Peripheral T-cell lymphomas (PTCL,nos, AITL, ALK-negative ALCL)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1) Histologically confirmed PTCL,nos, AITL, or ALCL, ALK-negative according to the 2008 WHO classification (2) Age: 15 to 70 years old (3) PS (ECOG): 0-2 (4) No clinical symptoms of CNS involvement (lumbar puncture/head imaging study are not mandatory) (5) Measureable lesion present (6) No prior chemotherapy or radiotherapy for PTCLs. Prior steroid monotherapy for any disease is eligible. Patients with steroid administration for disease except for lymphoma must stop steroid at registration. Short-term steroid administration for lymphoma-associated symptoms such as B symptoms is eligible. (7) The name of disease and prognosis are informed. (8) 1. AST equal or lower than 2.5 UNL 2. ALT equal or lower than 2.5 UNL 3. T-bil equal or lower than 2.0 mg/dL 4. Cr equal or lower than 1.5 mg/dL 5. WBC equal or higher than 3,500 /mm3 6. Hb equal or higher than 10 g/dl 7. Plt equal or higher than 100,000 /mm3 Cases not meeting for above criteria because of lymphoma involvement are eligible. (9) Ejection fraction of left ventricle equal or higher than 50% by echocardiogram. (10) Without arrhythmia or abnormal electrocardiogram needing therapeutic intervention (11) PaO2 equal or higher than 60 mmHg (12) Written informed consent of patient (and parents in minor)
Exclusion criteria
Exclusion criteria: (1) Severe infection, active tuberculosis, uncontrollable diabetes mellitus under insulin treatment, or liver cirrhosis (2) Other active malignancy (except for in situ carcinoma in uterine cervix or basal cell carcinoma) (3) CNS involvement (4) Pregnant or breastfeeding women (5) Severe psychosis (6) HBs antigen positive (7) HBc antibody positive or HBs antibody positive, with HBV-DNA positive (8) HIV antibody positive or HTLV-1 antibody positive (9) Patients with difficult situation for study such as high-risk of gastrointestinal perforation/bleeding or surgical indication
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 3-year progression-free survival rate | — |
Secondary
| Measure | Time frame |
|---|---|
| Complete remission rate, Overall survival rate, Toxicity | — |
Countries
Japan
Contacts
St. Marianna University School of Medicine Division of Hematology and Oncology, Department of Internal Medicine