Peripheral T Cell Lymphoma
Conditions
Brief summary
This is a multicenter randomized trial evaluating induction treatment with VIP-reinforced-ABVD (VIP-rABVD) versus CHOP/21 in patients with newly diagnosed peripheral T cell lymphoma.
Detailed description
Induction therapy: ARM 1: 6 Chemotherapy courses = 3 VIP alternated with 3 ABVD ARM 2: 8 Chemotherapy courses = CHOP every 21 days Consolidation therapy: For all patients if CR = radiotherapy 40GY / 5X1,8 GY per week
Interventions
VIP regimen: * etoposide 100 mg/m2/D IV from D1 to D3 * ifosfamide 1000 mg/m2/D from D1 to D5 * cisplatinum 20 mg/m2/D as a continuous infusion from D1 to D5 ABVD regimen: * doxorubicin50 mg/m2/D on D1 and D14 * bleomycin 10 mg/m2/D * vinblastine 10 mg/m2/D * dacarbazine 375 mg/m2/D
CHOP regimen: * cyclophosphamide 750 mg/m2 intravenously (IV) day 1 * doxorubicin 50 mg/m2 IV day 1 * vincristine 1,4 mg/m2 (maximum 2 mg) day 1 * prednisone 100 mg/m2/D from D1 to D5.
The treatment of Ann-Arbor stage I/II and stage III/IV patients with an initial bulky tumor (diameter ≥ 5 cm) was systematically completed by an irradiation plan. Forty grays were delivered (1,8 gray/day) over four weeks on the involved field.
Sponsors
Study design
Eligibility
Inclusion criteria
* newly diagnosed untreated PTCL * age 18 and 70 years * performance status ≤ 2 * Ann Arbor stage I to IV * normal cardiac ventricular ejection fraction over 50% * normal hepatic function (asat, ALAT, PAL \< 2.5 ULN)
Exclusion criteria
* cutaneous form of PTCL * previous treatment * age \< 18 and \> 70 * performance status \> 2 * abnormal cardiac or hepatic functions * HIV-, HCV- or HBV- positivity
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Comparison between EFS rate of CHOP/21 versus VIP-rABVD in newly diagnosed PTCL. | 2 years |
Secondary
| Measure | Time frame |
|---|---|
| Overall survival (OS) | 6 years |
| response rate at the end of the treatment | 6-8 months |
| progression free survival (PFS) | 6 years |
| hematotoxicity | 6 months |
Countries
France