Non Hodgkin Lymphoma
Conditions
Keywords
Minimal residual disease, NGS, NHL, DNA sequencing
Brief summary
This is a prospective descriptive monocentric study whose purpose is to describe the clonal evolution of the mutational pattern in cfDNA of a cohort of patients with Diffuse Large B-Cell Non-Hodgkin Lymphomas (DLBCL) before, during and after standard treatment
Detailed description
To determinate and to describe the clonal evolution, 30 DLBCL cases with available matched tumor DNA and plasma will be collected and analyzed by routinely applicable next generation sequencing (NGS) at the time of diagnosis, at mid treatment, at the end of treatment and at 12 months after diagnosis.
Interventions
DNA from plasma, peripheral blood mononuclear cell and bone marrow will be sequenced by NGS for a panel of 34 genes.
tumor Assessment tool during the study
Sponsors
Study design
Eligibility
Inclusion criteria
* Age up to 18 years old * With a diagnosis formally established of DLBCL or transformed straightaway follicular lymphoma or 3B grade follicular lymphoma or Burkitt-like lymphoma * Eligible to a treatment by immunochemotherapy like R-CHOP, R-ACVBP or R-CHOP like * First line of treatment * Being able to benefit from standard extension assessment ( Fluorine-18 fluorodeoxyglucose positron emission tomography (18F-FDG-PET) and bone marrow biopsy with a bone marrow aspiration) * Written informed consent * Tumor biopsy used for diagnosis available
Exclusion criteria
* Patient who cannot receive polychemotherapy like R-CHOP, R-ACVBP, or R-CHOP like * Patient who cannot benefit from standard extension assessment and follow-up by with Fluorine-18 fluorodeoxyglucose positron emission tomography (18F-FDG-PET) * Pregnant or breast-feeding woman * Guardianship, curatorship * Patient who cannot follow the medical procedures of the study for geographic, social, psychological,linguistic or physical reasons
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Determine the clonal evolution during and after treatment by Next Generation Sequencing | one year | DNA from tumor, DNA from peripheral blood and DNA from bone marrow will be sequencing by NGS for a panel of 34 genes. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Compare the Fluorine-18 fluorodeoxyglucose positron emission tomography (18F-FDG-PET) procedure and the kinetic and pattern of somatic mutations identified in cfDNA | one year | — |
| Progression free survival | One year | time between inclusion and progression or relapse or beginning of a new treatment |
| Overall survival | one year | time between inclusion and death |
| Assess the clonal architecture in tumor DNA and bone marrow | one year | — |
Countries
France