Pegaspargase-COEP Chemotherapy Combined With Radiotherapy for Extra-nodal NK/T Cell Lymphoma

NCT ID: NCT04484506

Last Updated: 2020-07-23

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

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-10-20

Study Completion Date

2025-12-30

Brief Summary

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The optimal first-line treatment for extra-nodal NK/T-cell lymphoma (ENKTL) has not been well-defined. This phase II study aimed to evaluate the efficacy and safety of pegaspargase, cyclophosphamide, vincristine, etoposide and prednisone (COEPL) regimen combined with radiotherapy for patients with newly diagnosed ENKTL.

Detailed Description

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Conditions

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NK/T Cell Lymphoma Nos

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Stage I/II nasal ENKTL

2-3 cycles of induction pegaspargase-COEP chemotherapy followed by concurrent chemoradiotherapy, then by 1-2 cycles of pegaspargase-COEP chemotherapy as consolidation

Group Type EXPERIMENTAL

pegaspargase, cyclophosphamide, vincristine, etoposide, prednisone

Intervention Type DRUG

Cyclophosphamide 750 mg/m2 intravenously on day 1, vincristine 1.4 mg/m2 intravenously on day1, etoposide 60mg/m2 intravenously on days 1-3; pegaspargase 2500IU/m2 intramuscularly on day 2, prednisone 100mg orally on days 1-5.

Stage III/IV or primary extra-nasal ENKTL

6-8 cycles of pegaspargase-COEP chemotherapy with or without local radiotherapy and/or consolidative autologous stem cell transplantation

Group Type EXPERIMENTAL

pegaspargase, cyclophosphamide, vincristine, etoposide, prednisone

Intervention Type DRUG

Cyclophosphamide 750 mg/m2 intravenously on day 1, vincristine 1.4 mg/m2 intravenously on day1, etoposide 60mg/m2 intravenously on days 1-3; pegaspargase 2500IU/m2 intramuscularly on day 2, prednisone 100mg orally on days 1-5.

Interventions

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pegaspargase, cyclophosphamide, vincristine, etoposide, prednisone

Cyclophosphamide 750 mg/m2 intravenously on day 1, vincristine 1.4 mg/m2 intravenously on day1, etoposide 60mg/m2 intravenously on days 1-3; pegaspargase 2500IU/m2 intramuscularly on day 2, prednisone 100mg orally on days 1-5.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* patients with confirmed pathological diagnosis of ENKTL as defined by WHO criteria
* age 14-80 years
* no prior chemotherapy or radiotherapy
* Eastern Cooperative Oncology Group (ECOG) performance status of 0-2
* at least one measurable lesion
* adequate bone marrow function (i.e. hemoglobin ≥80 g/l, absolute neutrophil count ≥ 1.0 × 10\^9/L, platelets ≥ 100 ×10\^9/L), adequate renal function (i.e. serum creatinine ≤177 μmol/L), adequate hepatic function (e.g. total bilirubin ≤ two times the upper limit of normal, and ALT /AST ≤2.5 times the upper limit of normal)
* expected survival of more than three months

Exclusion Criteria

* invasion of lymphoma to central nervous system
* pre-existing coagulation disorder
* other concomitant neoplasms
* severe infection
* positive HIV antibody
* HBV DNA titer higher than 10\^4 copies /ml in HBsAg-positive patients post antiviral therapy
* pregnant or lactating women
* women of childbearing age unwilling to take contraceptive measures during the study period
Minimum Eligible Age

14 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Peking University Cancer Hospital & Institute

OTHER

Sponsor Role collaborator

Peking University International Hospital

OTHER

Sponsor Role collaborator

Hebei Medical University Fourth Hospital

OTHER

Sponsor Role collaborator

Jiangxi Provincial Cancer Hospital

OTHER

Sponsor Role collaborator

Peking University

OTHER

Sponsor Role lead

Responsible Party

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Jun Zhu

Dr.

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Peking University Cancer Hospital & Institute

Beijing, Beijing Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Jun Zhu, Dr.

Role: CONTACT

+86-13910333346

Facility Contacts

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Jun Zhu

Role: primary

Yuqin Song

Role: backup

Other Identifiers

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COEPL for NKTCL

Identifier Type: -

Identifier Source: org_study_id

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