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LymphomaNCT02916316

Study Investigating the Cardiotoxicity of Anthracyclines in Patients With Diffuse Large B-Cell

An observational study of Lymphoma and Large B-Cell, run by Fondazione Italiana Linfomi - ETS at 18 sites in Italy.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

All patients enrolled in the study will have to be treated with a chemo immunotherapy scheme R-CHOP with doxorubicin, with doxorubicin analogue or non pegylated liposomal anthracycline (R-COMP; Sec. 648 DM) administered every 21 days for 6 cycles. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Lymphoma, Large B-Cell, Diffuse Large B-Cell
What is being tested?
R-CHOP with doxorubicin
Type of treatment
Injection or infusion
How many people
127 participants
Where
18 sitesItaly
Study dates
12 Feb 2014to 31 Dec 2024
Phase
Observational
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Diffuse Large B-Cell Lymphoma

Who may be able to join

  • Histologically confirmed Diffuse Large B-Cell Lymphoma diagnosis
  • Patient eligible to receive 6 cycles of R-CHOP or R-CHOP like chemotherapy at full doses
  • Age ≥ 18
  • Stage I-IV
  • Written informed consent
  • ECOG Performance Status 0-3
Show all 11Show fewer
  • Ventricular Ejection Fraction (VEF) ≥40%
  • No previous treatment for lymphoma (except for RT-IF)
  • Negative β-HCG pregnancy test result at diagnosis for female of childbearing potential
  • Use of acceptable method of contraception during the study and for 3 months after receiving the last dose of study drug for patients with childbearing potential
  • Availability of the patient to be followed for all the phases of the chemotherapy treatment and for the subsequent follow-up

Who cannot join

  • Inability to schedule a treatment at full doses of chemoimmunotherapy R-CHOP or R-CHOP-like for different reasons
  • Central nervous system involvement due to lymphoma
  • HIV
  • Active cardiac pathology including heart failure, left ventricular dysfunction documented by a LVEF <40%, arrhythmias (rapid atrial fibrillation, frequent ventricular arrhythmias), valvular aortic or mitral disfunction > moderate, ischemic heart disease (myocardial infarction or acute coronary syndrome for over 6 months, angina at rest or with mild efforts)
  • Previous treatment for lymphoma
  • Other malignancy in the 3 years prior to the diagnosis of lymphoma with exception of non-melanoma skin cancer or in situ carcinoma
  • Any other co-existing medical condition that would preclude participation in the study (uncontrolled bacterial or viral or fungal infection)
  • Pregnant, or lactating and breastfeeding female

Trial locations and contacts

18 sites in 1 country.

18 sites in 1 country

Italy18 sites
  • A.O. Universitaria Ospedali Riuniti - Ospedale Umberto I Di Ancona

    Ancona, 60126

  • Ospedale S. Giacomo di Castelfranco Veneto

    Castelfranco Veneto

  • Ospedale Riuniti di Foggia

    Foggia

  • UO Ematologia PO Vito Fazzi

    Lecce

  • AO Riuniti Papardo Piemonte

    Messina, ME, 98158

  • ASST Grande Ospedale Metropolitano Niguarda

    Milan, MI, 20162

  • A.O. Universitaria Policlinico Di Modena

    Modena, MO, 41124

  • AOU Universitа degli Studi della Campania Luigi Vanvitelli

    Naples

  • Istituto Oncologico Veneto

    Padova, 35128

  • Ospedali Riuniti Villa Sofia - Cervello

    Palermo, PA, 90146

  • U.O. Complessa di Ematologia Ospedale di Parma

    Parma, 43100

  • UO Ematologia e CTMO di Piacenza

    Piacenza, PC, 29121

  • Azienda Unitа Sanitaria Locale-IRCCS - Arcispedale Santa Maria Nuova

    Reggio Emilia, 50139

  • Ematologia e Trapianto Istituto Regina Elena IFO

    Roma

  • Osp.Sant'Eugenio Divisione di Ematologia

    Roma

  • Istituto Clinico Humanitas

    Rozzano, MI

  • Nuovo Ospedale Di Sassuolo S.P.A.

    Sassuolo, Modena, 41049

  • Ospedale Ca Foncello

    Treviso

Other trials in Italy

About this study

Official title: Prospective Observational Study Investigating the Cardiotoxicity of Anthracyclines in Patients With Diffuse Large B-Cell

All patients enrolled in the study will have to be treated with a chemo immunotherapy scheme R-CHOP with doxorubicin, with doxorubicin analogue or non pegylated liposomal anthracycline (R-COMP; Sec. 648 DM) administered every 21 days for 6 cycles. In unfavourable patients (stage II-IV) are allowed 2 additional cycles of rituximab at the end of the 6 cycles of R-CHOP.

Read the detailed description

The study was designed as a prospective observational multicenter study to evaluate the role of possible early markers of cardiotoxicity estimating an overall maximum risk equal to 20% of patients. The sample size, required to obtain an estimate of conventional anthracycline cardiotoxicity in the population, has been calculated with a confidence interval of 95% and a maximum acceptable error of ± 0.075. According to the conditions described above, the sample size of patients treated with conventional anthracycline results to be 124 patients.

Considering a 10-15% of not evaluable patients, the sample size is fixed at 150 patients treated with R-CHOP. The duration of the enrollment phase is defined in 2 years.

With this sample size should be possible to assess the risk of cardiotoxicity related to predictors with a worst group frequency at least of 10%.

Being tested
R-CHOP with doxorubicin
Keywords
Lymphoma, Large B-Cell, Cardiotoxicity
Medical subject headings
Lymphoma, Cardiotoxicity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • R-CHOP with doxorubicinDrug

    Also called R-CHOP with doxorubicin analogue, R-COMP

    Chemoimmunotherapy every 21 days for 6 cycles. In unfavourable patients (stage II-IV) are allowed 2 additional cycles of rituximab at the end of the 6 cycles of R-CHOP.

Study groups in NCT02916316
Study groupRoleWhat they receive
Chemo immunotherapyAll patients enrolled in the study will have to be treated with a chemo immunotherapy scheme R-CHOP with doxorubicin, with doxorubicin analogue or non pegylated liposomal anthracycline (R-COMP; Sec. 648 DM) administered every 21 days for 6 cycles. In unfavourable patients (stage II-IV) are allowed 2 additional cycles of rituximab at the end of the 6 cycles of R-CHOP.
Receives: Drug: R-CHOP with doxorubicin

What is being measured

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

  1. Cardiotoxicity

    defined as the rate of cardiovascular events classified according to the Lenihan criteria 2013

    Measured: 1 year from enrollment

Secondary outcomes (7)
  1. Overall response rate (ORR)

    defined according to international criteria (Cheson 2007)

    Measured: 6 months from enrollment

  2. Rate of response to treatment

    defined according to international criteria (Cheson 2007)

    Measured: 6 months from enrollment

  3. Overall survival (OS)

    It will be calculated for all patients enrolled in the study from the date of start of therapy to the date of death or last follow-up.

    Measured: 3 years from enrollment

  4. Progression-free survival (PFS)

    It will be calculated for all patients from the start of therapy given to the date of progression or death or last follow-up.

    Measured: 3 years from enrollment

  5. failure-free survival (FFS)

    It will be calculated for all patients from the therapy start date to the date of an event or last follow-up.

    The events considered for the FFS definition are the following: treatment discontinuation for toxicity, response <RC, relapse / progression, death for any cause.

    Measured: 3 years from enrollment

  6. Freedom From cardiovascular Event (FFCE)

    calculated for all patients from the therapy start date to the time of occurrence of a cardiovascular event as defined by primary endopoint or follow-up date.

    Measured: 3 years from enrollment

  7. Number of events recorded during the treatment and codified according to NCI-CTC v4.03

    it will be defined by the number of events recorded during the treatment and codified according to NCI-CTC v4.03

    Measured: 3 years from enrollment

Timeline

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

  1. First posted27 Sep 2016 (estimated)
  2. Study start12 Feb 2014
  3. Primary completion30 Dec 2020
  4. Study completion31 Dec 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
127 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02916316
Sponsor's protocol ID
FIL_Cardio-DLBCL
Status last verified
Nov 2025
First submitted
21 Sep 2016
Last updated
18 Nov 2025
Results posted
No
Data monitoring committee
No
Individual data sharing
No

Publications

  • Harris NL, Jaffe ES, Stein H, Banks PM, Chan JK, Cleary ML, Delsol G, De Wolf-Peeters C, Falini B, Gatter KC, et al. A revised European-American classification of lymphoid neoplasms: a proposal from the International Lymphoma Study Group. Blood. 1994 Sep 1;84(5):1361-92. No abstract available.

    PubMed 8068936
  • Fisher RI, Gaynor ER, Dahlberg S, Oken MM, Grogan TM, Mize EM, Glick JH, Coltman CA Jr, Miller TP. Comparison of a standard regimen (CHOP) with three intensive chemotherapy regimens for advanced non-Hodgkin's lymphoma. N Engl J Med. 1993 Apr 8;328(14):1002-6. doi: 10.1056/NEJM199304083281404.

    PubMed 7680764
  • International Non-Hodgkin's Lymphoma Prognostic Factors Project. A predictive model for aggressive non-Hodgkin's lymphoma. N Engl J Med. 1993 Sep 30;329(14):987-94. doi: 10.1056/NEJM199309303291402.

    PubMed 8141877
  • Tilly H, Lepage E, Coiffier B, Blanc M, Herbrecht R, Bosly A, Attal M, Fillet G, Guettier C, Molina TJ, Gisselbrecht C, Reyes F; Groupe d'Etude des Lymphomes de l'Adulte. Intensive conventional chemotherapy (ACVBP regimen) compared with standard CHOP for poor-prognosis aggressive non-Hodgkin lymphoma. Blood. 2003 Dec 15;102(13):4284-9. doi: 10.1182/blood-2003-02-0542. Epub 2003 Aug 14.

    PubMed 12920037
  • Pfreundschuh M, Trumper L, Kloess M, Schmits R, Feller AC, Rudolph C, Reiser M, Hossfeld DK, Metzner B, Hasenclever D, Schmitz N, Glass B, Rube C, Loeffler M; German High-Grade Non-Hodgkin's Lymphoma Study Group. Two-weekly or 3-weekly CHOP chemotherapy with or without etoposide for the treatment of young patients with good-prognosis (normal LDH) aggressive lymphomas: results of the NHL-B1 trial of the DSHNHL. Blood. 2004 Aug 1;104(3):626-33. doi: 10.1182/blood-2003-06-2094. Epub 2004 Feb 24.

    PubMed 14982884
  • Pfreundschuh M, Trumper L, Kloess M, Schmits R, Feller AC, Rube C, Rudolph C, Reiser M, Hossfeld DK, Eimermacher H, Hasenclever D, Schmitz N, Loeffler M; German High-Grade Non-Hodgkin's Lymphoma Study Group. Two-weekly or 3-weekly CHOP chemotherapy with or without etoposide for the treatment of elderly patients with aggressive lymphomas: results of the NHL-B2 trial of the DSHNHL. Blood. 2004 Aug 1;104(3):634-41. doi: 10.1182/blood-2003-06-2095. Epub 2004 Mar 11.

    PubMed 15016643
  • Balzarotti M, Spina M, Sarina B, Magagnoli M, Castagna L, Milan I, Ripa C, Latteri F, Bernardi D, Bertuzzi A, Nozza A, Roncalli M, Morenghi E, Tirelli U, Santoro A. Intensified CHOP regimen in aggressive lymphomas: maximal dose intensity and dose density of doxorubicin and cyclophosphamide. Ann Oncol. 2002 Sep;13(9):1341-6. doi: 10.1093/annonc/mdf242.

    PubMed 12196358
  • Vitolo U, Liberati AM, Cabras MG, Federico M, Angelucci E, Baldini L, Boccomini C, Brugiatelli M, Calvi R, Ciccone G, Genua A, Deliliers GL, Levis A, Parvis G, Pavone E, Salvi F, Sborgia M, Gallo E; Intergruppo Italiano Linfomi. High dose sequential chemotherapy with autologous transplantation versus dose-dense chemotherapy MegaCEOP as first line treatment in poor-prognosis diffuse large cell lymphoma: an "Intergruppo Italiano Linfomi" randomized trial. Haematologica. 2005 Jun;90(6):793-801.

    PubMed 15951292
  • Wilson WH. Chemotherapy sensitization by rituximab: experimental and clinical evidence. Semin Oncol. 2000 Dec;27(6 Suppl 12):30-6.

    PubMed 11225998
  • Demidem A, Lam T, Alas S, Hariharan K, Hanna N, Bonavida B. Chimeric anti-CD20 (IDEC-C2B8) monoclonal antibody sensitizes a B cell lymphoma cell line to cell killing by cytotoxic drugs. Cancer Biother Radiopharm. 1997 Jun;12(3):177-86. doi: 10.1089/cbr.1997.12.177.

    PubMed 10851464

Questions about this trial

What is this clinical trial studying?

An observational study of Lymphoma and Large B-Cell, run by Fondazione Italiana Linfomi - ETS at 18 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 11 inclusion and 8 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: finished, as of the sponsor's last update on 18 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 18 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Cardiotoxicity (time frame: 1 year from enrollment). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02916316, which also lists 10 linked publications.

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 18 Nov 2025.

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