- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02520908
Benefit of Allogeneic Haematopoietic Stem Cells in Cutaneous T-cell Lymphomas Epidermotropic With Advanced Stage and Poor Prognosis (CUTALLO)
April 15, 2022 updated by: Assistance Publique - Hôpitaux de Paris
Prospective, Controlled, Multicenter Cohort Study Evaluating the Benefit of Allogeneic Haematopoietic Stem Cells in Cutaneous T-cell Lymphomas Epidermotropic With Advanced Stage and Poor Prognosis
Epidermotropic T-cell lymphomas (ETCL), i.e. mycosis fungoides (MF) and its leukemic variant, Sézary syndrome, are the most frequent subtypes of cutaneous T-cell lymphomas.
MF typically runs an indolent course in its early stages.
By contrast, advanced-stage ETCLs share a very bad prognosis: Patients usually show early relapses after chemotherapy, prolonged complete remissions exceptionally occur and quality of life is severely affected.
Several publications have reported durable responses following allogeneic hematopoietic stem cell transplantation (HSCT) in advanced-stage ETCLs.
This study aims to investigate the role of allogeneic HSCT in treating advanced-stage ETCLs.
An observational, prospective, multicenter, controlled study will compare the outcomes of patients who receive reduced-intensity conditioned allogeneic HSCT from a sibling or 10/10 HLA-matched unrelated donor to those of patients who receive standard of care in patients with advanced-stage ETCL with poor prognostic features, will be performed.
Patients are included at the time of donor search irrespective of the results, and compared on a donor versus no donor basis.
It is an observational study since no intervention is made except the comparison of outcomes of groups that receive usual care (HSCT if donor available, or not).
Study Overview
Status
Active, not recruiting
Conditions
Intervention / Treatment
Study Type
Observational
Enrollment (Actual)
98
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
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Paris, France, 75010
- Saint Louis Hospital
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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 65 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Sampling Method
Non-Probability Sample
Study Population
Advanced-stage epidermotropic T-cell lymphomas (ETCL), i.e. mycosis fungoides (MF) and its leukemic variant, Sézary syndrome
Description
Inclusion Criteria:
- Age ≥ 18 and ≤ 65 years
- Histopathologically confirmed diagnosis of International Society for Cutaneous Lymphomas (ISCL) / European Organisation for Research and Treatment of Cancer (EORTC) stage IIB, III, IVA or IVB ETCL
- Complete or partial response of the lymphoma (as defined by the international ISCL-EORTC criteria at the time of inclusion
- Written informed consent given by the patient
- Contraception in women of childbearing age
- Hematopoietic stem cell donor search underway
And at least one of the three following criteria:
- Refractoriness or early relapse (i.e. within one year) after at least one line of systemic chemotherapy (not including skin-directed therapies, methotrexate, interferon-alpha, and oral retinoids)
- Early histological large-cell transformation, i.e. within two years following ETCL diagnosis
- Histologically proven nodal (ISCL / EORTC N3) or extra-cutaneous visceral involvement by the lymphoma
Exclusion Criteria:
- Prior allogeneic HSCT
- Other progressive neoplastic disease
- Progressive psychotic disease
- Left ventricular ejection fraction < 50% (as determined by trans-thoracic echocardiography)
- Pulmonary disease with FEV1, FVC or DLCO <30% of expected corrected for hemoglobin.
- Creatinine clearance <50 ml/min or requiring dialysis
- Transaminases or bilirubin >two-fold the normal value in the absence of liver involvement by the lymphoma
- Pregnant or breastfeeding woman
- Patient with no health coverage
- Patient under guardianship or curatorship
- HTLV-1 lymphoma
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
- Observational Models: Cohort
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
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HSCT
Patients with an available sibling or 10/10 HLA-matched unrelated donor who undergo reduced-intensity conditioned allogeneic hematopoietic stem cell transplantation (HSCT), will be included in the study.
The reduced-intensity conditioning usually includes Fludarabine 90 mg/m2 IV and Melphalan 140 mg/m2 IV.
As usual care, patients will receive peripheral blood stem cells from their sibling donor if available, otherwise from their 10/10 HLA-matched unrelated donor
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Hematopoietic stem cell transplantation
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Standard care
Patients with no available sibling or 10/10 HLA-matched unrelated donor who therefore do not receive allogeneic HSCT but receive best standard of care treatment, will be included in the study, as the control group
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Progression-Free Survival (PFS)
Time Frame: 3 year
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3 year
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
overall survival (OS)
Time Frame: 3 year
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3 year
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Neutrophils Engraftment
Time Frame: 180 days
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Neutrophils > 1,000 Giga/L
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180 days
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Acute and chronic graft-versus-host disease (GVHD)
Time Frame: 180 days
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180 days
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Cumulative incidence of relapse
Time Frame: 3 years
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3 years
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Treatment-related mortality (TRM)
Time Frame: 12 months
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12 months
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Quality of life (QoL)
Time Frame: 3 years
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3 years
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
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 (Actual)
September 28, 2016
Primary Completion (Anticipated)
November 19, 2024
Study Completion (Anticipated)
November 19, 2024
Study Registration Dates
First Submitted
July 27, 2015
First Submitted That Met QC Criteria
August 7, 2015
First Posted (Estimate)
August 13, 2015
Study Record Updates
Last Update Posted (Actual)
April 18, 2022
Last Update Submitted That Met QC Criteria
April 15, 2022
Last Verified
April 1, 2022
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- NI 14018
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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