Extranodal NK/T-cell Lymphoma, Nasal Type
Conditions
Keywords
NK/T-cell lymphoma, Radiotherapy, Adjuvant chemotherapy
Brief summary
The purpose of this study is to evaluate the efficacy and tolerability of radiotherapy followed by adjuvant chemotherapy in stage I/II NK/T-cell lymphoma.
Detailed description
For patients with stage I/II NK/T-cell lymphoma, the sequence of radiotherapy and chemotherapy is controversial. Some studies demonstrated the advantage of upfront radiotherapy. Therefore, we designed this single-arm phase II study to evaluate the efficacy and safety of radiotherapy followed by adjuvant chemotherapy with DICE regimen plus peg-asparaginase which was proved to be effective in NK/T-cell lymphoma.
Interventions
Radiotherapy Technique: IMRT Total dose: 50 Gy Per fraction: 2 Gy Chemotherapy: q3w Dexamethasone 40 mg d1-4 Ifosfamide 1200mg/m2 d1-4 Etoposide 60 mg/m2 d1-4 Cisplatin 20mg/m2 d1-4 Peg-asparaginase 2000 IU/m2 d1
Sponsors
Study design
Eligibility
Inclusion criteria
* Age range 14-70 years old * Histological confirmed, previously untreated stage I/II NK/T cell lymphoma in the upper-aerodigestive tract * ECOG performance status 0-1 * Life expectancy of more than 3 months * Without prior history of pancreatitis * Adequate bone marrow and organ functions
Exclusion criteria
* Low risk population (Definition: stage I without local invasion, B symptoms and high LDH level) * Pregnant or lactating women * With contraindication of steroid including uncontrolled diabetes * Serious uncontrolled diseases and intercurrent infection * History of other malignancies except cured basal cell carcinoma of skin and carcinoma in-situ of uterine cervix
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 3-year Progression-free survival | 3 years |
Secondary
| Measure | Time frame |
|---|---|
| Overall response rate | 3 years |
| 3-year overall survival | 3 years |
| Safety | 3 years |
Countries
China