Study About Treatment of Newly Diagnosed Non Cutaneous Peripheral T Cell Lymphoma (LTP)

September 8, 2009 updated by: University Hospital, Grenoble

Multicentric Study About Treatment of High Grade Peripheral T Cell Lymphoma in Adults. LTP Study Comparison Between VIP ABVD Versus CHOP

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.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

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 Type

Interventional

Enrollment (Actual)

95

Phase

  • Phase 3

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • France
      • Grenoble, France, 38043
        • Dr REMY GRESSIN

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 70 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

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

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / 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:
  • CHOP 21 arm
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:
  • Consolidation treatment
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).
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:
  • Consolidation treatment
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:
  • VIP/ABVD Arm

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Comparison between EFS rate of CHOP/21 versus VIP-rABVD in newly diagnosed PTCL.
Time Frame: 2 years
2 years

Secondary Outcome Measures

Outcome Measure
Time Frame
Overall survival (OS)
Time Frame: 6 years
6 years
response rate at the end of the treatment
Time Frame: 6-8 months
6-8 months
progression free survival (PFS)
Time Frame: 6 years
6 years
hematotoxicity
Time Frame: 6 months
6 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

University Hospital, Grenoble

Collaborators

French Innovative Leukemia Organisation

Investigators

  • Principal Investigator: Remy GRESSIN, MD MS, CHU Grenoble GOELAMS

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

January 1, 1995

Primary Completion (Actual)

December 1, 2002

Study Completion (Actual)

September 1, 2008

Study Registration Dates

First Submitted

August 20, 2009

First Submitted That Met QC Criteria

September 1, 2009

First Posted (Estimate)

September 2, 2009

Study Record Updates

Last Update Posted (Estimate)

September 9, 2009

Last Update Submitted That Met QC Criteria

September 8, 2009

Last Verified

September 1, 2009

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • LTP 95

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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