LTP: Study About Treatment of Newly Diagnosed Non Cutaneous Peripheral T Cell Lymphoma
Study Details
Study Description
Brief Summary
This is a multicenter randomized trial evaluating induction treatment with VIP-reinforced-ABVD (VIP-rABVD) versus CHOP/21 in patients with newly diagnosed peripheral T cell lymphoma.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 3 |
Detailed Description
Induction therapy:
ARM 1: 6 Chemotherapy courses = 3 VIP alternated with 3 ABVD ARM 2: 8 Chemotherapy courses = CHOP every 21 days
Consolidation therapy:
For all patients if CR = radiotherapy 40GY / 5X1,8 GY per week
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: CHOP 21 Induction therapy CHOP every 21 days: cyclophosphamide 750 mg/m2 intravenously (IV) day 1 doxorubicin 50 mg/m2 IV day 1 vincristine 1,4 mg/m2 (maximum 2 mg) day 1 prednisone 100 mg/m2/D from D1 to D5. |
Drug: CHOP21
CHOP regimen:
cyclophosphamide 750 mg/m2 intravenously (IV) day 1
doxorubicin 50 mg/m2 IV day 1
vincristine 1,4 mg/m2 (maximum 2 mg) day 1
prednisone 100 mg/m2/D from D1 to D5.
Other Names:
Radiation: Radiotherapy consolidation
The treatment of Ann-Arbor stage I/II and stage III/IV patients with an initial bulky tumor (diameter ≥ 5 cm) was systematically completed by an irradiation plan. Forty grays were delivered (1,8 gray/day) over four weeks on the involved field.
Other Names:
|
Experimental: VIP/ABVD arm VIP cycle: etoposide 100 mg/m2/D IV from D1 to D3 ifosfamide 1000 mg/m2/D from D1 to D5 cisplatin 20 mg/m2/D as a continuous infusion from D1 to D5 ABVD cycle: doxorubicin50 mg/m2/D on D1 and D14 bleomycin 10 mg/m2/D vinblastine 10 mg/m2/D dacarbazine 375 mg/m2/D Each alternating cycle was repeated three times for a total of 6 cycles (3 VIP, 3 rABVD). |
Drug: VIP/ABVD
VIP regimen:
etoposide 100 mg/m2/D IV from D1 to D3
ifosfamide 1000 mg/m2/D from D1 to D5
cisplatinum 20 mg/m2/D as a continuous infusion from D1 to D5
ABVD regimen:
doxorubicin50 mg/m2/D on D1 and D14
bleomycin 10 mg/m2/D
vinblastine 10 mg/m2/D
dacarbazine 375 mg/m2/D
Other Names:
Radiation: Radiotherapy consolidation
The treatment of Ann-Arbor stage I/II and stage III/IV patients with an initial bulky tumor (diameter ≥ 5 cm) was systematically completed by an irradiation plan. Forty grays were delivered (1,8 gray/day) over four weeks on the involved field.
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Comparison between EFS rate of CHOP/21 versus VIP-rABVD in newly diagnosed PTCL. [2 years]
Secondary Outcome Measures
- Overall survival (OS) [6 years]
- response rate at the end of the treatment [6-8 months]
- progression free survival (PFS) [6 years]
- hematotoxicity [6 months]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
newly diagnosed untreated PTCL
-
age 18 and 70 years
-
performance status ≤ 2
-
Ann Arbor stage I to IV
-
normal cardiac ventricular ejection fraction over 50%
-
normal hepatic function (asat, ALAT, PAL < 2.5 ULN)
Exclusion Criteria:
-
cutaneous form of PTCL
-
previous treatment
-
age < 18 and > 70
-
performance status > 2
-
abnormal cardiac or hepatic functions
-
HIV-, HCV- or HBV- positivity
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Dr REMY GRESSIN | Grenoble | France | 38043 |
Sponsors and Collaborators
- University Hospital, Grenoble
- French Innovative Leukemia Organisation
Investigators
- Principal Investigator: Remy GRESSIN, MD MS, CHU Grenoble GOELAMS
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- LTP 95