Optimization of the First-line Therapy of T-cell Lymphomas
试验速览
- 阶段
- 3 期
- 状态
- Enrolling By Invitation
- 发起方
- 入组人数
- 114
- 主要终点
- complete response rate
研究概览
简要总结
There is no data comparing the effectiveness of the 4 most relevant first-line therapy programs for peripheral T-cell lymphomas (CHOEP, CHOP, CHEP-BV, CHP-BV) in a single study.
For the first time, the effectiveness and toxicity of various first-line PTCL therapy programs in patients with T-cell lymphoma will be analyzed in the conditions of a single medical center of the N.N.Petrov National Research Medical Center of Oncology and optimal therapeutic tactics will be determined, taking into account significant prognostic factors based on effectiveness and toxicity a specific chemotherapy regimen.
详细描述
A non-randomized retrospective cohort study with prospective inclusion is planned.
Patients with a confirmed diagnosis of PTCL (who meet the inclusion criteria) who were treated at the same center of the NN Petrov National Medical Cancer Research Center from 2013 to 2024, depending on the first-line therapy regimen, will be included in the retrospective part of the study and divided into 2 groups: Group 1: CHOEP regimen Group 2: CHOP regimen
The prospective part of this study is planned to include patients (who meet the inclusion criteria) who are hospitalized at the NN Petrov National Medical Cancer Research Center for treatment from January 2024 to January 2027. Patients will be divided into 2 groups depending on the chemotherapy regimen:
Group 3: chemoimmunotherapy according to the CHP-BV regimen Group 4: chemoimmunotherapy according to the CHEP-BV regimen Based on the data from the medical documentation of patients, the main statistical indicators of the effectiveness of first-line treatment regimens will be calculated using objective methods for assessing the antitumor effect (PET CT, CT), the toxicity of each of the regimens will be assessed, as well as possible prognostic factors for all patient groups.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 70 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients with newly diagnosed mature T-cell lymphomas
- •absence of acute infectious diseases during treatment diseases, chronic diseases in the stage of decompensation
- •Eastern Cooperative Oncology Group (ECOG) performance status less than or equal to 2
排除标准
- •the presence of a history of other malignant neoplasms during the 5-year period before the start of first-line therapy, In addition to in situ neoplasms treated according to appropriate treatment protocols,
- •there are acute infectious diseases and chronic diseases in the decompensation stage.
研究组 & 干预措施
1st group - CHOEP
Therapy of patients in the 1st group of the study is carried out according to the CHOEP scheme (6 courses with an interval of 21 days)
干预措施: Doxorubicin (Drug)
1st group - CHOEP
Therapy of patients in the 1st group of the study is carried out according to the CHOEP scheme (6 courses with an interval of 21 days)
干预措施: Vincristine (Drug)
1st group - CHOEP
Therapy of patients in the 1st group of the study is carried out according to the CHOEP scheme (6 courses with an interval of 21 days)
干预措施: Etoposide (Drug)
1st group - CHOEP
Therapy of patients in the 1st group of the study is carried out according to the CHOEP scheme (6 courses with an interval of 21 days)
干预措施: cyclophosphamide (Drug)
1st group - CHOEP
Therapy of patients in the 1st group of the study is carried out according to the CHOEP scheme (6 courses with an interval of 21 days)
干预措施: Prednisone (Drug)
2nd group - CHOP
The therapy of patients in the 2nd group of the study is carried out according to the CHOP scheme (6 courses with an interval of 21 days)
干预措施: Doxorubicin (Drug)
2nd group - CHOP
The therapy of patients in the 2nd group of the study is carried out according to the CHOP scheme (6 courses with an interval of 21 days)
干预措施: Vincristine (Drug)
2nd group - CHOP
The therapy of patients in the 2nd group of the study is carried out according to the CHOP scheme (6 courses with an interval of 21 days)
干预措施: cyclophosphamide (Drug)
2nd group - CHOP
The therapy of patients in the 2nd group of the study is carried out according to the CHOP scheme (6 courses with an interval of 21 days)
干预措施: Prednisone (Drug)
3rd group - CHP-Bv
Therapy of patients of the 3rd group of the study is carried out according to the CHP-Bv scheme (6 courses with an interval of 21 days)
干预措施: Doxorubicin (Drug)
3rd group - CHP-Bv
Therapy of patients of the 3rd group of the study is carried out according to the CHP-Bv scheme (6 courses with an interval of 21 days)
干预措施: cyclophosphamide (Drug)
3rd group - CHP-Bv
Therapy of patients of the 3rd group of the study is carried out according to the CHP-Bv scheme (6 courses with an interval of 21 days)
干预措施: Prednisone (Drug)
3rd group - CHP-Bv
Therapy of patients of the 3rd group of the study is carried out according to the CHP-Bv scheme (6 courses with an interval of 21 days)
干预措施: Brentuximab Vedotin (Bv) (Drug)
4th group - CHEP-Bv
The therapy of patients in the 4th group is carried out according to the CHEP-Bv scheme (6 courses with an interval of 21 days)
干预措施: Doxorubicin (Drug)
4th group - CHEP-Bv
The therapy of patients in the 4th group is carried out according to the CHEP-Bv scheme (6 courses with an interval of 21 days)
干预措施: Etoposide (Drug)
4th group - CHEP-Bv
The therapy of patients in the 4th group is carried out according to the CHEP-Bv scheme (6 courses with an interval of 21 days)
干预措施: cyclophosphamide (Drug)
4th group - CHEP-Bv
The therapy of patients in the 4th group is carried out according to the CHEP-Bv scheme (6 courses with an interval of 21 days)
干预措施: Prednisone (Drug)
4th group - CHEP-Bv
The therapy of patients in the 4th group is carried out according to the CHEP-Bv scheme (6 courses with an interval of 21 days)
干预措施: Brentuximab Vedotin (Bv) (Drug)
结局指标
主要结局
complete response rate
时间窗: Up to 8 months
\- Primary endpoints: the complete response rate - The count of participants with CR per IRF following the completion of study treatment (at end of treatment or at the first assessment after the last dose of study treatment and prior to long-term follow-up) according to the Revised Response Criteria for Malignant Lymphoma.
次要结局
- Incidence of Adverse Events (AEs)(Up to 8 months)
- Overall Survival (OS)(up to 1 year)
- Progression-free Survival(up to 1 year)
研究者
Anastasiia Kolgotina
Oncologist
N.N. Petrov National Medical Research Center of Oncology
