DLCL002 Protocol for Patients With High Risk Aggressive B-cell Lymphoma

NCT ID: NCT03837873

Last Updated: 2022-01-26

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

118 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-01-21

Study Completion Date

2024-09-01

Brief Summary

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Patients eligible for the study will receive R-DA-EDOCH as the induction therapy and be evaluated by PET CT after the fourth cycle. Patients achieve CR at interim-PET(Deauville score 1-3) will receive either ASCT or the remaining 4 cycles of R-DA-EDOCH, while those achieve PR(Deauville score 4-5) will be rescued by two courses of R(2)-DHAP and then be revaluated by the second interim-PET. Patients who achieved CR+good PR(Deauville score 4) after the rescue therapy will be consolidated with ASCT,and those remain in PR(Deauville score 5) will receive other rescue treatments(including ASCT+CAR T).

Detailed Description

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Survival for patients with high risk aggressive B-cell lymphoma is still unsatisfied. Dose-intensified immunochemotherapy might improve the outcome. But for patients who could not achieve CR after the dose-intensified induction therapy, the prognosis is poor. The DLCL002 protocol is a total therapy which including induction therapy, rescue therapy and autologous stem cell transplantation. Patients eligible for the study will receive R-DA-EDOCH as the induction therapy and be evaluated by PET CT after the fourth cycle. Patients achieve CR at interim-PET(Deauville score 1-3) will receive either ASCT or the remaining 4 cycles of R-DA-EDOCH, while those achieve PR(Deauville score 4-5) will be rescued by two courses of R(2)-DHAP and then be revaluated by the second interim-PET. Patients who achieved CR+good PR(Deauville score 4) after the rescue therapy will be consolidated with ASCT,and those remain in PR(Deauville score 5) will receive other rescue treatments(including ASCT+CAR T).

Conditions

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Diffuse Large B Cell Lymphoma High-grade B-cell Lymphoma Transformed 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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DLCL002 protocol

Patients will receive R-DA-EDOCH(rituximab, etoposide, dexamethasone, vincristine, cyclophosphamide, doxorubicin) as induction therapy and be evaluated by PET CT after the fourth cycle. Patients achieve CR at interim-PET will receive either ASCT or the remaining 4 cycles of R-DA-EDOCH, while those achieve PR(Deauville score 4-5) will be rescued by two courses of R(2)-DHAP(rituximab, lenalidomide(only for patients with non-GCB DLBCL), dexamethasone, cisplatin, cytarabine). Patients who achieved CR+good PR(Deauville score 4) after the rescue therapy will be consolidated with ASCT,and those remain in PR(Deauville score 5) will receive other rescue treatments.

Group Type EXPERIMENTAL

Rituximab

Intervention Type DRUG

rituximab 750mg/m2 i.v. on day 0

Etoposide

Intervention Type DRUG

50mg/m2, continuous i.v. on day 1-4

Vincristine

Intervention Type DRUG

0.4mg/m2, continuous i.v. on day 1-4

Doxorubicin

Intervention Type DRUG

10mg/m2, continuous i.v. on day 1-4

Dexamethasone

Intervention Type DRUG

30mg/day, i.v. on day 1-5 for R-DA-EDOCH regimen; 40mg/day, i.v. on day 1-4 for R(2)-DHAP regimen

Cyclophosphamide

Intervention Type DRUG

750mg/m2, i.v. on day5

Lenalidomide

Intervention Type DRUG

25mg/day, p.o. on day 0-9

Cisplatin

Intervention Type DRUG

100mg/m2 continuous i.v. on day 1

Cytarabine

Intervention Type DRUG

2g/m2 q12h, i.v. on day 2

Interventions

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Rituximab

rituximab 750mg/m2 i.v. on day 0

Intervention Type DRUG

Etoposide

50mg/m2, continuous i.v. on day 1-4

Intervention Type DRUG

Vincristine

0.4mg/m2, continuous i.v. on day 1-4

Intervention Type DRUG

Doxorubicin

10mg/m2, continuous i.v. on day 1-4

Intervention Type DRUG

Dexamethasone

30mg/day, i.v. on day 1-5 for R-DA-EDOCH regimen; 40mg/day, i.v. on day 1-4 for R(2)-DHAP regimen

Intervention Type DRUG

Cyclophosphamide

750mg/m2, i.v. on day5

Intervention Type DRUG

Lenalidomide

25mg/day, p.o. on day 0-9

Intervention Type DRUG

Cisplatin

100mg/m2 continuous i.v. on day 1

Intervention Type DRUG

Cytarabine

2g/m2 q12h, i.v. on day 2

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Histological confirmed aggressive B-cell lymphoma with one of the following subtypes:

1. diffuse large B-cell lymphoma, NOS with at least one poor prognostic factor as follows:

1. aaIPI 2\~3(≤60 years) or IPI 3\~5(\>60 years);
2. double protein expression lymphoma(IHC MYC≥40% and BCL2≥50%) with Ann Arbor stage of III\~IV or aaIPI 2\~3 or IPI 3\~5;
3. CD5+ DLBCL.
2. high-grade B-cell lymphoma with MYC and BCL2 and/or BCL6 rearrangements;
3. high-grade B-cell lymphoma, NOS
4. transformed lymphoma(no prior treatment)
* Age 18 to 65 years
* ECOG-PS: 0\~2
* Life-expectancy \> 3 months

Exclusion Criteria

* Patients with central nerves system involvement
* HIV positivity
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Institute of Hematology & Blood Diseases Hospital, China

OTHER

Sponsor Role lead

Responsible Party

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Zou Dehui

principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Dehui Zou, Dr.

Role: PRINCIPAL_INVESTIGATOR

Institute of Hematology & Blood Diseases Hospital, China

Locations

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Hunan Cancer Hospital

Changsha, Hunan, China

Site Status NOT_YET_RECRUITING

the First Affiliated Hospital of Nanchang University

Nanchang, Jiangxi, China

Site Status NOT_YET_RECRUITING

the First Affiliated Hospital of Jilin University

Changchun, Jilin, China

Site Status NOT_YET_RECRUITING

the Second Hospital of Dalian Medical University

Dalian, Liaoning, China

Site Status NOT_YET_RECRUITING

Qingdao Central Hospital

Qingdao, Shandong, China

Site Status NOT_YET_RECRUITING

Institute of Hematology & Blood Diseases Hospital

Tianjin, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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Wei Liu, Dr.

Role: CONTACT

+86-020-23909282

Facility Contacts

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Hui Zhou, Dr.

Role: primary

Fei Li, Dr.

Role: primary

Fengyan Jin, Dr.

Role: primary

Xiaobo Wang, Dr.

Role: primary

Ling Wang, Dr.

Role: primary

Wei Liu, Dr.

Role: primary

86-022-23909282

Other Identifiers

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IIT2018010-EC-2

Identifier Type: -

Identifier Source: org_study_id

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