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Diffuse Large B Cell LymphomaNCT07476105

Geriatric-guided Care Versus Conventional Care in Elderly Unfit/Frail Patients With Diffuse Large B-cell Lymphoma in First Line Treatment

A study testing Geriatric-guided supportive care and Conventional supportive care in people with Diffuse Large B Cell Lymphoma and Follicular Lymphoma Grade 3B, run by Fondazione Italiana Linfomi - ETS at 24 sites in Italy.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
Search all trials

Trial summary

The aim of this multicenter, non-randomized, cluster controlled trial study is to evaluate the impact of a geriatric-guided approach with a pro-active rehabilitative/nutritional plan for elderly unfit/frail DLBCL patients eligible for receiving chemoimmunotherapy according to the sGA, versus a conventional approach… Read more about this study

Who is it for?
Ages 70 years and older
What is being tested?
Geriatric-guided supportive care and Conventional supportive care
Could I receive a placebo?
No, everyone receives an active treatment
How many people
170 participants
Where
24 sitesItaly
Study dates
May 2026to May 2029
Phase
Interventional
Are there results?
Not yet: the study is under way

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 70 years and older
  • All sexes
  • No healthy volunteers
  • Older adult

Who may be able to join

  • Diagnosis of DLBCL or Follicular Lymphoma (FL) grade IIIB.
  • Age ≥ 70 years.
  • UNFIT or FRAIL status according to sGA evaluated by the onco-hematologist at baseline.
  • Patients eligible to a curative intent standard first line chemoimmunotherapy.
  • Ability to understand and willingness to comply with study procedures.
  • Signature of a written informed consent.

Who cannot join

  • Patients not meeting at least one of the inclusion criteria listed above.
  • Refuse to sign a written informed consent.

Trial locations and contacts

24 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Uffici Studi FIL contact

+390131033153

startup@filinf.it

Uffici Studi FIL contact

+390599769913

gestionestudi@filinf.it

24 sites in 1 country

Italy24 sites
  • Azienda Ospedaliero Universitaria delle Marche - S.O.D. Clinica Ematologica

    Ancona

    Guido Gini, MD, guido.gini@ospedaliriuniti.marche.it

    Guido Gini, MD

  • A.O.R.N. S. Giuseppe Moscati - S.C. Ematologia e Trapianto emopoietico

    Avellino

    Sonya De Lorenzo, MD, sonya.delorenzo@tin.it

    Sonya De Lorenzo, MD

  • I.R.C.C.S. Centro di Riferimento Oncologico - S.O.C. Oncologia medica e dei tumori immuno-correlati

    Aviano

    Michele Spina, MD, mspina@cro.it

    Michele Spina, MD

  • I.R.C.C.S. Istituto Tumori Giovanni Paolo II - U.O.C. Ematologia

    Bari

    Carla Minoia, MD, carla.minoia1@gmail.com

    Carla Minoia, MD

  • A.S.S.T. Spedali Civili - S.C. Ematologia

    Brescia

    Alessandra Tucci, MD, alessandra.tucci@asst-spedalicivili.it

    Alessandra Tucci, MD

  • A.R.N.A.S. "Brotzu" P.O. Businco - S.C. Ematologia e TMO

    Cagliari

    Sara Veronica Usai, MD, sara.v.usai@aob.it

    Sara Veronica Usai, MD

  • A.O.U. Careggi - S.O.D. Ematologia

    Florence

    Benedetta Sordi, MD, benedetta.sordi@unifi.it

    Benedetta Sordi, MD

  • A.S.S.T. Grande Ospedale Metropolitano Niguarda - S.C. Ematologia

    Milan

    Vittorio Ruggero Zilioli, MD, vittorioruggero.zilioli@ospedaleniguarda.it

    Vittorio Ruggero Zilioli, MD

  • I.R.C.C.S. Fondazione Cà Granda Ospedale Maggiore Policlinico - S.C. Ematologia

    Milan

    Francesca Gaia Rossi Dardanoni, MD, francescagaia.rossi@policlinico.mi.it

    Francesca Gaia Rossi Dardanoni, MD

  • I.R.C.C.S. Fondazione San Gerardo dei Tintori - S.C. Ematologia

    Monza

    Federica Cocito, MD, cocitofederica@gmail.com

    Federica Cocito, MD

  • I.R.C.C.S. Istituto Oncologico Veneto - U.O.C. Oncologia 1

    Padova

    Dario Marino, MD, dario.marino@iov.veneto.it

    Dario Marino, MD

  • A.O.U. Policlinico "Paolo Giaccone" - U.O.C. Ematologia

    Palermo

    Salvatrice Mancuso, MD, salvatrice.mancuso@unipa.it

    Salvatrice Mancuso, MD

  • Azienda Ospedaliero Universitaria di Parma - S.C. Ematologia e C.T.M.O.

    Parma

    Luca Pagliaro, MD, luca.pagliaro@unipr.it

    Luca Pagliaro, MD

  • A.U.S.L. di Piacenza Osp. Guglielmo da Saliceto - U.O.C. Ematologia e Centro Trapianti

    Piacenza

    Annalisa Arcari, MD, a.arcari@ausl.pc.it

    Annalisa Arcari, MD

  • Azienda USL Toscana Centro - SOS Oncoematologia

    Prato

    Lara Mannelli, MD, lara.mannelli@uslcentro.toscana.it

    Lara Mannelli, MD

  • A.U.S.L. di Ravenna Osp. S. Maria delle Croci - U.O.C. Ematologia

    Ravenna

    Monica Tani, MD, monica.tani@auslromagna.it

    Monica Tani, MD

  • A.U.S.L. I.R.C.C.S. Arcispedale S. Maria Nuova - S.C. Ematologia

    Reggio Emilia

    Stefano Luminari, MD, stefano.luminari@ausl.re.it

    Stefano Luminari, MD

  • Fondazione Policlinico Campus Bio-Medico - U.O.C. Ematologia e trapianto di cellule staminali

    Roma

    Ombretta Annibali, MD, o.annibali@policlinicocampus.it

    Ombretta Annibali, MD

  • A.O.U. Senese - U.O.C. Ematologia

    Siena

    Alberto Fabbri, MD, fabbri7@unisi.it

    Alberto Fabbri, MD

  • A.S.L. Teramo Osp. "Giuseppe Mazzini" - U.O.S. Ematologia

    Teramo

    Angelo Fama, MD, angelo.fama@aslteramo.it

    Angelo Fama, MD

  • A.O.U. Città della Salute e della Scienza di Torino - S.C. Ematologia U

    Torino

    Michele Clerico, MD, mclerico@cittadellasalute.to.it

    Michele Clerico, MD

  • A.O.U. Città della Salute e della Scienza di Torino - S.C. Ematologia

    Torino

    Barbara Botto, MD, bbotto@cittadellasalute.to.it

    Barbara Botto, MD

  • A.S.U. Friuli Centrale - Clinica Ematologica

    Udine

    Jacopo Olivieri, MD, jacopo.olivieri@asufc.sanita.fvg.it

    Jacopo Olivieri, MD

  • A.O.U.I. di Verona - U.O.C. Ematologia

    Verona

    Francesca Maria Quaglia, MD, francescamaria.quaglia@aovr.veneto.it

    Francesca Maria Quaglia, MD

Other trials in Italy

About this study

Official title: Geriatric-guided Care Versus Conventional Care in Elderly Unfit/Frail Patients With Diffuse Large B-cell Lymphoma in First Line Treatment. The Elderly Project 2.0: Non-randomized Cluster Controlled Trial

The aim of this multicenter, non-randomized, cluster controlled trial study is to evaluate the impact of a geriatric-guided approach with a pro-active rehabilitative/nutritional plan for elderly unfit/frail DLBCL patients eligible for receiving chemoimmunotherapy according to the sGA, versus a conventional approach with onco-hematological treatment alone.

A key innovation element of this project is to use a geriatric-guided approach to improve the global management of all frailty aspects (nutritional, functional, cognitive, social), chasing a better tolerance and completion rate of treatment, tailoring safety and efficacy of therapies in unfit/frail DLBCL patients.

This study may lead to a personalized approach for elderly DLBCL patients, taking into account a multidisciplinary and fully-integrated program, with the primary aim of improving the quality of life of patients and their families.

Being tested
Geriatric-guided supportive care, Conventional supportive care
Keywords
Diffuse Large B Cell Lymphoma, Follicular Lymphoma Grade 3B, unfit, frail, cluster, R-CHOP, geriatric, sGA, elderly, caregiver
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.

  • Geriatric-guided supportive careOther

    Structured geriatric consultation, along with a nutritional and physiotherapy evaluation, before treatment initiation and with subsequent follow-up assessments aimed at optimizing comorbidity management, nutritional and functional status, along with treatment tolerance.

  • Conventional supportive careOther

    Supportive care will be delivered according to local clinical practice

Study groups in NCT07476105
Study groupRoleWhat they receive
Geriatric-guided supportive careExperimentalPatients will be treated for lymphoma according to standard clinical practice. Patients will receive a geriatric-guided supportive care with structured geriatric consultation, along with a nutritional and physiotherapy evaluation, before treatment initiation and with subsequent follow-up assessments aimed at optimizing comorbidity management, nutritional and functional status, along with treatment tolerance.
Receives: Other: Geriatric-guided supportive care
Conventional supportive careActive comparatorPatients will be treated for lymphoma according to standard clinical practice. Patients will receive supportive care according to standard clinical practice without systematic geriatric input.
Receives: Other: Conventional supportive care

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. To evaluate whether a geriatric-guided approach improves health-related quality of life (HRQL) in elderly patients with DLBCL eligible for first-line chemoimmunotherapy, compared to a conventional approach.

    Change in the Global Health Status/QoL score of the EORTC Quality of Life Core 30 From baseline to end of treatment (6 months after enrollment). EORTC QLQ-C30 questionnaire: ranking from 1 ("not at all") to 4 ("very much").

    Measured: From the beginning of the study up to 6 months after last enrolled patient (up 30 months from study beginning)

Secondary outcomes (18)
  1. To assess changes in the functioning scales and symptom scales of the EORTC QLQ-C30 performed at baseline, 3, 6, and 12 months in both study groups (geriatric-guided vs conventional approach)

    Change from baseline in the functioning scales (physical, role, emotional, cognitive, social) and symptom scales (e.g., fatigue, pain, nausea/vomiting) of the EORTC QLQ-C30 at 3, 6, and 12 months. EORTC QLQ-C30 questionnaire: ranking from 1 ("not at all") to 4 ("very much").

    Measured: From the beginning up to the end of study (up to 36 months)

  2. To assess changes in simplified Geriatric Assessment (sGA) performed at baseline, 3, 6, and 12 months in both study groups (geriatric-guided vs conventional approach)

    Change in simplified Geriatric Assessment (sGA) classes assessed at baseline, 3, 6, and 12 months. sGA scale: fit, unfit, frail

    Measured: From the beginning up to the end of study (up to 36 months)

  3. To compare eventual dose reductions of therapeutic treatments between groups.

    Chemoimmunotherapy dose reductions rate stratified according to therapeutic choices and delivered dose intensity

    Measured: From the beginning of the study up to 6 months after last enrolled patient (up 30 months from study beginning)

  4. To evaluate the prognostic impact of sGA on overall survival (OS)

    Overall survival evaluation stratified according to sGA

    Measured: From the beginning up to the end of study (up to 36 months)

  5. To compare the treatment completion rate between groups

    Rate of Treatment completion, defined as the proportion of patients who complete the planned chemoimmunotherapy without premature discontinuation.

    Measured: From the beginning of the study up to 6 months after last enrolled patient (up 30 months from study beginning)

  6. To assess early mortality rate (within 90 days) in the two groups.

    Early mortality proportion, defined as death from any cause within 90 days of enrollment.

    Measured: From the beginning of the study up to 90 days after last enrolled patient (up 27 months from study beginning)

  7. To compare overall response rate (ORR) and complete response rate (CRR) between groups.

    Overall Response Rate (ORR) and Complete Response Rate (CRR), assessed according to Lugano classification at end of treatment,

    Measured: From the beginning of the study up to 6 months after last enrolled patient (up 30 months from study beginning)

  8. To evaluate progression-free survival (PFS) and overall survival (OS) in the two groups.

    Progression-Free Survival (PFS) and Overall Survival (OS), defined according to standard criteria, with time measured from date of enrollment.

    Measured: From the beginning up to the end of study (up to 36 months)

  9. To compare hospitalization rates between groups.

    Healthcare resource utilization: Incidence of hospital admissions

    Measured: From the beginning up to the end of study (up to 36 months)

  10. To assess caregiver quality of life and caregiver-related outcomes measured by the CareGiver Oncology Quality of life questionnaire (CarGOQoL) at baseline, 3, 6, and 12 months in both groups.

    Caregiver-reported outcomes, including caregiver Quality of Life and burden, assessed at baseline, 3, 6, and 12 months using The CareGiver Oncology Quality of life questionnaire (CarGOQoL). CarGOQoL: rank from 0 ("never/not at all") to 5 ("always/enormously")

    Measured: From the beginning up to the end of study (up to 36 months)

  11. To evaluate modifications in the Fried frailty index assessed only in the geriatric-guided arm (performed at baseline, 3, 6, and 12 months) and if there is a concordance between sGA and Fried score.

    Change in the Fried frailty index assessed in the geriatric-guided arm, performed at baseline, 3, 6, and 12 months. Assessment if a dynamic change of fitness class is present and if it differs significantly from sGA (performed in both arms). Fried score and sGA: fit (robust), unfit (pre-frail), frail (frail).

    Measured: From the beginning up to the end of study (up to 36 months)

  12. To compare median hospital stay between groups.

    Healthcare resource utilization: Mean duration of hospital stay (in days)

    Measured: From the beginning up to the end of study (up to 36 months)

  13. To compare emergency department access rate between groups.

    Healthcare resource utilization: Incidence of emergency department accesses

    Measured: From the beginning up to the end of study (up to 36 months)

  14. To compare hospice admission rate between groups.

    Healthcare resource utilization: Incidence of patients admitted to hospice during follow-up

    Measured: From the beginning up to the end of study (up to 36 months)

  15. To compare eventual dose delays of therapeutic treatments between groups.

    Chemoimmunotherapy dose delays rate stratified according to therapeutic choices and delivered dose intensity

    Measured: From the beginning of the study up to 6 months after last enrolled patient (up 30 months from study beginning)

  16. To evaluate the prognostic impact of Body Mass Index (BMI) on overall survival (OS).

    Overall survival evaluation stratified according to BMI value

    Measured: From the beginning up to the end of study (up to 36 months)

  17. To evaluate the prognostic impact of serum albumin on overall survival (OS).

    Overall survival evaluation stratified according to serum albumine value

    Measured: From the beginning up to the end of study (up to 36 months)

  18. To evaluate the prognostic impact of caregiver availability on overall survival (OS).

    Overall survival evaluation stratified according to caregiver availability

    Measured: From the beginning up to the end of study (up to 36 months)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Mar 2026
  2. Study startMay 2026 (estimated)
  3. Primary completionNov 2028 (estimated)
  4. Study completionMay 2029 (estimated)

Resources

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 N/A
Primary purpose
Supportive care
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
non-randomized cluster controlled
Masking
None (open label)
Enrolment
170 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07476105
Sponsor's protocol ID
FIL_Elderly Project 2.0
Status last verified
Apr 2026
First submitted
26 Feb 2026
Last updated
15 Apr 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Geriatric-guided supportive care and Conventional supportive care in people with Diffuse Large B Cell Lymphoma and Follicular Lymphoma Grade 3B, run by Fondazione Italiana Linfomi - ETS at 24 sites in Italy.

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 6 inclusion and 2 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: opening soon, as of the sponsor's last update on 15 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 24 sites in Italy. 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.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Uffici Studi FIL (+390131033153, startup@filinf.it), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

To evaluate whether a geriatric-guided approach improves health-related quality of life (HRQL) in elderly patients with DLBCL eligible for first-line chemoimmunotherapy, compared to a conventional approach. (time frame: From the beginning of the study up to 6 months after last enrolled patient (up 30 months from study beginning)). 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 15 Apr 2026.

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