BrEto-TCL - Defining the Role of Brentuximab and Etoposide for Optimizing First-line Therapy of T-cell Lymphomas

NCT ID: NCT07258680

Last Updated: 2025-12-02

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

ENROLLING_BY_INVITATION

Clinical Phase

PHASE3

Total Enrollment

114 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-10-31

Study Completion Date

2028-12-31

Brief Summary

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There is no data comparing the effectiveness of the 4 most relevant first-line therapy programs for peripheral T-cell lymphomas (CHOEP, CHOP, CHEP-BV, CHP-BV) in a single study.

For the first time, the effectiveness and toxicity of various first-line PTCL therapy programs in patients with T-cell lymphoma will be analyzed in the conditions of a single medical center of the N.N.Petrov National Research Medical Center of Oncology and optimal therapeutic tactics will be determined, taking into account significant prognostic factors based on effectiveness and toxicity a specific chemotherapy regimen.

Detailed Description

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A non-randomized retrospective cohort study with prospective inclusion is planned.

Patients with a confirmed diagnosis of PTCL (who meet the inclusion criteria) who were treated at the same center of the NN Petrov National Medical Cancer Research Center from 2013 to 2024, depending on the first-line therapy regimen, will be included in the retrospective part of the study and divided into 2 groups: Group 1: CHOEP regimen Group 2: CHOP regimen

The prospective part of this study is planned to include patients (who meet the inclusion criteria) who are hospitalized at the NN Petrov National Medical Cancer Research Center for treatment from January 2024 to January 2027. Patients will be divided into 2 groups depending on the chemotherapy regimen:

Group 3: chemoimmunotherapy according to the CHP-BV regimen Group 4: chemoimmunotherapy according to the CHEP-BV regimen Based on the data from the medical documentation of patients, the main statistical indicators of the effectiveness of first-line treatment regimens will be calculated using objective methods for assessing the antitumor effect (PET CT, CT), the toxicity of each of the regimens will be assessed, as well as possible prognostic factors for all patient groups.

Conditions

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Peripheral T-cell Lymphoma

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1st group - CHOEP

Therapy of patients in the 1st group of the study is carried out according to the CHOEP scheme (6 courses with an interval of 21 days)

Group Type ACTIVE_COMPARATOR

Doxorubicin

Intervention Type DRUG

doxorubicin 50 mg/m2, day 1

Vincristine

Intervention Type DRUG

vincristine 1.4 mg/m2, (maximum dose 2 mg) day 1

Etoposide

Intervention Type DRUG

Etoposide 100 mg/m2, 1-3 days

cyclophosphamide

Intervention Type DRUG

cyclophosphamide 750 mg/m2, day 1

Prednisone

Intervention Type DRUG

prednisone 100 mg, 1-5 days

2nd group - CHOP

The therapy of patients in the 2nd group of the study is carried out according to the CHOP scheme (6 courses with an interval of 21 days)

Group Type ACTIVE_COMPARATOR

Doxorubicin

Intervention Type DRUG

doxorubicin 50 mg/m2, day 1

Vincristine

Intervention Type DRUG

vincristine 1.4 mg/m2, (maximum dose 2 mg) day 1

cyclophosphamide

Intervention Type DRUG

cyclophosphamide 750 mg/m2, day 1

Prednisone

Intervention Type DRUG

prednisone 100 mg, 1-5 days

3rd group - CHP-Bv

Therapy of patients of the 3rd group of the study is carried out according to the CHP-Bv scheme (6 courses with an interval of 21 days)

Group Type ACTIVE_COMPARATOR

Doxorubicin

Intervention Type DRUG

doxorubicin 50 mg/m2, day 1

cyclophosphamide

Intervention Type DRUG

cyclophosphamide 750 mg/m2, day 1

Prednisone

Intervention Type DRUG

prednisone 100 mg, 1-5 days

Brentuximab Vedotin (Bv)

Intervention Type DRUG

brentuximab vedotin 1.8 mg / kg, day 1

4th group - CHEP-Bv

The therapy of patients in the 4th group is carried out according to the CHEP-Bv scheme (6 courses with an interval of 21 days)

Group Type ACTIVE_COMPARATOR

Doxorubicin

Intervention Type DRUG

doxorubicin 50 mg/m2, day 1

Etoposide

Intervention Type DRUG

Etoposide 100 mg/m2, 1-3 days

cyclophosphamide

Intervention Type DRUG

cyclophosphamide 750 mg/m2, day 1

Prednisone

Intervention Type DRUG

prednisone 100 mg, 1-5 days

Brentuximab Vedotin (Bv)

Intervention Type DRUG

brentuximab vedotin 1.8 mg / kg, day 1

Interventions

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Doxorubicin

doxorubicin 50 mg/m2, day 1

Intervention Type DRUG

Vincristine

vincristine 1.4 mg/m2, (maximum dose 2 mg) day 1

Intervention Type DRUG

Etoposide

Etoposide 100 mg/m2, 1-3 days

Intervention Type DRUG

cyclophosphamide

cyclophosphamide 750 mg/m2, day 1

Intervention Type DRUG

Prednisone

prednisone 100 mg, 1-5 days

Intervention Type DRUG

Brentuximab Vedotin (Bv)

brentuximab vedotin 1.8 mg / kg, day 1

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients with newly diagnosed mature T-cell lymphomas
* absence of acute infectious diseases during treatment diseases, chronic diseases in the stage of decompensation
* Eastern Cooperative Oncology Group (ECOG) performance status less than or equal to 2

Exclusion Criteria

* the presence of a history of other malignant neoplasms during the 5-year period before the start of first-line therapy, In addition to in situ neoplasms treated according to appropriate treatment protocols,
* there are acute infectious diseases and chronic diseases in the decompensation stage.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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N.N. Petrov National Medical Research Center of Oncology

OTHER

Sponsor Role lead

Responsible Party

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Anastasiia Kolgotina

Oncologist

Responsibility Role PRINCIPAL_INVESTIGATOR

Other Identifiers

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BrEto-TCL

Identifier Type: -

Identifier Source: org_study_id

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