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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT00169156
Other study ID # RAIL
Secondary ID 2005-002602-37
Status Completed
Phase Phase 2
First received September 12, 2005
Last updated March 9, 2017
Start date December 2005
Est. completion date November 2012

Study information

Verified date March 2017
Source Lymphoma Study Association
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

To evaluate the efficacy and the safety of a front-line treatment combining CHOP regimen and rituximab in patients aged 60 to 80 years with previously untreated AIL.


Description:

This is a multicentric, open-label, non-randomized clinical study, evaluating the efficacy and the safety of a front-line treatment combining CHOP regimen and rituximab in patients aged 60 to 80 years with previously untreated AIL.

It is anticipated that 25 subjects will be enrolled over 2 years (from 2005 / 2007).Analysis performed every 5 patients (based on triangular test).

The duration of the treatment period is approximately 25 weeks and patients are followed until Death.

The total Duration of the study is expected to be 2.5 years.


Recruitment information / eligibility

Status Completed
Enrollment 27
Est. completion date November 2012
Est. primary completion date December 2008
Accepts healthy volunteers No
Gender All
Age group 18 Years to 75 Years
Eligibility Inclusion Criteria:

- Patients with histologically proven T-cell angioimmunoblastic lymphoma (AIL) on lymph node biopsy.

- Aged from 60 to 80 years.

- Patient not previously treated (except corticosteroids providing they have been initiated less than 10 days before inclusion).

- ECOG performance status 0 to 2.

- With a minimum of life expectancy > 3 months.

- Negative HIV, HBV and HCV serological tests < 4 weeks (except after vaccination).

- Having previously signed a written informed consent.

Exclusion Criteria:

- Any other histological type of T-cell lymphoma.

- Central nervous system or meningeal involvement by lymphoma.

- Contra-indication to any drug included in the R-CHOP regimen.

- Concurrent severe disease (according to the investigator's decision).

- Active bacterial, viral or fungal infection.

- Poor renal function (serum creatinine level > 150 µmol/L) or impaired liver function tests (total bilirubin level > 30 µmol/L, transaminases > 2.5 upper normal limits) unless they are related to the lymphoma.

- Poor bone marrow reserve as defined by neutrophils < 1.5 x 109/L or platelets < 100 x 109/L, unless related to bone marrow infiltration.

- Any history of cancer during the last 5 years, with the exception of non basal cell carcinoma of the skin or in situ carcinoma of the cervix.

- Treatment with any investigational drug within 30 days before planned first cycle of chemotherapy and during the study.

- Patient under tutelage.

Study Design


Related Conditions & MeSH terms

  • Lymphoma
  • Untreated T-cell Angioimmunoblastic Lymphoma

Intervention

Drug:
Rituximab
375 mg/m2 D1
Prednisone
40 mg/m2 D1 to D5
Doxorubicine
50 mg/m2 D1
Cyclophosphamide
750 mg/m2 D1
Vincristine
1,4 mg/m2 D1

Locations

Country Name City State
France Hôpital Henri Mondor Créteil
France Hôpital Saint Louis Paris
France Service d'Hématologie - Centre Hospitalier Lyon-Sud Pierre-Bénite cedex
France Centre Henri Becquerel Rouen

Sponsors (2)

Lead Sponsor Collaborator
Lymphoma Study Association Hoffmann-La Roche

Country where clinical trial is conducted

France, 

References & Publications (4)

Attygalle A, Al-Jehani R, Diss TC, Munson P, Liu H, Du MQ, Isaacson PG, Dogan A. Neoplastic T cells in angioimmunoblastic T-cell lymphoma express CD10. Blood. 2002 Jan 15;99(2):627-33. — View Citation

Gisselbrecht C, Gaulard P, Lepage E, Coiffier B, Brière J, Haioun C, Cazals-Hatem D, Bosly A, Xerri L, Tilly H, Berger F, Bouhabdallah R, Diebold J. Prognostic significance of T-cell phenotype in aggressive non-Hodgkin's lymphomas. Groupe d'Etudes des Lymphomes de l'Adulte (GELA). Blood. 1998 Jul 1;92(1):76-82. — View Citation

Lome-Maldonado C, Canioni D, Hermine O, Delabesse E, Damotte D, Raffoux E, Gaulard P, Macintyre E, Brousse N; French Groupe d'Etude des Lymphomes de l'Adulte (GELA).. Angio-immunoblastic T cell lymphoma (AILD-TL) rich in large B cells and associated with Epstein-Barr virus infection. A different subtype of AILD-TL? Leukemia. 2002 Oct;16(10):2134-41. — View Citation

Zettl A, Lee SS, Rüdiger T, Starostik P, Marino M, Kirchner T, Ott M, Müller-Hermelink HK, Ott G. Epstein-Barr virus-associated B-cell lymphoproliferative disorders in angloimmunoblastic T-cell lymphoma and peripheral T-cell lymphoma, unspecified. Am J Clin Pathol. 2002 Mar;117(3):368-79. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary Overall Response Rate (ORR) [Complete response (CR), Complete response unconfirmed (CRu)] after the end of treatment. 8 months (4 cycles of treatment + 4 cycles of consolidation)
Secondary Event-free survival (EFS) relapse for complete responders, disease progression, early discontinuation of treatment for toxicity or modification of treatment. Events being death from any cause 2 years
Secondary Overall survival (OS) 2 years
Secondary Time to progression (TTF) 2 years
Secondary Disease-free survival (DFS). 2 years
Secondary number of SAE 2 years