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临床试验/EUCTR2015-003371-29-IT
EUCTR2015-003371-29-IT进行中(未招募)1 期

A combination of Lenalidomide and Rituximab as front line therapy for the treatment of elderly frail patients evaluated in CGA with Diffuse Large B-cells non-Hodgkin Lymphoma.A phase II study of the Fondazione Italiana Linfomi (FIL). - Not available

FONDAZIONE ITALIANA LINFOMI ONLUS0 个研究点目标入组 68 人开始时间: 2020年11月4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
68

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. Histologically proven CD20 positive Diffuse Large B-cell Lymphoma, according to WHO classification (local pathologist)
  • 2. Age = 70 years
  • 3. Previously untreated
  • 4. CGA assessment performed before starting treatment
  • 5. FRAIL patients defined as follows:
  • Age >= 80 years (with UNFIT profile):
  • ADL >= 5 residual functions and/or
  • IADL >= 6 residual functions and/or
  • CIRS: 0 comorbidity of grade 3-4 and 5-8 comorbidities of grade 2
  • Age < 80 (ONLY one of the following criteria):
  • ADL <= 4 residual functions
  • IADL <= 5 residual functions
  • CIRS: 1 comorbidity of grade 3-4 or > 8 comorbidities of grade 2
  • 6. Ann Arbor Stage I - IV
  • 7. At least one bi-dimensionally measurable lesion defined as > 1.5 cm in its largest dimension on CT scan
  • 8. ECOG performance status of 0- 3
  • 9. No active hepatitis C virus (HCV) infection. In case of HCV positivity HCV-RNA is required. Only patients with HCV-RNA negative are accepted.
  • 10. Adequate hematologic function (unless caused by bone marrow infiltrate), defined as follows:
  • - Hemoglobin > 10 g/dL
  • - WBC > 2500/mmc with PMN > 1000/ mmc
  • - Platelets count = 75000/mmc
  • - Creatinine clearance = 10 mL/min
  • 11. Ability and willingness to comply with the study protocol procedure
  • 12. Life expectancy > 6 months
  • 13. Patients must give written informed consent.
  • 14. Male subjects must practice complete abstinence or agree to use a condom during sexual contact with a pregnant female or a female of childbearing potential while participating in the study, during dose interruptions and for at least 28 days following investigational product discontinuation, even if he has undergone a successful vasectomy.
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) no
  • F.1.2.1 Number of subjects for this age range
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 68

排除标准

  • 1. Histological diagnosis different from CD20 positive Diffuse Large B-cell Lymphoma are excluded.
  • 2. Previous exposure to cytotoxic agents
  • 3. Suspect or clinical evidence of CNS involvement by lymphoma
  • 4. Contraindication to the use of Rituximab or of Lenalidomide
  • 5. HBsAg positivity; HBsAg-negative patients with anti-HBc antibody can be enrolled if Hepatitis B Virus (HBV)-DNA are negative and antiviral treatment with Lamivudine or Tenofir is provided.
  • 6. HIV positivity
  • 7. Active herpes zoster infection; previously infected patients is accepted only with concomitant treatment with Valacyclovir
  • 8. Any history of other malignancies within 5 years prior to study entry except for adequately treated carcinoma in situ of the cervix or basal or squamous cell skin cancer
  • 9. AST /ALT > 2 x UNL; bilirubin > 2 x UNL; serum creatinine > 2.5 mg /dL
  • 10. Creatinine clearance < 10 mL/min
  • 11. Evidence of any severe active acute or chronic infection
  • 12. Severe cardiac dysfunction (NYHA grade III-IV)
  • 13. Any other co-existing medical or psychological condition that would preclude participation in the study or compromise ability to give informed consent
  • 14. Absence of caregivers in non-autonomous patients

研究者

发起方
FONDAZIONE ITALIANA LINFOMI ONLUS

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