Anti-PD-1 Antibody and P-GEMOX Chemotherapy Combined With Radiotherapy in High-risk Early-Stage ENKTL

NCT ID: NCT05254899

Last Updated: 2022-02-24

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

54 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-10-01

Study Completion Date

2024-09-30

Brief Summary

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The current study is a phase II multi-center single arm trial to evaluate the efficacy and safety of inductive Anti-PD-1+P-GEMOX treatment followed by radiotherapy and concurrent Anti-PD-1 antibody in early-stage high-risk extranodal NK/T cell lymphoma, nasal type

Detailed Description

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Conditions

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Extranodal NK-T-Cell Lymphoma, Nasal and Nasal-Type Early-stage High-Risk Cancer

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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Inductive and concurrent anti-PD-1 antibody combined with chemo-radiotherapy

All the enrolled patients receive 3 cycles of anti-PD-1 antibody (Tislelizumab 200mg d1) + P-GEMOX (Pegaspargase 3000u d2, Gemcitabine 1g/m2 d2, Oxaliplatin 85mg/m2 d2) systemic treatment every 14 days, followed by involved-site radiotherapy with concurrent anti-PD-1 antibody (Tislelizumab 200mg) every two weeks.

Group Type EXPERIMENTAL

Anti-PD-1 monoclonal antibody

Intervention Type DRUG

200mg iv on Day 1 of each 14-day cycle for 3 cycles in induction treatment; 200mg iv on Day 1,15, 29 during RT treatment

Pegaspargase

Intervention Type DRUG

3000 U/m2 im on Day 2 of each 14-day cycle for 3 cycles in induction treatment

Gemcitabine

Intervention Type DRUG

1g/m2 iv on Day 2 of each 14-day cycle for 3 cycles in induction treatment

Oxaliplatin

Intervention Type DRUG

1g/m2 iv on Day 2 of each 14-day cycle for 3 cycles in induction treatment

Involved site radiotherapy

Intervention Type RADIATION

Involved site radiotherapy according to the ILROG guideline with primary tumor dose of 50-56Gy 14-28 days after inductive therapy

Interventions

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Anti-PD-1 monoclonal antibody

200mg iv on Day 1 of each 14-day cycle for 3 cycles in induction treatment; 200mg iv on Day 1,15, 29 during RT treatment

Intervention Type DRUG

Pegaspargase

3000 U/m2 im on Day 2 of each 14-day cycle for 3 cycles in induction treatment

Intervention Type DRUG

Gemcitabine

1g/m2 iv on Day 2 of each 14-day cycle for 3 cycles in induction treatment

Intervention Type DRUG

Oxaliplatin

1g/m2 iv on Day 2 of each 14-day cycle for 3 cycles in induction treatment

Intervention Type DRUG

Involved site radiotherapy

Involved site radiotherapy according to the ILROG guideline with primary tumor dose of 50-56Gy 14-28 days after inductive therapy

Intervention Type RADIATION

Other Intervention Names

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Tislelizumab

Eligibility Criteria

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Inclusion Criteria

* Biopsy proved extranodal NK/T cell lymphoma
* No previous anti-cancer treatment
* Measurable lesion on baseline PET/CT and MRI
* Stage I-II
* Have at lest one following risk factor: Elevated serum LDH level; PTI+; stage II
* ECOG PS 0-1
* Sufficient organ functions

Exclusion Criteria

* Other mature T- or NK- lymphoma
* Hemophagocytic lymphohistiocytosis
* Primary CNS lymphoma or CNS-involved lymphoma
* History of malignancy except for cutaneous basal-/squamous- cell carcinoma or cervical carcinoma in situ 3 years prior to study treatment
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Peking University Cancer Hospital & Institute

OTHER

Sponsor Role collaborator

The Affiliated Hospital Of Guizhou Medical University

OTHER

Sponsor Role collaborator

The First Hospital of Jilin University

OTHER

Sponsor Role collaborator

Chinese Academy of Medical Sciences

OTHER

Sponsor Role lead

Responsible Party

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Shunan Qi

Associated Prof. in the radiation oncology department

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Shunan M Qi, MD

Role: PRINCIPAL_INVESTIGATOR

Chinese Academy of Medical Sciences

Locations

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National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College

Beijing, Beijing Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Shunan M Qi

Role: CONTACT

+861087788995

Facility Contacts

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Shunan M Qi, MD

Role: primary

+861087788995

Other Identifiers

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CLCG-NKT-2102

Identifier Type: -

Identifier Source: org_study_id

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