Rituximab Maintenance Versus Observation After R2 Induction in Previously Untreated Marginal Zone Lymphoma (ROMA)
Rituximab Maintenance Versus Observation After Rituximab and Lenalidomide (R2) Induction in Previously Untreated Marginal Zone Lymphoma: A Multicenter, Phase 2, Randomized Trial
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 2
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Cai Qingqing
- Telefonnummer: (020)87342823
- E-mail: caiqq@sysucc.org.cn
Studiesteder
-
-
Guangdong
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Guangzhou, Guangdong, Kina, 510060
- Sun Yat-sen University Cancer Center
-
Kontakt:
- Principal investigator
- Telefonnummer: 0086-20-87342823
- E-mail: caiqq@sysucc.org.cn
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Able to understand and voluntarily sign the informed consent form.
- Age ≥18 years.
- Histologically confirmed CD20-positive marginal zone lymphoma, including extranodal, splenic, or nodal subtypes.
- Considered unsuitable for or unable to tolerate standard chemotherapy.
- Previously untreated with systemic anti-lymphoma therapy.
- Measurable or evaluable disease according to Lugano 2014 criteria.
- Eastern Cooperative Oncology Group (ECOG) performance status 0-2.
- Adequate organ function.
Exclusion Criteria:
- History of other malignancies that may interfere with study assessment.
- Central nervous system involvement by lymphoma.
- Known HIV infection or active hepatitis B/C infection.
- Active or uncontrolled infection.
- Gastrointestinal condition that may interfere with oral administration or absorption of study treatment.
- Pregnancy or breastfeeding.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: Rituximab
Patients will receive induction therapy with rituximab and lenalidomide.
If CR or PR: maintenance therapy with rituximab every 8 weeks for 2 years.
|
Patients will receive R2 induction therapy consisting of rituximab and lenalidomide.
Patients who achieve complete response or partial response after induction will receive rituximab maintenance every 8 weeks for up to 2 years.
|
|
Aktiv komparator: Observation
Patients will receive induction therapy with rituximab and lenalidomide.
If CR or PR: observation.
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Patients will receive R2 induction therapy consisting of rituximab and lenalidomide.
Patients who achieve complete response or partial response after induction will undergo observation without maintenance anti-lymphoma therapy.
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
2-year progression-free survival rate
Tidsramme: At 2 years after randomization
|
The 2-year progression-free survival rate is defined as the proportion of patients who are alive without disease progression at 2 years after randomization.
|
At 2 years after randomization
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Complete response rate
Tidsramme: Up to 24 months after randomization
|
Complete response rate is defined as the proportion of patients who achieve complete response according to the Lugano 2014 criteria during the maintenance or observation period.
|
Up to 24 months after randomization
|
|
Overall response rate
Tidsramme: Up to 24 months after randomization
|
Overall response rate is defined as the proportion of patients who achieve complete response or partial response according to the Lugano 2014 criteria during the maintenance or observation period.
|
Up to 24 months after randomization
|
|
Duration of response
Tidsramme: Up to 24 months after randomization
|
Duration of response is defined as the time from the first documented complete response or partial response to disease progression, relapse, or death from any cause, whichever occurs first.
|
Up to 24 months after randomization
|
|
Overall survival
Tidsramme: Up to 24 months after randomization
|
Overall survival is defined as the time from randomization to death from any cause.
|
Up to 24 months after randomization
|
|
Event-free survival
Tidsramme: Up to 24 months after randomization
|
Event-free survival is defined as the time from randomization to disease progression, relapse, initiation of new systemic anti-lymphoma therapy, or death from any cause, whichever occurs first.
|
Up to 24 months after randomization
|
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Disease-free survival
Tidsramme: Up to 24 months after randomization
|
Disease-free survival is defined as the time from the first documented complete response to disease relapse, progression, or death from any cause, whichever occurs first.
|
Up to 24 months after randomization
|
|
Incidence of progression of disease within 24 months
Tidsramme: Within 24 months from the start of induction therapy
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POD24 is defined as the proportion of patients who experience disease progression, relapse, or death from any cause within 24 months from the start of frontline induction therapy.
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Within 24 months from the start of induction therapy
|
|
Patient-reported outcomes
Tidsramme: Up to 24 months after randomization
|
Patient-reported outcomes will be assessed using the EORTC QLQ-C30 questionnaire.
|
Up to 24 months after randomization
|
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Incidence of adverse events and serious adverse events
Tidsramme: Up to 30 days after the last study treatment or during follow-up as clinically indicated
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The incidence and severity of adverse events and serious adverse events will be assessed according to the National Cancer Institute Common Terminology Criteria for Adverse Events version 5.0.
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Up to 30 days after the last study treatment or during follow-up as clinically indicated
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Neoplasmer
- Sygdomme i immunsystemet
- Neoplasmer efter histologisk type
- Lymfesygdomme
- Lymfoproliferative lidelser
- Immunproliferative lidelser
- Lymfom, Non-Hodgkin
- Lymfom, B-celle
- Lymfom
- Hemiske og lymfatiske sygdomme
- Lymfom, B-celle, marginalzone
- Aminosyrer, peptider og proteiner
- Proteiner
- Undersøgelsesteknikker
- Metoder
- Antistoffer, monoklonal
- Antistoffer
- Immunoglobuliner
- Immunoproteiner
- Blodproteiner
- Serum globuliner
- Globuliner
- Antistoffer, monoklonal, murint afledt
- Rituximab
- Observation
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- B2026-335
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
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