Observational Controlled Clinical Trials, on Adult Patients With T-lymphoblastic Lymphoma Treated With Intensive Chemo/Radiotherapy or Intensive Chemotherapy Followed by Transplant. Evaluation of Clinical, Anatomy -Pathological Parameters

NCT ID: NCT00882011

Last Updated: 2011-10-13

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

UNKNOWN

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2009-04-30

Study Completion Date

2019-04-30

Brief Summary

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The purpose of the study is to create a prospective database of T-Lymphoblastic Lymphoma (T-LBL) cases in order to conduct an appropriate statistical study as well as to monitor diagnosis and minimal residual disease (MRD), to detect specific genetic profile useful to give advices on therapies, to assess if PET has a prognostic validity on T-Lymphoblastic Lymphoma (T-LBL).

Detailed Description

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Observational prospective Clinical Trial designed to:

* record all patients treated with a latest generation ALL-like therapy (e.g.: Holzer, LSA2-L2 modified, GIMEMA LAL094), an enhanced therapy (hyper-CVAD or Stanford), autologous or allogeneic transplant or reduced intensity conditioning allotransplant after induction/consolidation and also expected cases treated with high dose sequential therapy or intensified minimal residual disease (MRD) oriented therapy;
* enter classic T-LBL patients (bone marrow infiltrate \<25%) treated as long as previous section;
* monitor therapy response/phenotype ratio by the study of phenotype;
* monitor therapy response/residual disease/patients outcome ratio by the study of T-cell receptor gene rearrangement;
* evaluate any gene-profile difference between T-LBL pre-thymic phenotype and T-LBL thymic phenotype so as to correlate it to outcome;
* monitor the stage of the disease at diagnosis, during the therapy and during the follow-up by means of TAC, so to value if PET (in association with TAC) is an additional and/or outcome predicting element compared to TAC.

Conditions

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Lymphoblastic Lymphoma

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Study Groups

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Arm 1

Adult patients with T-lymphoblastic lymphoma treated with intensive chemo/radiotherapy or intensive chemotherapy followed by transplant.

Latest generation chemotherapies for T-LBL + transplant

Intervention Type OTHER

1. Standard doses of one of the following chemotherapies:

* Holzer
* LSA2-L2 modified
* Stanford regimen
* Hyper CVAD
* Sequential treatments analogous to the ones above mentioned (e.g.: GIMEMA LAL094, others)
* Intensive chemotherapy, ALL-type, MRD oriented (NILG-TLL Clinical Trial)
2. Autologous transplant or allogeneic transplant or mini-allogeneic transplant

Interventions

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Latest generation chemotherapies for T-LBL + transplant

1. Standard doses of one of the following chemotherapies:

* Holzer
* LSA2-L2 modified
* Stanford regimen
* Hyper CVAD
* Sequential treatments analogous to the ones above mentioned (e.g.: GIMEMA LAL094, others)
* Intensive chemotherapy, ALL-type, MRD oriented (NILG-TLL Clinical Trial)
2. Autologous transplant or allogeneic transplant or mini-allogeneic transplant

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* no previous therapy, except for treatments to face up to clinical presentation of emergency;
* medical history initially characterized by nodal mass/masses;
* histological and immunophenotypic diagnosis that documents the diagnosis of T-LBL; in cases of bone marrow involvement and difficulties in obtaining nodal material, diagnosis could be based on bone marrow;
* availability of biological material for the study of TCR and gene-profile;
* age ≥ 15 years;
* all stages;
* infiltrated bone marrow \<25%;
* normal liver, renal and cardiac functions, except for alterations directly related to lymphoma;
* estimates of treatment according to one of the last generation schedules;
* written informed consent.

Exclusion Criteria

* patients with previous HCV, HBsAg+ or suffering from HIV;
* patients with organic pathology not related to lymphoma.
Minimum Eligible Age

15 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fondazione Italiana Linfomi - ETS

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Massimo Federico, MD

Role: STUDY_DIRECTOR

Azienda Ospedaliero-Universitaria di Modena (MO)

Locations

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Ospedale dell'Angelo

Mestre, VE, Italy

Site Status NOT_YET_RECRUITING

Casa Sollievo della Sofferenza

Foggia, , Italy

Site Status NOT_YET_RECRUITING

Ospedale San Martino

Genova, , Italy

Site Status RECRUITING

Ospedale Vito Fazzi

Lecce, , Italy

Site Status NOT_YET_RECRUITING

Azienda Ospedaliera Papardo

Messina, , Italy

Site Status RECRUITING

Università degli studi di Modena

Modena, , Italy

Site Status RECRUITING

Policlinico San Matteo

Pavia, , Italy

Site Status RECRUITING

Ospedale Civile Santo Spirito

Pescara, , Italy

Site Status RECRUITING

Ospedale San Carlo

Potenza, , Italy

Site Status NOT_YET_RECRUITING

Ospedale Bianche Melacrino Morelli

Reggio Calabria, , Italy

Site Status NOT_YET_RECRUITING

Ospedale Sant'Eugenio

Roma, , Italy

Site Status RECRUITING

Università La Sapienza

Roma, , Italy

Site Status RECRUITING

Azienda Ospedaliera Sassari

Sassari, , Italy

Site Status RECRUITING

Ospedale San Giovanni Battista Molinette

Torino, , Italy

Site Status NOT_YET_RECRUITING

Ospedale San Giovanni Battista Molinette

Torino, , Italy

Site Status RECRUITING

San Giovanni Battista Molinette - Biologia Molecolare

Torino, , Italy

Site Status NOT_YET_RECRUITING

Policlinico GB Rossi

Verona, , Italy

Site Status NOT_YET_RECRUITING

Countries

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Italy

Central Contacts

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Sonia Perticone, PhD

Role: CONTACT

+390131206071

Other Identifiers

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IIL-LY_01

Identifier Type: -

Identifier Source: org_study_id