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Het testen van de effectiviteit van een combinatiegerichte therapie (ViPOR) voor patiënten met recidiverend en/of refractair agressief B-cellymfoom

20 oktober 2026 bijgewerkt door: National Cancer Institute (NCI)

Een fase 2-onderzoek naar Venetoclax, Ibrutinib, Prednison, Obinutuzumab en Revlimid (ViPOR) bij recidiverend of refractair CD10-negatief diffuus groot B-cellymfoom (DLBCL) en hooggradig B-cellymfoom met MYC- en BCL2-herschikkingen (HGBCL) -DH-BCL2)

This phase II trial tests how well venetoclax, ibrutinib, prednisone, obinutuzumab, and Revlimid® (ViPOR) works in treating patients with CD10 negative diffuse large B-cell lymphoma (DLBCL) and high-grade lymphoma with MYC and BCL2 rearrangements that has come back after a period of improvement (relapsed) and/or that has not responded to previous treatment (refractory). Venetoclax is in a class of medications called B-cell lymphoma-2 (BCL-2) inhibitors. It may stop the growth of cancer cells by blocking Bcl-2, a protein needed for cancer cell survival. Ibrutinib is in a class of medications called kinase inhibitors. It blocks a protein called BTK, which is present on B-cell (a type of white blood cells) cancers at abnormal levels. This may help keep cancer cells from growing and spreading. Anti-inflammatory drugs, such as prednisone lower the body's immune response and are used with other drugs in the treatment of some types of cancer. Obinutuzumab, a monoclonal antibody, binds to a protein called CD20, which is found on B cells and some types of leukemia and lymphoma cells. Obinutuzumab may block CD20 and help the immune system kill cancer cells. Revlimid, a type of anti-angiogenesis agent and a type of immunomodulating agent, may help the immune system kill abnormal blood cells or cancer cells. It may also prevent the growth of new blood vessels that cancers need to grow. ViPOR may be an effective treatment option for patients with relapsed and/or refractory CD10 negative DLBCL and high-grade B-cell lymphoma with MYC and BCL2 rearrangements.

Studie Overzicht

Toestand

Werving

Conditie

Interventie / Behandeling

Gedetailleerde beschrijving

PRIMARY OBJECTIVES:

I. To evaluate the complete response (CR) rate of ViPOR in relapsed/refractory (R/R):

Ia. CD10-negative DLBCL; and Ib. CD10-positive or negative high-grade B-cell lymphoma (HGBCL) with MYC and BCL2 (with or without BCL6) translocations (HGBCL-double hit [DH]-BCL2).

SECONDARY OBJECTIVES:

I. To evaluate the complete response (CR) rate of ViPOR in relapsed/refractory (R/R):

Ia. CD10-negative activated B-cell (ABC) DLBCL; and Ib. CD10-negative non-ABC (i.e., unclassified or germinal center B-cell [GCB]) DLBCL.

II. To evaluate the overall response rate (ORR), duration of response (DOR), event-free survival (EFS), time to progression (TTP), progression-free survival (PFS), overall survival (OS), and the safety & toxicity profile of ViPOR in relapsed/refractory (R/R):

IIa. CD10-negative ABC DLBCL; and IIb. CD10-negative non-ABC (i.e., unclassified or GCB) DLBCL; and IIc. CD10-positive or negative HGBCL-DH-BCL2.

EXPLORATORY OBJECTIVES:

I. To assess response and outcome to ViPOR based on molecular DLBCL subtype by cell-of-origin (COO) testing using Lymph2Cx gene-expression profiling (GEP).

II. To assess response and outcome to ViPOR based on genetic DLBCL subtype by LymphGen classification using whole exome sequencing (WES), whole genome sequencing (WGS), and ribonucleic acid (RNA)-sequencing (RNA-seq).

III. To determine other molecular correlates of response or resistance to ViPOR therapy.

IV. To determine early molecular correlates of response or resistance as well as the rate of complete molecular remission, as determined by assays for circulating-tumor deoxyribonucleic acid (DNA) (ctDNA).

OUTLINE:

Patients receive venetoclax orally (PO) once daily (QD) on days 2-14, ibrutinib PO QD on days 1-14, prednisone PO QD on days 1-7, obinutuzumab intravenously (IV) on days 1 and 2, and lenalidomide (Revlimid) PO QD on days 1-14 of each cycle. Cycles repeat every 21 days for up to 6 cycles in the absence of disease progression or unacceptable toxicity. Patients undergo blood sample collection, positron emission tomography (PET), computed tomography (CT) and/or magnetic resonance imaging (MRI) and optional tumor biopsy and bone marrow aspiration and biopsy throughout the study.

After completion of study treatment, patients are followed up every 6 months for 2 years, yearly during years 3-5, and then for survival for up to 10 years from the date of registration.

Studietype

Ingrijpend

Inschrijving (Geschat)

120

Fase

  • Fase 2

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studie Locaties

  • Verenigde Staten
    • Arizona
      • Tucson, Arizona, Verenigde Staten, 85719
        • Actief, niet wervend
        • Banner University Medical Center - Tucson
      • Tucson, Arizona, Verenigde Staten, 85719
        • Actief, niet wervend
        • University of Arizona Cancer Center-North Campus
    • California
      • Los Angeles, California, Verenigde Staten, 90048
        • Werving
        • Cedars-Sinai Medical Center
        • Hoofdonderzoeker:
          • Justin M. Darrah
        • Contact:
    • Connecticut
      • Derby, Connecticut, Verenigde Staten, 06418
        • Werving
        • Smilow Cancer Hospital-Derby Care Center
        • Hoofdonderzoeker:
          • Shalin Kothari
        • Contact:
      • Guilford, Connecticut, Verenigde Staten, 06437
        • Werving
        • Smilow Cancer Hospital Care Center - Guilford
        • Hoofdonderzoeker:
          • Shalin Kothari
        • Contact:
      • New Haven, Connecticut, Verenigde Staten, 06520
        • Werving
        • Yale University
        • Hoofdonderzoeker:
          • Shalin Kothari
        • Contact:
    • Idaho
      • Coeur d'Alene, Idaho, Verenigde Staten, 83814
        • Werving
        • Kootenai Health - Coeur d'Alene
        • Hoofdonderzoeker:
          • John M. Schallenkamp
        • Contact:
      • Post Falls, Idaho, Verenigde Staten, 83854
        • Werving
        • Kootenai Clinic Cancer Services - Post Falls
        • Hoofdonderzoeker:
          • John M. Schallenkamp
        • Contact:
      • Sandpoint, Idaho, Verenigde Staten, 83864
        • Werving
        • Kootenai Clinic Cancer Services - Sandpoint
        • Hoofdonderzoeker:
          • John M. Schallenkamp
        • Contact:
    • Illinois
      • Chicago, Illinois, Verenigde Staten, 60611
        • Werving
        • Northwestern University
        • Contact:
        • Hoofdonderzoeker:
          • Reem Karmali
      • Danville, Illinois, Verenigde Staten, 61832
        • Geschorst
        • Carle at The Riverfront
      • DeKalb, Illinois, Verenigde Staten, 60115
        • Werving
        • Northwestern Medicine Cancer Center Kishwaukee
        • Contact:
        • Hoofdonderzoeker:
          • Reem Karmali
      • Effingham, Illinois, Verenigde Staten, 62401
        • Geschorst
        • Carle Physician Group-Effingham
      • Geneva, Illinois, Verenigde Staten, 60134
        • Werving
        • Northwestern Medicine Cancer Center Delnor
        • Contact:
        • Hoofdonderzoeker:
          • Reem Karmali
      • Glenview, Illinois, Verenigde Staten, 60026
        • Werving
        • Northwestern Medicine Glenview Outpatient Center
        • Hoofdonderzoeker:
          • Reem Karmali
        • Contact:
          • Site Public Contact
          • Telefoonnummer: 312-695-1102
      • Grayslake, Illinois, Verenigde Staten, 60030
        • Werving
        • Northwestern Medicine Grayslake Outpatient Center
        • Hoofdonderzoeker:
          • Reem Karmali
        • Contact:
          • Site Public Contact
          • Telefoonnummer: 312-695-1102
      • Lake Forest, Illinois, Verenigde Staten, 60045
        • Werving
        • Northwestern Medicine Lake Forest Hospital
        • Hoofdonderzoeker:
          • Reem Karmali
        • Contact:
      • Mattoon, Illinois, Verenigde Staten, 61938
        • Geschorst
        • Carle Physician Group-Mattoon/Charleston
      • Normal, Illinois, Verenigde Staten, 61761
        • Geschorst
        • Carle Cancer Institute Normal
      • Normal, Illinois, Verenigde Staten, 61761
        • Geschorst
        • Carle BroMenn Medical Center
      • Oak Brook, Illinois, Verenigde Staten, 60523
      • Orland Park, Illinois, Verenigde Staten, 60462
      • Shiloh, Illinois, Verenigde Staten, 62269
        • Werving
        • Memorial Hospital East
        • Contact:
        • Hoofdonderzoeker:
          • Brad S. Kahl
      • Urbana, Illinois, Verenigde Staten, 61801
        • Geschorst
        • Carle Cancer Center
      • Warrenville, Illinois, Verenigde Staten, 60555
        • Werving
        • Northwestern Medicine Cancer Center Warrenville
        • Contact:
        • Hoofdonderzoeker:
          • Reem Karmali
    • Indiana
      • Crown Point, Indiana, Verenigde Staten, 46307
        • Werving
        • Northwest Cancer Center - Crown Point
        • Hoofdonderzoeker:
          • Suparna Mantha
        • Contact:
      • Dyer, Indiana, Verenigde Staten, 46311
        • Werving
        • Northwest Oncology LLC
        • Hoofdonderzoeker:
          • Suparna Mantha
        • Contact:
          • Site Public Contact
          • Telefoonnummer: 219-924-8178
      • Hobart, Indiana, Verenigde Staten, 46342
        • Werving
        • Saint Mary Medical Center
        • Hoofdonderzoeker:
          • Suparna Mantha
        • Contact:
      • Indianapolis, Indiana, Verenigde Staten, 46312
        • Werving
        • Saint Catherine Hospital
        • Hoofdonderzoeker:
          • Suparna Mantha
        • Contact:
      • Munster, Indiana, Verenigde Staten, 46321
        • Werving
        • The Community Hospital
        • Hoofdonderzoeker:
          • Suparna Mantha
        • Contact:
          • Site Public Contact
          • Telefoonnummer: 219-836-3349
      • Munster, Indiana, Verenigde Staten, 46321
        • Werving
        • Women's Diagnostic Center - Munster
        • Hoofdonderzoeker:
          • Suparna Mantha
        • Contact:
      • Valparaiso, Indiana, Verenigde Staten, 46383
        • Werving
        • Northwest Cancer Center - Valparaiso
        • Hoofdonderzoeker:
          • Suparna Mantha
        • Contact:
    • Iowa
      • Ames, Iowa, Verenigde Staten, 50010
        • Werving
        • Mary Greeley Medical Center
        • Hoofdonderzoeker:
          • Joseph J. Merchant
        • Contact:
          • Site Public Contact
          • Telefoonnummer: 515-956-4132
      • Ames, Iowa, Verenigde Staten, 50010
        • Werving
        • McFarland Clinic - Ames
        • Hoofdonderzoeker:
          • Joseph J. Merchant
        • Contact:
      • Ankeny, Iowa, Verenigde Staten, 50023
        • Werving
        • UI Health Care Mission Cancer and Blood - Ankeny Clinic
        • Contact:
          • Site Public Contact
          • Telefoonnummer: 515-241-3305
        • Hoofdonderzoeker:
          • Seema Harichand-Herdt
      • Boone, Iowa, Verenigde Staten, 50036
        • Geschorst
        • McFarland Clinic - Boone
      • Carroll, Iowa, Verenigde Staten, 51401
        • Werving
        • Saint Anthony Regional Hospital
        • Contact:
        • Hoofdonderzoeker:
          • Seema Harichand-Herdt
      • Cedar Rapids, Iowa, Verenigde Staten, 52403
        • Werving
        • Mercy Hospital
        • Contact:
          • Site Public Contact
          • Telefoonnummer: 319-365-4673
        • Hoofdonderzoeker:
          • Deborah W. Wilbur
      • Cedar Rapids, Iowa, Verenigde Staten, 52403
        • Werving
        • Oncology Associates at Mercy Medical Center
        • Hoofdonderzoeker:
          • Deborah W. Wilbur
        • Contact:
          • Site Public Contact
          • Telefoonnummer: 319-363-2690
      • Clive, Iowa, Verenigde Staten, 50325
        • Werving
        • UI Health Care Mission Cancer and Blood - West Des Moines Clinic
        • Contact:
          • Site Public Contact
          • Telefoonnummer: 515-241-3305
        • Hoofdonderzoeker:
          • Seema Harichand-Herdt
      • Des Moines, Iowa, Verenigde Staten, 50314
        • Werving
        • Broadlawns Medical Center
        • Contact:
          • Site Public Contact
          • Telefoonnummer: 515-282-2200
        • Hoofdonderzoeker:
          • Seema Harichand-Herdt
      • Des Moines, Iowa, Verenigde Staten, 50309
        • Werving
        • Iowa Methodist Medical Center
        • Contact:
          • Site Public Contact
          • Telefoonnummer: 515-241-6727
        • Hoofdonderzoeker:
          • Seema Harichand-Herdt
      • Des Moines, Iowa, Verenigde Staten, 50309
        • Werving
        • UI Health Care Mission Cancer and Blood - Des Moines Clinic
        • Contact:
          • Site Public Contact
          • Telefoonnummer: 515-241-3305
        • Hoofdonderzoeker:
          • Seema Harichand-Herdt
      • Des Moines, Iowa, Verenigde Staten, 50314
        • Werving
        • UI Health Care Mission Cancer and Blood - Laurel Clinic
        • Contact:
          • Site Public Contact
          • Telefoonnummer: 515-241-3305
        • Hoofdonderzoeker:
          • Seema Harichand-Herdt
      • Fort Dodge, Iowa, Verenigde Staten, 50501
        • Werving
        • McFarland Clinic - Trinity Cancer Center
        • Hoofdonderzoeker:
          • Joseph J. Merchant
        • Contact:
          • Site Public Contact
          • Telefoonnummer: 515-956-4132
      • Fort Dodge, Iowa, Verenigde Staten, 50501
        • Werving
        • UI Healthcare Mission Cancer and Blood - Fort Dodge
        • Hoofdonderzoeker:
          • Seema Harichand-Herdt
        • Contact:
      • Jefferson, Iowa, Verenigde Staten, 50129
        • Geschorst
        • McFarland Clinic - Jefferson
      • Marshalltown, Iowa, Verenigde Staten, 50158
        • Werving
        • McFarland Clinic - Marshalltown
        • Hoofdonderzoeker:
          • Joseph J. Merchant
        • Contact:
          • Site Public Contact
          • Telefoonnummer: 515-956-4132
      • Waukee, Iowa, Verenigde Staten, 50263
        • Werving
        • UI Health Care Mission Cancer and Blood - Waukee Clinic
        • Contact:
          • Site Public Contact
          • Telefoonnummer: 515-241-3305
        • Hoofdonderzoeker:
          • Seema Harichand-Herdt
    • Louisiana
      • New Orleans, Louisiana, Verenigde Staten, 70121
        • Geschorst
        • Ochsner Medical Center Jefferson
    • Maryland
      • Bethesda, Maryland, Verenigde Staten, 20892
        • Werving
        • National Institutes of Health Clinical Center
        • Contact:
          • Site Public Contact
          • Telefoonnummer: 800-411-1222
        • Hoofdonderzoeker:
          • Christopher J. Melani
      • Bethesda, Maryland, Verenigde Staten, 20889-5600
        • Werving
        • Walter Reed National Military Medical Center
        • Contact:
          • Site Public Contact
          • Telefoonnummer: 301-319-2100
        • Hoofdonderzoeker:
          • Christin Destefano
    • Michigan
      • Escanaba, Michigan, Verenigde Staten, 49829
        • Werving
        • OSF Saint Francis Hospital and Medical Group
        • Hoofdonderzoeker:
          • Brian L. Burnette
        • Contact:
      • Manistique, Michigan, Verenigde Staten, 49854
        • Werving
        • Schoolcraft Memorial Hospital
        • Hoofdonderzoeker:
          • Brian L. Burnette
        • Contact:
    • Minnesota
      • Brainerd, Minnesota, Verenigde Staten, 56401
        • Werving
        • Essentia Health Saint Joseph's Medical Center
        • Contact:
        • Hoofdonderzoeker:
          • Bret E. Friday
      • Deer River, Minnesota, Verenigde Staten, 56636
        • Werving
        • Essentia Health - Deer River Clinic
        • Contact:
        • Hoofdonderzoeker:
          • Bret E. Friday
      • Duluth, Minnesota, Verenigde Staten, 55805
        • Werving
        • Essentia Health Cancer Center
        • Contact:
        • Hoofdonderzoeker:
          • Bret E. Friday
      • Hibbing, Minnesota, Verenigde Staten, 55746
        • Werving
        • Essentia Health Hibbing Clinic
        • Hoofdonderzoeker:
          • Bret E. Friday
        • Contact:
          • Site Public Contact
          • Telefoonnummer: 218-786-3308
      • Sandstone, Minnesota, Verenigde Staten, 55072
        • Werving
        • Essentia Health Sandstone
        • Contact:
        • Hoofdonderzoeker:
          • Bret E. Friday
      • Virginia, Minnesota, Verenigde Staten, 55792
        • Werving
        • Essentia Health Virginia Clinic
        • Contact:
        • Hoofdonderzoeker:
          • Bret E. Friday
    • Missouri
      • City of Saint Peters, Missouri, Verenigde Staten, 63376
        • Werving
        • Siteman Cancer Center at Saint Peters Hospital
        • Contact:
        • Hoofdonderzoeker:
          • Brad S. Kahl
      • Creve Coeur, Missouri, Verenigde Staten, 63141
        • Werving
        • Siteman Cancer Center at West County Hospital
        • Contact:
        • Hoofdonderzoeker:
          • Brad S. Kahl
      • St Louis, Missouri, Verenigde Staten, 63110
        • Werving
        • Washington University School of Medicine
        • Contact:
        • Hoofdonderzoeker:
          • Brad S. Kahl
      • St Louis, Missouri, Verenigde Staten, 63129
        • Werving
        • Siteman Cancer Center-South County
        • Contact:
        • Hoofdonderzoeker:
          • Brad S. Kahl
      • St Louis, Missouri, Verenigde Staten, 63136
        • Werving
        • Siteman Cancer Center at Christian Hospital
        • Contact:
        • Hoofdonderzoeker:
          • Brad S. Kahl
    • Montana
      • Anaconda, Montana, Verenigde Staten, 59711
        • Geschorst
        • Community Hospital of Anaconda
      • Billings, Montana, Verenigde Staten, 59101
        • Werving
        • Billings Clinic Cancer Center
        • Hoofdonderzoeker:
          • John M. Schallenkamp
        • Contact:
      • Bozeman, Montana, Verenigde Staten, 59715
        • Geschorst
        • Bozeman Health Deaconess Hospital
      • Great Falls, Montana, Verenigde Staten, 59405
        • Werving
        • Benefis Sletten Cancer Institute
        • Hoofdonderzoeker:
          • John M. Schallenkamp
        • Contact:
      • Kalispell, Montana, Verenigde Staten, 59901
        • Geschorst
        • Logan Health Medical Center
      • Missoula, Montana, Verenigde Staten, 59804
        • Werving
        • Community Medical Center
        • Hoofdonderzoeker:
          • John M. Schallenkamp
        • Contact:
    • Nebraska
      • Bellevue, Nebraska, Verenigde Staten, 68123
        • Werving
        • Nebraska Medicine-Bellevue
        • Contact:
        • Hoofdonderzoeker:
          • Snegha Ananth
      • Omaha, Nebraska, Verenigde Staten, 68198
        • Werving
        • University of Nebraska Medical Center
        • Contact:
        • Hoofdonderzoeker:
          • Snegha Ananth
      • Omaha, Nebraska, Verenigde Staten, 68118
        • Werving
        • Nebraska Medicine-Village Pointe
        • Contact:
          • Site Public Contact
          • Telefoonnummer: 402-559-5600
        • Hoofdonderzoeker:
          • Snegha Ananth
    • New York
      • Buffalo, New York, Verenigde Staten, 14263
        • Werving
        • Roswell Park Cancer Institute
        • Contact:
        • Hoofdonderzoeker:
          • Alex Niu
    • North Carolina
      • Durham, North Carolina, Verenigde Staten, 27710
        • Geschorst
        • Duke University Medical Center
    • North Dakota
      • Fargo, North Dakota, Verenigde Staten, 58103
        • Werving
        • Essentia Health Cancer Center-South University Clinic
        • Contact:
        • Hoofdonderzoeker:
          • Bret E. Friday
    • Ohio
      • Canton, Ohio, Verenigde Staten, 44710
        • Werving
        • Aultman Health Foundation
        • Contact:
        • Hoofdonderzoeker:
          • Aarthi Rajkumar
      • Cincinnati, Ohio, Verenigde Staten, 45219
        • Werving
        • University of Cincinnati Cancer Center-UC Medical Center
        • Hoofdonderzoeker:
          • Tahir Latif
        • Contact:
      • Columbus, Ohio, Verenigde Staten, 43210
        • Werving
        • Ohio State University Comprehensive Cancer Center
        • Contact:
        • Hoofdonderzoeker:
          • Kathryn Lurain
      • West Chester, Ohio, Verenigde Staten, 45069
        • Werving
        • University of Cincinnati Cancer Center-West Chester
        • Hoofdonderzoeker:
          • Tahir Latif
        • Contact:
    • Oklahoma
      • Oklahoma City, Oklahoma, Verenigde Staten, 73104
        • Geschorst
        • University of Oklahoma Health Sciences Center
    • Oregon
      • Hood River, Oregon, Verenigde Staten, 97031
        • Werving
        • Providence Hood River Memorial Hospital
        • Hoofdonderzoeker:
          • Alison K. Conlin
        • Contact:
      • Newberg, Oregon, Verenigde Staten, 97132
        • Werving
        • Providence Newberg Medical Center
        • Hoofdonderzoeker:
          • Alison K. Conlin
        • Contact:
      • Oregon City, Oregon, Verenigde Staten, 97045
        • Werving
        • Providence Willamette Falls Medical Center
        • Hoofdonderzoeker:
          • Alison K. Conlin
        • Contact:
      • Portland, Oregon, Verenigde Staten, 97213
        • Werving
        • Providence Portland Medical Center
        • Hoofdonderzoeker:
          • Alison K. Conlin
        • Contact:
      • Portland, Oregon, Verenigde Staten, 97225
        • Werving
        • Providence Saint Vincent Medical Center
        • Hoofdonderzoeker:
          • Alison K. Conlin
        • Contact:
    • Pennsylvania
      • Philadelphia, Pennsylvania, Verenigde Staten, 19107
        • Werving
        • Thomas Jefferson University Hospital
        • Contact:
        • Hoofdonderzoeker:
          • Michael Wysota
    • Vermont
      • Burlington, Vermont, Verenigde Staten, 05401
        • Werving
        • University of Vermont Medical Center
        • Hoofdonderzoeker:
          • James N. Gerson
        • Contact:
          • Site Public Contact
          • Telefoonnummer: 802-656-4101
          • E-mail: rpo@uvm.edu
      • Burlington, Vermont, Verenigde Staten, 05405
        • Werving
        • University of Vermont and State Agricultural College
        • Hoofdonderzoeker:
          • James N. Gerson
        • Contact:
          • Site Public Contact
          • Telefoonnummer: 802-656-8990
          • E-mail: rpo@uvm.edu
    • Virginia
      • Charlottesville, Virginia, Verenigde Staten, 22908
      • Richmond, Virginia, Verenigde Staten, 23298
        • Werving
        • VCU Massey Comprehensive Cancer Center
        • Hoofdonderzoeker:
          • Bruce O. Hough
        • Contact:
    • Washington
      • Seattle, Washington, Verenigde Staten, 98122
        • Werving
        • Swedish Medical Center-First Hill
        • Hoofdonderzoeker:
          • Alison K. Conlin
        • Contact:
    • Wisconsin
      • Ashland, Wisconsin, Verenigde Staten, 54806
        • Werving
        • Duluth Clinic Ashland
        • Contact:
        • Hoofdonderzoeker:
          • Bret E. Friday
      • Green Bay, Wisconsin, Verenigde Staten, 54301
        • Werving
        • Saint Vincent Hospital Cancer Center Green Bay
        • Hoofdonderzoeker:
          • Brian L. Burnette
        • Contact:
      • Green Bay, Wisconsin, Verenigde Staten, 54303
        • Werving
        • Saint Vincent Hospital Cancer Center at Saint Mary's
        • Hoofdonderzoeker:
          • Brian L. Burnette
        • Contact:
      • Janesville, Wisconsin, Verenigde Staten, 53548
        • Werving
        • Mercyhealth Hospital and Cancer Center - Janesville
        • Contact:
        • Hoofdonderzoeker:
          • Emily G. Robinson
      • La Crosse, Wisconsin, Verenigde Staten, 54601
        • Werving
        • Gundersen Lutheran Medical Center
        • Contact:
        • Hoofdonderzoeker:
          • Kurt Oettel
      • Madison, Wisconsin, Verenigde Staten, 53792
        • Werving
        • University of Wisconsin Carbone Cancer Center - University Hospital
        • Hoofdonderzoeker:
          • Priyanka Pophali
        • Contact:
      • Madison, Wisconsin, Verenigde Staten, 53718
        • Werving
        • University of Wisconsin Carbone Cancer Center - Eastpark Medical Center
        • Hoofdonderzoeker:
          • Priyanka Pophali
        • Contact:
      • Menomonee Falls, Wisconsin, Verenigde Staten, 53051
        • Werving
        • Froedtert Menomonee Falls Hospital
        • Contact:
          • Site Public Contact
          • Telefoonnummer: 262-257-5100
        • Hoofdonderzoeker:
          • Kaitlin Annunzio
      • Milwaukee, Wisconsin, Verenigde Staten, 53226
        • Werving
        • Medical College of Wisconsin
        • Contact:
          • Site Public Contact
          • Telefoonnummer: 414-805-3666
        • Hoofdonderzoeker:
          • Kaitlin Annunzio
      • Mukwonago, Wisconsin, Verenigde Staten, 53149
        • Werving
        • ProHealth D N Greenwald Center
        • Contact:
        • Hoofdonderzoeker:
          • Timothy R. Wassenaar
      • New Berlin, Wisconsin, Verenigde Staten, 53151
        • Werving
        • Froedtert and MCW Moorland Reserve Health Center
        • Contact:
          • Site Public Contact
          • Telefoonnummer: 414-805-0505
        • Hoofdonderzoeker:
          • Kaitlin Annunzio
      • Oak Creek, Wisconsin, Verenigde Staten, 53154
        • Werving
        • Drexel Town Square Health Center
        • Contact:
          • Site Public Contact
          • Telefoonnummer: 414-805-0505
        • Hoofdonderzoeker:
          • Kaitlin Annunzio
      • Oconomowoc, Wisconsin, Verenigde Staten, 53066
        • Werving
        • ProHealth Oconomowoc Memorial Hospital
        • Hoofdonderzoeker:
          • Timothy R. Wassenaar
        • Contact:
          • Site Public Contact
          • Telefoonnummer: 262-928-7878
      • Oconto Falls, Wisconsin, Verenigde Staten, 54154
        • Werving
        • Saint Vincent Hospital Cancer Center at Oconto Falls
        • Hoofdonderzoeker:
          • Brian L. Burnette
        • Contact:
      • Sheboygan, Wisconsin, Verenigde Staten, 53081
        • Werving
        • Saint Vincent Hospital Cancer Center at Sheboygan
        • Hoofdonderzoeker:
          • Brian L. Burnette
        • Contact:
      • Sheboygan, Wisconsin, Verenigde Staten, 53081
        • Werving
        • Sheboygan Physicians Group
        • Hoofdonderzoeker:
          • Brian L. Burnette
        • Contact:
      • Spooner, Wisconsin, Verenigde Staten, 54801
        • Werving
        • Essentia Health-Spooner Clinic
        • Contact:
        • Hoofdonderzoeker:
          • Bret E. Friday
      • Sturgeon Bay, Wisconsin, Verenigde Staten, 54235-1495
        • Werving
        • Saint Vincent Hospital Cancer Center at Sturgeon Bay
        • Hoofdonderzoeker:
          • Brian L. Burnette
        • Contact:
      • Superior, Wisconsin, Verenigde Staten, 54880
        • Werving
        • Essentia Health Saint Mary's Hospital - Superior
        • Hoofdonderzoeker:
          • Bret E. Friday
        • Contact:
          • Site Public Contact
          • Telefoonnummer: 701-364-6272
      • Waukesha, Wisconsin, Verenigde Staten, 53188
        • Werving
        • UW Cancer Center at ProHealth Care
        • Hoofdonderzoeker:
          • Timothy R. Wassenaar
        • Contact:
      • West Bend, Wisconsin, Verenigde Staten, 53095
        • Werving
        • Froedtert West Bend Hospital/Kraemer Cancer Center
        • Contact:
          • Site Public Contact
          • Telefoonnummer: 414-805-0505
        • Hoofdonderzoeker:
          • Kaitlin Annunzio

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

18 jaar en ouder (Volwassen, Oudere volwassene)

Accepteert gezonde vrijwilligers

Nee

Geslachten die in aanmerking komen voor studie

Allemaal

Beschrijving

Inclusion Criteria:

  • Patient must be ≥ 18 years of age

  • Patient must have histologically or cytologically confirmed aggressive B-cell lymphoma as follows:

    • Cohort 1: CD10-negative DLBCL, which includes:

      • CD10-negative non-GCB DLBCL, not otherwise specified (NOS) (i.e., CD10-/BCL6- or CD10-/BCL6+/MUM1+ DLBCL)
      • CD10-negative GCB DLBCL, NOS (i.e., CD10-/BCL6+/MUM1- DLBCL)
      • CD10-negative HGBCL with MYC and BCL6 (without BCL2) translocations (HGBCL-DH-BCL6)
      • CD10-negative HGBCL, NOS (without MYC and BCL2 translocations)
      • CD10-negative T-cell/histiocyte-rich large B-cell lymphoma (THRLBCL) OR

    • Cohort 2: CD10-positive or negative HGBCL with MYC and BCL2 rearrangements (with or without BCL6 rearrangement) (HGBCL-DH-BCL2)

      • NOTE: The site principal investigator must review and verify the pathology report findings to ensure the patient is eligible and is assigned to the respective cohort at the time of registration

  • Patient must have relapsed and/or refractory disease after at least 1 prior anthracycline and anti-CD20 antibody-containing regimen

  • Patient must not have confirmed or suspected primary mediastinal large B-cell lymphoma (PMBL)

  • Patient must not be pregnant due to the potential harm to an unborn fetus with the treatment regimens being used.

    • All patients of childbearing potential must have a serum or urine study with a sensitivity of at least 25 mIU/mL within 14 days prior to registration to rule out pregnancy and again within 24 hours prior to starting cycle 1 day 1 of treatment.
    • A patient of childbearing potential is defined as anyone, regardless of whether they have undergone tubal ligation, who meets the following criteria: 1) has achieved menarche at some point, 2) has not undergone a hysterectomy or bilateral oophorectomy; or 3) has not been naturally postmenopausal (amenorrhea following cancer therapy does not rule out childbearing potential) for at least 24 consecutive months (i.e., has had menses at any time in the preceding 24 consecutive months)

  • Patients of childbearing potential must not expect to conceive children by abstaining from sexual intercourse or by using accepted and effective methods of contraception throughout the entire duration of protocol treatment, including during dose interruptions, and for 6 months after the last dose of protocol treatment. Male patients must not father children by abstaining from sexual intercourse or by using a condom during sexual contact with pregnant partners or partners of childbearing potential throughout the entire duration of protocol treatment, including dose interruptions, and for 6 months after the last dose of protocol treatment even if they have had a successful vasectomy

  • Male patients must agree to not donate semen or sperm during the entire duration of protocol treatment or for at least 28 days after the last dose of lenalidomide

  • Patient must agree to abstain from breastfeeding during the entire duration of protocol treatment and for at least 6 months after the last dose of protocol treatment

  • Patient must agree to abstain from donating blood during the entire duration of protocol treatment and for at least 28 days after the last dose of lenalidomide

  • Patient must have the ability to understand and the willingness to sign a written informed consent document. Patients with impaired decision-making capacity (IDMC) who have a legally authorized representative (LAR) or caregiver and/or family member available will also be considered eligible

  • Absolute neutrophil count (ANC) ≥ 1,000/mcL without requirement for granulocyte colony stimulating factor (G-CSF) support (obtained ≤ 7 days prior to registration)

  • Hemoglobin ≥ 8 g/dL (obtained ≤ 7 days prior to registration)

  • Platelets ≥ 75,000/mcL without requirement for platelet transfusion support (obtained ≤ 7 days prior to registration)

  • Total bilirubin ≤ 1.5 x institutional upper limit of normal (ULN) (or ≤ 3.0 x institutional ULN for patients with documented Gilberts syndrome) (obtained ≤ 7 days prior to registration)

  • Aspartate aminotransferase (AST) (serum glutamic oxaloacetic transaminase [SGOT])/alanine aminotransferase (ALT) (serum glutamic pyruvic transaminase [SGPT]) ≤ 3.0 x institutional ULN (obtained ≤ 7 days prior to registration)

  • Creatinine ≤ 1.5 mg/dL OR creatinine clearance ≥ 30 mL/min/1.73 m^2 (estimated by Cockcroft-Gault method or measured) (obtained ≤ 7 days prior to registration)

  • Human immunodeficiency virus (HIV)-infected patients on effective anti-retroviral therapy with undetectable viral load within 6 months of registration are eligible for this trial

  • For patients with evidence of chronic hepatitis B virus (HBV) infection, the HBV viral load must be undetectable on suppressive therapy, if indicated

  • Patients with a history of hepatitis C virus (HCV) infection must have been treated and cured. For patients with HCV infection who are currently on treatment, they are eligible if they have an undetectable HCV viral load

  • Patient must not have confirmed or suspected primary DLBCL of the central nervous system (CNS) (PCNSL)

  • Patients with history of secondary CNS lymphoma (SCNSL) are eligible if follow-up brain imaging after central nervous system (CNS)-directed therapy shows no evidence of progression

  • Patients with a prior or concurrent malignancy whose natural history or treatment does not have the potential to interfere with the safety or efficacy assessment of the investigational regimen are eligible for this trial

  • Patient must not have taken or require warfarin or other strong CYP3A inhibitors or inducers within 7 days prior to registration.

    • NOTE: Antiplatelet agents, other anticoagulants aside from warfarin, as well as mild or moderate CYP3A inhibitors or inducers are permitted on study but should be used with caution

  • Patient must not have an uncontrolled intercurrent illness that would interfere with the safety or efficacy assessment of this protocol

  • Patient must not have evidence of an active infection at the time of registration

  • Patient must not have the following current or prior anti-cancer treatment:

    • Any chemotherapy, targeted therapy, anti-cancer antibodies, antibody-drug conjugates, or bi-specific antibodies received within 2 weeks prior to registration

      • NOTE: Short courses of corticosteroids or palliative external beam radiation therapy (XRT) prior to registration are permitted

    • More than 3 prior lines of cytotoxic chemotherapy, excluding targeted therapy, anti-cancer antibodies, antibody-drug conjugates, bi-specific antibodies, and radio- or toxin-immunoconjugates

      • NOTE: Cytoreductive chemotherapy followed by autologous stem cell transplant (ASCT) counts as 1 line of cytotoxic therapy. Similarly, cytoreductive chemotherapy (either pre-T-cell collection or as bridging therapy) followed by pre-conditioning therapy/chimeric antigen receptor T-cell (CAR-T) counts as 1 line of therapy, as long as no disease progression occurs between interventions. For both therapies, if progressive disease is documented between 2 distinct regimens, then they should be counted as 2 lines of cytotoxic chemotherapy

    • Radio- or toxin-immunoconjugates within 10 weeks prior to registration

    • Previous treatment with more than one of the following study agents: venetoclax (or another BCL2 inhibitor), ibrutinib (or another BTK inhibitor), or lenalidomide (or another immunomodulatory imide drug [IMiD])

    • Prior autologous stem cell transplant (ASCT), chimeric antigen receptor T-cell (CAR-T) therapy, or allogeneic stem cell (or other organ) transplant within 3 months prior to registration

    • Any evidence of active graft-versus-host disease or requirement for immunosuppressants within 28 days prior to registration

      • NOTE: In addition, patient must have recovered (i.e., ≤ grade 1 or baseline) from all adverse events due to previously administered anti-cancer treatment, surgery, or procedure
      • NOTE: Exceptions to this include events not considered to place the patient at unacceptable risk of participation in the opinion of the treating investigator (i.e., alopecia)

  • Patients with known history or current symptoms of cardiac disease, or history of treatment with cardiotoxic agents, should have a clinical risk assessment of cardiac function using the New York Heart Association Functional Classification. To be eligible for this trial, patients should be class 2B or better

  • Patient must have adequate formalin fixed paraffin embedded (FFPE) tumor tissue specimen from the initial diagnostic biopsy or on-study repeat tumor tissue biopsy for molecular analysis

    • NOTE: Excisional tumor biopsy is preferred. Core needle biopsies will be considered adequate if there is enough tissue for the mandatory molecular analysis. Submission of an entire FFPE tumor block is preferred, but if unavailable 10 x 10um FFPE scrolls may be submitted as an alternative. If adequate archived FFPE tumor tissue is unavailable, the patient must be willing to undergo research biopsy for molecular analysis

  • Patient must have measurable disease

  • Patient must have an Eastern Cooperative Oncology Group (ECOG) performance status 0-2

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Behandeling
  • Toewijzing: NVT
  • Interventioneel model: Opdracht voor een enkele groep
  • Masker: Geen (open label)

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Experimenteel: Treatment (ViPOR)

Patients receive venetoclax PO QD on days 2-14, ibrutinib PO QD on days 1-14, prednisone PO QD on days 1-7, obinutuzumab IV on days 1 and 2, and Revlimid PO QD on days 1-14 of each cycle. Cycles repeat every 21 days for up to 6 cycles in the absence of disease progression or unacceptable toxicity. Patients undergo blood sample collection, PET, CT and/or MRI and optional tumor biopsy and bone marrow aspiration and biopsy throughout the study.
Geneesmiddel: Prednisone

Given PO

Andere namen:
  • Deltason
  • Orason
  • .delta.1-cortisone
  • 1, 2-dehydrocortison
  • Adason
  • Cortantyl
  • Dacortin
  • DeCortin
  • Decortyl
  • Decorton
  • Delta 1-cortisone
  • Delta-koepel
  • Deltacorteen
  • Deltacortison
  • Deltadehydrocortison
  • Deltison
  • Delta
  • Econosone
  • Lisacort
  • Meprosona-F
  • Metacortandracine
  • Meticorten
  • Ofisolona
  • Panafcort
  • Panasol-S
  • Paracort
  • Perrigo Prednison
  • PRED
  • Voorspeller
  • Voorspellen
  • Prednicen-M
  • Prednicort
  • Prednidib
  • Prednilonga
  • Predniment
  • Prednison Intensol
  • Prednison
  • Predniton
  • Promifen
  • Rayo's
  • Servies
  • SK-Prednison
Geneesmiddel: Lenalidomide

Given PO

Andere namen:
  • CC-5013
  • Revlimid
  • CC5013
  • CDC 501
  • CC 5013
Procedure: Biospecimen Collection

Undergo blood sample collection

Andere namen:
  • Biologische monsterverzameling
  • Biospecimen verzameld
  • Specimenverzameling
  • Monsterverzameling
Procedure: Computed Tomography

Undergo CT

Andere namen:
  • CT
  • KAT
  • CT-scan
  • Axiale computertomografie
  • Computergestuurde axiale tomografie
  • Computergestuurde tomografie
  • tomografie
  • Geautomatiseerde axiale tomografie (procedure)
  • Computertomografie (CT)-scan
  • Diagnostische kattencan
  • Diagnostisch CAT -scanservice type
Procedure: Magnetic Resonance Imaging

Undergo MRI

Andere namen:
  • MRI
  • Magnetische resonantie
  • Magnetic Resonance Imaging-scan
  • Medische beeldvorming, magnetische resonantie / nucleaire magnetische resonantie
  • DHR
  • MR-beeldvorming
  • MRI scan
  • NMR-beeldvorming
  • NMRI
  • Nucleaire magnetische resonantie beeldvorming
  • Magnetische resonantiebeeldvorming (MRI)
  • sMRI
  • Magnetische resonantiebeeldvorming (procedure)
  • MRI's
  • Structurele MRI
Procedure: Bone Marrow Aspiration

Undergo bone marrow aspiration and biopsy

Procedure: Bone Marrow Biopsy

Undergo bone marrow aspiration and biopsy

Andere namen:
  • Biopsie van beenmerg
  • Biopsie, beenmerg
Geneesmiddel: Ibrutinib

Given PO

Andere namen:
  • PCI-32765
  • Imbruvica
  • BTK-remmer PCI-32765
  • CRA-032765
  • PCI32765
  • CRA032765
Procedure: Positron Emission Tomography

Undergo PET

Andere namen:
  • Medische beeldvorming, positronemissietomografie
  • HUISDIER
  • PET-scan
  • Positron Emissie Tomografie Scan
  • Positron-emissietomografie
  • PT
  • Positronemissietomografie (procedure)
Geneesmiddel: Venetoclax

Given PO

Andere namen:
  • Venclexta
  • ABT-0199
  • ABT-199
  • ABT199
  • GDC-0199
  • RG7601
  • Venclyxto
  • ABT 199
  • GDC 0199
  • GDC0199
Biologisch: Obinutuzumab

Given IV

Andere namen:
  • Gazyva
  • RO5072759
  • GA101
  • Anti-CD20 monoklonaal antilichaam R7159
  • GA-101
  • huMAB(CD20)
  • R7159
  • RO 5072759
  • RO-5072759
  • GA 101
  • € 7159
  • R-7159
Procedure: Biopsy Procedure

Undergo optional tumor biopsy

Andere namen:
  • Bx
  • BIOSY_TYPE
  • Biopsie

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Complete response (CR) rate (CD10-negative diffuse large B cell lymphoma [DLBCL] and high grade B-cell lymphoma with MYC and BCL2 with or without BCL6 rearrangements [HGBCL-DH-BCL2])
Tijdsspanne: Up to 5 years

Will be assessed using the Lugano Classification and will be defined as the complete disappearance of all detectable clinical evidence of disease, and disease-related symptoms if present prior to therapy.
Up to 5 years

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
CR rate (CD10-negative activated B-cell [ABC] and non-ABC DLBCL)
Tijdsspanne: Up to 5 years

Estimates will be presented with 90% confidence intervals. Frequency and proportion will be used to describe variables on the nominal/ordinal scale, and measures of dispersion for interval/ratio variables. Logistic/linear regression will be performed for binary/continuous endpoints variables.
Up to 5 years
Overall response rate
Tijdsspanne: Up to 5 years

Estimates will be presented with 90% confidence intervals. Frequency and proportion will be used to describe variables on the nominal/ordinal scale, and measures of dispersion for interval/ratio variables. Logistic/linear regression will be performed for binary/continuous endpoints variables.
Up to 5 years
Duration of response (DOR)
Tijdsspanne: From the documented beginning of response to the time of relapse up to 10 years

Estimates will be presented with 90% confidence intervals. Kaplan-Meier method will be used to visualize DOR. Frequency and proportion will be used to describe variables on the nominal/ordinal scale, and measures of dispersion for interval/ratio variables. Logistic/linear regression will be performed for binary/continuous endpoints variables.
From the documented beginning of response to the time of relapse up to 10 years
Event-free survival (EFS)
Tijdsspanne: From study entry to any treatment failure including discontinuation of treatment for any reason, such as disease progression, toxicity, patient preference, initiation of new treatment without documented progression, or death up to 10 years

Estimates will be presented with 90% confidence intervals. Kaplan-Meier method will be used to visualize EFS. Frequency and proportion will be used to describe variables on the nominal/ordinal scale, and measures of dispersion for interval/ratio variables. Multivariable analysis will be performed with Cox PH model and logistic/linear regression will be performed for binary/continuous endpoints variables.
From study entry to any treatment failure including discontinuation of treatment for any reason, such as disease progression, toxicity, patient preference, initiation of new treatment without documented progression, or death up to 10 years
Time of progression (TTP)
Tijdsspanne: From study entry until lymphoma progression or death due to lymphoma up to 10 years

Estimates will be presented with 90% confidence intervals. Kaplan-Meier method will be used to visualize TTP. Frequency and proportion will be used to describe variables on the nominal/ordinal scale, and measures of dispersion for interval/ratio variables. Multivariable analysis will be performed with Cox PH model and logistic/linear regression will be performed for binary/continuous endpoints variables.
From study entry until lymphoma progression or death due to lymphoma up to 10 years
Progression-free survival (PFS)
Tijdsspanne: From entry onto study until lymphoma progression or death from any cause up to 10 years

Estimates will be presented with 90% confidence intervals. Kaplan-Meier method will be used to visualize PFS. Frequency and proportion will be used to describe variables on the nominal/ordinal scale, and measures of dispersion for interval/ratio variables. Logistic/linear regression will be performed for binary/continuous endpoints variables.
From entry onto study until lymphoma progression or death from any cause up to 10 years
Overall survival (OS)
Tijdsspanne: From date of study entry to date of death up to 10 years

Estimates will be presented with 90% confidence intervals. Kaplan-Meier method will be used to visualize OS. Frequency and proportion will be used to describe variables on the nominal/ordinal scale, and measures of dispersion for interval/ratio variables. Logistic/linear regression will be performed for binary/continuous endpoints variables.
From date of study entry to date of death up to 10 years
Incidence of adverse events for patients who are CD10-negative ABC DLBCL, and CD10-negative non-ABC (i.e., unclassified or germinal center B-cell) DLBCL, and CD10-positive or negative HGBCL-DH-BCL2
Tijdsspanne: Up to 30 days after last dose of study treatment

Toxicity data will be pooled for tabulation and analysis.
Up to 30 days after last dose of study treatment

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Sponsor

National Cancer Institute (NCI)

Onderzoekers

  • Hoofdonderzoeker: Christopher J Melani, ECOG-ACRIN Cancer Research Group

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Werkelijk)

7 oktober 2025

Primaire voltooiing (Geschat)

1 september 2028

Studie voltooiing (Geschat)

1 september 2028

Studieregistratiedata

Eerst ingediend

18 oktober 2024

Eerst ingediend dat voldeed aan de QC-criteria

18 oktober 2024

Eerst geplaatst (Werkelijk)

21 oktober 2024

Updates van studierecords

Laatste update geplaatst (Werkelijk)

21 oktober 2026

Laatste update ingediend die voldeed aan QC-criteria

20 oktober 2026

Laatst geverifieerd

1 augustus 2026

Meer informatie

Termen gerelateerd aan deze studie

Aanvullende relevante MeSH-voorwaarden

Andere studie-ID-nummers

  • NCI-2024-08642
  • U10CA180820 (Subsidie/contract van de Amerikaanse NIH)
  • NCI-2024-08642 (Register-ID: CTRP (Clinical Trial Reporting Program))
  • EA4231 (Andere identificatie: CTEP)
  • EA4231 (Andere identificatie: ECOG-ACRIN Cancer Research Group)

Plan Individuele Deelnemersgegevens (IPD)

Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?

JA

Beschrijving IPD-plan

NCI is committed to sharing data in accordance with NIH policy. For more details on how clinical trial data is shared, access the link to the NIH data sharing policy page.

Informatie over medicijnen en apparaten, studiedocumenten

Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Ja

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Nee

product vervaardigd in en geëxporteerd uit de V.S.

Nee

Deze informatie is zonder wijzigingen rechtstreeks van de website clinicaltrials.gov gehaald. Als u verzoeken heeft om uw onderzoeksgegevens te wijzigen, te verwijderen of bij te werken, neem dan contact op met register@clinicaltrials.gov. Zodra er een wijziging wordt doorgevoerd op clinicaltrials.gov, wordt deze ook automatisch bijgewerkt op onze website .

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