A Phase II Study of Nasal NK/T-Cell Lymphoma
Recruitment status was Recruiting
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Purpose
To determine whether adding combinational chemotherapy concurrently to conventional radiation will improve the response rate, event-free survival, and overall survival.
To test the dose intensity and toxicity of chemotherapy in concurrence with radiation.
To detect the blood EBV DNA level in Chinese Nasal NK/T-cell lymphoma patients and correlate to the treatment response and prognosis.
| Condition | Intervention | Phase |
|---|---|---|
|
Lymphoma |
Drug: Dexamethosone, VP-16, Cisplatin, Ifosfamide, Mesna, IF-RT |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Phase II Study of Concurrent Chemoradiation for The Localized Nasal NK/T-Cell Lymphoma |
- tumor response by CT scan or MRI [ Time Frame: the first course of DVIP, one month after the last course of DVIP ] [ Designated as safety issue: Yes ]
- EBV DNA level, AEs, Withdrawal from the study treatment [ Time Frame: 2-year overall survival and 5-year overall survival , event-free survival, toxicity. ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 30 |
| Study Start Date: | February 2006 |
| Estimated Study Completion Date: | February 2010 |
| Estimated Primary Completion Date: | October 2009 (Final data collection date for primary outcome measure) |
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Drug: Dexamethosone, VP-16, Cisplatin, Ifosfamide, Mesna, IF-RT
IF-RT 50.4 Gy/28 Fractions, DEP: (Q4W, CCRT) X 2 Dexamethosone 20 mg/m2/d iv D1-3 VP-16 (etoposide) 75 mg/m2 iv 1 hr D1-3 Cisplatin 75 mg/m2 ivd 4 hr D1
DVIP: (Q4W, POST-RT) X 2 Dexamethosone 20 mg/m2/d iv D1-4 VP-16 (etoposide) 75 mg/m2 iv 1 hr D1-4 Ifosfamide 1.2 gm/m2/d ivd 2 hr D1-4 Mesna 240 mg/m2/d iv at 0, 4, 8 hr D1-4 Cisplatin 20 mg/m2 ivd 1 hr D1-4 G-CSF 250ug subcut D 9-12
Show Detailed Description
Eligibility| Ages Eligible for Study: | up to 70 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Histologically proven extranodal NK/T-cell lymphoma, nasal type according to the WHO classification (must be pathology-proven EBV DNA positive as well as cytoplasmic CD3 +, while CD56+ is not an essential diagnostic criteria. ). Newly diagnosed patients.
- Any of lymphomatous involvement exist in nasal cavity and/or paranasal sinuses, orbit, Waldeyer's ring, and oral cavity performance status with ECOG scale 0-2.
- Stage I or contiguous stage II, measurable or evaluable lymphoma by clinical imaging No previous chemotherapy and/or radiotherapy.
- ANC ≧ 2,000/mm3, Platelet ≧ 100,000/mm3 of peripheral blood.
- Age <70.
- Total bilirubin < 2.5 mg/dl, Serum creatinine ≦1.5 mg/dl, Blood urea nitrogen (BUN) ≦ 25 mg/dl
Exclusion Criteria:
1.Pregnancy or lactation period 2.Severe intercurrent illness, eg. Infection, heart failure 3.Myocardial infarction within recent 12 months 4.Known hypersensitivity to any component drug of the treatment regimen
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Contacts and Locations| Contact: Ming-Chih Chang, MD | 886-2-25433535 ext 3454 | mmhdonald@yahoo.com.tw |
| Contact: Yung-Hsin Chin, RN | 886-2-87923311 ext 17643 | yhchin@nhri.org.tw |
| Taiwan | |
| National Health Research Institutes, Lymphoma Disease Committee | Recruiting |
| Taipei, Taiwan | |
| Contact: Hui-Ju Ch'ang, co-PI, M.D. 886-2-23562959 ext 7678 hjmc@nhri.org.tw | |
| Principal Investigator: Tsu-Yi Chao, M.D. PHD | |
| Principal Investigator: Li-Tzong Chen, M.D.PHD | |
| Principal Investigator: Ann-Lii Cheng, M.D. PHD | |
| Principal Investigator: | Ming-Chih Chang, M.D. | Lymphoma Disease Committee of Taiwan Cooperative Oncology Group |
More Information
No publications provided
| Responsible Party: | Taiwan Cooperative Oncology Group, National Health Research Instiutes, Taiwan |
| ClinicalTrials.gov Identifier: | NCT00292695 History of Changes |
| Other Study ID Numbers: | T1405 |
| Study First Received: | February 15, 2006 |
| Last Updated: | July 2, 2009 |
| Health Authority: | Taiwan: Department of Health |
Additional relevant MeSH terms:
|
Lymphoma Lymphoma, T-Cell Neoplasms by Histologic Type Neoplasms Lymphoproliferative Disorders Lymphatic Diseases Immunoproliferative Disorders Immune System Diseases Lymphoma, Non-Hodgkin Isophosphamide mustard |
Cisplatin Ifosfamide Antineoplastic Agents Therapeutic Uses Pharmacologic Actions Radiation-Sensitizing Agents Physiological Effects of Drugs Antineoplastic Agents, Alkylating Alkylating Agents Molecular Mechanisms of Pharmacological Action |
ClinicalTrials.gov processed this record on May 23, 2013