R-CHOP Versus R-mini-CEOP in Elderly Patients(>65)With DLBCL (ANZINTER3)
A Randomized Phase III Randomized Study to Compare R-CHOP Versus R-mini-CEOP in Elderly Patients (>65 Years) With Diffuse Large B Cell Lymphoma (DLBCL)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
-
-
-
Brescia, Italy, 25123
- S.C. di Ematologia, Spedali Civili
-
Catania, Italy
- Ospedale Garibaldi-Nesima
-
Civitanova Marche (MC), Italy
- Ospedale civile Divisione di Ematologia
-
Correggio (RE), Italy
- Ospedale San Sebastiano
-
Cosenza, Italy
- Presidio Ospedaliero Annunziata
-
Lecce, Italy
- Istituto Vito Fazzi
-
Modena, Italy
- Azienda Ospedaliera Policlinico
-
Reggio Emilia, Italy
- AO Arcispedale S.Maria Nuova Ematologia
-
Sassuolo (MO), Italy
- Ospedale civile DH oncologico
-
Torino, Italy
- Ospedale San Giovanni Battista - Molinette
-
-
Pavia
-
Vigevano, Pavia, Italy
- Ospedale di Vigevano
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients with untreated DLBCL aged 66 to 80 years without major accompanying diseases and considered as "non frail".
Patients were classified as "non frail" (fit) if they had
- ADL (Activity of Daily Living) score of 6
- less than three grade 3 Cumulative Illness Rating Score for Geriatrics (CIRS-G) co-morbidities and no grade 4 co-morbidities
- absence of geriatric syndrome
- Patients HIV negativity;
- Concurrent malignancy;
- Written Informed Consent.
Exclusion Criteria:
- All other patients were classified as "unfit", and were excluded from randomization
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
EXPERIMENTAL: R-CHOP
R-CHOP (every 21 days) for six courses Cyclophosphamide: 750 mg/m2, IV, day 1 Doxorubicin: 50 mg/m2, IV, day 1 Vincristine: 1.4 (max 2) mg/m2, IV, day 1 Prednisone: 75 mg/m2, IV, days 1-5 Rituximab: 375 mg/m2, IV, day 1 G-CSF: 300 µg tota, SC; days 7-11
|
750 mg/mq IV, day 1
50 mg/mq IV, day 1
50 mg/mq IV, day1
1,4 mg/mq (max 2 mg)IV, day 1
75 mg/mq IV, days 1-5
60 mg/mq IV/PO, days 1-5
375 mg/mq IV, day 1
300 µg tot., SC; days 7-11
|
|
EXPERIMENTAL: R-mini-CEOP
R-miniCEOP (every 21 days)for six courses Cyclophosphamide: 50 mg/m2, IV, day 1 Epirubicin: 50 mg/m2, IV, day 1 Vinblastine: 5 mg/m2, IV, day 1 Prednisone: 60 mg/m2, IV/PO, days 1-5 Rituximab: 375 mg/m2, IV, day 1 G-CSF: 300 µg tota, SC; days 7-11
|
750 mg/mq IV, day 1
50 mg/mq IV, day 1
75 mg/mq IV, days 1-5
60 mg/mq IV/PO, days 1-5
375 mg/mq IV, day 1
300 µg tot., SC; days 7-11
50 mg/mq IV, day 1
5 mg/mq IV, day 1
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Event Free Survival (EFS)
Time Frame: 2 years
|
2 years
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Complete Remission (CR) rate
Time Frame: 2 years
|
2 years
|
|
Disease Free Survival (DFS)
Time Frame: 2 years
|
2 years
|
|
Multidimensional Evaluation Scale for the definition of "frail" and "non frail" patients
Time Frame: 2 years
|
2 years
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Chair: Francesco Merli, MD, U.O.A. di Ematologia Azienda Ospedale S. Maria Nuova
- Study Chair: Marilena Bertini, MD, U.O.A. di Ematologia Ospedale Molinette
Publications and helpful links
General Publications
- Shi Q, Schmitz N, Ou FS, Dixon JG, Cunningham D, Pfreundschuh M, Seymour JF, Jaeger U, Habermann TM, Haioun C, Tilly H, Ghesquieres H, Merli F, Ziepert M, Herbrecht R, Flament J, Fu T, Coiffier B, Flowers CR. Progression-Free Survival as a Surrogate End Point for Overall Survival in First-Line Diffuse Large B-Cell Lymphoma: An Individual Patient-Level Analysis of Multiple Randomized Trials (SEAL). J Clin Oncol. 2018 Sep 1;36(25):2593-2602. doi: 10.1200/JCO.2018.77.9124. Epub 2018 Jul 5.
- Merli F, Luminari S, Rossi G, Mammi C, Marcheselli L, Tucci A, Ilariucci F, Chiappella A, Musso M, Di Rocco A, Stelitano C, Alvarez I, Baldini L, Mazza P, Salvi F, Arcari A, Fragasso A, Gobbi PG, Liberati AM, Federico M. Cyclophosphamide, doxorubicin, vincristine, prednisone and rituximab versus epirubicin, cyclophosphamide, vinblastine, prednisone and rituximab for the initial treatment of elderly "fit" patients with diffuse large B-cell lymphoma: results from the ANZINTER3 trial of the Intergruppo Italiano Linfomi. Leuk Lymphoma. 2012 Apr;53(4):581-8. doi: 10.3109/10428194.2011.621565. Epub 2011 Nov 15.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (ACTUAL)
Primary Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
First Posted
Study Record Updates
Last Update Posted (ESTIMATE)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Immune System Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Lymphoproliferative Disorders
- Lymphatic Diseases
- Immunoproliferative Disorders
- Lymphoma, Non-Hodgkin
- Lymphoma
- Lymphoma, B-Cell
- Lymphoma, Large B-Cell, Diffuse
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Anti-Inflammatory Agents
- Antirheumatic Agents
- Antineoplastic Agents
- Immunosuppressive Agents
- Immunologic Factors
- Tubulin Modulators
- Antimitotic Agents
- Mitosis Modulators
- Glucocorticoids
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Antineoplastic Agents, Hormonal
- Antineoplastic Agents, Alkylating
- Alkylating Agents
- Myeloablative Agonists
- Antineoplastic Agents, Phytogenic
- Topoisomerase II Inhibitors
- Topoisomerase Inhibitors
- Antineoplastic Agents, Immunological
- Antibiotics, Antineoplastic
- Cyclophosphamide
- Epirubicin
- Rituximab
- Prednisone
- Doxorubicin
- Vincristine
- Vinblastine
Other Study ID Numbers
Other Study ID Numbers
- IIL ANZINTER3
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