Procarbazine Hydrochloride Capsule (Natulan®) Clinical Trial Protocol
Study Details
Study Description
Brief Summary
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To observe and compare the overall response rate (ORR) of baseline BEACOPP and ABVD regimens for patients with advanced Hodgkin's lymphoma.
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To evaluate the safety of Natulan® in Chinese patients with advanced Hodgkin's lymphoma
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
This is a confirmatory open-label, randomized, controlled, multicenter study. Recruited subjects are to be randomized to treatment group and controlled group, with ratio of 1:1. Treatment group will accept baseline BEACOPP regimen, while controlled group will accept ABVD regimen.
The study design consisted of a screening phase of 1 week, a treatment phase of 24 or 32 weeks, and a post treatment follow-up of at least 2 years.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Treatment baseline BEACOPP regimen |
Drug: Natulan
Each baseline BEACOPP regimen lasts 21 days, and each cycle consists of: Cyclophosphamide injection: 650mg/m2, IV infusion, day 1; Doxorubicin hydrochloride injection: 25mg/m2, IV infusion, day 1; Etoposide injection: 100mg/m2, IV infusion, day 1~3; Natulan (procarbazine hydrochloride capsule): 100mg/m2,po, day 1~7; Bleomycin hydrochloride injection: 10mg/m2, IV or IM, day 8; Vincristine: 1.4mg/m2 (single maximum dose is 2mg), IV infusion, day 8; Prednisone tablet: 40mg/m2, po, day 1~14
Other Names:
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Active Comparator: controlled group ABVD regimen |
Drug: ABVD
Each ABVD cycle lasts 28 days1 cycle of the ABVD regimen consists of: Doxorubicin hydrochloride injection:25mg/m2,IV infusion,day 1 and 15; Dacarbazine injection:375mg/m2,IV infusion,day 1 and 15; Bleomycin injection:10mg/m2,IV or IM,day 1 and 15; Vincristine injection:1.4mg/m2 (single maximum dose is 2mg), IV infusion,day 1 and 15;
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Outcome Measures
Primary Outcome Measures
- overall response rate (ORR) [45 months]
Compare the overall response rate (ORR) of baseline BEACOPP and ABVD regimens for in patients with advanced Hodgkin's lymphoma.
Secondary Outcome Measures
- safety as measured by changes of vital signs, ECG and AE number [45 months]
Eligibility Criteria
Criteria
Inclusion Criteria:
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The subject is of age 18~65, both male and female;
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Newly pathologically diagnosed with classical Hodgkin's lymphoma (lymphocyte depletion type, lymphocyte rich type, nodular sclerosing type, and mixed cellularity type), who had not accepted previous treatment;
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Had stage IIB, III or IV disease, as assessed by the Ann Arbor classification;
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ECOG≤2, life expectancy ≥3 month;
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A negative serum pregnancy test required for sexually active women of childbearing potential;
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The subject voluntarily gives written informed consent to participate in the study.
Exclusion Criteria:
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Hematopoietic function:
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Leukocyte <3,500/mm3(3.5×109/L)
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Neutrophils <1,500/mm3(1.5×109/L)
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Platelets <100,000/mm3(100×109/L)
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Intolerance to any of the active ingredients and/or excipients in the study medications;
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Severe central nervous system disorders and mental illness;
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Severe heart disease (congestive heart failure, uncontrolled hypertension, unstable coronary artery disease, or myocardial infarction, or severe arrhythmia). Echocardiography showed resting left ventricular ejection fraction (LVEF) < 50%);
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History of severe lung disease;
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AST or ALT>2.5×ULN,total bilirubin≥1.5×ULN,serum creatinine>1.5×ULN (for subject with liver metastases: AST or ALT>5xULN, total bilirubin ≥ 3xULN);
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Uncontrolled, systemic, active infection;
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Positive serology to HIV;
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HBsAg positive subjects can still be enrolled in the study, but researchers should follow "The consensus on the Treatment of Lymphoma with Hepatitis B Infections" to observe closely and/or provide prophylactic anti-HBV therapy (as per investigator's decision);
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Other previous or concomitant malignancy, except for basal cell carcinoma and/or cervical carcinoma in situ;
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The subject is receiving an investigational drug, or has participated in an investigational study within 30 days prior to screening;
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The subject is pregnant or lactating; or subjects of childbearing potential (both women and man subjects) do not want to take effective contraceptive measures during study period or within 3 months after study completes;
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Investigators believe subjects not suitable to participate in the study for other reasons.
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Lee's Pharmaceutical Limited
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- Zhaoke-NTL-2015-01