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临床试验/NL-OMON54592
NL-OMON54592招募中3 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 (NIVEAU) - HOVON 153 NHL/ DSHNHL 2015-1 (NIVEAU)

Saarland University, Vice President for Research and Technology0 个研究点目标入组 40 人开始时间: 待定最近更新:
适应症

试验速览

阶段
3 期
状态
招募中
发起方
入组人数
40

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

年龄范围
18 至 99(—)

入选标准

  • - all patient >65 years of age or older than 18 years if HCT-CI score > 2
  • - Ineligibility for either autologous or 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 before
  • entering the study. Rituximab must be part of the first-line regimen in case of
  • a B-cell 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

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 nonmelanoma
  • 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
  • Mantle cell lymphoma, Burkitt lymphoma, adult T-cell leukemia/lymphoma.
  • - Persons not able to understand the impact, nature, risks and consequences of
  • (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 first line therapy of lymphoma is allowed.

研究者

发起方
Saarland University, Vice President for Research and Technology

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