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
Studie Overzicht
Toestand
Toestand
Conditie
Conditie
Interventie / Behandeling
Interventie / Behandeling
Studietype
Studietype
Inschrijving (Geschat)
Inschrijving
Fase
Fase
- Fase 2
Contacten en locaties
Studiecontact
Studiecontact
- Naam: Cai Qingqing
- Telefoonnummer: (020)87342823
- E-mail: caiqq@sysucc.org.cn
Studie Locaties
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-
Guangdong
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Guangzhou, Guangdong, China, 510060
- Sun Yat-sen University Cancer Center
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Contact:
- Principal investigator
- Telefoonnummer: 0086-20-87342823
- E-mail: caiqq@sysucc.org.cn
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-
Deelname Criteria
Geschiktheidscriteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Volwassen
- Oudere volwassene
Accepteert gezonde vrijwilligers
Beschrijving
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.
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Geen (open label)
Aantal wapens
Wapens en interventies
Deelnemersgroep / ArmDeelnemersgroep / Arm |
Interventie / BehandelingInterventie / Behandeling |
|---|---|
|
Experimenteel: 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.
|
|
Actieve vergelijker: Observation
Patients will receive induction therapy with rituximab and lenalidomide.
If CR or PR: observation.
|
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.
|
Wat meet het onderzoek?
Primaire uitkomstmaten
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
2-year progression-free survival rate
Tijdsspanne: 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
|
Secundaire uitkomstmaten
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Complete response rate
Tijdsspanne: 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.
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Up to 24 months after randomization
|
|
Overall response rate
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
|
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Event-free survival
Tijdsspanne: 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
Tijdsspanne: 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
|
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Incidence of progression of disease within 24 months
Tijdsspanne: 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
Tijdsspanne: Up to 24 months after randomization
|
Patient-reported outcomes will be assessed using the EORTC QLQ-C30 questionnaire.
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Up to 24 months after randomization
|
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Incidence of adverse events and serious adverse events
Tijdsspanne: 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
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Medewerkers en onderzoekers
Sponsor
Sponsor
Studie record data
Bestudeer belangrijke data
Studie start (Geschat)
Studie start
Primaire voltooiing (Geschat)
Primaire voltooiing
Studie voltooiing (Geschat)
Studie voltooiing
Studieregistratiedata
Eerst ingediend
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Eerst geplaatst
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update geplaatst
Laatste update ingediend die voldeed aan QC-criteria
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
- Neoplasmata
- Ziekten van het immuunsysteem
- Neoplasmata per histologisch type
- Lymfatische ziekten
- Lymfoproliferatieve aandoeningen
- Immunoproliferatieve aandoeningen
- Lymfoom, non-Hodgkin
- Lymfoom, B-cel
- Lymfoom
- Hemische en lymfatische ziekten
- Lymfoom, B-cel, marginale zone
- Aminozuren, peptiden en eiwitten
- Eiwitten
- Onderzoekstechnieken
- Methoden
- Antilichamen, monoklonaal
- Antilichamen
- Immunoglobulinen
- Immunoproteïnen
- Bloedeiwitten
- Serum -globulines
- Globulines
- Antilichamen, monoklonaal, van murine afgeleid
- Rituximab
- Observatie
Andere studie-ID-nummers
Andere studie-ID-nummers
- B2026-335
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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