Hodgkin's Disease Clinical Trial
— CYTOKINES-LHOfficial title:
Hodgkin's Lymphoma: Prognostic Value of the Kinetic of Decrease of 5 Cytokines Concentration During Treatment
Verified date | July 2017 |
Source | Centre Henri Becquerel |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
More than 90% of patients with Hodgkin lymphoma (HL) can recover thanks to conventional
polychemotherapy regimens - ABVD or BEACOPP - with or without radiotherapy. Nevertheless,
some patients relapse and others are resistant to any treatment. These patients represent
2-5% of stage I / II and 5-10% of disseminated stages. The usual prognostic index based on
clinical and biological data (supradiaphragmatic HL: EORTC and advanced HL International
Prognostic Score) cannot always detect patients at risk.
New prognostic factors are required to screen out these high risk patients. Among available
biological factors, we will retain the cytokines secreted by tumor cells and cells from the
environment.
Indeed, the prognostic value of plasma cytokines levels and their soluble receptors has
recently been described by at least two teams. Olivier CASASNOVAS set up a prognostic index
based on quantities of IL-1 RA, IL-6, sCD30 and TNFR1 at diagnosis,and the V. Diehl team
published the prognostic value of the decrease of TARC (CC Thymus and Activation-related
chemokine).
In daily practice, the early assessment of response by PET CT-scan is now an undeniable
prognostic factor. Early identification of no-response or relapse is, in fact, based on
clinical and imaging (PET-CT scan).
We propose to evaluate the decrease of cytokines concentration with a prognostic value (TARC,
IL-6, IL1-RA, sCD30, TNFR1) as markers of response during treatment and during early
follow-up. The dosage of these cytokines will be paired with radiological assessments.
A correlation between the decrease of cytokines plasma levels overtime and event-free
survival will be searched afterwards.
Status | Completed |
Enrollment | 50 |
Est. completion date | June 2016 |
Est. primary completion date | May 2016 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Hodgkin Lymphoma diagnosis - I-II or III-IV Stages - untreated Patient (including corticosteroids) - Patient treated and followed exclusively in center Henri Becquerel - Informed Consent signed Exclusion Criteria: - psychological, social or family conditions not allowing a suitable follow-up for study - Mental deficiency not allowing the good understanding of study procedures - positive HIV serology - positive B or C Hepatitis serology - Pregnant or lactating - Patient registered with a social security scheme or in an equivalent situation - Patient in a period of exclusion on another biomedical study. |
Country | Name | City | State |
---|---|---|---|
France | Centre Henri Becquerel | Rouen |
Lead Sponsor | Collaborator |
---|---|
Centre Henri Becquerel |
France,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Decrease of cytokines concentration TARC, IL-6, IL1-RA, sCD30, TNFR1) as markers of response during treatment and during early follow-up in Hodgkin's disease | evaluate the decrease of cytokines concentration with a prognostic value (TARC, IL-6, IL1-RA, sCD30, TNFR1) as markers of response during treatment (At Cycle 1 Day 15 of chemotherapy,Cycle 2 Day 1, cycle 3 Day 1, Cycle 5 Day 1 or Day 1 of Radiotherapy, 1 month after the end of treatment) , and during early follow-up (3 months after the end of treatment) in patients with Hodgkin's disease | 90 days after end of treatment | |
Secondary | Correlation between the decrease of cytokines plasma levels and event-free survival | Evaluation of correlation between the decrease of cytokines plasma levels and event-free survival after 3 years of follow-up | 3 years |
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