Anaplastic large cell lymphoma
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients meeting the following criteria are eligible to be enrolled in the study: · Progression or relapse of anaplastic large cell lymphoma diagnosed either by histomorphological or cytomorphological characterisation · slides of relapsed lymphoma available for national/international pathological and/or cytomorphology review · age =65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Patients listed below are not eligible for the study: · 2nd or subsequent relapse of ALCL · significant pre-treatment for 1st relapse (previous chemotherapy or radiotherapy within two months prior to starting the ALCL-Relapse protocol) · inadequate hepatic, renal and cardiac function · HIV infection or AIDS, severe immunodeficiency · previous organ transplantation · previous malignancy prior to anaplastic large cell lymphoma · pre-existing disease prohibiting chemotherapy as per instructions of the protocol · clinical condition prohibiting the conditioning regimen as per instruction of the protocol
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The aim of the study is to test the efficacy of a treatment strategy for relapsed anaplastic large cell lymphoma. Primary objectives of the study are: 1. to improve the probability of event free survival in children and adolescents with early progression of ALCL or a relapse of ALCL with CD3 positive immunophenotype 2. to test whether BEAM conditioning regimen (without TBI) with autologous stem cell transplantation is an effective treatment in patients with CD3 negative ALCL relapsing after the intensive phase of treatment 3. to test the impact of Vinblastine in patients with late relapse of an CD3 negative ALCL who have not received Vinblastine during firstline therapy ;Secondary Objective: Secondary objectives of the study are 1. to test the reproducibility of the newly introduced stratification criteria as outlined above 2. to control protocol adherence measured as the proportion of patients who are treated according to the protocol out of all patients who meet the inclusion criteria of the protocol 3. to monitor acute and late toxicity of the treatment. ;Primary end point(s): The endpoint for the primary objectives is the Event Free Survival (EFS), defined as the minimum time from the date of relapse/progression to a subsequent event (death from any cause, second relapse, progressive disease, secondary malignancy). EFS will be estimated using the Kaplan-Meier method. The end point for the assessment of the reproducibility of the newly introduced stratification criteria is the proportion of patients who are eligible for allogeneic SCT (early progression, or/and CD3 positive immunophenotype). The endpoint of the assessment of “control for protocol adherence” is the proportion of patients who are treated according to the protocol out of the total number ofl patients who meet the inclusion criteria of the protocol. A patient is judged to be treated according to the protocol if he is transplanted according to his risk classification (au | — |
Countries
United Kingdom