PET Adapted Treatment of Patients With Limited Stage DLBCL and no Risk Factors

NCT ID: NCT05078840

Last Updated: 2024-01-09

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

Total Enrollment

75 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-06-01

Study Completion Date

2025-06-01

Brief Summary

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Prospective, multicenter, phase IV study, of real-life evidence destined to evaluate the feasibility and efficacy of performing a treatment adapted to PET-CT in patients with stage I and II DLBCL, without poor prognostic factors.

Detailed Description

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Patients older than 17 years of age, with no upper age limit with a de novo histological diagnosis of DLBCL, in stages I and II and without risk factors, will be included. All patients will have a baseline PET-CT and will undergo 3 cycles of R-CHOP (cyclophosphamide, doxorubicin, vincristine, prednisone). A PET-CT will be performed on day 15-18 of the third cycle that will be centrally reviewed. Those patients with negative PET-CT (Deauville 1, 2 and 3) will receive an additional cycle of R-CHOP and will finish treatment. Patients who have PET-CT with a Deauville 4 score will complete a fourth cycle and then receive radiation therapy to the compromised site. Those patients with a Deauville score of 5 should receive rescue therapy, so they will be outside the protocol.

A standardized follow-up of the patients included with tomographic controls will be carried out, evaluating OS (overall survival) and PFS (progression-free survival) at 3 years as the main objectives.

Conditions

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Lymphoma, Non-Hodgkin's, Adult

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Patients with DLBCL limited stages and without risk factors

Patients with DLBCL in limited stages and without risk factors that will receive standard chemoimmunotherapy and their treatment will be adapted according to PET response after 3 cycles.

Evaluation of first line treatment in patients with stage I and II LBCL

Intervention Type OTHER

Evaluation of first line treatment in patients with stage I and II LBCL, without poor prognostic factors with treatment adapted to PET-CT after 3 R-CHOP

Interventions

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Evaluation of first line treatment in patients with stage I and II LBCL

Evaluation of first line treatment in patients with stage I and II LBCL, without poor prognostic factors with treatment adapted to PET-CT after 3 R-CHOP

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients \> 17 years old with no upper age limit.
* Histological diagnosis of DLBCL Stages I or II
* Patients who have signed informed consent.

Exclusion Criteria

* Patients with elevated LDH (lactate dehydrogenase)
* ECOG (Eastern Cooperative Oncology Group) \> 2
* Stage III or IV
* Bulky mass (\> 7.5 cm)
* Central nervous system involvement
* Testicular lymphoma
* Breast involvement
* Eyeball involvement
* Primary mediastinal lymphoma
* Cutaneous primary lymphoma
* Diffuse large B-cell lymphoma of the leg
* HIV positive patients
* Platelet count \<100,000 / mcl and total leukocyte count \<3,000 / mcl
* Marked impairment of ventricular function (FEy \<50%)
* Moderate / severe renal impairment defined by Cl. Cr. \<50 ml / min
* Severe liver disease: prothrombin rate \<50% and / or bile level. total\> 2.5 times normal value
* Pregnant and breastfeeding
* Previous or concomitant diagnosis of indolent lymphoma
* Patients who have previously received chemotherapy and / or radiotherapy
Minimum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Grupo Argentino de Tratamiento de la Leucemia Aguda

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Amalia Cerutti, Dr.

Role: PRINCIPAL_INVESTIGATOR

Grupo Argentino de Tratamiento de la Leucemia Aguda

Astrid Pavlovsky, Dr.

Role: STUDY_CHAIR

Grupo Argentino de Tratamiento de la Leucemia Aguda

Locations

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Hospital Italiano de La Plata

La Plata, Buenos Aires, Argentina

Site Status RECRUITING

Instituto Privado de Hematologia y Hemoterapia

Paraná, Entre Ríos Province, Argentina

Site Status RECRUITING

IDHEA Clínica Hematológica

Rosario, Santa Fe Province, Argentina

Site Status RECRUITING

FUNDALEU

CABA, , Argentina

Site Status RECRUITING

Hospital Italiano de Buenos Aires

CABA, , Argentina

Site Status RECRUITING

Clínica Universitaria Reina Fabiola

Córdoba, , Argentina

Site Status RECRUITING

Hospital Privado de Córdoba

Córdoba, , Argentina

Site Status RECRUITING

Countries

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Argentina

Central Contacts

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Astrid Pavlovsky, Dr.

Role: CONTACT

5491150613683

Paula Freigeiro

Role: CONTACT

5491140470052

Facility Contacts

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Lorena Fiad, Dr.

Role: primary

Florencia Negri Aranguren, Dr.

Role: primary

Amalia Cerutti, Dr.

Role: primary

Astrid Pavlovsky, Dr.

Role: primary

Fernando Warley, Dr.

Role: primary

Luciano Salvano, Dr.

Role: primary

Luciana Guanchiale, Dr.

Role: primary

Other Identifiers

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GATLA 10-LNHDCG-20

Identifier Type: -

Identifier Source: org_study_id

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