- ICH GCP
- Registre américain des essais cliniques
- Essai clinique NCT00332202
PRÉLUDE : Étude visant à étudier la prévention des rechutes dans le lymphome à l'aide d'enzastaurine quotidienne
Une étude clinique de phase 3 pour étudier la prévention des rechutes dans le lymphome en utilisant quotidiennement l'enzastaurine
Cette étude de recherche clinique vise à étudier la prévention des rechutes chez les patients atteints de lymphome diffus à grandes cellules B (DLBCL) en utilisant quotidiennement l'enzastaurine.
Il s'agit d'un essai randomisé qui compare l'Enzastaurine à un placebo (traitement fictif), la probabilité de recevoir de l'Enzastaurine est de 2 contre 1.
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Type d'étude
Inscription (Réel)
Phase
- Phase 3
Contacts et emplacements
Lieux d'étude
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Berlin, Allemagne, 13353
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Chemnitz, Allemagne, 09113
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Erlangen, Allemagne, 91054
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Frankfurt, Allemagne, D-65929
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Giessen, Allemagne, 35392
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Hamburg, Allemagne, 20099
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Homburg, Allemagne, 66421
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Kassel, Allemagne, 34125
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Mainz, Allemagne, 55131
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Muenchen, Allemagne, 81675
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Australian Capital Territory
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Garran, Australian Capital Territory, Australie, 2605
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New South Wales
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Gosford, New South Wales, Australie, 2250
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Northern Territory
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Casuarina, Northern Territory, Australie, 0811
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Queensland
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Woolloongabba, Queensland, Australie, 4102
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Victoria
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Heidelberg, Victoria, Australie, 3084
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Prahran, Victoria, Australie, 3181
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Western Australia
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Nedlands, Western Australia, Australie, 6009
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Brugge, Belgique, 8000
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Brussels, Belgique, 1000
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Gent, Belgique, 9000
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Leuven, Belgique, 3000
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Roeselare, Belgique, 8800
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Belo Horizonte, Brésil, 30380-490
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Campinas, Brésil, 13083970
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Goiania, Brésil, 74075040
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Rio De Janeiro, Brésil, 22260020
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São Paulo, Brésil, 01223001
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Alberta
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Edmonton, Alberta, Canada, T6G 1Z2
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British Columbia
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Vancouver, British Columbia, Canada, V5Z 4E6
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Ontario
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Hamilton, Ontario, Canada, L8V 5C2
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Toronto, Ontario, Canada, M5G 2M9
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Quebec
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Montreal, Quebec, Canada, H3T 1E2
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Saskatchewan
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Regina, Saskatchewan, Canada, S4T 7T1
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Beijing, Chine, 100083
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Chengdu, Chine, 610041
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Guang Zhou, Chine, 510080
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Hangzhou, Chine, 310003
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Nanjing, Chine, 210029
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Shanghai, Chine, 200032
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Suzhou, Chine, 215006
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Daegu, Corée, République de, 700-721
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Goyang-Si, Corée, République de, 411-764
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Hwasun-Gun, Corée, République de, 519-809
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Seoul, Corée, République de, 138-736
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Herlev, Danemark, 2730
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Odense, Danemark, 5000
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Hospitalet Llobregat, Espagne, 08907
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Madrid, Espagne, 28041
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Oviedo, Espagne, 33006
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Salamanca, Espagne, 37007
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Santander, Espagne, 39008
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Toledo, Espagne, 45004
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Valencia, Espagne, 46009
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Zaragoza, Espagne, 50009
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Helsinki, Finlande, 00290
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Avignon, France, 84902
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Bayonne, France, 64109
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La Roche Sur Yon, France, 85925
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Le Mans, France, 72000
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Nantes, France, 44202
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Nice, France, 06202
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Nimes, France, 30029
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Pessac, France, 33604
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Rennes, France, 35033
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Vandoeuvre Les Nancy, France, 54511
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Athens, Grèce, 11527
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Haidari/Athens, Grèce, 12462
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Thessaloniki, Grèce, 54007
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Budapest, Hongrie, 1122
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Miskolc, Hongrie, 3529
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Mumbai, Inde, 400 026
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New Delhi, Inde, 110017
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Pune, Inde, 411004
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Secunderabad, Inde, 500003
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Trivandrum, Inde, 695 011
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Aviano, Italie, 33081
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Bergamo, Italie, 24128
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Bologna, Italie, 40138
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Milano, Italie, 20162
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Pisa, Italie, 56100
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Reggio Emilia, Italie, 42100
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Rome, Italie, 00161
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Vicenza, Italie, 36100
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Aichi, Japon, 460-0001
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Fukuoka, Japon, 811-1395
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Gunma, Japon, 371-8511
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Kanagawa, Japon, 259-1193
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Kyoto, Japon, 602-8566
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Mie, Japon, 514-8507
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Miyagi, Japon, 980-8574
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Nagasaki, Japon, 852-8501
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Okayama, Japon, 710-8602
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Shiga, Japon, 524-8524
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Tokyo, Japon, 141
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Coimbra, Le Portugal, 3000-075
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Lisbon, Le Portugal, 1649-035
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Santa Maria Da Feira, Le Portugal, 4520-211
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Col. Florida, Mexique, 01030
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Guadalajara, Mexique, 44280
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Mexico City, Mexique, 01120
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Monterrey, Mexique, 64710
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San Luis Potosi, Mexique, 78216
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Toluca, Mexique, 50180
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Lublin, Pologne, 20-090
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Olsztyn, Pologne, 10-228
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Poznan, Pologne, 60-569
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Warsaw, Pologne, 02-781
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Wroclaw, Pologne, 50-367
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San Juan, Porto Rico, 00918
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London, Royaume-Uni, SE1 9RT
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Devon
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Plymouth, Devon, Royaume-Uni, PL6 8DH
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East Sussex
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Brighton, East Sussex, Royaume-Uni, BN2 5BE
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Kent
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Maidstone, Kent, Royaume-Uni, ME16 9QQ
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Scotland
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Aberdeen, Scotland, Royaume-Uni, AB25 2ZN
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Glasgow, Scotland, Royaume-Uni, G12 0YN
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Lund, Suède, 221 85
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Umea, Suède, 901 85
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Uppsala, Suède, 75185
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Changhua, Taïwan, 500
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Chiayi City, Taïwan, 600
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Kaohsiung, Taïwan, 807
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Liouying/Tainan, Taïwan, 736
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Neihu Taipei, Taïwan, 114
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Taichung, Taïwan, 404
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Tainan, Taïwan, 70403
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Taipei, Taïwan, 220
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Brno, Tchéquie, 62500
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Olomouc, Tchéquie, 775 20
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Prague, Tchéquie, 128 08
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Alaska
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Anchorage, Alaska, États-Unis, 99508
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California
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Los Angeles, California, États-Unis, 90095
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Florida
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Orlando, Florida, États-Unis, 32806
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Illinois
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Chicago, Illinois, États-Unis, 60637
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Indiana
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Bloomington, Indiana, États-Unis, 47402
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Indianapolis, Indiana, États-Unis, 46202
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Iowa
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Iowa City, Iowa, États-Unis, 52242
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Kentucky
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Lexington, Kentucky, États-Unis, 40536
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Massachusetts
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Boston, Massachusetts, États-Unis, 02115
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Minnesota
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Robbinsdale, Minnesota, États-Unis, 55422
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Rochester, Minnesota, États-Unis, 55905
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Missouri
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Columbia, Missouri, États-Unis, 65201
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Saint Louis, Missouri, États-Unis, 63131
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North Carolina
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Durham, North Carolina, États-Unis, 27710
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Oklahoma
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Tulsa, Oklahoma, États-Unis, 74136
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Pennsylvania
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Pittsburgh, Pennsylvania, États-Unis, 15232
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Tennessee
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Memphis, Tennessee, États-Unis, 38138
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Texas
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Houston, Texas, États-Unis, 77030
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The Woodlands, Texas, États-Unis, 77380
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Utah
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Salt Lake City, Utah, États-Unis, 84103
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Washington
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Everett, Washington, États-Unis, 98201
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Seattle, Washington, États-Unis, 98104
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Vancouver, Washington, États-Unis, 98686
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Wisconsin
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Madison, Wisconsin, États-Unis, 53792
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
La description
Critère d'intégration:
- Diagnostic clinique du lymphome diffus à grandes cellules B
- Traitement R-CHOP récemment terminé et rémission obtenue
- Score de l'indice pronostique international (IPI) 3,4,5
- Au moins 18 ans
- Accepter d'étudier le calendrier de suivi
Critère d'exclusion:
- Avoir reçu un traitement autre que R-CHOP pour le lymphome
- Condition médicale grave telle qu'une infection, un deuxième cancer, une maladie cardiaque
- Rayonnement reçu sur plus d'une lésion
- Impossible d'avaler des comprimés
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: La prévention
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Quadruple
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
---|---|
Expérimental: UN
|
1125 mg dose de charge puis 500 mg, voie orale, par jour, jusqu'à progression de la maladie ou 3 ans maximum
Autres noms:
|
Comparateur placebo: B
|
oral, quotidien
|
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
---|---|---|
Survie globale sans maladie
Délai: Valeur de référence jusqu'à la maladie progressive mesurée ou le décès quelle qu'en soit la cause (jusqu'à 80,30 mois)
|
La durée globale de survie sans maladie (DFS) est définie comme le temps écoulé entre la date d'inscription à l'étude et la première date de récidive objectivement déterminée de la maladie (maladie évolutive) ou de décès quelle qu'en soit la cause.
Le DFS a été évalué selon les recommandations du groupe de travail international.
La maladie progressive (PD) est définie comme une augmentation ≥ 50 % à partir du point le plus bas de la somme du produit des diamètres (SPD) de tout nœud anormal précédemment identifié pour les non-répondeurs ou partiels, ou l'apparition de toute nouvelle lésion pendant ou à la fin de la thérapie.
|
Valeur de référence jusqu'à la maladie progressive mesurée ou le décès quelle qu'en soit la cause (jusqu'à 80,30 mois)
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
---|---|---|
Survie sans maladie à 2 ans
Délai: De base à 2 ans
|
La survie sans maladie à 2 ans (DFS2) est définie comme le taux de DFS à 2 ans à compter de la date d'inscription à l'étude et est déterminée à l'aide de la distribution des durées globales de DFS.
Les taux de survie sans maladie à 2 ans seront estimés à l'aide de la méthode de Kaplan-Meier.
|
De base à 2 ans
|
Survie sans événement
Délai: PD initial à objectif, début d'un nouveau traitement ou décès quelle qu'en soit la cause (jusqu'à 76,81 mois)
|
Le temps global de survie sans événement (EFS) est défini comme le temps écoulé entre la date d'inscription à l'étude et la première date de récidive objectivement déterminée de la maladie (maladie progressive), l'instauration d'un nouveau traitement anticancéreux ou le décès quelle qu'en soit la cause.
La maladie progressive (PD) est définie comme une augmentation ≥ 50 % à partir du point le plus bas de la somme du produit des diamètres (SPD) de tout nœud anormal précédemment identifié pour les non-répondeurs ou partiels, ou l'apparition de toute nouvelle lésion pendant ou à la fin de la thérapie.
|
PD initial à objectif, début d'un nouveau traitement ou décès quelle qu'en soit la cause (jusqu'à 76,81 mois)
|
Survie sans événement à 2 ans
Délai: De base à 2 ans
|
La survie sans événement à 2 ans (EFS2) est définie comme le taux d'EFS à 2 ans à compter de la date d'inscription à l'étude et est déterminée à l'aide de la distribution des durées globales d'EFS.
Les taux de survie sans événement à 2 ans seront estimés à l'aide de la méthode de Kaplan-Meier.
|
De base à 2 ans
|
La survie globale
Délai: Base de référence jusqu'à la date du décès, quelle qu'en soit la cause (jusqu'à 80,30 mois)
|
Le temps de survie globale (SG) est défini comme le temps écoulé entre la date d'inscription à l'étude et la date du décès, quelle qu'en soit la cause.
|
Base de référence jusqu'à la date du décès, quelle qu'en soit la cause (jusqu'à 80,30 mois)
|
Nombre de participants avec des événements indésirables liés au traitement
Délai: Première dose jusqu'à 30 jours après l'arrêt du traitement (jusqu'à 81,30 mois)
|
Nombre de participants présentant des événements indésirables liés au traitement.
|
Première dose jusqu'à 30 jours après l'arrêt du traitement (jusqu'à 81,30 mois)
|
Qualité de vie : changement par rapport au départ dans l'évaluation fonctionnelle du traitement du cancer – Score de lymphome (FACT-Lym)
Délai: Base de référence, mois 2 ; Base de référence, mois 4 ; Base de référence, mois 6 ; Base de référence, mois 12 ; Base de référence, mois 18 ; Base de référence, mois 24 ; Base de référence, mois 36
|
Le FACT-Lym évalue la qualité de vie liée à la santé (HRQoL) chez les participants atteints de lymphome non hodgkinien.
Il comprend le FACT-G (Général) spécifique au cancer en 27 items, qui évalue le bien-être physique, social/familial, émotionnel et fonctionnel, ainsi qu'une sous-échelle en 15 items qui évalue les préoccupations spécifiques au lymphome.
Chaque élément est noté sur une échelle de 0 (pas du tout) à 4 (beaucoup), donnant un score possible de 0 à 168, les scores les plus élevés représentant une meilleure HRQoL.
Cette analyse a utilisé une analyse de mesure répétée du modèle à effets mixtes (MMRM) du changement par rapport à la ligne de base en ajustant les covariables de base.
|
Base de référence, mois 2 ; Base de référence, mois 4 ; Base de référence, mois 6 ; Base de référence, mois 12 ; Base de référence, mois 18 ; Base de référence, mois 24 ; Base de référence, mois 36
|
Changement par rapport à la ligne de base du score EuroQol-5D (EQ-5D)
Délai: Base de référence, mois 6 ; Base de référence, mois 24 ; Base de référence, mois 33
|
L'instrument EQ-5D est un questionnaire évalué par les participants utilisé pour évaluer l'état de santé.
L'EQ-5D évalue cinq dimensions (mobilité, soins personnels, activité habituelle, douleur/inconfort et anxiété/dépression) que les participants évaluent à l'aide de trois niveaux (aucun problème, quelques problèmes ou problème extrême), ainsi que l'état de santé général .
Les cinq dimensions peuvent être combinées à l'aide de pondérations spécifiques au pays pour créer une estimation du score global de l'état de santé.
Les valeurs possibles du score vont de -0,594 (problèmes graves dans les 5 dimensions) à 1 (aucun problème dans toutes les dimensions) sur une échelle où 1 représente le meilleur état de santé possible.
Cette analyse a utilisé une analyse de mesure répétée du modèle à effets mixtes (MMRM) du changement par rapport à la ligne de base dans l'EQ-5D pour le score de l'indice basé sur la population du Royaume-Uni en ajustant les covariables de base.
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Base de référence, mois 6 ; Base de référence, mois 24 ; Base de référence, mois 33
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Recherche translationnelle : Participants au SFM atteints de lymphome diffus à grandes cellules B (DLBCL) Cellules B du centre germinal (GCB) versus cellules B non du centre germinal
Délai: De base à 24 mois (2 ans)
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Sont rapportés les DFS pour le statut GCB et non-GCB.
Les sous-types moléculaires DLBCL de GCB/non-GCB à l'aide de l'algorithme de Hans ont été déterminés par expression protéique par immunohistochimie (IHC). La coloration a été utilisée pour évaluer la caractérisation des sous-types moléculaires de GCB et non-GCB.
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De base à 24 mois (2 ans)
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Recherche translationnelle : DFS des participants présentant une expression de la protéine kinase C-β2 (PKC-β2) du lymphome diffus à grandes cellules B (DLBCL)
Délai: De base à 94,5 mois
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Sont rapportés les DFS basés sur l'expression de la protéine PKC-β2.
Une coloration immunohistochimique (IHC) a été réalisée pour évaluer l'expression protéique de PKC-β2 dans le cytoplasme, notée pour le pourcentage de cellules tumorales colorées, et en utilisant une coloration positive à 50 % comme seuil d'expression élevée/faible (expression élevée : > = 50 % de coloration, faible expression : < 50 % de coloration).
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De base à 94,5 mois
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Pharmacocinétique : concentration moyenne à l'état d'équilibre (Cavg, ss) pour l'analyte total
Délai: Mois 2, Mois 4 : Prédose
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Mois 2, Mois 4 : Prédose
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- 9823
- PRELUDE (Autre identifiant: Eli Lilly and Company)
- H6Q-MC-JCBJ (Autre identifiant: Eli Lilly and Company)
Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .
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