Avastin+ GemAOD As First-Line Treatment in NK/T Cell Lymphoma

NCT ID: NCT01921790

Last Updated: 2013-08-22

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

PHASE2

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-08-31

Study Completion Date

2020-08-31

Brief Summary

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The purpose of this study is to evaluate the efficacy and safety of avastin combined with gemcitabine, oxaliplatin, pegaspargase and dexamethasone(Avastin+ GemAOD) as first-line treatment in patients with untreated natural killer(NK)/T cell lymphoma

Detailed Description

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Recent study showed that vascular endothelial growth factor (VEGF) was associated with a poorer outcome in patients with Non-Hodgkin's Lymphoma,and Avastin impacted on tumor endothelial cells to make standard chemotherapy work better for T cell lymphoma. Many researches on Gemcitabine combined with Oxaliplatin for treatments of recurrent and refractory Non-Hodgkin's lymphoma showed patients could benefit from the combination treatment . Pegaspargase plays an important role for treatment of NK/T cell lymphoma. Dexamethasone is used in combination with other agents for the treatment of lymphomas which may be implicated in the development or growth of some cancers.So we explored to evaluate the efficacy and safety of Avastin combined with gemcitabine, oxaliplatin, pegaspargase and dexamethasone(Avastin+ GemAOD) as first-line treatment in patients with untreated NK/T cell lymphoma

Conditions

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Extranodal NK/T-cell Lymphoma, Nasal Type

Keywords

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Avastin+ GemAOD first line chemotherapy NK/T-cell Lymphoma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Avastin+ GemAOD

Avastin+ GemAOD means Avastin Combined With Gemcitabine, Oxaliplatin, Pegaspargase and Dexamethasone

Group Type EXPERIMENTAL

Avastin

Intervention Type BIOLOGICAL

Avastin 7.5mg/Kg, intravenous drip D1

Gemcitabine

Intervention Type DRUG

Gemcitabine 1g/m2 intravenous drip D1,D8

Oxaliplatin

Intervention Type DRUG

Oxaliplatin 130mg/m2 intravenous drip D1

Pegaspargase

Intervention Type DRUG

Pegaspargase 2500U/m2 intramuscular injection (IM) D1

Dexamethasone

Intervention Type DRUG

Dexamethasone 20mg/d intravenous drip D1, po D2-3

Interventions

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Avastin

Avastin 7.5mg/Kg, intravenous drip D1

Intervention Type BIOLOGICAL

Gemcitabine

Gemcitabine 1g/m2 intravenous drip D1,D8

Intervention Type DRUG

Oxaliplatin

Oxaliplatin 130mg/m2 intravenous drip D1

Intervention Type DRUG

Pegaspargase

Pegaspargase 2500U/m2 intramuscular injection (IM) D1

Intervention Type DRUG

Dexamethasone

Dexamethasone 20mg/d intravenous drip D1, po D2-3

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Histologic diagnosis of NK/T Cell Lymphoma;
* Age:18-80 years;
* Eastern Cooperative Oncology Group (ECOG) status 0-3, Estimated survival time \> 3 months;
* Normal haematological, liver and renal function (WBC count≥4×109/L, Hemoglobin≥100g/L, platelet count≥100×109/L, bilirubin\<1.5×ULN, Alanine transaminase (ALT) or Aspartate Aminotransferase (AST)\<2.5×ULN, serum creatinine\<1.5×ULN), normal coagulation function and cardiac function;
* Appreciable and measurable lesions ;
* No history of other malignancies;
* No previous treatments including chemotherapy, radiotherapy, targeted therapy or stem cell transplantation;
* No other serious diseases which conflict with the treatment in the present trial;
* No concurrent treatments that conflict with the treatments in the present trial(including steroid drugs);
* Voluntary participation and signed the informed consent.

Exclusion Criteria

* The patients had the conditions below: clinically significant ventricular tachycardia (VT), atrial fibrillation (AF), heart block, myocardial infarction (MI), congestive heart failure (CHF), symptomatic coronary artery heart disease requiring medication;
* The patients suffered from organ transplant
* The patients participated in other clinical trials within the 30 days before enrollment or who are participating in other clinical studies;
* The patients with active bleeding or new thrombotic disease, who are taking anticoagulant drugs or with a history of bleeding tendencies;
* The patients suffered before surgery less than four weeks, or after less than six weeks;
* The patients with major vascular invasion;
* The patients with abnormal liver function (total bilirubin\> 1.5 times the normal value, ALT / AST\> 2.5 times normal), abnormal renal function (serum creatinine\> 1.5 times normal), blood abnormalities (absolute neutrophil count \<1.5 × 109 / L, platelets \<80 × 109 / L, hemoglobin \<90g /L) ;
* The patients with moderate to severe proteinuria;
* Severe hypertension,BP≥160/100mmHg;
* The patients with mentally ill / unable to obtain informed consent;
* The patients with drug addiction, alcohol abuse which affects the long-term evaluation of test results;
* The patients in pregnancy, lactation and women of childbearing age who do not want to take contraceptive measures subjects;
* Clinical and laboratory support brain metastases;
* The patients with a history of allergy to test drug;
* The patients not suitable to participate in the investigator judged by researchers.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hoffmann-La Roche

INDUSTRY

Sponsor Role collaborator

Eli Lilly and Company

INDUSTRY

Sponsor Role collaborator

Sun Yat-sen University

OTHER

Sponsor Role lead

Responsible Party

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Li Zhiming

Clinical Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Wenqi Jiang, MD

Role: PRINCIPAL_INVESTIGATOR

Department of Medical Oncology, Sun Yat-Sen University Cancer Center, Guangzhou, China State Key Laboratory of Oncology in South China, Sun Yat-Sen University Cancer Center, Guangzhou, China

Zhiming Li, MD

Role: PRINCIPAL_INVESTIGATOR

Department of Medical Oncology, Sun Yat-Sen University Cancer Center, Guangzhou, China State Key Laboratory of Oncology in South China, Sun Yat-Sen University Cancer Center, Guangzhou, China

Locations

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Department of Medical Oncology, Sun Yat-Sen University Cancer Center

Guangzhou, Guangdong, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Zhiming Li, MD

Role: CONTACT

Phone: 86-20-87343765

Email: [email protected]

Yu Wang, MD

Role: CONTACT

Phone: 86-20-87343349

Email: [email protected]

Facility Contacts

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Zhiming Li, MD

Role: primary

Yu Wang, MD

Role: backup

Other Identifiers

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B2013-017-01

Identifier Type: -

Identifier Source: org_study_id