Angioimmunoblastic Lymphadenopathy, Extranodal NK/T-cell Lymphoma, Peripheral T Cell Lymphoma, Unspecified
Conditions
Keywords
T cell lymphoma
Brief summary
Peripheral T cell lymphomas comprise 10-15% of all malignant lymphomas. The prognosis is significantly worse than that of aggressive B cell lymphomas. The prospects of elderly patients are especially poor, with an estimated disease free survival of only 25% after three years. Previous phase II trials have demonstrated a significant activity of the monoclonal anti CD52 antibody alemtuzumab in primary and relapsed T cell lymphoma. The investigators thus propose to investigate the value of adjuvant alemtuzumab in combination with dose dense CHOP-14 in patients with previously untreated peripheral T cell lymphoma.
Interventions
Addition of 30 mg Alemtuzumab by subcutaneous application for the first 4 cycles
dose dense chemotherapy with CHOP-14, 6 cycles, + G-CSF
Sponsors
Study design
Eligibility
Inclusion criteria
* all risk groups of peripheral T cell lymphoma * performance status ECOG 0-2 * written consent * measurable disease
Exclusion criteria
* stage I N without bulky disease * already initiated treatment * serious accompanying disorder or impaired organ function * bone marrow involvement \>25% * HIV positivity * leukemic manifestation of lymphoma * simultaneous participation in another trial * platelets \< 100 000/ mm, leukocytes \< 2500 /mm
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Event free survival | 3 years |
Secondary
| Measure | Time frame |
|---|---|
| Rate of complete and partial remissions | 4 months after inclusion |
| treatment related deaths | time of occurence |
| Overall survival | @ 3 years |
| protocol adherence | 4 months of treatment |
| immune reconstitution after alemtuzumab CHOP | 3 years |
Countries
Germany