Treatment of Natural Killer/T Cell Lymphoma-I/II

NCT ID: NCT01501136

Last Updated: 2015-07-17

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

Clinical Phase

PHASE4

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-01-31

Study Completion Date

2019-05-31

Brief Summary

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The purpose of this study is to evaluate the efficacy and safety of DDGP regiment (gemcitabine,pegaspargase,cisplatin,dexamethasone) for patients with newly diagnosed stage I/II Natural Killer (NK)/T Cell Lymphoma.

Detailed Description

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Patients with NK/T cell lymphoma usually have a bad prognosis. These patients cannot be treated successfully with the conventional chemotherapy of CHOP. The investigators have been proceeding this trial to evaluate the efficacy and safety of the combination chemotherapy regiment DDGP (gemcitabine,pegaspargase, cisplatin, dexamethasone) in the patients with stage I/II NK/T cell lymphoma.

Conditions

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Nasal and Nasal-type NK/T-cell Lymphoma

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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sequential trial,DDGP, radiotherapy

sequential DDGP(gemcitabine,pegaspargase,cisplatin,dexamethasone) regiment followed by radiotherapy

Group Type EXPERIMENTAL

DDGP(cisplatin,dexamethasone,gemcitabine,pegaspargase)

Intervention Type OTHER

DDP 20 mg/m2,ivgtt(intravenously guttae), d1-4;DEX 15mg/m2,ivgtt,d1-5;GEM 800mg/m2,ivgtt,30min,d1,8;Pegasparaginase,im,2500IU/m2 d1.Every 21 days for one cycle and three cycles are required. Completion of chemotherapy is followed by radiotherapy 50Gy.Efficacy was evaluated every two cycles.

sequential trial,VIPD, radiotherapy

sequential VIPD(cisplatin,Etoposide,Ifosfamide,dexamethasone,Mesna) regiment followed by radiotherapy

Group Type EXPERIMENTAL

VIPD(cisplatin,Etoposide,Ifosfamide, dexamethasone,Mesna)

Intervention Type OTHER

DDP,33mg/m2,ivgtt(intravenously guttae),d1-3;VP-16,100mg/m2,ivgtt,d1-3;IFO,1.2g/m2,ivgtt,d1-3;DEX,40mg,ivgtt,d1-4;Mesna,0、4、8h after IFO,240mg/m2,iv,d1-3.Every 21 days for one cycle and three cycles are required. Completion of chemotherapy is followed by radiotherapy 50Gy.Efficacy was evaluated every two cycles.

sequential trial, radiotherapy,DDGP

sequential radiotherapy followed by DDGP(gemcitabine,pegaspargase,cisplatin,dexamethasone) regiment

Group Type EXPERIMENTAL

gemcitabine,pegaspargase,cisplatin,dexamethasone

Intervention Type OTHER

Radiotherapy 50Gy is followed by chemotherapy(DDP 20 mg/m2,ivgtt(intravenously guttae),d1-4;DEX 15mg/m2,ivgtt,d1-5;GEM 800mg/m2,ivgtt,30min,d1,8;Pegasparaginase,im,2500IU/m2 d1.Every 21 days for one cycle and three cycles are required ).Efficacy was evaluated every two cycles.

sequential trial,radiotherapy, VIPD

sequential radiotherapy followed by VIPD(cisplatin,Etoposide,Ifosfamide,dexamethasone,Mesna)regiment chemotherapy

Group Type EXPERIMENTAL

cisplatin,Etoposide,Ifosfamide,dexamethasone,Mesna

Intervention Type OTHER

Radiotherapy 50Gy is followed by chemotherapy(DDP,33mg/m2,ivgtt(intravenously guttae),d1-3;VP-16,100mg/m2,ivgtt,d1-3;IFO,1.2g/m2,ivgtt,d1-3;DEX,40mg,ivgtt,d1-4;Mesna,0、4、8h after IFO,240mg/m2,iv,d1-3.Every 21 days for one cycle and three cycles are required ).Efficacy was evaluated every two cycles.

Radiotherapy

Suitable type intensity-modulated radiation therapy (IMRT) 50GY

Group Type EXPERIMENTAL

Radiotherapy

Intervention Type RADIATION

Suitable type intensity-modulated radiation therapy(IMRT)50Gy

Interventions

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DDGP(cisplatin,dexamethasone,gemcitabine,pegaspargase)

DDP 20 mg/m2,ivgtt(intravenously guttae), d1-4;DEX 15mg/m2,ivgtt,d1-5;GEM 800mg/m2,ivgtt,30min,d1,8;Pegasparaginase,im,2500IU/m2 d1.Every 21 days for one cycle and three cycles are required. Completion of chemotherapy is followed by radiotherapy 50Gy.Efficacy was evaluated every two cycles.

Intervention Type OTHER

VIPD(cisplatin,Etoposide,Ifosfamide, dexamethasone,Mesna)

DDP,33mg/m2,ivgtt(intravenously guttae),d1-3;VP-16,100mg/m2,ivgtt,d1-3;IFO,1.2g/m2,ivgtt,d1-3;DEX,40mg,ivgtt,d1-4;Mesna,0、4、8h after IFO,240mg/m2,iv,d1-3.Every 21 days for one cycle and three cycles are required. Completion of chemotherapy is followed by radiotherapy 50Gy.Efficacy was evaluated every two cycles.

Intervention Type OTHER

gemcitabine,pegaspargase,cisplatin,dexamethasone

Radiotherapy 50Gy is followed by chemotherapy(DDP 20 mg/m2,ivgtt(intravenously guttae),d1-4;DEX 15mg/m2,ivgtt,d1-5;GEM 800mg/m2,ivgtt,30min,d1,8;Pegasparaginase,im,2500IU/m2 d1.Every 21 days for one cycle and three cycles are required ).Efficacy was evaluated every two cycles.

Intervention Type OTHER

cisplatin,Etoposide,Ifosfamide,dexamethasone,Mesna

Radiotherapy 50Gy is followed by chemotherapy(DDP,33mg/m2,ivgtt(intravenously guttae),d1-3;VP-16,100mg/m2,ivgtt,d1-3;IFO,1.2g/m2,ivgtt,d1-3;DEX,40mg,ivgtt,d1-4;Mesna,0、4、8h after IFO,240mg/m2,iv,d1-3.Every 21 days for one cycle and three cycles are required ).Efficacy was evaluated every two cycles.

Intervention Type OTHER

Radiotherapy

Suitable type intensity-modulated radiation therapy(IMRT)50Gy

Intervention Type RADIATION

Other Intervention Names

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DDGP chemotherapy radiotherapy VIPD chemotherapy radiotherapy radiotherapy chemotherapy DDGP radiotherapy chemotherapy VIPD

Eligibility Criteria

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Inclusion Criteria

* Age range 14-70 years old; ECOG performance status 0-2; Estimated survival time \> 3 months
* Histological confirmed NK/T cell lymphoma
* None of chemotherapy or radiotherapy has been previously used
* At least one measurable lesion
* None of other serious diseases, cardiopulmonary function is normal
* Pregnancy test of women at reproductive age must be negative
* Patients could be followed up
* None of other relative treatments including the traditional Chinese medicine, immunotherapy,biotherapy except anti-bone metastasis therapy and other symptomatic treatments.
* volunteers who signed informed consent.

Exclusion Criteria

* Disagreement on blood sample collection
* Patients allergic of any of drug in this regimen or with metabolic disorder
* Pregnant or lactating women
* Serious medical illness likely to interfere with participation
* Serious infection
* Primitive or secondary tumors of central nervous system
* Chemotherapy or radiotherapy contraindication
* The evidence of CNS metastasis
* History of peripheral nervous disorder or dysphrenia
* patients participating in other clinical trials
* patients taking other antitumor drugs
* patients estimated to be unsuitable by investigator
Minimum Eligible Age

14 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Second Hospital of Shanxi Medical University

OTHER

Sponsor Role collaborator

Shanxi Province Cancer Hospital

OTHER

Sponsor Role collaborator

Wuhan University

OTHER

Sponsor Role collaborator

Wuhan TongJi Hospital

OTHER

Sponsor Role collaborator

Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

OTHER

Sponsor Role collaborator

Qingdao University

OTHER

Sponsor Role collaborator

Cancer Hospital of Guizhou Province

OTHER

Sponsor Role collaborator

Xinyang Central Hospital

OTHER

Sponsor Role collaborator

The First Affiliated Hospital of Henan University of Traditional Chinese Medicine

OTHER

Sponsor Role collaborator

Mingzhi Zhang

OTHER

Sponsor Role lead

Responsible Party

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Mingzhi Zhang

the director of oncology department of the first affiliated hospital

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Mingzhi Zhang, Pro,Dr

Role: PRINCIPAL_INVESTIGATOR

The First Affiliated Hospital of Zhengzhou University

Locations

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Oncology Department of The First Affiliated Hospital of Zhengzhou University

Zhengzhou, Henan, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Mingzhi Zhang, Pro,Dr

Role: CONTACT

13838565629

Facility Contacts

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Mingzhi Zhang, Pro,Dr

Role: primary

13838565629

References

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Zhang L, Wang Y, Li X, Li L, Wang X, Sun Z, Wu J, Fu X, Zhang X, Yu H, Wang G, Chang Y, Yan J, Zhou Z, Wu X, Nan F, Li W, Zhang M. Radiotherapy vs sequential pegaspargase, gemcitabine, cisplatin and dexamethasone and radiotherapy in newly diagnosed early natural killer/T-cell lymphoma: A randomized, controlled, open-label, multicenter study. Int J Cancer. 2021 Mar 15;148(6):1470-1477. doi: 10.1002/ijc.33329. Epub 2020 Oct 19.

Reference Type DERIVED
PMID: 33034052 (View on PubMed)

Other Identifiers

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hnslblzlzx2011

Identifier Type: -

Identifier Source: org_study_id

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