Actively Recruiting
Multi-center Randomized Study to Compare Efficacy and Safety of Lenalidomide Plus CHOP (L-CHOP) Versus CHOP in Patients With Previously Untreated Peripheral T-cell Lymphoma
Led by Second Affiliated Hospital, School of Medicine, Zhejiang University · Updated on 2022-11-07
289
Participants Needed
1
Research Sites
156 weeks
Total Duration
On this page
Sponsors
S
Second Affiliated Hospital, School of Medicine, Zhejiang University
Lead Sponsor
R
Ruijin Hospital
Collaborating Sponsor
AI-Summary
What this Trial Is About
Researchers are comparing the effectiveness and safety of a combination treatment called lenalidomide plus CHOP (L-CHOP) versus the standard CHOP regimen in patients with peripheral T-cell lymphoma (PTCL) who have not received prior treatment. This phase 2, multi-center, randomized study focuses on patients with confirmed PTCL to evaluate if adding lenalidomide to CHOP improves treatment outcomes. Participants are randomly assigned to one of two groups: one receiving the CHOP regimen alone, which includes cyclophosphamide, doxorubicin, vincristine, and prednisone every three weeks for six cycles; the other group receives the same CHOP regimen plus lenalidomide taken orally at 25 mg daily on days 1 through 10 of each 3-week cycle, for up to six cycles. The study has three phases: screening, treatment, and follow-up. Treatment continues unless patients experience unacceptable side effects, disease progression, or choose to withdraw. During the study, patients will be monitored closely with assessments after three and six treatment cycles to evaluate therapy effectiveness. Adverse events will be recorded each cycle. After treatment, patients are followed for up to three years or until disease progression or death to assess progression-free survival, overall survival, and safety. The primary outcome measured is the objective response rate at the end of six cycles, with ongoing safety and survival monitoring throughout the follow-up period.
CONDITIONS
Brief Title
Efficacy and Safety of Lenalidomide Plus CHOP vs CHOP in Patients With Untreated Peripheral T-Cell Lymphoma
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Patients with confirmed untreated peripheral T-cell lymphoma, including specified subtypes
- Males and females aged 18 to 80 years
- No prior anti-tumor therapy received
- Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2
- Adequate heart, liver, lung, and kidney function with specified lab values
- Normal blood counts with specified minimum levels for neutrophils, hemoglobin, and platelets
- No serious diseases conflicting with treatment
- No other malignant tumors
- Negative pregnancy test for women of reproductive age
- Estimated survival time of at least 3 months with good compliance
- Voluntary participation with signed informed consent
You will not qualify if you...
- Patients with excluded PTCL subtypes such as NK/T-cell lymphoma, T-prolymphocytic leukemia, and others
- Transformed lymphoma
- Other past or current malignancies or secondary lymphoma from prior therapies
- Prior lymphoma treatment initiated (except specified prephase)
- Central nervous system lymphoma or involvement
- Candidates for stem cell transplantation
- Known allergy to study medications
- Abnormal blood counts below specified thresholds
- Liver or kidney insufficiency beyond defined limits
- Decompensated heart failure or recent significant heart disease
- Serious uncontrolled infections or organ dysfunction
- HIV, hepatitis B, or hepatitis C positivity
- Pregnancy or breastfeeding
- Participation in other clinical trials within 3 months
- Investigator's judgment deeming unsuitability for trial participation
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
screening and enrollment visit
Duration - Up to 18 weeks (6 cycles of 3 weeks each)
Participants receive up to 6 cycles of treatment with either Lenalidomide plus CHOP or CHOP alone, with each cycle lasting 3 weeks. Treatment continues until completion of 6 cycles, unacceptable toxicity, disease progression, or voluntary withdrawal.
6 treatment cycles with assessments after cycles 3 and 6
Duration - Up to 3 years
Participants are followed for up to 3 years after treatment to monitor disease progression, survival, and adverse events.
Periodic follow-up visits over 3 years
Trial Site Locations
Total: 1 location
1
2nd Affiliated Hospital, School of Medicine, Zhejiang University
Hangzhou, Zhejiang, China, 310009
Actively Recruiting
Research Team
W
Wenbin Qian, Prof.
X
Xianggui Yuan, Dr.
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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