Diffuse Large B Cell LymphomaPhase 2NCT04025593
Biomarker Guided Treatment in DLBCL
A Phase 2 study testing Cyclophosphamide, Rituximab and Doxorubicin in people with Diffuse Large B Cell Lymphoma, run by Ruijin Hospital at 1 site in China.
Trial summary
This study is to investigate the strategy of biomarker guided treatment in diffuse large B cell lymphoma Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Diffuse Large B Cell Lymphoma
- What is being tested?
- Cyclophosphamide, Rituximab and Doxorubicin
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 128 participants
- Where
- 1 siteChina
- Study dates
- 17 Jul 2019to 1 Jun 2023
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Pathologically confirmed diffuse large B-cell lymphoma, CD20 positive
- ECOG 0,1,2
- Life expectancy>6 months
- Informed consented
- IPI>1
Who cannot join
- Chemotherapy before
- Stem cell transplantation before
- History of malignancy except for basal cell or squamous cell carcinoma of the skin or carcinoma in situ of the cervix
- Uncontrollable cardio-cerebral vascular, coagulative, autoimmune, serious infectious disease
- Primary CNS lymphoma
- LVEF≤50%
- Lab at enrollment (Unless caused by lymphoma) Neutrophile<1.5*10^9/L Platelet<75*10^9/L ALT or AST >2*ULN,AKP or bilirubin >1.5*ULN Creatinine>1.5*ULN Other uncontrollable medical condition that may that may interfere the participation of the study Not able to comply to the protocol for mental or other unknown reasons Pregnant or lactation HIV infection If HbsAg positive, should check HBV DNA, DNA positive patients cannot be enrolled. If HBsAg negative but HBcAb positive (whatever HBsAb status), should check HBV DNA,DNA positive patients cannot be enrolled.
Trial locations and contacts
1 site in 1 country.
China1 site, 1 recruiting
- Recruiting
Ruijin hospital
Shanghai, Shanghai Municipality, 200025
Pp X, MD, PhD, 86-21-64370045 ext. 610707, xpproc@msn.com
WL Z, MD, PhD
About this study
Official title: A Randomized, Phase 2 Study of Biomarker Guided Treatment in DLBCL
This study is to investigate the strategy of biomarker guided treatment in diffuse large B cell lymphoma
- Conditions
- Diffuse Large B Cell Lymphoma
- Being tested
- Cyclophosphamide, Rituximab, Doxorubicin, Vincristine, Prednisone
- Medical subject headings
- Lymphoma, Large B-Cell, Diffuse
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CyclophosphamideDrug
750mg/m2 day 1
RituximabDrug
375mg/m2 day 0
DoxorubicinDrug
50mg/m2 day 1
VincristineDrug
1.4mg/m2, max 2mg day 1
PrednisoneDrug
60mg/m2, max 100mg day 1-5
IbrutinibDrug
420mg/day qd
LenalidomideDrug
25mg day1-10
chidamideDrug
20mg day 1,4,8,11
decitabineDrug
decitabine 10mg/m2 day-5 to day-1
| Study group | Role | What they receive |
|---|---|---|
| RCHOP | Active comparator | Not described Receives: Drug: Cyclophosphamide; Drug: Rituximab; Drug: Doxorubicin; Drug: Vincristine; Drug: Prednisone |
| RCHOPX | Experimental | Not described Receives: Drug: Cyclophosphamide; Drug: Rituximab; Drug: Doxorubicin; Drug: Vincristine; Drug: Prednisone; Drug: Ibrutinib; Drug: Lenalidomide; Drug: chidamide; Drug: decitabine |
What is being measured
The primary outcome is the main question the study is designed to answer.
complete response rate
Measured: 21 days after 6 cycles of treatment (each cycle is 21 days)
Secondary outcomes (4)
progression free survival
Measured: 2 year
overall survival
Measured: 2 year
overall response rate
Measured: 21 days after 6 cycles of treatment (each cycle is 21 days)
Number of Participants With Treatment-Related Adverse Events as Assessed by CTCAE v4.0
Measured: Up to 30 days after completion of study treatment
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Jul 2019
- Study start17 Jul 2019
- Primary completion1 Jul 2021 (estimated)
- Study completion1 Jun 2023 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Diffuse Large B Cell LymphomaStudies of the same condition, open and under way.
- More trials run by Ruijin HospitalThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 128 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Ruijin Hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Zhao Weili, Ruijin Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04025593
- Sponsor's protocol ID
- Guidance-01
- Status last verified
- Nov 2020
- First submitted
- 17 Jul 2019
- Last updated
- 19 Nov 2020
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 19 Nov 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Phase 2 Study of Biomarker Guided Treatment in DLBCL
- ClinicalTrials.gov ID
- NCT04025593
- Acronym / sponsor ID
- Guidance-01
- Conditions
- Diffuse Large B Cell Lymphoma
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 128 participants (estimated)
- Lead sponsor
- Ruijin HospitalUniversity, hospital or other
- Study start
- 17 Jul 2019 (actual)
- Primary completion
- 1 Jul 2021 (estimated)
- Study completion
- 1 Jun 2023 (estimated)
- First posted
- 19 Jul 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is to investigate the strategy of biomarker guided treatment in diffuse large B cell lymphoma
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| RCHOP | Active comparator | Drug: Cyclophosphamide, Drug: Rituximab, Drug: Doxorubicin, Drug: Vincristine, Drug: Prednisone |
| RCHOPX | Experimental | Drug: Cyclophosphamide, Drug: Rituximab, Drug: Doxorubicin, Drug: Vincristine, Drug: Prednisone, Drug: Ibrutinib, Drug: Lenalidomide, Drug: chidamide, Drug: decitabine |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Pathologically confirmed diffuse large B-cell lymphoma, CD20 positive
- ECOG 0,1,2
- Life expectancy>6 months
- Informed consented
- IPI>1
Key exclusion criteria (7 listed)
- Chemotherapy before
- Stem cell transplantation before
- History of malignancy except for basal cell or squamous cell carcinoma of the skin or carcinoma in situ of the cervix
- Uncontrollable cardio-cerebral vascular, coagulative, autoimmune, serious infectious disease
- Primary CNS lymphoma
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Cyclophosphamide750mg/m2 day 1 | Drug | RCHOP, RCHOPX |
| Rituximab375mg/m2 day 0 | Drug | RCHOP, RCHOPX |
| Doxorubicin50mg/m2 day 1 | Drug | RCHOP, RCHOPX |
| Vincristine1.4mg/m2, max 2mg day 1 | Drug | RCHOP, RCHOPX |
| Prednisone60mg/m2, max 100mg day 1-5 | Drug | RCHOP, RCHOPX |
| Ibrutinib420mg/day qd | Drug | RCHOPX |
| Lenalidomide25mg day1-10 | Drug | RCHOPX |
| chidamide20mg day 1,4,8,11 | Drug | RCHOPX |
| decitabinedecitabine 10mg/m2 day-5 to day-1 | Drug | RCHOPX |
Primary outcome
complete response rate
Time frame: 21 days after 6 cycles of treatment (each cycle is 21 days)
4 secondary outcomes
progression free survival
Time frame: 2 year
overall survival
Time frame: 2 year
overall response rate
Time frame: 21 days after 6 cycles of treatment (each cycle is 21 days)
Number of Participants With Treatment-Related Adverse Events as Assessed by CTCAE v4.0
Time frame: Up to 30 days after completion of study treatment
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Nov 2020.
- Individual participant dataSharing planned: No
Related trials for Diffuse Large B Cell Lymphoma
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Cyclophosphamide, Rituximab and Doxorubicin in people with Diffuse Large B Cell Lymphoma, run by Ruijin Hospital at 1 site in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 19 Nov 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact WL Z, MD PhD (64370045 ext. 610707, zhao.weili@yahoo.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
complete response rate (time frame: 21 days after 6 cycles of treatment (each cycle is 21 days)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Nov 2020; AzTrials last refreshed its copy on 31 Oct 2026.