An Observational Study on Evaluating the Efficacy and Safety of Preemptive Antiviral Therapy With Tenofovir in HBsAg-positive Patients With Diffuse Large B-cell Lymphoma Receiving Rituximab-CHOP Chemotherapy (SPEED Study)

Sponsor
Yonsei University (Other)
Overall Status
Unknown status
CT.gov ID
NCT02354846
Collaborator
(none)
112
1
72.9
1.5

Study Details

Study Description

Brief Summary

An Observational Study on Evaluating the Efficacy and Safety of Preemptive Antiviral Therapy with Tenofovir in HBsAg-positive Patients with Diffuse Large B-cell Lymphoma Receiving Rituximab-CHOP Chemotherapy (SPEED study)

Condition or Disease Intervention/Treatment Phase

    Study Design

    Study Type:
    Observational
    Anticipated Enrollment :
    112 participants
    Observational Model:
    Cohort
    Time Perspective:
    Prospective
    Actual Study Start Date :
    Feb 1, 2015
    Anticipated Primary Completion Date :
    Mar 1, 2021
    Anticipated Study Completion Date :
    Mar 1, 2021

    Outcome Measures

    Primary Outcome Measures

    1. Percentage number of patients with hepatitis due to HBV reactivation [2 years (every 3 months)]

      Percentage number of patients with hepatitis due to HBV reactivation during the preemptive tenofovir therapy and for 24 weeks after withdrawal from tenofovir. Definition; Hepatitis was defined as a more than 3-fold increase of serum ALT on 2 consecutive determinations at least 5 days apart. Hepatitis was defined to be due to HBV reactivation when it was preceded or accompanied by an increase of serum HBV DNA to more than 10 times that of the pre-exacerbation baseline and the serum HBV DNA turned from negative to positive.

    2. Percentage number of patients with hepatitis due to Safety assessment [2 years (every 3 months)]

      Safety assessment; NCI CTCAE v 4.0 and tolerability evaluation - drug compliance

    3. Chemotherapy disruption due to hepatitis [2 years (every 3 months)]

      Chemotherapy disruption due to hepatitis: defined as either premature termination or delay of more than 8 days between chemotherapy cycles.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    19 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Males or females aged more than18

    • HBsAg-positive DLBCL patients (it is possible to enrol the patients with combined DLBCL and low grade lymphoma such as follicular lymphoma)

    • Previously untreated DLBCL patients who are suitable for receiving R-CHOP chemotherapy

    • Serum ALT no more than 2 x ULN (including normal ALT)

    • Life expectancy 6 months

    • A negative serum or urine pregnancy test prior to treatment must be available both for pre menopausal women and for women who are no more than 1 years after the onset of menopause.

    • Informed consent

    Exclusion Criteria:
    • Other subtype of lymphoma except DLBCL

    • DLBCL patients who are NOT suitable for receiving R-CHOP chemotherapy OR plan to receive other chemotherapy

    • patients had been treated with antiviral therapy known to have activity against HBV (e.g., alpha-interferon, lamivudine, telbivudine, clevudine, adefovir, entecavir or tenofovir) within the previous 6 months.

    • evidence of hepatocellular carcinoma.

    • evidence of decompensated liver disease

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Severance Hospital Seoul Korea, Republic of 120-752

    Sponsors and Collaborators

    • Yonsei University

    Investigators

    None specified.

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Yonsei University
    ClinicalTrials.gov Identifier:
    NCT02354846
    Other Study ID Numbers:
    • 4-2014-0928
    First Posted:
    Feb 3, 2015
    Last Update Posted:
    Jul 17, 2018
    Last Verified:
    Jul 1, 2018
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Jul 17, 2018