search
Back to results

GAD-M Regimen As First-Line Treatment in Untreated Extranodal NK/T Cell Lymphoma

Primary Purpose

Extranodal NK/T-cell Lymphoma, Nasal Type

Status
Unknown status
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
High dose of methotrexate
Gemcitabine
Pegaspargase
Dexamethasone
Sponsored by
Sun Yat-sen University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Extranodal NK/T-cell Lymphoma, Nasal Type focused on measuring GAD-M regimen, first line chemotherapy, NK/T-cell Lymphoma

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Histologic diagnosis of NK/T Cell Lymphoma;
  • Age:18-80 years;
  • Weight:Male:67±20Kg(47-87Kg),Female:55±20Kg(35-75Kg)
  • Eastern Cooperative Oncology Group (ECOG) status 0-3, Estimated survival time > 3 months;
  • No history of other malignancies; No other current tumors;
  • Normal haematological, liver and renal function (WBC count≥3.5×109/L, Hemoglobin≥100g/L, platelet count≥90×109/L, bilirubin<1.5×ULN, Alanine transaminase (ALT) and Aspartate Aminotransferase (AST)<2.5×ULN, serum creatinine<1.5×ULN), normal coagulation function and cardiac function;
  • Clinical staging I-IV;
  • No previous treatments including chemotherapy, radiotherapy, targeted therapy or stem cell transplantation;
  • Appreciable and measurable lesions, clinical assessment >2cm,CT or MRI >1.5cm;
  • No other serious diseases which conflict with the treatment in the present trial;
  • No concurrent treatments that conflict with the treatments in the present trial(including steroid drugs);
  • Voluntary participation and signed the informed consent.

Exclusion Criteria:

  • The patients had the conditions below: clinically significant ventricular tachycardia (VT), atrial fibrillation (AF), heart block, myocardial infarction (MI), congestive heart failure (CHF), symptomatic coronary artery heart disease requiring medication;
  • The patients suffered from organ transplant
  • The patients participated in other clinical trials within the 30 days before enrollment or who are participating in other clinical studies;
  • The patients with active bleeding or new thrombotic disease, who are taking anticoagulant drugs or with a history of bleeding tendencies,who with active infection;
  • The patients suffered before surgery less than four weeks, or after less than six weeks;
  • The patients with abnormal liver function (total bilirubin> 1.5 times the normal value, ALT / AST> 2.5 times normal), abnormal renal function (serum creatinine> 1.5 times normal), blood abnormalities (absolute neutrophil count <1.5 × 109 / L, platelets <80 × 109 / L, hemoglobin <90g /L) ;
  • The patients with mentally ill / unable to obtain informed consent;
  • The patients with drug addiction, alcohol abuse which affects the long-term evaluation of test results;
  • The patients in pregnancy, lactation and women of childbearing age who do not want to take contraceptive measures subjects;
  • Clinical and laboratory support brain metastases;
  • The patients with a history of allergy or adverse reaction(s) to test drug;
  • The patients not suitable to participate in the investigator judged by researchers.

Sites / Locations

  • Department of Medical Oncology, Sun Yat-Sen University Cancer Center

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

GAD-M regimen

Arm Description

GAD-M regimen means High dose of methotrexate combined with gemcitabine, pegaspargase and dexamethasone

Outcomes

Primary Outcome Measures

Overall Response Rate (ORR)
21 days (3 weeks) for one cycle, Efficacy was evaluated every two cycles

Secondary Outcome Measures

Progress Free Survival (PFS)
Overall Survival (OS)

Full Information

First Posted
November 7, 2013
Last Updated
June 11, 2016
Sponsor
Sun Yat-sen University
Collaborators
Eli Lilly and Company
search

1. Study Identification

Unique Protocol Identification Number
NCT01991158
Brief Title
GAD-M Regimen As First-Line Treatment in Untreated Extranodal NK/T Cell Lymphoma
Official Title
An Open, Single-center, Phase II Clinical Trial for Treatment of Untreated Extranodal NK/T Cell Lymphoma With High Dose of Methotrexate in Combination With Gemcitabine, Pegaspargase and Dexamethasone (GAD-M Regimen)
Study Type
Interventional

2. Study Status

Record Verification Date
June 2016
Overall Recruitment Status
Unknown status
Study Start Date
November 2013 (undefined)
Primary Completion Date
December 2016 (Anticipated)
Study Completion Date
November 2020 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Sun Yat-sen University
Collaborators
Eli Lilly and Company

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to evaluate the efficacy and safety of High dose of Methotrexate combined with gemcitabine, pegaspargase and dexamethasone (GAD-M regimen) as first-line treatment in patients with de novo extranodal NK/T cell lymphoma.
Detailed Description
Studies have shown that effects of P glycoprotein mediated chemotherapy resistance reduce the therapeutic efficacy of anthracycline-based chemotherapy of NK/T cell lymphoma, and agents like pegaspargase and large doses of Methotrexate is not affected by the P glycoprotein. A number of reports suggest that gemcitabine combined with other chemotherapy drugs has good application prospect in the treatment of lymphomas. Dexamethasone is used in combination with other agents for the treatment of lymphomas which may be implicated in the development or growth of some cancers. So we explored to evaluate the efficacy and safety of High dose of methotrexate combined with gemcitabine, pegaspargase and dexamethasone (GAD-M regimen) as first-line treatment in patients with untreated extranodal NK/T cell lymphoma.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Extranodal NK/T-cell Lymphoma, Nasal Type
Keywords
GAD-M regimen, first line chemotherapy, NK/T-cell Lymphoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
30 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
GAD-M regimen
Arm Type
Experimental
Arm Description
GAD-M regimen means High dose of methotrexate combined with gemcitabine, pegaspargase and dexamethasone
Intervention Type
Drug
Intervention Name(s)
High dose of methotrexate
Intervention Description
Methotrexate 3.0g/Kg, intravenous drip D1
Intervention Type
Drug
Intervention Name(s)
Gemcitabine
Intervention Description
Gemcitabine 1g/m2 intravenous drip D1,D8
Intervention Type
Drug
Intervention Name(s)
Pegaspargase
Intervention Description
Pegaspargase 2500U/m2 intramuscular injection (IM) D1
Intervention Type
Drug
Intervention Name(s)
Dexamethasone
Intervention Description
Dexamethasone 20mg/d intravenous drip D1, po D2-3
Primary Outcome Measure Information:
Title
Overall Response Rate (ORR)
Description
21 days (3 weeks) for one cycle, Efficacy was evaluated every two cycles
Time Frame
every 6 weeks, up to completion of treatment (approximately 6 months)
Secondary Outcome Measure Information:
Title
Progress Free Survival (PFS)
Time Frame
up to end of follow-up-phase (approximately 5 years)
Title
Overall Survival (OS)
Time Frame
up to the date of death (approximately 5 years)
Other Pre-specified Outcome Measures:
Title
The number of participants with adverse events of grade 3-4
Description
21 days (3 weeks) for one cycle, Toxicity was evaluated every cycle
Time Frame
every 3 weeks, up to completion of treatment (approximately 6 months)
Title
Epstein-Barr virus(EBV) DNA copies and antibodies
Description
21 days(3 weeks) for one cycle
Time Frame
every 3 weeks,up to completion of treatment(approximately 6 months)
Title
Plasma β2-microglobulin
Description
21 days(3 weeks) for one cycle
Time Frame
every 3 weeks,up to completion of treatment(approximately 6 months)
Title
Urinary microglobulin β2
Description
21 days(3 weeks) for one cycle
Time Frame
every 3 weeks,up to completion of treatment(approximately 6 months)
Title
lymphocyte count
Description
21 days(3 weeks) for one cycle
Time Frame
every 3 weeks,up to completion of treatment(approximately 6 months) 21
Title
Monocyte Count
Description
21 days(3 weeks) for one cycle
Time Frame
every 3 weeks,up to completion of treatment(approximately 6 months)
Title
C reactive protein
Description
21 days(3 weeks) for one cycle
Time Frame
every 3 weeks,up to completion of treatment(approximately 6 months)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histologic diagnosis of NK/T Cell Lymphoma; Age:18-80 years; Weight:Male:67±20Kg(47-87Kg),Female:55±20Kg(35-75Kg) Eastern Cooperative Oncology Group (ECOG) status 0-3, Estimated survival time > 3 months; No history of other malignancies; No other current tumors; Normal haematological, liver and renal function (WBC count≥3.5×109/L, Hemoglobin≥100g/L, platelet count≥90×109/L, bilirubin<1.5×ULN, Alanine transaminase (ALT) and Aspartate Aminotransferase (AST)<2.5×ULN, serum creatinine<1.5×ULN), normal coagulation function and cardiac function; Clinical staging I-IV; No previous treatments including chemotherapy, radiotherapy, targeted therapy or stem cell transplantation; Appreciable and measurable lesions, clinical assessment >2cm,CT or MRI >1.5cm; No other serious diseases which conflict with the treatment in the present trial; No concurrent treatments that conflict with the treatments in the present trial(including steroid drugs); Voluntary participation and signed the informed consent. Exclusion Criteria: The patients had the conditions below: clinically significant ventricular tachycardia (VT), atrial fibrillation (AF), heart block, myocardial infarction (MI), congestive heart failure (CHF), symptomatic coronary artery heart disease requiring medication; The patients suffered from organ transplant The patients participated in other clinical trials within the 30 days before enrollment or who are participating in other clinical studies; The patients with active bleeding or new thrombotic disease, who are taking anticoagulant drugs or with a history of bleeding tendencies,who with active infection; The patients suffered before surgery less than four weeks, or after less than six weeks; The patients with abnormal liver function (total bilirubin> 1.5 times the normal value, ALT / AST> 2.5 times normal), abnormal renal function (serum creatinine> 1.5 times normal), blood abnormalities (absolute neutrophil count <1.5 × 109 / L, platelets <80 × 109 / L, hemoglobin <90g /L) ; The patients with mentally ill / unable to obtain informed consent; The patients with drug addiction, alcohol abuse which affects the long-term evaluation of test results; The patients in pregnancy, lactation and women of childbearing age who do not want to take contraceptive measures subjects; Clinical and laboratory support brain metastases; The patients with a history of allergy or adverse reaction(s) to test drug; The patients not suitable to participate in the investigator judged by researchers.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Wenqi Jiang, MD
Organizational Affiliation
Department of Medical Oncology, Sun Yat-Sen University Cancer Center, Guangzhou, China State Key Laboratory of Oncology in South China, Sun Yat-Sen University Cancer Center, Guangzhou, China
Official's Role
Principal Investigator
Facility Information:
Facility Name
Department of Medical Oncology, Sun Yat-Sen University Cancer Center
City
Guangzhou
State/Province
Guangdong
ZIP/Postal Code
510060
Country
China

12. IPD Sharing Statement

Citations:
PubMed Identifier
35141162
Citation
Wang Y, Wang CQ, Sun P, Liu PP, Yang H, Wang HY, Rao HL, Li S, Jiang WQ, Huang JJ, Li ZM. Phase II Study of Gemcitabine, Peg-Asparaginase, Dexamethasone and Methotrexate Regimen for Newly Diagnosed Extranodal Natural Killer/T-Cell Lymphoma, Nasal Type: Final Analysis With Long-Term Follow-Up and Rational Research for the Combination. Front Oncol. 2022 Jan 24;12:796738. doi: 10.3389/fonc.2022.796738. eCollection 2022.
Results Reference
derived

Learn more about this trial

GAD-M Regimen As First-Line Treatment in Untreated Extranodal NK/T Cell Lymphoma

We'll reach out to this number within 24 hrs