Extranodal NK/T-cell Lymphoma, Nasal TypePhase 2NCT01921790
Avastin+ GemAOD As First-Line Treatment in NK/T Cell Lymphoma
A Phase 2 study testing Avastin, Gemcitabine and Oxaliplatin in people with Extranodal NK/T-cell Lymphoma, Nasal Type, run by Sun Yat-sen University at 1 site in China.
Trial summary
The purpose of this study is to evaluate the efficacy and safety of avastin combined with gemcitabine, oxaliplatin, pegaspargase and dexamethasone(Avastin+ GemAOD) as first-line treatment in patients with untreated natural killer(NK)/T cell lymphoma Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Extranodal NK/T-cell Lymphoma, Nasal Type
- What is being tested?
- Avastin, Gemcitabine and Oxaliplatin
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 30 participants
- Where
- 1 siteChina
- Study dates
- Aug 2013to Aug 2020
- 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
- Histologic diagnosis of NK/T Cell Lymphoma;
- Age:18-80 years;
- Eastern Cooperative Oncology Group (ECOG) status 0-3, Estimated survival time > 3 months;
- Normal haematological, liver and renal function (WBC count≥4×109/L, Hemoglobin≥100g/L, platelet count≥100×109/L, bilirubin<1.5×ULN, Alanine transaminase (ALT) or Aspartate Aminotransferase (AST)<2.5×ULN, serum creatinine<1.5×ULN), normal coagulation function and cardiac function;
- Appreciable and measurable lesions ;
- No history of other malignancies;
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- No previous treatments including chemotherapy, radiotherapy, targeted therapy or stem cell transplantation;
- No other serious diseases which conflict with the treatment in the present trial;
- No concurrent treatments that conflict with the treatments in the present trial(including steroid drugs);
- Voluntary participation and signed the informed consent.
Who cannot join
- The patients had the conditions below: clinically significant ventricular tachycardia (VT), atrial fibrillation (AF), heart block, myocardial infarction (MI), congestive heart failure (CHF), symptomatic coronary artery heart disease requiring medication;
- The patients suffered from organ transplant
- The patients participated in other clinical trials within the 30 days before enrollment or who are participating in other clinical studies;
- The patients with active bleeding or new thrombotic disease, who are taking anticoagulant drugs or with a history of bleeding tendencies;
- The patients suffered before surgery less than four weeks, or after less than six weeks;
- The patients with major vascular invasion;
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- The patients with abnormal liver function (total bilirubin> 1.5 times the normal value, ALT / AST> 2.5 times normal), abnormal renal function (serum creatinine> 1.5 times normal), blood abnormalities (absolute neutrophil count <1.5 × 109 / L, platelets <80 × 109 / L, hemoglobin <90g /L) ;
- The patients with moderate to severe proteinuria;
- Severe hypertension,BP≥160/100mmHg;
- The patients with mentally ill / unable to obtain informed consent;
- The patients with drug addiction, alcohol abuse which affects the long-term evaluation of test results;
- The patients in pregnancy, lactation and women of childbearing age who do not want to take contraceptive measures subjects;
- Clinical and laboratory support brain metastases;
- The patients with a history of allergy to test drug;
- The patients not suitable to participate in the investigator judged by researchers.
Trial locations and contacts
1 site in 1 country.
China1 site, 1 recruiting
- Recruiting
Department of Medical Oncology, Sun Yat-Sen University Cancer Center
Guangzhou, Guangdong, 510060
Zhiming Li, MD, +86-13719189172, lizhm@sysucc.org.cn
Yu Wang, MD, +86-20-87343765, wangyu@sysucc.org.cn
About this study
Official title: An Open-Label, Uncontrolled, Single Centered Phase Ⅱ Study of Avastin Combined With Gemcitabine, Oxaliplatin, Pegaspargase and Dexamethasone (Avastin+ GemAOD) As First-Line Treatment in Patients With Untreated NK/T Cell Lymphoma
The purpose of this study is to evaluate the efficacy and safety of avastin combined with gemcitabine, oxaliplatin, pegaspargase and dexamethasone(Avastin+ GemAOD) as first-line treatment in patients with untreated natural killer(NK)/T cell lymphoma
Read the detailed description
Recent study showed that vascular endothelial growth factor (VEGF) was associated with a poorer outcome in patients with Non-Hodgkin's Lymphoma,and Avastin impacted on tumor endothelial cells to make standard chemotherapy work better for T cell lymphoma. Many researches on Gemcitabine combined with Oxaliplatin for treatments of recurrent and refractory Non-Hodgkin's lymphoma showed patients could benefit from the combination treatment . Pegaspargase plays an important role for treatment of NK/T cell lymphoma. Dexamethasone is used in combination with other agents for the treatment of lymphomas which may be implicated in the development or growth of some cancers.So we explored to evaluate the efficacy and safety of Avastin combined with gemcitabine, oxaliplatin, pegaspargase and dexamethasone(Avastin+ GemAOD) as first-line treatment in patients with untreated NK/T cell lymphoma
- Being tested
- Avastin, Gemcitabine, Oxaliplatin, Pegaspargase, Dexamethasone
- Keywords
- Avastin+ GemAOD, first line chemotherapy, NK/T-cell Lymphoma
- Medical subject headings
- Lymphoma, Extranodal NK-T-Cell
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AvastinBiological
Avastin 7.5mg/Kg, intravenous drip D1
GemcitabineDrug
Gemcitabine 1g/m2 intravenous drip D1,D8
OxaliplatinDrug
Oxaliplatin 130mg/m2 intravenous drip D1
PegaspargaseDrug
Pegaspargase 2500U/m2 intramuscular injection (IM) D1
DexamethasoneDrug
Dexamethasone 20mg/d intravenous drip D1, po D2-3
| Study group | Role | What they receive |
|---|---|---|
| Avastin+ GemAOD | Experimental | Avastin+ GemAOD means Avastin Combined With Gemcitabine, Oxaliplatin, Pegaspargase and Dexamethasone Receives: Biological: Avastin; Drug: Gemcitabine; Drug: Oxaliplatin; Drug: Pegaspargase; Drug: Dexamethasone |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Response Rate(ORR)
21 days(3 weeks) for one cycle,Efficacy was evaluated every two cycles
Measured: every 6 weeks,up to completion of treatment(approximately 6 months)
Secondary outcomes (3)
Progress Free Survival(PFS)
Measured: up to end of follow-up-phase (approximately 5 years)
Overall Survival(OS)
Measured: up to the date of death (approximately 5 years)
The tolerance and the side effects of the treatment
21 days(3 weeks) for one cycle,Toxicity was evaluated every cycle
Measured: every 3 weeks,up to completion of treatment(approximately 6 months)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Aug 2013 (estimated)
- Study startAug 2013
- Primary completionAug 2015 (estimated)
- Study completionAug 2020 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Extranodal NK/T-cell Lymphoma, Nasal TypeStudies of the same condition, open and under way.
- More trials run by Sun Yat-sen UniversityThe 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
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 30 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Sun Yat-sen University
- Sponsor type
- University, hospital or other
- Collaborators
- Hoffmann-La Roche, Eli Lilly and Company
- Responsible party
- Principal investigator, Li Zhiming, Sun Yat-sen University
- Investigators
- Wenqi Jiang, MD, Principal investigator, Department of Medical Oncology, Sun Yat-Sen University Cancer Center, Guangzhou, China State Key Laboratory of Oncology in South China, Sun Yat-Sen University Cancer Center, Guangzhou, ChinaZhiming Li, MD, Principal investigator, Department of Medical Oncology, Sun Yat-Sen University Cancer Center, Guangzhou, China State Key Laboratory of Oncology in South China, Sun Yat-Sen University Cancer Center, Guangzhou, China
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01921790
- Sponsor's protocol ID
- B2013-017-01
- Status last verified
- Aug 2013
- First submitted
- 3 Aug 2013
- Last updated
- 22 Aug 2013
- Results posted
- No
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 22 Aug 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open-Label, Uncontrolled, Single Centered Phase Ⅱ Study of Avastin Combined With Gemcitabine, Oxaliplatin, Pegaspargase and Dexamethasone (Avastin+ GemAOD) As First-Line Treatment in Patients With Untreated NK/T Cell Lymphoma
- ClinicalTrials.gov ID
- NCT01921790
- Acronym / sponsor ID
- B2013-017-01
- Keywords
- Avastin+ GemAOD, first line chemotherapy, NK/T-cell Lymphoma
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 30 participants (estimated)
- Lead sponsor
- Sun Yat-sen UniversityUniversity, hospital or other
- Collaborators
- Hoffmann-La Roche, Eli Lilly and Company
- Study start
- Aug 2013
- Primary completion
- Aug 2015 (estimated)
- Study completion
- Aug 2020 (estimated)
- First posted
- 13 Aug 2013 (estimated)
- 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.
The purpose of this study is to evaluate the efficacy and safety of avastin combined with gemcitabine, oxaliplatin, pegaspargase and dexamethasone(Avastin+ GemAOD) as first-line treatment in patients with untreated natural killer(NK)/T cell lymphoma
Detailed description
Recent study showed that vascular endothelial growth factor (VEGF) was associated with a poorer outcome in patients with Non-Hodgkin's Lymphoma,and Avastin impacted on tumor endothelial cells to make standard chemotherapy work better for T cell lymphoma. Many researches on Gemcitabine combined with Oxaliplatin for treatments of recurrent and refractory Non-Hodgkin's lymphoma showed patients could benefit from the combination treatment . Pegaspargase plays an important role for treatment of NK/T cell lymphoma. Dexamethasone is used in combination with other agents for the treatment of lymphomas which may be implicated in the development or growth of some cancers.So we explored to evaluate the efficacy and safety of Avastin combined with gemcitabine, oxaliplatin, pegaspargase and dexamethasone(Avastin+ GemAOD) as first-line treatment in patients with untreated NK/T cell lymphoma
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Avastin+ GemAOD | Experimental | Biological: Avastin, Drug: Gemcitabine, Drug: Oxaliplatin, Drug: Pegaspargase, Drug: DexamethasoneAvastin+ GemAOD means Avastin Combined With Gemcitabine, Oxaliplatin, Pegaspargase and Dexamethasone |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Histologic diagnosis of NK/T Cell Lymphoma;
- Age:18-80 years;
- Eastern Cooperative Oncology Group (ECOG) status 0-3, Estimated survival time > 3 months;
- Normal haematological, liver and renal function (WBC count≥4×109/L, Hemoglobin≥100g/L, platelet count≥100×109/L, bilirubin<1.5×ULN, Alanine transaminase (ALT) or Aspartate Aminotransferase (AST)<2.5×ULN, serum creatinine<1.5×ULN), normal coagulation function and cardiac function;
- Appreciable and measurable lesions ;
Key exclusion criteria (15 listed)
- The patients had the conditions below: clinically significant ventricular tachycardia (VT), atrial fibrillation (AF), heart block, myocardial infarction (MI), congestive heart failure (CHF), symptomatic coronary artery heart disease requiring medication;
- The patients suffered from organ transplant
- The patients participated in other clinical trials within the 30 days before enrollment or who are participating in other clinical studies;
- The patients with active bleeding or new thrombotic disease, who are taking anticoagulant drugs or with a history of bleeding tendencies;
- The patients suffered before surgery less than four weeks, or after less than six weeks;
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 |
|---|---|---|
| AvastinAvastin 7.5mg/Kg, intravenous drip D1 | Biological | Avastin+ GemAOD |
| GemcitabineGemcitabine 1g/m2 intravenous drip D1,D8 | Drug | Avastin+ GemAOD |
| OxaliplatinOxaliplatin 130mg/m2 intravenous drip D1 | Drug | Avastin+ GemAOD |
| PegaspargasePegaspargase 2500U/m2 intramuscular injection (IM) D1 | Drug | Avastin+ GemAOD |
| DexamethasoneDexamethasone 20mg/d intravenous drip D1, po D2-3 | Drug | Avastin+ GemAOD |
Primary outcome
Overall Response Rate(ORR)
Time frame: every 6 weeks,up to completion of treatment(approximately 6 months)
21 days(3 weeks) for one cycle,Efficacy was evaluated every two cycles
3 secondary outcomes
Progress Free Survival(PFS)
Time frame: up to end of follow-up-phase (approximately 5 years)
Overall Survival(OS)
Time frame: up to the date of death (approximately 5 years)
The tolerance and the side effects of the treatment
Time frame: every 3 weeks,up to completion of treatment(approximately 6 months)
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 22 Aug 2013.
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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.
Wenqi Jiang, MD principal investigator
Department of Medical Oncology, Sun Yat-Sen University Cancer Center, Guangzhou, China State Key Laboratory of Oncology in South China, Sun Yat-Sen University Cancer Center, Guangzhou, China
Zhiming Li, MD principal investigator
Department of Medical Oncology, Sun Yat-Sen University Cancer Center, Guangzhou, China State Key Laboratory of Oncology in South China, Sun Yat-Sen University Cancer Center, Guangzhou, China
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 Avastin, Gemcitabine and Oxaliplatin in people with Extranodal NK/T-cell Lymphoma, Nasal Type, run by Sun Yat-sen University 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 10 inclusion and 15 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 22 Aug 2013. 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 Zhiming Li, MD (86-20-87343765, lizhm@sysucc.org.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Overall Response Rate(ORR) (time frame: every 6 weeks,up to completion of treatment(approximately 6 months)). 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 22 Aug 2013.