- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03804372
The Incidence of Hepatitis B in Diffuse Large B-Cell Lymphoma/Chronic Lymphoid Leukemia HBsAg-positive Treated With Rituximab, Chemotherapy and Tenofovir Alafenamide (CLL1818)
Prospective Study on the Incidence of Hepatitis B Virus Reactivation in Untreated Patients With Diffuse Large B-Cell Lymphoma/Chronic Lymphoid Leukemia HBsAg-positive Treated With Rituximab, Chemotherapy and Tenofovir Alafenamide
Study Overview
Status
Intervention / Treatment
Detailed Description
This is a prospective, multicenter, interventional, single arm, evaluating the incidence of hepatitis B virus (HBV) reactivation within the first 6 months treatment period in HBsAg positive patients treated for DLBCL/Chronic Lymphoid Leukemia with Rituximab, standard chemotherapy, and TAF.
Approximate duration of the recruitment period based on the number of patients available The duration of the recruitment period has been estimated at 12 months.
Patients will receive Rituximab+Chemotherapy+TAF for 6 months, followed by TAF as monotherapy for further 12 months. All subjects will receive TAF 1-3 weeks before Rituximab+Chemotherapy and withdrawn 12 months after the completion of chemotherapy. Then patients will be also observed for further12 months
Study Type
Enrollment (Anticipated)
Phase
- Phase 2
Contacts and Locations
Study Locations
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Alessandria, Italy
- Recruiting
- Aon Ss. Antonio E Biagio E C. Arrigo - Alessandria - Soc Ematologia
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Contact:
- Daniela Pietrasanta
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Ancona, Italy
- Recruiting
- Aou Ospedali Riuniti "Umberto I - G.M. Lancisi - G. Salesi"- Ancona - Sod Clinica Ematologica
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Contact:
- Guido Gini
- Email: guido.gini@ospedaliriunitimarche.it
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Ascoli Piceno, Italy
- Recruiting
- Area Vasta N. 5 Ascoli Piceno - S. Benedetto Del Tronto, Presidio Ospedaliero Av5 Osp. Gen. Prov.Le "C.G.Mazzoni" - Uoc Ematologia
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Aviano, Italy
- Recruiting
- Irccs Centro Di Riferimento Oncologico Di Aviano - Sosd Oncoematologia Trapianti Emopoietici E Terapie Cellulari
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Contact:
- Emanuela Chimienti
- Email: echimienti@cro.it
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Bari, Italy
- Recruiting
- Aou Consorziale Policlinico - Bari - Uo Ematologia Con Trapianto
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Contact:
- Francesco C Albano
- Email: francesco.albano@uniba.it
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Bari, Italy
- Recruiting
- Irccs Oncologico Istituto Tumori Giovanni Paolo Ii - Bari - Uo Ematologia
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Contact:
- Attilio Guarini
- Email: attilioguarini@oncologico.bari.it
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Brindisi, Italy
- Recruiting
- Asl Brindisi, Ospedale 'Perrino' - Brindisi - Uo Ematologia
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Contact:
- Domenico Pastore
- Email: domenico.pastore0@gmail.com
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Catania, Italy
- Recruiting
- Ctc U.O Di Ematologia Con Trapianto Di Midollo Osseo - Catania
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Contact:
- Francesco Di Raimondo
- Phone Number: 3284782450
- Email: diraimon@unict.it
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Cona, Italy
- Recruiting
- Aou Arcispedale Sant'Anna - Cona (Fe) - Uoc Ematologia E Fisiopatologia Della Coagulazione
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Contact:
- Antonio Cuneo
- Email: cut@unife.it
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Foggia, Italy
- Recruiting
- Aou Ospedali Riuniti - Foggia - Uoc Ematologia
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Contact:
- Vincenza Fernanda Fesce
- Email: cinzia.fesce@libero.it
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Lecce, Italy
- Recruiting
- Asl Lecce, Ospedale 'V. Fazzi' - Uo Ematologia
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Messina, Italy
- Recruiting
- Ao Ospedali Riuniti "Papardo Piemonte" - Po Papardo - Messina - Sc Ematologia
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Napoli, Italy
- Recruiting
- Ao Di Rilievo Nazionale Antonio Cardarelli - Napoli - Uoc Ematologia Con Trapianto Di Midollo
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Contact:
- Felicetto Ferrara
- Email: felicettoferrara@katamail.com
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Napoli, Italy
- Recruiting
- Aou Federico Ii - Napoli - Uoc Ematologia
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Novara, Italy
- Recruiting
- Aou Maggiore Della Carita' Di Novara - Scdu Ematologia
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Pagani, Italy
- Recruiting
- Asl Salerno, Presidio Ospedaliero Tortora Pagani - Ematologia
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Palermo, Italy
- Recruiting
- Ao Ospedali Riuniti Villa Sofia Cervello - Palermo - Uo Ematologia Con Utmo
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Contact:
- Caterina Patti
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Pavia, Italy
- Recruiting
- Fondazione Ircss Policlinico San Matteo - Pavia - Uo Ematologia
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Contact:
- Luca U Arcaini
- Email: luca.arcaini@unipv.it
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Pescara, Italy
- Recruiting
- Asl Pescara, Presidio Ospedaliero 'Spirito Santo' - Uoc Ematologia Clinica
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Contact:
- Elsa Pennese
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Reggio Emilia, Italy
- Recruiting
- Ausl Di Reggio Emilia - Arcispedale Santa Maria Nuova, Irccs - Sc Ematologia
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Contact:
- Fiorella Ilariucci
- Email: Fiorella.Ilariucci@ausl.re.it
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Rimini, Italy
- Recruiting
- Ausl Della Romagna, Ospedale "Infermi" - Rimini - Uo Ematologia
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Contact:
- Anna Merli
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Roma, Italy
- Recruiting
- Aou Policlinico Tor Vergata - Roma - Uoc Trapianto Cellule Staminali
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Contact:
- Maria Cantonetti
- Email: cantonetti@med.uniroma2.it
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Roma, Italy
- Recruiting
- Fondazione Policlinico Universitario Agostino Gemelli Irccs - Roma - Area Ematologica
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Contact:
- Luca Laurenti
- Email: luca.laurenti@Unicatt.it
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Roma, Italy
- Recruiting
- Aou Sant'Andrea - Roma - Uoc Ematologia
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Roma, Italy
- Recruiting
- Asl Roma 2, Ospedale S. Eugenio- Ospedale S.Eugenio - Uoc Ematologia
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Contact:
- Paolo De Fabritiis
- Email: paolo.de.fabritiis@uniroma2.it
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Roma, Italy
- Recruiting
- Ao San Camillo Forlanini - Roma - Uoc Ematologia E Trapianto Cellule Staminali
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Contact:
- Roberta Battistini
- Email: RBattistini@scamilloforlanini.rm.it
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San Giovanni Rotondo, Italy
- Recruiting
- Ente Ecclesiastico Casa Sollievo Della Sofferenza - San Giovanni Rotondo - Ematologia
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Torino, Italy
- Recruiting
- Aou Città Della Salute E Della Scienza, Ospedale S. Giovanni Battista Molinette - Torino - Sc Ematologia - Università Degli Studi Di Torino
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Verona, Italy
- Recruiting
- Aou Integrata Di Verona, Policlinico G.B. Rossi - Uoc Ematologia
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Vicenza, Italy
- Recruiting
- Aulss 8 Berica - Ospedale Di Vicenza - Uoc Ematologia
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Contact:
- Maria Chiara Tisi
- Email: mariachiara.tisi@aulss8.veneto.it
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(rm)
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Roma, (rm), Italy
- Recruiting
- Università degli Studi "Sapienza" - Dip Biotecnologie Cellulari ed Ematologia - Divisione di Ematologia
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Contact:
- Giuseppe Gentile
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Principal Investigator:
- Giuseppe Gentile
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Sub-Investigator:
- Alessandra Micozzi
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Signed written informed consent according to ICH/EU/GCP and national local laws.
- Male/non-pregnant/non-lactating female subjects >18 years old with newly diagnosed DLBCL/Chronic Lymphoid Leukemia who are going to receive treatment with rituximab in combination with chemotherapy.
- HBsAg positivity, serum HBV-DNA negative or positive (<2000/IU), and normal liver function, including alanine aminotransferase(ALT), aspartate aminotransferase(AST) and bilirubin. (inactive carriers).
- No previous treatment with antiviral drugs for HBV infection.
- Patients with satisfactory renal function.
Exclusion Criteria:
- Hepatic insufficiency for any reason
- History of other liver diseases such as hepatitis C, D, autoimmune hepatitis, primary biliary cirrhosis, Wilsons' disease
- Positive viral markers, such as IgM antibody to hepatitis A virus, hepatitis C virus, IgG antibody to hepatitis D virus, IgM antibody to hepatitis E virus, or antibody to HIV
- Pregnant or breastfeeding women
- Other major systemic diseases, such as active infection, significant cardiac disease, neurological deficit or psychiatric disorder, that the investigators consider being a significant risk
- Patients with moderate or severe renal failure.
- Intolerance to any of the components of the therapeutic regimen. Treatment with any investigational medicinal product (unapproved) in the last 30 days.
- Any other disorder that, in the investigator's opinion, makes the patient ineligible for recruitment or that could interfere in his/her participation or in the conclusion of the study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Study group
Patients will receive Rituximab+Chemotherapy+TAF for 6 months, followed by TAF as monotherapy for further 12 months.
All subjects will receive TAF 1-3 weeks before Rituximab+Chemotherapy and withdrawn 12 months after the completion of chemotherapy.
|
Patients will receive Rituximab+Chemotherapy+TAF for 6 months, followed by TAF as monotherapy for further 12 months.
All subjects will receive TAF 1-3 weeks before Rituximab+Chemotherapy and withdrawn 12 months after the completion of chemotherapy.
Patients will receive Rituximab+Chemotherapy+TAF for 6 months, followed by TAF as monotherapy for further 12 months.
All subjects will receive TAF 1-3 weeks before Rituximab+Chemotherapy and withdrawn 12 months after the completion of chemotherapy.
Patients will receive Rituximab+Chemotherapy+TAF for 6 months, followed by TAF as monotherapy for further 12 months.
All subjects will receive TAF 1-3 weeks before Rituximab+Chemotherapy and withdrawn 12 months after the completion of chemotherapy.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Percentage of patients presenting hepatitis B virus reactivation
Time Frame: Within 6 months following the start of treatment
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Assessment of the percentage of patients presenting HBV reactivation within 6 months following the start of treatment with Rituximab, chemotherapy and TAF in in DLBCL and Chronic Lymphoid Leukemia patients.
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Within 6 months following the start of treatment
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Percentage of patients presenting hepatitis B virus reactivation
Time Frame: After 12 months following the study entry and start of treatment
|
Assessment of the percentage of patients presenting HBV reactivation during and after the 12-month treatment of TAF as a single agent in in DLBCL and Chronic Lymphoid Leukemia patients
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After 12 months following the study entry and start of treatment
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Number of patients stratified by DLBCL and Chronic Lymphoid Leukemia with hepatitis related to the HBV infection or with liver failure during their participation in the study.
Time Frame: After 31 months from study entry
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After 31 months from study entry
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Percentage of patients in which chemotherapy is delayed due to HBV-reactivation.
Time Frame: After 31 months from study entry
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In terms of percentage of patients with a delay of at least 7 days between chemotherapy cycles stratified by DLBCL and chronic lymphoid leukemia.
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After 31 months from study entry
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Number of patients with DLBCL and with Chronic Lymphoid Leukemia who survive
Time Frame: After 31 months from study entry
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After 31 months from study entry
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Number of patients experiencing adverse events.
Time Frame: After 31 months from study entry
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After 31 months from study entry
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Collaborators and Investigators
Investigators
- Study Chair: Giuseppe Gentile, Università Sapienza di Roma
- Study Director: Alessandra Micozzi, Università Sapienza di Roma
Publications and helpful links
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ANTICIPATED)
Study Completion (ANTICIPATED)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Digestive System Diseases
- Virus Diseases
- Infections
- Blood-Borne Infections
- Communicable Diseases
- Immune System Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Lymphoproliferative Disorders
- Lymphatic Diseases
- Immunoproliferative Disorders
- Liver Diseases
- Hepatitis, Viral, Human
- Hepadnaviridae Infections
- DNA Virus Infections
- Leukemia, B-Cell
- Lymphoma
- Lymphoma, B-Cell
- Lymphoma, Large B-Cell, Diffuse
- Hepatitis B
- Hepatitis
- Leukemia
- Lymphoma, Non-Hodgkin
- Leukemia, Lymphocytic, Chronic, B-Cell
- Leukemia, Lymphoid
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Antiviral Agents
- Reverse Transcriptase Inhibitors
- Nucleic Acid Synthesis Inhibitors
- Enzyme Inhibitors
- Anti-HIV Agents
- Anti-Retroviral Agents
- Antirheumatic Agents
- Antineoplastic Agents
- Immunologic Factors
- Antineoplastic Agents, Immunological
- Tenofovir
- Rituximab
Other Study ID Numbers
- CLL1818
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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