A Phase 2 Trial of Pre-phase Treatment Before R-CHOP Chemotherapy in Elderly Patients With Newly Diagnosed DLBCL
Overview
- Phase
- Phase 2
- Intervention
- PrednisoLONE 50 MG
- Conditions
- Diffuse Large B Cell Lymphoma
- Sponsor
- Kosin University Gospel Hospital
- Enrollment
- 37
- Locations
- 1
- Primary Endpoint
- (treatment-related mortality rate; TRM)
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
A phase 2 trial of pre-phase treatment before R-CHOP chemotherapy in elderly patients with newly diagnosed DLBCL
Detailed Description
R-CHOP Chemotherapy Cataract treatment with anterior steroids Phenotypic effects Evaluate the felony associated with the procedure for the primary purpose. This study evaluated efficacy, treatment outcome and safety for all patients.
Investigators
Ho Sup Lee
MD, PhD. associate professor, Division of hematology-Oncology
Kosin University Gospel Hospital
Eligibility Criteria
Inclusion Criteria
- •Histologically the first large-scaled B-cell lymphoma patient
- •Diagnosis time 65 years old or older
- •Patients planning R-CHOP chemotherapy
- •Ann Arbor stage 2 (bulky ≥ diameter of 7cm), stage 3 or stage 4
- •The International Prognostic Index (IPI) is a high intermediate or high risk
- •Patients without prior history of lymphoma
- •The decision to participate voluntarily in this study and the written consent of the patient
Exclusion Criteria
- •Histologic subtypes other than CD20 positive broad-band macro-B cell lymphoma
- •Large B-cell lymphoma involving the central nervous system
- •Inadequate systemic disease A. Patients with clinically significant heart disease (congestive heart failure, symptomatic coronary artery disease, cardiac arrhythmia) or myocardial infarction within the past 6 months B. Serious neurological and psychiatric illness C. Serious active infection D. Other medical illnesses other than clinical trials
- •If the drug used in this study is allergic
- •If you do not agree to participate in the study
Arms & Interventions
Prednisolone
Prednisolone 50mg bid po or iv (equivalent dose of other steroid) for 5 days ± 2 days Hydration, antibiotics, allopurinol, nutritional supplements, and so on.
Intervention: PrednisoLONE 50 MG
Outcomes
Primary Outcomes
(treatment-related mortality rate; TRM)
Time Frame: an average of 1 year
treatment-related mortality rate
Secondary Outcomes
- IMWG fragility score before and after pre-phase treatment(an average of 1 year)
- TRM and RR according to IMWG fragility score(an average of 1 year)
- response rate; RR(an average of 1 year)
- Number of participants with treatment-related adverse events as assessed by CTCAE v4.0(an average of 1 year)
- Incidence of neutropenic fever(an average of 1 year)