Peripheral T Cell LymphomaPhase 2NCT06244368
GVM±R in Patients With Relapsed or Refractory Aggressive NHL.
A Phase 2 study testing GVM±R regimen in people with Peripheral T Cell Lymphoma and Diffuse Large B-cell Lymphoma, run by Institute of Hematology & Blood Diseases Hospital, China at 1 site in China.
Trial summary
This is a prospective clinical study to evaluate the safety and efficacy of GVM±R in patients with relapsed or refractory aggressive non-Hodgkin's lymphoma (NHL). Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Peripheral T Cell Lymphoma, Diffuse Large B-cell Lymphoma
- What is being tested?
- GVM±R regimen
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 115 participants
- Where
- 1 siteChina
- Study dates
- 17 Jan 2024to 30 Dec 2027
- Phase
- Phase 2
- 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 18 to 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Age ≥18, ≤65 years.
- Expected survival ≥ 3 months.
- Subjects with aggressive NHL who have relapsed or proven refractory to at least one line of standard therapy or have achieved PR as the best response after a minimum of 4 cycles of therapy (patients with a Deauville score of 4 must have biopsy-proven residual disease). Relapse is defined as a disease response (PR/CR) to the last-line therapy with a duration of response exceeding 6 months. Refractory disease can be confirmed under any of the following conditions: 1) no partial or complete response to the last-line therapy; 2) the duration of complete or partial response to the last-line therapy is no longer than 6 months from the last dose of therapy; 3) Recurrence after hematopoietic stem cell transplantation.
- Subjects must have at least one measurable lesion per lugano2014 criteria: for lymph node lesions, the long diameter should be > 1.5cm; For non-lymph node lesions, the long diameter should be > 1.0cm;
- Eastern Cooperative Oncology Group (ECOG) : 0-2
- Peripheral blood: Absolute neutrophil count (ANC) ≥1.5×109/L, Platelet count (PLT) ≥75×109/L, Hemoglobin(HB)≥ 80g/L.(Restriction may be relaxed in patients with bone marrow involvement, Absolute neutrophil count (ANC) ≥1.0×109/L, Platelet count (PLT) ≥50×109/L, Hemoglobin(HB)≥ 75g/L).
- Liver and kidney function: Serum creatinine (Scr) ≤1.5X upper limit of normal (ULN).Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤2.5X ULN, Total bilirubin (TBIL) ≤1.5X upper limit of normal (ULN).(If the lymphoma involves the liver, TBIL≤3 X ULN.AST and ALT≤5 X ULN). For Pts diagnosed with Gilbert's disease, TBIL was enrolled if it was ≤3 X ULN.-
Who cannot join
- The subject had previously received any of the following anti-tumor treatments:
- Subjects who have been treated with mitoxantrone or mitoxantrone liposomes;
- Previously received doxorubicin or other anthracycline treatment, and the total cumulative dose of doxorubicin was more than 360 mg/m2 (For other anthracyclines, 1 mg doxorubicin equivalent to 2 mg epirubicin);
- Subjects who received anti-tumor treatment (including chemotherapy, targeted therapy, glucocorticoid, traditional Chinese medicine with anti-tumor activity, etc.) or participated in other clinical trials and received trial drugs within 4 weeks or 5 half-lives((whichever comes first) before the first administration of the study drugs;
- Subjects who received autologous hematopoietic stem cell transplantation or allogeneic hematopoietic stem cell transplantation within 100 days before the first administration of study drugs;
- Subjects who received chimeric antigen receptor T-cell (CAR-T) therapy.
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- Hypersensitivity to any study drug or its components.
- Uncontrolled systemic diseases (such as active infection, uncontrolled hypertension, diabetes, etc.)
- Heart function and disease meet one of the following conditions:
- Long QTc syndrome or QTc interval > 480 ms;
- Complete left bundle branch block, grade II or III atrioventricular block;
- Serious and uncontrolled arrhythmias requiring drug treatment;
- New York Heart Association grade ≥ III;
- Left Ventricular Ejection Fractions (LVEF)< 50%;
- A history of myocardial infarction, unstable angina pectoris, severe unstable ventricular arrhythmia or any other arrhythmia requiring treatment, a history of clinically serious pericardial disease, or ECG evidence of acute ischemia or active conduction system abnormalities within 6 months before recruitment.
- Active hepatitis B and C infection (defined as hepatitis B virus surface antigen positive and hepatitis B virus DNA higher than the Upper limit of normal(ULN); Hepatitis C virus antibody positive and hepatitis C virus RNA higher than the Upper limit of normal).
- Human immunodeficiency virus (HIV) infection (defined as HIV antibody positive).
- Patients with other malignant tumors, except for effectively controlled non-melanoma skin basal cell carcinoma, breast/cervical carcinoma in situ or other tumors without treatment during the past 5 years.
- Pregnant and lactating women and patients of childbearing age who are unwilling to take contraceptive measures.
- ≥ Grade 3 neuritis.
- Active central nervous system (CNS) lymphoma;
- Unsuitable subjects for this study determined by the investigator. -
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
China1 site, 1 recruiting
- Recruiting
Institute of Hematology & Blood Diseases Hospital, CAMS & PUMC
Tianjin, Tianjin Municipality, 300020
Wei Liu, liuwei@ihcams.ac.cn
liuwei@ihcams.ac.cn
About this study
Official title: A Single Arm, Open Label, Multi-center Study of Mitoxantrone Hydrochloride Liposome, Gemcitabine, Vinorelbine With or Without Anti-CD20 Monoclonal Antibody (GVM±R) in Patients With Relapsed or Refractory Aggressive Non-Hodgkin's Lymphoma
This is a prospective clinical study to evaluate the safety and efficacy of GVM±R in patients with relapsed or refractory aggressive non-Hodgkin's lymphoma (NHL).
Read the detailed description
This is a single-arm, open label, multi-center clinical study to evaluate the safety and efficacy of mitoxantrone hydrochloride liposome in combination with gemcitabine, vinorelbine and/or anti-CD20 monoclonal antibody(GVM ± R) in patients with relapsed or refractory aggressive non-Hodgkin lymphoma (NHL).Mitoxantrone hydrochloride liposome will be given on day 1 at dose of 18 mg/m2 and be combined with gemcitabine, vinorelbine and/or rituximab (Pts with CD20-positive lymphomas are evaluated by the investigator on whether to combine rituximab or choose another CD20 monoclonal antibody).Each cycle consists of 21 days. A maximum of 6 cycles of therapy are planned.
- Being tested
- GVM±R regimen
- Keywords
- aggressive non-Hodgkin's lymphoma (NHL), Mitoxantrone hydrochloride liposome, GVM±R
- Medical subject headings
- Lymphoma, T-Cell, Peripheral, Lymphoma, Large B-Cell, Diffuse
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
GVM±R regimenDrug
Mitoxantrone hydrochloride liposome (18 mg/m^2) on day 1; Gemcitabine (800 mg/m^2) on day 1,8; Vinorelbine (20mg/m^2) on day 1,8; Rituximab (375mg/m^2) on day 1;
The regimen will be administered every 3 weeks, for a maximum of 6 cycles. The choice of CD20 monoclonal antibody will be determined by the attending physician.
| Study group | Role | What they receive |
|---|---|---|
| GVM±R | Experimental | Patients with relapsed or refractory aggressive NHL will undergo GVM±R therapy Receives: Drug: GVM±R regimen |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Response Rate (ORR)
Response is assessed according to the lugano criteria
Measured: up to 2 years
Secondary outcomes (4)
Complete Response Rate (CRR)
Response is assessed according to the lugano criteria
Measured: up to 2 years
Progression-Free-Survival (PFS)
From the date of the first dose of therapy is given until disease progression, death or last follow-up
Measured: up to 2 years
Overall survival (OS)
From the date of inclusion to date of death, irrespective of cause
Measured: up to 2 years
Incidence of Treatment-Emergent Adverse Events
The adverse events were evaluated by NCI-CTCAE 5.0 standard Hematologic and non-hematologic toxicity
Measured: up to 2 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Feb 2024
- Study start17 Jan 2024
- Primary completion30 Dec 2025 (estimated)
- Study completion30 Dec 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Peripheral T Cell LymphomaStudies of the same condition, open and under way.
- More trials run by Institute of Hematology & Blood Diseases Hospital, ChinaThe 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
- 115 participants (estimated)
Sponsor and investigators
- Sponsor type
- University, hospital or other
- Collaborators
- First Hospital of China Medical University, Hebei Medical University Fourth Hospital, Chengdu Shangjin Nanfu Hospital, Affiliated Cancer Hospital & Institute of Guangzhou Medical University, Xuanwu Hospital, Beijing, The Affiliated Ganzhou Hospital of Nanchang University, Beijing Tongren Hospital, The First Affiliated Hospital of Dalian Medical University, The First Hospital of Jilin University, People's Hospital of Zhengzhou University, The First Affiliated Hospital of Bengbu Medical University, The Second Affiliated Hospital of Kunming Medical University, The First Affiliated Hospital of Nanchang University, The Second Affiliated Hospital of Harbin Medical University, Shengjing Hospital, Peking University Third Hospital, First Affiliated Hospital of Harbin Medical University, China-Japan Friendship Hospital
- Responsible party
- Sponsor
- Investigators
- Wei Liu, Principal investigator, Institute of Hematology & Blood Diseases Hospital, CAMS & PUMCXiaojing Yan, Principal investigator, First Hospital of China Medical UniversityHaiSheng、Chen Liu 、Huang, Principal investigator, Hebei Medical University Fourth HospitalYongqian Jia, Principal investigator, Chengdu Shangjin Nanfu HospitalYunhong Huang, Principal investigator, Affiliated Cancer Hospital & Institute of Guizhou Medical UniversityXiaobo Wang, Principal investigator, The Second Affiliated Hospital of Dalian Medical UniversityWanling Sun, Principal investigator, Xuanwu Hospital, BeijingMingxing Zhong, Principal investigator, The Affiliated Ganzhou Hospital of Nanchang University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06244368
- Sponsor's protocol ID
- IIT2023065
- Status last verified
- May 2025
- First submitted
- 28 Jan 2024
- Last updated
- 14 May 2025
- Results posted
- No
- Data monitoring committee
- Yes
- 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 14 May 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Single Arm, Open Label, Multi-center Study of Mitoxantrone Hydrochloride Liposome, Gemcitabine, Vinorelbine With or Without Anti-CD20 Monoclonal Antibody (GVM±R) in Patients With Relapsed or Refractory Aggressive Non-Hodgkin's Lymphoma
- ClinicalTrials.gov ID
- NCT06244368
- Acronym / sponsor ID
- IIT2023065
- Keywords
- aggressive non-Hodgkin's lymphoma (NHL), Mitoxantrone hydrochloride liposome, GVM±R
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 115 participants (estimated)
- Lead sponsor
- Institute of Hematology & Blood Diseases Hospital, ChinaUniversity, hospital or other
- Collaborators
- First Hospital of China Medical University, Hebei Medical University Fourth Hospital, Chengdu Shangjin Nanfu Hospital, Affiliated Cancer Hospital & Institute of Guangzhou Medical University, Xuanwu Hospital, Beijing, The Affiliated Ganzhou Hospital of Nanchang University, Beijing Tongren Hospital, The First Affiliated Hospital of Dalian Medical University, The First Hospital of Jilin University, People's Hospital of Zhengzhou University, The First Affiliated Hospital of Bengbu Medical University, The Second Affiliated Hospital of Kunming Medical University, The First Affiliated Hospital of Nanchang University, The Second Affiliated Hospital of Harbin Medical University, Shengjing Hospital, Peking University Third Hospital, First Affiliated Hospital of Harbin Medical University, China-Japan Friendship Hospital
- Study start
- 17 Jan 2024 (actual)
- Primary completion
- 30 Dec 2025 (estimated)
- Study completion
- 30 Dec 2027 (estimated)
- First posted
- 6 Feb 2024 (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 is a prospective clinical study to evaluate the safety and efficacy of GVM±R in patients with relapsed or refractory aggressive non-Hodgkin's lymphoma (NHL).
Detailed description
This is a single-arm, open label, multi-center clinical study to evaluate the safety and efficacy of mitoxantrone hydrochloride liposome in combination with gemcitabine, vinorelbine and/or anti-CD20 monoclonal antibody(GVM ± R) in patients with relapsed or refractory aggressive non-Hodgkin lymphoma (NHL).Mitoxantrone hydrochloride liposome will be given on day 1 at dose of 18 mg/m2 and be combined with gemcitabine, vinorelbine and/or rituximab (Pts with CD20-positive lymphomas are evaluated by the investigator on whether to combine rituximab or choose another CD20 monoclonal antibody).Each cycle consists of 21 days. A maximum of 6 cycles of therapy are planned.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| GVM±R | Experimental | Drug: GVM±R regimenPatients with relapsed or refractory aggressive NHL will undergo GVM±R therapy |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Age ≥18, ≤65 years.
- Expected survival ≥ 3 months.
- Subjects with aggressive NHL who have relapsed or proven refractory to at least one line of standard therapy or have achieved PR as the best response after a minimum of 4 cycles of therapy (patients with a Deauville score of 4 must have biopsy-proven residual disease). Relapse is defined as a disease response (PR/CR) to the last-line therapy with a duration of response exceeding 6 months. Refractory disease can be confirmed under any of the following conditions: 1) no partial or complete response to the last-line therapy; 2) the duration of complete or partial response to the last-line therapy is no longer than 6 months from the last dose of therapy; 3) Recurrence after hematopoietic stem cell transplantation.
- Subjects must have at least one measurable lesion per lugano2014 criteria: for lymph node lesions, the long diameter should be > 1.5cm; For non-lymph node lesions, the long diameter should be > 1.0cm;
- Eastern Cooperative Oncology Group (ECOG) : 0-2
Key exclusion criteria (22 listed)
- The subject had previously received any of the following anti-tumor treatments:
- Hypersensitivity to any study drug or its components.
- Uncontrolled systemic diseases (such as active infection, uncontrolled hypertension, diabetes, etc.)
- Heart function and disease meet one of the following conditions:
- Active hepatitis B and C infection (defined as hepatitis B virus surface antigen positive and hepatitis B virus DNA higher than the Upper limit of normal(ULN); Hepatitis C virus antibody positive and hepatitis C virus RNA higher than the Upper limit of normal).
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 |
|---|---|---|
| GVM±R regimenMitoxantrone hydrochloride liposome (18 mg/m^2) on day 1; Gemcitabine (800 mg/m^2) on day 1,8; Vinorelbine (20mg/m^2) on day 1,8; Rituximab (375mg/m^2) on day 1; The regimen will be administered every 3 weeks, for a maximum of 6 cycles. The choice of CD20 monoclonal antibody will be determined by the attending physician. | Drug | GVM±R |
Primary outcome
Overall Response Rate (ORR)
Time frame: up to 2 years
Response is assessed according to the lugano criteria
4 secondary outcomes
Complete Response Rate (CRR)
Time frame: up to 2 years
Progression-Free-Survival (PFS)
Time frame: up to 2 years
Overall survival (OS)
Time frame: up to 2 years
Incidence of Treatment-Emergent Adverse Events
Time frame: up to 2 years
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 May 2025.
- Individual participant dataSharing planned: No
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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.
Wei Liu principal investigator
Institute of Hematology & Blood Diseases Hospital, CAMS & PUMC
Xiaojing Yan principal investigator
First Hospital of China Medical University
HaiSheng、Chen Liu 、Huang principal investigator
Hebei Medical University Fourth Hospital
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 GVM±R regimen in people with Peripheral T Cell Lymphoma and Diffuse Large B-cell Lymphoma, run by Institute of Hematology & Blood Diseases Hospital, China 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 7 inclusion and 22 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: looking for participants now, as of the sponsor's last update on 14 May 2025. 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?
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 Wei Liu (022-23608461, liuwei@ihcams.ac.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: up to 2 years). 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 14 May 2025.