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A Study of Treatment ALK(+) Systemic Anaplastic Large Cell Lymphoma With Crizotinib

Primary Purpose

Systemic Anaplastic Large-Cell Lymphoma

Status
Withdrawn
Phase
Phase 4
Locations
China
Study Type
Interventional
Intervention
crizotinib
Sponsored by
Jun Zhu
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Systemic Anaplastic Large-Cell Lymphoma focused on measuring Anaplastic Large Cell Lymphoma, anaplastic lymphoma kinase rearrangement, crizotinib, CHOP chemotherapy

Eligibility Criteria

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

Inclusion Criteria:

  • primary ALK(+) systemic anaplastic large cell lymphoma histologically confirmed by biopsy without therapy
  • ECOG 0-2
  • more than 1 measurable lesions with major axis >1.5cm and minor axis>1.0cm
  • estimated survival >/3months
  • Age 18-65 years
  • Women of childbearing age should have a negative pregnancy test; men and women who need to agree to use effective contraception during the period of treatment and the following 1 years
  • Signature of informed consent

Exclusion Criteria:

  • Age <\ 18years
  • without ALK(+) systemic anaplastic large cell lymphoma histologically confirmed by biopsy
  • without measurable lesions
  • being treated by other drugs in other clinical trials
  • Pregnant or lactating women, who are not willing to take contraceptive measures during the study period, or are not willing to use effective contraceptive measures during the period of treatment and the following 1 years
  • Hepatic insufficiency: serum total bilirubin, ALT more than 2 times higher than normal
  • Renal insufficiency: more than 2 times higher than that of normal serum creatinine
  • Blood screening period: WBC < 1 * 109/L * 109/L; platelet < 25; Hb < 60g/L
  • HIV test positive

Sites / Locations

  • Weiping Liu

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

crizotinib combined with chemotherapy

Arm Description

crizotinib 250mg, bid from day 1 to 18 weeks. cyclophosphamide, 750mg/m2,d1, vincristine, 1.4mg/m2, maximal dose is 2mg d1, doxorubicin, 50mg/m2d1, prednison, 100 mg d1-5) every 3 weeks for up to six cycles.

Outcomes

Primary Outcome Measures

complete remission rate

Secondary Outcome Measures

disease-free survival
overall survival
objective response rate
incidence of >/Grade 3 non-hematology toxicity adverse events
QOL assessment
using a battery of cognitive and quality-of-life (QoL) measures

Full Information

First Posted
June 30, 2015
Last Updated
December 28, 2016
Sponsor
Jun Zhu
Collaborators
Peking University First Hospital, Peking University People's Hospital, Peking University Third Hospital, Peking Union Medical College Hospital, Beijing Hospital, Chinese PLA General Hospital, First Hospitals affiliated to the China PLA General Hospital, Air Force General Hospital of the PLA, Cancer Institute and Hospital, Chinese Academy of Medical Sciences, Anhui Provincial Hospital, Zhejiang University
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1. Study Identification

Unique Protocol Identification Number
NCT02487316
Brief Title
A Study of Treatment ALK(+) Systemic Anaplastic Large Cell Lymphoma With Crizotinib
Official Title
A Multicenter Prospective Study of Treatment ALK(+) Systemic Anaplastic Large Cell Lymphoma With Crizotinib
Study Type
Interventional

2. Study Status

Record Verification Date
December 2016
Overall Recruitment Status
Withdrawn
Study Start Date
July 2015 (undefined)
Primary Completion Date
November 2017 (Anticipated)
Study Completion Date
December 2017 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Jun Zhu
Collaborators
Peking University First Hospital, Peking University People's Hospital, Peking University Third Hospital, Peking Union Medical College Hospital, Beijing Hospital, Chinese PLA General Hospital, First Hospitals affiliated to the China PLA General Hospital, Air Force General Hospital of the PLA, Cancer Institute and Hospital, Chinese Academy of Medical Sciences, Anhui Provincial Hospital, Zhejiang University

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to determine the efficacy and safety of crizotinib combined with CHOP chemotherapy for patients with ALK(+) Systemic Anaplastic Large Cell Lymphoma.
Detailed Description
ALK(+) Systemic Anaplastic Large Cell Lymphoma patients are treated with crizotinib when they receive CHOP chemotherapy. crizotinib 250mg twice a day is administrated from day 1 of chemotherapy to 18 weeks. standard CHOP chemotherapy (cyclophosphamide, 750mg per square meter of body-surface area,d1, vincristine, 1.4mg per square meter of body-surface area, maximal dose is 2mg d1, doxorubicin, 50mg per square meter of body-surface area d1, plus prednison, 100 mg d1-5) every 3 weeks for up to six cycles.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Systemic Anaplastic Large-Cell Lymphoma
Keywords
Anaplastic Large Cell Lymphoma, anaplastic lymphoma kinase rearrangement, crizotinib, CHOP chemotherapy

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
0 (Actual)

8. Arms, Groups, and Interventions

Arm Title
crizotinib combined with chemotherapy
Arm Type
Experimental
Arm Description
crizotinib 250mg, bid from day 1 to 18 weeks. cyclophosphamide, 750mg/m2,d1, vincristine, 1.4mg/m2, maximal dose is 2mg d1, doxorubicin, 50mg/m2d1, prednison, 100 mg d1-5) every 3 weeks for up to six cycles.
Intervention Type
Drug
Intervention Name(s)
crizotinib
Other Intervention Name(s)
CHOP chemotherapy
Intervention Description
crizotinib 250mg, oral, bid from day 1 to 18 weeks. cyclophosphamide, 750mg/m2,d1, vincristine, 1.4mg/m2, maximal dose is 2mg d1, doxorubicin, 50mg/m2d1, prednison, 100 mg d1-5) every 3 weeks for up to six cycles.
Primary Outcome Measure Information:
Title
complete remission rate
Time Frame
2 years
Secondary Outcome Measure Information:
Title
disease-free survival
Time Frame
2 years
Title
overall survival
Time Frame
2 years
Title
objective response rate
Time Frame
2 years
Title
incidence of >/Grade 3 non-hematology toxicity adverse events
Time Frame
2 years
Title
QOL assessment
Description
using a battery of cognitive and quality-of-life (QoL) measures
Time Frame
2 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: primary ALK(+) systemic anaplastic large cell lymphoma histologically confirmed by biopsy without therapy ECOG 0-2 more than 1 measurable lesions with major axis >1.5cm and minor axis>1.0cm estimated survival >/3months Age 18-65 years Women of childbearing age should have a negative pregnancy test; men and women who need to agree to use effective contraception during the period of treatment and the following 1 years Signature of informed consent Exclusion Criteria: Age <\ 18years without ALK(+) systemic anaplastic large cell lymphoma histologically confirmed by biopsy without measurable lesions being treated by other drugs in other clinical trials Pregnant or lactating women, who are not willing to take contraceptive measures during the study period, or are not willing to use effective contraceptive measures during the period of treatment and the following 1 years Hepatic insufficiency: serum total bilirubin, ALT more than 2 times higher than normal Renal insufficiency: more than 2 times higher than that of normal serum creatinine Blood screening period: WBC < 1 * 109/L * 109/L; platelet < 25; Hb < 60g/L HIV test positive
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jun Zhu, MD
Organizational Affiliation
Peking University Cancer Hospital & Institute
Official's Role
Study Chair
Facility Information:
Facility Name
Weiping Liu
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100142
Country
China

12. IPD Sharing Statement

Citations:
PubMed Identifier
25559471
Citation
Boi M, Zucca E, Inghirami G, Bertoni F. Advances in understanding the pathogenesis of systemic anaplastic large cell lymphomas. Br J Haematol. 2015 Mar;168(6):771-83. doi: 10.1111/bjh.13265. Epub 2015 Jan 6.
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A Study of Treatment ALK(+) Systemic Anaplastic Large Cell Lymphoma With Crizotinib

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