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The Study of Pegylated Liposomal Doxorubicin Contrast Epirubicin for the Treatment of Diffuse Large B-cell Lymphoma

Primary Purpose

Diffuse Large B-cell Lymphoma

Status
Unknown status
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
PL-doxorubicin and epirubicin
Sponsored by
Hebei Medical University Fourth Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Diffuse Large B-cell Lymphoma

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Age between 18 and 65 years
  • Diagnosis of previously-untreated DLBCL(patients with a transformed untreated low-grade lymphoproliferative disease were accepted)
  • ECOG performance status < 3 (and higher if due to lym-phoma)
  • No symptomatic cardiac arrythmias or heart failure
  • Acceptable renal, hepatic and pulmonary function
  • Standard laboratory and radiological staging procedures and left ventricular ejection fraction analysis by echocardiography or scintigraphy were required before therapy in all cases
  • The protocol was approved by the ethics review committee of each partici- pating center
  • All patients gave informed written consent.

Exclusion Criteria:

  • Patients with a previous history of cardiac disease;
  • HIV-HBsAg-HCV positivity, central nervous system involvement or any other major clinicalcondition;
  • Other than lymphoma, which might have precluded a regular therapeutic course, were excluded from the study.

Sites / Locations

  • Fourth Hospital of Hebei Medical UniversityRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

pegylated liposomal doxorubicin

Epirubicin

Arm Description

PL-doxorubicin 35-40 mg/m(2) was given on day 1 in combination with standard dosage of prednisone, vincristine, cyclophosphamide (according to CHOP regimen) every 21 days for six courses;Rituximab 375 mg/m(2) was given on day 0.

Epirubicin 70 mg/m(2) was given on day 1 in combination with standard dosage of prednisone, vincristine, cyclophosphamide (according to CHOP regimen) every 21 days for six courses;Rituximab 375 mg/m(2) was given on day 0.

Outcomes

Primary Outcome Measures

overall response rate

Secondary Outcome Measures

Full Information

First Posted
January 9, 2017
Last Updated
January 13, 2017
Sponsor
Hebei Medical University Fourth Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT03022123
Brief Title
The Study of Pegylated Liposomal Doxorubicin Contrast Epirubicin for the Treatment of Diffuse Large B-cell Lymphoma
Official Title
The Study of Pegylated Liposomal Doxorubicin Contrast Epirubicin for the Initial Treatment of Patients With Diffuse Large B-cell Lymphoma
Study Type
Interventional

2. Study Status

Record Verification Date
October 2016
Overall Recruitment Status
Unknown status
Study Start Date
November 2016 (undefined)
Primary Completion Date
November 2017 (Anticipated)
Study Completion Date
March 2018 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Hebei Medical University Fourth Hospital

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
270 untreated patients, age between 18 and 65 years , with diffuse large B-cell lymphoma (B-DLCL) were treated with a pegylated liposomal doxorubicin (PL-doxorubicin) modified CHOP-rituximab regimen. PL-doxorubicin 35-40 mg/m(2)and epirubicin 70mg/m(2) were given in combination with standard dosage of prednisone, vincristine, cyclophosphamide, rituximab (according to CHOP-R regimen) every 21 days for six courses.
Detailed Description
PL-doxorubicin 35-40 mg/m(2) and epirubicin 70mg/m(2) were given on day 1 in combination with standard dosage of prednisone, vincristine, cyclophosphamide (according to CHOP regimen) every 21days for six courses. The choice to adopt the dosage of 30 mg/m2(instead of 50 mg/m2 of conventionaldoxorubicin) was based on pharmacokinetic data and on the results of previous studies in lymphoma.Rituximab 375 mg/m2 was given on day 0 in subsequent courses of therapy. Granulocyte colony-stimulating factor was given in the presence of grade 4 neutropenia or febrile neutropenia until hematological recovery. Treatment was stopped if lymphoma progressed, the patient refused further participation,or if there was any other intercurrent clinical condition or adverse event.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diffuse Large B-cell Lymphoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
270 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
pegylated liposomal doxorubicin
Arm Type
Experimental
Arm Description
PL-doxorubicin 35-40 mg/m(2) was given on day 1 in combination with standard dosage of prednisone, vincristine, cyclophosphamide (according to CHOP regimen) every 21 days for six courses;Rituximab 375 mg/m(2) was given on day 0.
Arm Title
Epirubicin
Arm Type
Active Comparator
Arm Description
Epirubicin 70 mg/m(2) was given on day 1 in combination with standard dosage of prednisone, vincristine, cyclophosphamide (according to CHOP regimen) every 21 days for six courses;Rituximab 375 mg/m(2) was given on day 0.
Intervention Type
Drug
Intervention Name(s)
PL-doxorubicin and epirubicin
Other Intervention Name(s)
prednisone, vincristine, cyclophosphamide, rituximab
Intervention Description
PL-doxorubicin 35-40 mg/m(2) and epirubicin 70 mg/m(2) were given in combination with standard dosage of prednisone, vincristine, cyclophosphamide, rituximab (according to CHOP-R regimen) every 21 days for six courses.
Primary Outcome Measure Information:
Title
overall response rate
Time Frame
up to 19 months

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age between 18 and 65 years Diagnosis of previously-untreated DLBCL(patients with a transformed untreated low-grade lymphoproliferative disease were accepted) ECOG performance status < 3 (and higher if due to lym-phoma) No symptomatic cardiac arrythmias or heart failure Acceptable renal, hepatic and pulmonary function Standard laboratory and radiological staging procedures and left ventricular ejection fraction analysis by echocardiography or scintigraphy were required before therapy in all cases The protocol was approved by the ethics review committee of each partici- pating center All patients gave informed written consent. Exclusion Criteria: Patients with a previous history of cardiac disease; HIV-HBsAg-HCV positivity, central nervous system involvement or any other major clinicalcondition; Other than lymphoma, which might have precluded a regular therapeutic course, were excluded from the study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Liu Lihong, archiater
Phone
13831177920
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Liu Lihong, archiater
Organizational Affiliation
Hebei Medical University Fourth Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Liu Lihong, archiater
Organizational Affiliation
Hebei Medical University Fourth Hospital
Official's Role
Study Director
Facility Information:
Facility Name
Fourth Hospital of Hebei Medical University
City
Shi Jiazhuang
State/Province
Hebei
ZIP/Postal Code
050000
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Liu Lihong, archiater
Phone
13831177920

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

The Study of Pegylated Liposomal Doxorubicin Contrast Epirubicin for the Treatment of Diffuse Large B-cell Lymphoma

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