High-risk Aggressive Lymphoma After Auto-HSCT
Conditions
Brief summary
Relapse after autologous hematopoietic stem cell transplantation (ASCT) is still challenging for high-risk aggressive lymphoma. This study was to investigate the efficacy and safety of maintenance therapy post-ASCT.
Interventions
Rituximab vs DPP/DCEP-G vs observation
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 14-70 years * High-risk aggressive lymphoma underwent auto-HSCT * Presence of 2 or more signs of unfavorable prognosis (IPI 2-4) * Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2 * Adequate hematological function * Offer informed consent
Exclusion criteria
* Concomitant other cancer * Congestive heart failure, unstable angina, severe cardiac arrhythmias and conduction disturbances, myocardial infarction * Renal insufficiency (serum creatinine greater than 0.2 mmol/L) (except cases with specific kidney infiltration, urinary tract compression by tumor conglomerate or presence of uric acid nephropathy due to massive cytolysis syndrome) * Liver failure (except cases with liver tumor infiltration), acute hepatitis or active phase of chronic hepatitis B or C with serum bilirubin greater than 1.5 standards, alanine aminotransferase (ALT) and aspartate aminotransferase (AST) greater than 3 standards, prothrombin index less than 70% * Severe pneumonia (except cases with specific lungs infiltration), accompanied by respiratory failure (dyspnea \> 30 in min., hypoxemia less than 70 mm Hg, when it is impossible to compensate situation in 2-3 days) * Severe mental disorders (delusions, severe depressive syndrome and other manifestations of productive symptoms) not related with specific infiltration of central nervous system * Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Relapse rate | 2 years |
Secondary
| Measure | Time frame |
|---|---|
| Overall survival | 2 years |
| Treatment-related mortality | 2 years |
Countries
China