- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT07652476
Neurocognitive Assessment in Long-Term Survivors of Lymphoma (FIL_LymDeCo)
Neurocognitive Assessment in Long-Term Survivors of Lymphoma: An Observational Study by the Fondazione Italiana Linfomi (FIL)
This is an observational, multicenter, prospective cohort study including patients treated for lymphoma in Italian real-life. Patients eligible for the enrollment in the study will be consecutively included in Italian FIL centers. Patients will be evaluated once during regular follow-up, in the absence of clinical or radiologic signs of disease relapse.
The assessment of neurocognitive functioning will be performed through a panel of tests, both self-administered and individually administered (about 1 hour). The administration of these neuropsychological tests should be done according to a standardized and predefined order. If available, according to local practice, a neuropsychologist may be involved in test administration and in the evaluation of the results.
Based on its observational nature, no treatment change or modification or additional exams or visits will be required because of being enrolled in this study.
Studieoversigt
Status
Betingelser
Intervention / Behandling
Undersøgelsestype
Tilmelding (Anslået)
Kontakter og lokationer
Studiekontakt
- Navn: Uffici Studi FIL
- Telefonnummer: +390599769910
- E-mail: gestionestudi@filinf.it
Undersøgelse Kontakt Backup
- Navn: Iolanda Uffici Studi FIL
- Telefonnummer: +390131033153
- E-mail: startup@filinf.it
Studiesteder
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Ancona, Italien
- Clinica di Ematologia, AOU Ospedali Riuniti
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Kontakt:
- Guido Gini
- Telefonnummer: +390715964562
- E-mail: guido.gini@ospedaliriuniti.marche.it
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Aviano, Italien
- Divisione di Oncologia e dei Tumori immuno-correlati - IRCCS Centro di Riferimento Oncologico di Aviano
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Kontakt:
- Rosanna Ciancia
- Telefonnummer: +390434659645
- E-mail: rciancia@cro.it
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Bari, Italien
- U.O.C Ematologia - IRCCS Istituto Tumori Giovanni Paolo II
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Kontakt:
- Carla Minoia
- Telefonnummer: +390805555414
- E-mail: carla.minoia1@gmail.com
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Legnano, Italien
- U.O.C. Ematologia Ospedale Civile di Legnano - ASST Ovest Milanese
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Kontakt:
- Silvia Franceschetti
- Telefonnummer: +393333456770
- E-mail: silvia.franceschetti@asst-ovestmi.it
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Milan, Italien
- SC Ematologia - ASST Grande Ospedale Metropolitano Niguarda
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Kontakt:
- Erika Meli
- Telefonnummer: +390264442668
- E-mail: erika.meli@ospedaleniguarda.it
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Milan, Italien
- Ematologia - Ospedale Maggiore Policlinico - Fondazione IRCCS Ca Granda
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Kontakt:
- Francesca Gaia Rossi
- Telefonnummer: +390255033466
- E-mail: francescagaia.rossi@policlinico.mi.it
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Palermo, Italien
- Ematologia - AOU Policlinico Giaccone
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Kontakt:
- Salvatrice Mancuso
- Telefonnummer: +390916554505
- E-mail: salvatrice.mancuso@unipa.it
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
Tager imod sunde frivillige
Prøveudtagningsmetode
Studiebefolkning
Beskrivelse
Inclusion Criteria:
- Patients with previous diagnosis of classic Hodgkin Lymphoma (cHL) or Diffuse Large B Cell Lymphoma (DLBCL) or Primary Mediastinal B Cell Lymphoma (PMBCL).
- Patients in complete remission after first line anthracycline containing regimen (ABVD, BV-AVD, BEACOPP, R-CHOP, Pola-R-CHP o R-DA-EPOCH) +/- radiotherapy.
- Age ≥ 25 and ≤ 55 at enrollment.
- Patients between third and fifth year of follow-up after the end of the first line treatment.
- Absence of signs or symptoms of disease relapse.
Exclusion Criteria:
- Patients with CNS disease localization.
- Patients that received brain/neuroaxis radiotherapy.
- Pre-existing severe psychiatric or neurologic comorbidities influencing neurocognitive assessment.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
Kohorter og interventioner
Gruppe / kohorte |
Intervention / Behandling |
|---|---|
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Patients with previous diagnosis of classic Hodgkin Lymphoma (cHL) or Diffuse Large B Cell Lymphoma
Patients with previous diagnosis of classic Hodgkin Lymphoma (cHL) or Diffuse Large B Cell Lymphoma (DLBCL) or Primary Mediastinal B Cell Lymphoma (PMBCL) in complete remission after first line anthracycline containing regimen (ABVD, BV-AVD, BEACOPP, R-CHOP, Pola-R-CHP o R-DA-EPOCH) +/- radiotherapy. Patients between third and fifth year of follow-up after the end of the first line treatment. |
Patients in complete remission after treatment with first line anthracycline containing regimen (ABVD, BV-AVD, BEACOPP, R-CHOP, Pola-R-CHP o R-DA-EPOCH) +/- radiotherapy.
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Self-assessed neurocognitive performance
Tidsramme: The endpoint will be evaluated only once after screening and signing of informed consent form.
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Self-assessed neurocognitive performance will be evaluated through Functional Assessment of Cancer Therapy - Cognitive questionnaire (FACT-Cog Version 3).
The FACT-Cog (Version 3) is a self-report questionnaire developed within the measurement system of FACIT.org
(Functional Assessment of Chronic Illness Therapy) to assess perceived cognitive functioning in individuals with cancer.
The instrument includes 37 items in total, although the most commonly reported total score is based on 33 scored items.
Each item is rated on a 5-point Likert scale (0-4) (0 = not at all; 4 = very much / very often, depending on the item).
Total score (33-item scoring): Minimum: 0, Maximum: 132.
Score interpretation: higher scores indicate better perceived cognitive functioning, lower scores indicate greater perceived cognitive impairment.
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The endpoint will be evaluated only once after screening and signing of informed consent form.
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Neurocognitive performance evaluation: Cognitive Status - Mini-Mental State Examination (MMSE)
Tidsramme: The endpoint will be evaluated only once after screening and signing of informed consent form.
|
Cognitive status will be assessed using the Mini-Mental State Examination (MMSE).
Unit of Measure: Total score (points) Range: 0 to 30 Interpretation: Higher scores indicate better cognitive performance.
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The endpoint will be evaluated only once after screening and signing of informed consent form.
|
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Neurocognitive performance evaluation: Language - Verbal Fluency Test (Phonemic and semanthic)
Tidsramme: The endpoint will be evaluated only once after screening and signing of informed consent form.
|
Language function will be assessed using a Verbal Fluency Test (phonemic and semantic).
Unit of Measure: Number of correct words generated within the allotted time Range: No fixed maximum value Interpretation: Higher scores indicate better language performance.
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The endpoint will be evaluated only once after screening and signing of informed consent form.
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Neurocognitive performance evaluation: Language - Naming of colored Photographs
Tidsramme: The endpoint will be evaluated only once after screening and signing of informed consent form.
|
Language function assessed through a picture-naming task in which participants are asked to correctly name colored photographs depicting common objects, people, or scenes.
Performance is evaluated based on the accuracy of responses, reflecting lexical retrieval, semantic processing, and expressive language abilities.
Higher scores indicate better language performance.
|
The endpoint will be evaluated only once after screening and signing of informed consent form.
|
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Neurocognitive performance evaluation: Verbal Memory - Digit Span Test (Forward, Backward)
Tidsramme: The endpoint will be evaluated only once after screening and signing of informed consent form.
|
Verbal memory and working memory assessed using the Digit Span Test.
Participants are required to recall and repeat sequences of digits in the same order (Forward Digit Span) and in reverse order (Backward Digit Span).
Performance is evaluated based on the number of correctly recalled sequences and/or total score achieved, reflecting attention, short-term verbal memory, and working memory capacity.
Higher scores indicate better cognitive performance.
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The endpoint will be evaluated only once after screening and signing of informed consent form.
|
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Neurocognitive performance evaluation: Verbal Memory - Rey Auditory Verbal Learning Test (Word List 3 Recall)
Tidsramme: The endpoint will be evaluated only once after screening and signing of informed consent form.
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Verbal memory will be assessed using Word List 3 recall from the Rey Auditory Verbal Learning Test (RAVLT).
Unit of Measure: Number of words correctly recalled Range: 0 to 15 Interpretation: Higher scores indicate better verbal memory performance.
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The endpoint will be evaluated only once after screening and signing of informed consent form.
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Neurocognitive performance evaluation: Visual-spatial memory/praxic-constructive functions - Corsi Span Test (Forward, Backward)
Tidsramme: The endpoint will be evaluated only once after screening and signing of informed consent form.
|
Visual-spatial short-term memory and working memory assessed using the Corsi Span Test.
Participants are required to reproduce sequences of spatial locations in the same order (Forward Corsi Span) and in reverse order (Backward Corsi Span).
Performance is evaluated based on the number of correctly reproduced sequences and/or span length achieved, reflecting visual-spatial memory, spatial working memory, and praxic-constructive abilities.
Higher scores indicate better cognitive performance.
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The endpoint will be evaluated only once after screening and signing of informed consent form.
|
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Neurocognitive performance evaluation: Visual-spatial memory/praxic-constructive functions - Rey-Osterrieth Complex Figure Test (ROCF)
Tidsramme: The endpoint will be evaluated only once after screening and signing of informed consent form.
|
Visual memory will be assessed using the delayed recall condition of the Rey-Osterrieth Complex Figure Test (ROCF).
Unit of Measure: Total score (points) Range: 0 to 36 Interpretation: Higher scores indicate better visual memory performance.
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The endpoint will be evaluated only once after screening and signing of informed consent form.
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Neurocognitive performance status: Executive and attentive functions - Trail Making Test (TMT) Part A and B
Tidsramme: The endpoint will be evaluated only once after screening and signing of informed consent form.
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Executive and attentive functions will be assessed using Part A and B of the Trail Making Test (TMT).
Unit of Measure: Completion time (seconds) Range: Continuous variable (no fixed maximum) Interpretation: Lower scores indicate better performance.
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The endpoint will be evaluated only once after screening and signing of informed consent form.
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Neurocognitive performance evaluation: Executive and attentive functions - Symbol Digit Modalities Test (SDTM) - Oral Version
Tidsramme: The endpoint will be evaluated only once after screening and signing of informed consent form.
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Executive and attentive functions will be assessed using the oral version of the Symbol Digit Modalities Test (SDMT).
Unit of Measure: Number of correct substitutions Range: No fixed maximum value (administration time-dependent) Interpretation: Higher scores indicate better attention and processing speed.
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The endpoint will be evaluated only once after screening and signing of informed consent form.
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Neurocognitive Performance Evaluation: Executive and Attentive Functions - Stroop Color-Word Test (Short Version)
Tidsramme: The endpoint will be evaluated only once after screening and signing of informed consent form.
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Executive and attentional functioning assessed using the short version of the Stroop Color-Word Test.
Participants are required to identify the color of printed stimuli while inhibiting automatic reading responses.
Performance is evaluated based on completion time, number of correct responses, and/or errors made during the task, reflecting selective attention, cognitive flexibility, processing speed, and inhibitory control.
Better performance is indicated by faster completion times and fewer errors.
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The endpoint will be evaluated only once after screening and signing of informed consent form.
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Quality of Life (QoL)
Tidsramme: The endpoint will be evaluated only once after screening and signing of informed consent form.
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Quality of life will be evaluated through EORTC QLQ-C30 questionnaire (European Organisation for Research and Treatment of Cancer-Quality of life Questionnaire-Core 30).
The EORTC QLQ-C30 (European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30) is a 30-item instrument used to assess health-related quality of life in people with cancer.
All scales and single items are linearly transformed to a 0-100 scale (Minimum: 0 and Maximum: 100).
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The endpoint will be evaluated only once after screening and signing of informed consent form.
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Psychological status
Tidsramme: The endpoint will be evaluated only once after screening and signing of informed consent form.
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Psychological status will be evaluated through HADS questionnaire (Hospital Anxiety and Depression Scale).
The Hospital Anxiety and Depression Scale consists of two subscales: anxiety (HADS-A) and depression (HADS-D).
Each subscale ranges from 0 to 21, with higher scores indicating worse psychological outcomes (greater anxiety or depression symptoms).
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The endpoint will be evaluated only once after screening and signing of informed consent form.
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Resilience
Tidsramme: The endpoint will be evaluated only once after screening and signing of informed consent form.
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Resilience will be evaluated through RS-14 questionnaire (Resilience scale-14 questionnaire).
The Resilience Scale-14 produces a total score ranging from 14 to 98, with higher scores indicating a better outcome (greater resilience).
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The endpoint will be evaluated only once after screening and signing of informed consent form.
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Treatment characteristics: Previous Central Nervous System Prophylaxis
Tidsramme: The endpoint will be evaluated only once after screening and signing of informed consent form.
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History of Central Nervous System prophylaxis prior to CAR-T therapy, including intrathecal methotrexate and/or high-dose methotrexate, collected from medical records.
Unit of Measure: Participants with previous CNS prophylaxis (%).
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The endpoint will be evaluated only once after screening and signing of informed consent form.
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Treatment characteristics: Anthracycline Cumulative Dose
Tidsramme: The endpoint will be evaluated only once after screening and signing of informed consent form.
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Total cumulative dose of anthracycline chemotherapy received prior to CAR-T therapy, collected from medical records.
Unit of Measure: Milligrams per square meter (mg/m²).
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The endpoint will be evaluated only once after screening and signing of informed consent form.
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Treatment characteristics: Prior Radiotherapy Field
Tidsramme: The endpoint will be evaluated only once after screening and signing of informed consent form.
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Anatomical field of radiotherapy received prior to CAR-T therapy as recorded in medical records (e.g., mediastinal, cranial, total body irradiation, or other).
Unit of Measure: Participants by radiotherapy field (%).
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The endpoint will be evaluated only once after screening and signing of informed consent form.
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Treatment characteristics: Prior Radiotherapy Dose
Tidsramme: The endpoint will be evaluated only once after screening and signing of informed consent form.
|
Total radiation dose delivered during previous radiotherapy treatments before CAR-T therapy, obtained from medical records.
Unit of Measure: Gray (Gy).
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The endpoint will be evaluated only once after screening and signing of informed consent form.
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Samarbejdspartnere og efterforskere
Samarbejdspartnere
Efterforskere
- Ledende efterforsker: Silvia Franceschetti, U.O.C. Ematologia Ospedale Civile di Legnano - ASST Ovest Milanese - Legnano
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Primær færdiggørelse (Anslået)
Studieafslutning (Anslået)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- FIL_LymDeCo
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
Kliniske forsøg med Klassisk Hodgkin lymfom
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City of Hope Medical CenterNational Cancer Institute (NCI)Aktiv, ikke rekrutterendeKlassisk Hodgkin lymfom | Lymfocytrigt klassisk Hodgkin-lymfom | Ann Arbor Stage IB Hodgkin lymfom | Ann Arbor Stage II Hodgkin lymfom | Ann Arbor Stage IIA Hodgkin lymfom | Ann Arbor Stage IIB Hodgkin lymfom | Ann Arbor Stage I Hodgkin lymfom | Ann Arbor Stage I Mixed Cellularity Klassisk Hodgkin-lymfom og andre forholdForenede Stater
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National Cancer Institute (NCI)AfsluttetTilbagevendende voksen Hodgkin-lymfom | Stadie III voksen Hodgkin lymfom | Stadie IV voksen Hodgkin lymfom | Tilbagevendende/refraktær Hodgkin-lymfom hos børn | Stadie III Hodgkin-lymfom i barndommen | Stadie IV Hodgkin-lymfom i barndommen | Stadie I voksen Hodgkin lymfom | Fase I barndom Hodgkin lymfom og andre forholdForenede Stater
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Marker Therapeutics, Inc.RekrutteringHodgkin lymfom | Non Hodgkin lymfom | Hodgkin lymfom, voksen | Non-Hodgkin lymfom, voksen | Non-Hodgkin lymfom, refraktær | Non-Hodgkin lymfom, tilbagefald | Hodgkins lymfom, recidiverende, voksenForenede Stater
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Academic and Community Cancer Research UnitedNational Cancer Institute (NCI)Aktiv, ikke rekrutterendeAnn Arbor Stadium III Hodgkin lymfom | Ann Arbor Stadium IIIA Hodgkin lymfom | Ann Arbor Stadium IIIB Hodgkin lymfom | Ann Arbor Stage IV Hodgkin lymfom | Ann Arbor Stage IVA Hodgkin lymfom | Ann Arbor Stage IVB Hodgkin lymfom | Klassisk Hodgkin lymfom | Ann Arbor Stage IB Hodgkin lymfom | Ann Arbor Stage... og andre forholdForenede Stater
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National Cancer Institute (NCI)Ikke rekrutterer endnuTilbagevendende klassisk Hodgkin-lymfom | Ildfast klassisk Hodgkin-lymfom
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National Cancer Institute (NCI)The Lymphoma Academic Research OrganisationAfsluttetHIV-infektion | Ann Arbor Stadium III Hodgkin lymfom | Ann Arbor Stadium IIIA Hodgkin lymfom | Ann Arbor Stadium IIIB Hodgkin lymfom | Ann Arbor Stage IV Hodgkin lymfom | Ann Arbor Stage IVA Hodgkin lymfom | Ann Arbor Stage IVB Hodgkin lymfom | Klassisk Hodgkin lymfom | Ann Arbor Stage II Hodgkin lymfom | Ann... og andre forholdForenede Stater, Frankrig
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Academic and Community Cancer Research UnitedNational Cancer Institute (NCI)Aktiv, ikke rekrutterendeKlassisk Hodgkin lymfom | Ann Arbor Stage IB Hodgkin lymfom | Ann Arbor Stage II Hodgkin lymfom | Ann Arbor Stage IIA Hodgkin lymfom | Ann Arbor Stage IIB Hodgkin lymfom | Ann Arbor Stage I Hodgkin lymfom | Ann Arbor Stage IA Hodgkin lymfomForenede Stater
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Rita AssiRekrutteringB-celle lymfom | Refraktært Hodgkin-lymfom | Refraktær non-Hodgkin lymfom | Recidiverende non-Hodgkin lymfom | Recidiverende Hodgkin-lymfomForenede Stater
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National Cancer Institute (NCI)Aktiv, ikke rekrutterendeAnn Arbor Stadium IIIB Hodgkin lymfom | Ann Arbor Stage IVA Hodgkin lymfom | Ann Arbor Stage IVB Hodgkin lymfom | Klassisk Hodgkin lymfom | Ann Arbor Stage IIB Hodgkin lymfom | Hodgkin-lymfom i barndommenForenede Stater, Canada, Puerto Rico
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Beth ChristianAfsluttetTilbagevendende voksen Hodgkin-lymfom | Voksen lymfocytdepletion Hodgkin lymfom | Voksen lymfocytdominerende Hodgkin-lymfom | Hodgkin-lymfom med blandet cellularitet hos voksne | Nodulær sklerose hos voksne Hodgkin-lymfom | Voksen nodulær lymfocytdominerende Hodgkin-lymfomForenede Stater
Kliniske forsøg med anthracycline containing regimen
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Versailles HospitalAfsluttetHjerte-kar-sygdommeFrankrig
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Ruijin HospitalSun Yat-sen University; Shanghai Zhongshan Hospital; RenJi Hospital; Huashan... og andre samarbejdspartnereRekrutteringTilbagevendende akut myeloid leukæmi hos voksne | Myelodysplastisk syndrom | Akut myeloid leukæmi hos voksneKina
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NeuroEnergy Ventures, Inc.Aktiv, ikke rekrutterende
-
Terumo Europe N.V.AfsluttetHepatocellulært karcinomBelgien, Frankrig
-
Seoul National University HospitalAfsluttet
-
Xijing HospitalUkendt
-
Tao OUYANGPeking University First Hospital; 307 Hospital of PLA; Peking University... og andre samarbejdspartnereAktiv, ikke rekrutterende
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Sichuan Provincial People's HospitalUkendtHER2-negativ brystkræftKina
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Sichuan Provincial People's HospitalRekruttering
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The Affiliated Nanjing Drum Tower Hospital of Nanjing...Ikke rekrutterer endnuKemoterapi effekt | Uønskede hændelser | T-celle dysfunktion