NK/T Cell Lymphoma Nos
Conditions
Brief summary
The optimal first-line treatment for extra-nodal NK/T-cell lymphoma (ENKTL) has not been well-defined. This phase II study aimed to evaluate the efficacy and safety of pegaspargase, cyclophosphamide, vincristine, etoposide and prednisone (COEPL) regimen combined with radiotherapy for patients with newly diagnosed ENKTL.
Interventions
Cyclophosphamide 750 mg/m2 intravenously on day 1, vincristine 1.4 mg/m2 intravenously on day1, etoposide 60mg/m2 intravenously on days 1-3; pegaspargase 2500IU/m2 intramuscularly on day 2, prednisone 100mg orally on days 1-5.
Sponsors
Study design
Eligibility
Inclusion criteria
* patients with confirmed pathological diagnosis of ENKTL as defined by WHO criteria * age 14-80 years * no prior chemotherapy or radiotherapy * Eastern Cooperative Oncology Group (ECOG) performance status of 0-2 * at least one measurable lesion * adequate bone marrow function (i.e. hemoglobin ≥80 g/l, absolute neutrophil count ≥ 1.0 × 10\^9/L, platelets ≥ 100 ×10\^9/L), adequate renal function (i.e. serum creatinine ≤177 μmol/L), adequate hepatic function (e.g. total bilirubin ≤ two times the upper limit of normal, and ALT /AST ≤2.5 times the upper limit of normal) * expected survival of more than three months
Exclusion criteria
* invasion of lymphoma to central nervous system * pre-existing coagulation disorder * other concomitant neoplasms * severe infection * positive HIV antibody * HBV DNA titer higher than 10\^4 copies /ml in HBsAg-positive patients post antiviral therapy * pregnant or lactating women * women of childbearing age unwilling to take contraceptive measures during the study period
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Complete response rate | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| Overall response rate | 1 year |
| Progression-free survival | 3-year |
| Overall survival | 3-year |
| Adverse events | 1-year |
Countries
China