Mantle Cell Lymphoma Clinical Trial
Official title:
Observational Study for Patients With Newly Diagnosed Mantle Cell Lymphoma (MCL) Not Eligible for High-dose Therapy According to the Protocol Alternating R-CHOP and R-cytarabine Chemotherapy Regimen (3+3 Cycles)
This is an observational study aimed to analyze the effectiveness of treatment of patients with newly dg. mantle cell lymphoma not eligible for high-dose therapy and autologous stem cell transplantation. Scheme of treatment: alternating cycles of R-CHOP (rituximab, cyclophosphamide, hydroxydaunomycin, oncovin, prednison) and R-AraC (rituximab, cytarabin): R-CHOP / R-AraC / R-CHOP / R-AraC / R-CHOP / R-AraC. The study was proposed based on the previously published data in the younger patients, which demonstrated improved outcome after implementation of Ara-C into induction.
This is an observational study considered for patients with mantle cell lymphoma meeting the
basic inclusion criteria. The study will enrol patients who will be treated according to
standard protocol used in the hematologic department. Scheme of treatment: alternating
cycles of R-CHOP and R-AraC: R-CHOP / R-AraC / R-CHOP / R-AraC / R-CHOP / R-AraC.
Baseline procedures:
- CT or PET-CT (positron emission tomography with computed tomography)before starting
treatment, after 3 cycles and at the end of treatment (after 6 cycles)
- bone marrow examination before therapy, after 3 cycles and after completion of
induction
- maintenance rituximab based of standards of each centre
The study was proposed based on the previously published data in the younger patients, which
demonstrated improved outcome after implementation of Ara-C into induction.
Primary objectives include response after induction by PET-CT and PFS (progression-free
survival).
Secondary objectives include OS (overall survival), and prognostic significance of minimal
residual disease detection after completion of induction
;
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