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临床试验/NL-OMON52540
NL-OMON52540招募中2 期

A phase II study evaluating the feasibility and clinical efficacy of atezolizumab consolidation treatment in high risk diffuse large B-cell lymphoma - HOVON 151 NH

HOVO0 个研究点目标入组 90 人开始时间: 待定最近更新:
适应症

试验速览

阶段
2 期
状态
招募中
发起方
入组人数
90

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

  • Age 18-75 (inclusive) years
  • Patients with a confirmed histologic diagnosis of diffuse large B-cell
  • lymphoma (DLBCL-NOS) based upon a representative histology specimen according
  • to the WHO classification, revision 2016
  • Ann Arbor stages II-IV
  • WHO performance status 0 - 1
  • IPI >=3 at diagnosis
  • Complete metabolic remission (Deauville 1-3) after 6-8 cycles of R-CHOP
  • according to the Lugano criteria
  • Negative pregnancy test at study entry
  • Patient is willing and able to use adequate contraception during and until 5
  • months after the last protocol treatment.
  • Written informed consent
  • Patient is capable of giving informed consent

排除标准

  • All histopathological diagnoses other than DLBCL-NOS according to the WHO
  • classification, revision 2016 including:
  • - High-grade B-cell lymphoma with a double/triple translocation with MYC, BCL2
  • and/or BCL6. Please note that patients with an isolated MYC translocation or an
  • isolated BCL2 translocation or an isolated BCL-6 translocation are eligible
  • (single hit translocation).
  • - Testicular large B-cell lymphoma
  • - Primary mediastinal B cell lymphoma
  • - Transformed indolent lymphoma
  • - Post-transplant lymphoproliferative disorder
  • ORGAN DYSFUNCTION
  • Clinical signs of severe pulmonary dysfunction
  • Clinical signs of heart failure (NYHA classification II-IV) .
  • Symptomatic coronary artery disease or cardiac arrhythmias not well
  • controlled with medication.
  • Myocardial infarction during the last 6 months
  • Significant renal dysfunction (serum creatinine >= 150 umol/l or clearance <=
  • Creatinine clearance may be calculated by Cockcroft -Gault formula:
  • Inadequate hematological function: hemoglobin 5.5 < mmol/L, ANC < 1.0x109/L
  • or platelets < 75x109 /L
  • Signs or know history of bleeding disorder
  • Significant hepatic dysfunction (total bilirubin >= 1.5x upper limit of normal
  • (ULN) or transaminases >= 2.5 x ULN), unless related to Gilberts syndrome.
  • Clinical signs of severe cerebral dysfunction
  • Patients with a history of uncontrolled seizures, central nervous system
  • disorders or psychiatric disability judged by the investigator to be clinically
  • significant and adversely affecting compliance to study drugs
  • Major surgery within the last 4 weeks
  • KNOWN OR SUSPECTED INFECTION
  • Known active bacterial, viral, fungal, mycobacterial, parasitic, or other
  • infection or any major episode of infection requiring treatment with IV
  • antibiotics or hospitalization within 4 weeks before date of registration.
  • Suspected active or latent tuberculosis needs to be confirmed by positive
  • interferon gamma (IFN-γ) release assay
  • Patients known to be HIV-positive
  • Active chronic hepatitis B or C infection
  • Administration of a live, attenuated vaccine within 4 weeks before date of
  • regsitration or anticipation that such a live attenuated vaccine will be
  • required during the study and for a period of 5 months after discontinuation of
  • atezolizumab.
  • AUTO-IMMUNE
  • Any active or history of documented autoimmune disease, including but not
  • limited to myasthenia gravis, myositis, autoimmune hepatitis, systemic lupus
  • erythematosus, rheumatoid arthritis, inflammatory bowel disease, vascular
  • thrombosis associated with antiphospholipid syndrome, Wegener*s granulomatosis,
  • Sjögren*s syndrome, Guillain-Barré syndrome, multiple sclerosis, vasculitis, or
  • glomerulonephritis.
  • The following exceptions are allowed: Patients with autoimmune-related
  • hypothyroidism or type 1 diabetes mellitus who are on stable treatment.
  • History of idiopathic pulmonary fibrosis, organizing pneumonia (e.g.,
  • 另有 5 项未显示

研究者

发起方
HOVO

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