the subject at an unacceptably high risk for toxicities
- •- Lymphomas other than those listed in the inclusion criteria notably indolent lymphoma,
- •Mantle cell lymphoma, Burkitt lymphoma, adult T-cell leukemia/lymphoma.
- •- Persons not able to understand the impact, nature, risks and consequences of the trial
- •(including language barrier)
- •- Persons not agreeing to the transmission of their pseudonymous data
- •- Persons depending on sponsor or investigator
- •- Persons from highly protected Groups
- •- Allergies and Adverse Drug Reaction History to study drug components
- •- Participation in another clinical trial with drug intervention within 4 weeks prior to start of the first cycle and during the study. However, participation in a clinical trial of firstline therapy of lymphoma is allowed.
研究者
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