Alemtuzumab and CHOP in T-cell Lymphoma

NCT ID: NCT00646854

Last Updated: 2019-03-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

136 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-06-30

Study Completion Date

2016-12-31

Brief Summary

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The purpose of this study is to determine efficacy and safety of the monoclonal antibody MabCampath® (alemtuzumab) combined with chemotherapy in the treatment of T-cell lymphoma.

Detailed Description

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First International phase III T-cell lymphoma study Indication:Newly diagnosed non-cutaneous peripheral T-cell lymphoma Study objectives:Determination of the efficacy and safety of the monoclonal antibody MabCampath® (alemtuzumab) combined with two-weekly CHOP supported by G-CSF Primary Endpoint: Event-Free-Survival (EFS) Study Design: International open-label, multicentre, randomized Phase III Study

Study Medication: Patients are randomized to six cycles of two-weekly CHOP plus G-CSF with or without alemtuzumab given subcutaneously 30 mg day 1 in combination with chemotherapy cycles 1-4. Patients in CR, CRu and PR after the 6 cycles of CHOP14 combined or not with alemtuzumab will receive a consolidation with high-dose chemotherapy followed by autologous stem cell transplantation.

Patient Population: Patients \> 18 yrs with newly diagnosed non-cutaneous, non-leukemic PTCL, except alk-protein positive and negative anaplastic large cell lymphoma Planned Sample Size: 308 young patients (18-60 yrs) registered and randomized Total Number of Centers: This study will be proposed to main European and Australian Study Groups.

Conditions

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Lymphoma, T-Cell, Peripheral

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Arm A

Group Type ACTIVE_COMPARATOR

CHOP14 chemotherapy (see specification under Arm B) plus G-CSF

Intervention Type DRUG

6 cycles of CHOP every 2 weeks

Arm B

Group Type EXPERIMENTAL

CHOP14 chemotherapy (cyclophosphamide, hydroxydaunorubicin, vincristin, prednison) plus G-CSF, combined with alemtuzumab

Intervention Type DRUG

Cyclophosphamide 750 mg/m2 i.v. on day 1 Hydroxydaunorubicin 50 mg/m2 i.v. on day 1 Vincristin 1 mg/m2 i.v. day 1 (max. 2mg) Prednisone 50 mg/m2 p.o. day 1 to 5 Alemtuzumab 30 mg s.c.on day 1 of CHOP-14 cycles 1-4

Interventions

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CHOP14 chemotherapy (cyclophosphamide, hydroxydaunorubicin, vincristin, prednison) plus G-CSF, combined with alemtuzumab

Cyclophosphamide 750 mg/m2 i.v. on day 1 Hydroxydaunorubicin 50 mg/m2 i.v. on day 1 Vincristin 1 mg/m2 i.v. day 1 (max. 2mg) Prednisone 50 mg/m2 p.o. day 1 to 5 Alemtuzumab 30 mg s.c.on day 1 of CHOP-14 cycles 1-4

Intervention Type DRUG

CHOP14 chemotherapy (see specification under Arm B) plus G-CSF

6 cycles of CHOP every 2 weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Previously untreated patients with newly diagnosed peripheral T-cell lymphoma of stage I bulk (≥ 7.5 cm) and stages II to IV.
* Patients with a confirmed histologic diagnosis of peripheral T-cell NHL according to the WHO classification:
* Peripheral T-cell lymphoma, unspecified (PTCL NOS)
* Angioimmunoblastic T-cell lymphoma
* Enteropathy-type T cell lymphoma
* Subcutaneous panniculitis-like T-NHL (gamma-delta T-cell lymphoma)
* Hepatosplenic T-cell lymphoma
* Extranodal NK/T cell lymphoma, nasal type
* Age 18-60 years at time of randomization
* Life expectancy of 3 months or longer
* ECOG performance status (PS) 0, 1 or 2 at the time of randomization. However, PS 3 will be acceptable if lymphoma-related.
* Measurable disease (defined as at least one lesion with two measurable perpendicular diameters of which at least one should be \>= 15 mm).
* Written informed consent

Exclusion Criteria

* Patients with NK/T-NHL of the following type:
* Precursor T cell lymphoblastic lymphoma/leukemia
* All mature T cell leukemias (T-PLL, ATLL, NK cell leukemia, T-LGL, HTLV1-pos ATL)
* Alk-positive and negative anaplastic large cell lymphoma
* Blastic NK cell lymphoma
* Cutaneous T-cell lymphoma, transformed or not
* Concurrent severe and/or uncontrolled medical disease (e.g. uncontrolled diabetes, congestive heart failure, myocardial infarction within 6 months prior to the study, unstable and uncontrolled hypertension, chronic renal disease, or active uncontrolled infection), which could compromise participation in the study.
* Known hypersensitivity to murine or chimeric antibodies or proteins
* Severe cardiac dysfunction (NYHA classification II-IV, Appendix H) or LVEF \< 45 %
* Significant renal dysfunction, i.e. serum creatinin \>2 times upper normal level (UNL), unless related to NHL
* Significant hepatic dysfunction (total bilirubin \>2 times UNL or transaminases \>= 2.5 times UNL), unless related to NHL
* Impaired pulmonary functions; in this case, the patient is to be excluded if the resultant pulmonary function test shows FEV1\<50% or a diffusion capacity \<50% of the reference values
* Suspected or documented Central Nervous System involvement by NHL
* Patients known to be HIV-positive
* Patients with active, uncontrolled infections, especially known seropositivity for HCV or HbsAg
* Patients with uncontrolled asthma or allergy, requiring systemic steroid treatment
* Prior treatment with chemotherapy, radiotherapy or immunotherapy for this lymphoma, except local radiotherapy in case of extranodal NK/T cell lymphoma, nasal or nasal type
* History of active cancer during the past 5 years, except basal carcinoma of the skin or stage 0 cervical carcinoma
* Unwillingness or inability to comply with the protocol
* Simultaneous participation in any other study protocol
* Pregnant and nursing women (Women of childbearing potential should use safe anticonceptives) Contraceptive pills, intrauterine devices, injection of prolonged gestagen, subdermal implantation, hormonal vaginal devices and transdermal patches are considered as safe contraceptive methods).
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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GCP-unit at Aarhus University Hospital, Aarhus, Denmark

OTHER

Sponsor Role collaborator

Aarhus University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Francesco d'Amore, Prof

Role: PRINCIPAL_INVESTIGATOR

Dept. of Hematology, Århus University Hospital, Denmark

Locations

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AKH Linz

Linz, , Austria

Site Status

Krankenhaus der Elisabethinen

Linz, , Austria

Site Status

Center for Clinical Cancer and Immunology Trials

Salzburg, , Austria

Site Status

Hanusch Krankenhaus

Vienna, , Austria

Site Status

ZNA Middelheim

Antwerp, , Belgium

Site Status

ZNA Stuivenberg

Antwerp, , Belgium

Site Status

AZ St Jan

Bruges, , Belgium

Site Status

UZ VUB

Brussels, , Belgium

Site Status

Cliniques Universitaires Saint-Luc

Brussels, , Belgium

Site Status

Grand Hôpital de Charleroi

Charleroi, , Belgium

Site Status

Hôpital de Jolimont

Haine-St-Paul, , Belgium

Site Status

UZ Gasthuisberg

Leuven, , Belgium

Site Status

CHR de la Citadelle

Liége, , Belgium

Site Status

Clinique St Pierre

Ottignies, , Belgium

Site Status

Heilig-Hartziekenhuis

Roeselare, , Belgium

Site Status

Clinique de Mont-Godinne

Yvoir, , Belgium

Site Status

University Hospital Brno

Brno, , Czechia

Site Status

University Hospital Olomouc

Olomouc, , Czechia

Site Status

University Hospital Ostrava

Ostrava, , Czechia

Site Status

University Hospital Kralovske Vinohrady

Prague, , Czechia

Site Status

University Hospital Motol

Prague, , Czechia

Site Status

Aalborg Hospital

Aalborg, , Denmark

Site Status

Aarhus University Hospital

Aarhus, , Denmark

Site Status

Rigshospitalet

Copenhagen, , Denmark

Site Status

Herlev Hospital

Herlev, , Denmark

Site Status

Odense University Hospital

Odense, , Denmark

Site Status

Vejle Hospital

Vejle, , Denmark

Site Status

Helsinki University Central Hospital

Helsinki, , Finland

Site Status

Kuopio University Hospital

Kuopio, , Finland

Site Status

Oulu University Hospital

Oulu, , Finland

Site Status

Tampere University Hospital

Tampere, , Finland

Site Status

Turku University Central Hospital

Turku, , Finland

Site Status

Charite Universitätsmedizin Berlin

Berlin, , Germany

Site Status

Krankenhaus Nordwest

Frankfurt, , Germany

Site Status

University Hospital Regensburg

Regensburg, , Germany

Site Status

Meander Medical Center

Amersfoort, , Netherlands

Site Status

Vrije University Medical Center

Amsterdam, , Netherlands

Site Status

Academisch Medisch Centrum

Amsterdam, , Netherlands

Site Status

Medisch Spectrum Twente

Enschede, , Netherlands

Site Status

University Medical Center Groningen

Groningen, , Netherlands

Site Status

Leids University Medical Center

Leiden, , Netherlands

Site Status

Academisch Ziekenhuis Maastricht

Maastricht, , Netherlands

Site Status

Sint Antonius Ziekenhuis

Nieuwegein, , Netherlands

Site Status

University Medical Center St. Radboud

Nijmegen, , Netherlands

Site Status

Erasmus Medical Center - Centrum

Rotterdam, , Netherlands

Site Status

Erasmus Medical Center Daniel

Rotterdam, , Netherlands

Site Status

Haga Ziekenhuis, loc. Leyenburg

The Hague, , Netherlands

Site Status

Isala Klinieken, Sophia

Zwolle, , Netherlands

Site Status

Radium Hospital

Oslo, , Norway

Site Status

Stavanger University Hospital

Stavanger, , Norway

Site Status

University Hospital of Nothern Norway

Tromsø, , Norway

Site Status

St. Olavs Hospital

Trondheim, , Norway

Site Status

Marie Sklodowska-Curie Memorial Institute Cancer Center

Warsaw, , Poland

Site Status

IPO Lisboa

Lisbon, , Portugal

Site Status

IPO Porto

Porto, , Portugal

Site Status

Sunderby Hospital

Luleå, , Sweden

Site Status

Lund University Hospital

Lund, , Sweden

Site Status

Karolinska University Hospital

Stockholm, , Sweden

Site Status

Norrlands University Hospital

Umeå, , Sweden

Site Status

Countries

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Austria Belgium Czechia Denmark Finland Germany Netherlands Norway Poland Portugal Sweden

Other Identifiers

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2006-006130-17

Identifier Type: -

Identifier Source: org_study_id

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