Actively Recruiting

Phase Not Applicable
Age: 18Years - 70Years
All Genders
NCT06509945

Allo-PBSCT as the First-line Treatment for Patients With the High-risk PTCL

Led by Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine · Updated on 2024-08-01

50

Participants Needed

1

Research Sites

104 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This study is a single-center, single-arm, prospective phase II clinical trial that evaluates the efficacy and safety of allogeneic peripheral blood stem cell transplantation in the treatment of high-risk peripheral T-cells lymphoma patients achieved complete response (CR) or partial response (PR). Conventional conditioning regimen is adopted while the reduced-intensity conditioning regimens will be preferred. Donor hematopoietic stem cell infusion is performed on day 0. All patients will undergo bone marrow examination on day 14 and day 28 post-transplant, followed by bone marrow examinations every 30 days within the first year after transplantation, and every 60 days within the second year after transplantation. Positron emission tomography with 2-deoxy-2-\[fluorine-18\]fluoro-D-glucose integrated with computed tomography (18F-FDG PET/CT) imaging will be performed every 6 months after transplantation. If disease relapse is suspected during the follow-up period, bone marrow and relapse site examinations will be conducted at any time. The primary study endpoints are the 1-year and 2-year progression-free survival (PFS) rates post-transplant. Secondary study endpoints include the incidence of acute graft-versus-host disease (GVHD) within 180 days post-transplant, cumulative relapse rates at 1 year and 2 years post-transplant, 1-year and 2-year overall survival (OS), graft-versus-host disease-free, relapse-free survival (GRFS), non-relapse mortality (NRM), cumulative incidence of chronic GVHD, and the incidence of Cytomegalovirus (CMV)and Epstein-Barr virus(EBV)reactivation within 1 year.

CONDITIONS

Official Title

Allo-PBSCT as the First-line Treatment for Patients With the High-risk PTCL

Who Can Participate

Age: 18Years - 70Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age between 18 and less than 70 years, regardless of gender
  • Diagnosed with peripheral T-cell lymphoma according to the 2016 WHO criteria
  • High risk defined as IPI score 63; 3 or age-adjusted IPI score 63; 2 for patients under 60 years
  • Achieved complete response or partial response after first-line chemotherapy
  • Have a suitable hematopoietic stem cell donor with at least 5/10 HLA match for related or 8/10 for unrelated donors
  • Hematopoietic cell transplantation comorbidity index (HCT-CI) score 64; 2
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2
  • Adequate liver, kidney, and cardiopulmonary function meeting specified laboratory and clinical thresholds
  • Ability to understand and willing to participate with signed informed consent
Not Eligible

You will not qualify if you...

  • Patients who do not meet the high-risk criteria for peripheral T-cell lymphoma
  • ALK+ PTCL patients with complete response after first-line treatment
  • History of other malignancies within 5 years except certain treated localized cancers
  • ECOG performance status 63; 3
  • HCT-CI score 63; 3
  • Unstable systemic diseases including recent heart attack, severe heart failure, significant arrhythmias, liver, kidney or metabolic diseases, or pulmonary hypertension
  • Active uncontrolled infections or persistent unexplained fever
  • HIV infection
  • Active hepatitis B or C requiring antiviral therapy
  • History of autoimmune diseases
  • Pregnant or breastfeeding women
  • Fertile males and females unwilling to use contraception during treatment and for 12 months after treatment

AI-Screening

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Trial Site Locations

Total: 1 location

1

Shanghai General Hospital

Shanghai, Shanghai Municipality, China, 200080

Actively Recruiting

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Research Team

X

xianmin song, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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