MedPath

Different Molecular Subtypes of Peripheral T-cell Lymphoma, a Real-world Registry Study. (TRUST)

Recruiting
Conditions
Peripheral T Cell Lymphoma
Interventions
Genetic: 84-gene penal
Registration Number
NCT05934864
Lead Sponsor
Ruijin Hospital
Brief Summary

A multi-center, prospective, registry study to analyze the clinical characteristics and prognosis of different molecular subtypes of peripheral T-cell lymphoma.

Detailed Description

Peripheral T-cell lymphoma (PTCL)is a distinct and heterogeneous histopathologic subtype of non-Hodgkin lymphoma (NHL), accounting for \~10%. Patients with PTCL still have poor treatment response and prognosis under conventional CHOP regimen. This multi-center, prospective, registry study is designed to analyze the clinical characteristics and prognosis of different molecular subtypes of PTCL. The results can guide future precision therapy for PTCL.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
1000
Inclusion Criteria
  • Patients diagnosed with peripheral T-cell lymphoma (PTCL) by histopathology from June 2023 to December 2026 and detected by gene sequencing (NGS) with different molecular subtypes.
  • Patients diagnosed with PTCL by histopathology from January 2023 to June 2023 and NGS detection can be performed if there is tumor tissue.
  • Informed consented
  • Age ≥ 18 years
Exclusion Criteria
  • History of malignancy except for basal cell or squamous cell carcinoma of the skin or carcinoma in situ of the cervix prior to study treatment
  • Uncontrollable cardio-cerebral vascular, coagulative, autoimmune, serious infectious disease
  • Not able to comply to the protocol for mental or other unknown reasons
  • Patients with mentally disorders or other reasons unable to fully comply with the study protocol
  • Pregnant or lactation

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Gene mutation profile of PTCL84-gene penal84-gene penal was targeted sequenced in 1000 PTCL patients to investigate their mutation profile and molecular subtypes.
Primary Outcome Measures
NameTimeMethod
Progression-free survivalBaseline up to data cut-off (up to approximately 2 years)

Progression-free survival was defined as the time from the date of randomization until the date of the first documented day of disease progression or relapse, using 2014 Lugano criteria, or death from any cause, whichever occurred first.

Secondary Outcome Measures
NameTimeMethod
Overall response rateEnd of treatment visit (usually 6-8 weeks after last dose on Day 1 of Cycle 6 [Cycle length=21 days]

Percentage of participants with overall response was determined on the basis of investigator assessments according to 2014 Lugano criteria

Overall survivalBaseline up to data cut-off (up to approximately 4 years)

Overall survival was defined as the time from the date of diagnosis to the date of death from any cause. Reported is the percentage of participants with event. of disease progression or relapse, using 2014 Lugano criteria,or death from any cause, whichever occurred first.

complete response rateEnd of treatment visit (usually 6-8 weeks after last dose on Day 1 of Cycle 6 [Cycle length=21 days]

Percentage of participants with complete response was determined on the basis of investigator assessments according to 2014 Lugano criteria.

Tumor tissue gene mutations analysisBaseline up to data cut-off (up to approximately 4 years)

Targeted sequencing was used to detect 84 genes which can classify PTCL patients into different molecular subtypes.

Circulating free Deoxyribonucleic Acid (cfDNA) monitoringBaseline up to data cut-off (up to approximately 4 years)

CfDNA in peripheral blood assessed by local lab

Duration of responseBaseline up to data cut-off (up to approximately 4 years)

Time from first occurrence of documented CR or PR to disease progression/relapse, or death from any cause for participants with a response of CR or PR. Tumor assessments were performed with PET-CT.

Number of Participants With Treatment-Related Adverse Events as Assessed by CTCAEBaseline up to data cut-off (up to approximately 4 years)

An adverse event is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as adverse events.

Trial Locations

Locations (6)

Affiliated Drum Tower Hospital, Medical School of Nanjing University

🇨🇳

Nanjing, China

Department of Hematology, West China Hospital, Sichuan University, Chengdu, Sichuan, China

🇨🇳

Sichuan, China

Henan Cancer Hospital

🇨🇳

Henan, China

Peking University People's Hospital

🇨🇳

Beijing, China

Department of Hematology, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, China

🇨🇳

Shandong, China

Shanghai Institute of Hematology, Rui-Jin Hospital affiliated to Shanghai Jiao Tong University School of Medicine

🇨🇳

Shanghai, China

© Copyright 2025. All Rights Reserved by MedPath