Primary Cutaneous Lymphoma
Conditions
Keywords
Primary Cutaneous Lymphoma, Treatment, Survival, China, Non-Hodgkin's Lymphoma
Brief summary
In order to further improve the diagnosis and treatment level of primary cutaneous lymphoma in China, the National Clinical Center for Skin and Immune Diseases established a standardized diagnosis and treatment center for primary cutaneous lymphoma to systematically and effectively understand the current treatment status of patients with primary cutaneous lymphoma, as well as the efficacy and safety of various treatment methods during practices, so as to further improve the diagnosis and treatment level of primary cutaneous lymphoma and help patients with primary cutaneous lymphoma.
Detailed description
Primary cutaneous lymphomas (PCLs) are defined as non-Hodgkin lymphomas presenting in the skin with no evidence of extracutaneous disease at the time of diagnosis. Primary cutaneous lymphomas include a heterogeneous group of cutaneous T-cell lymphomas (CTCLs) and cutaneous B-cell lymphomas (CBCLs). The different types of PCLs have highly characteristic clinical and histologic features, often a completely different clinical behavior and prognosis, and require a different type of treatment. Various studied in terms of the treatment and outcome of patients with different types of PCLs has been conducted in recent years. While the data of Chinese patients with PCLs are limited. Considering the different proportion of PCLs and limited treatment modalities in China, a nationwide multi-center prospective study is designed to summarize the current treatment status and outcome of patients.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients from the participatin medical centers that has passed the data review of the National Clinical Center for Skin and Immune Diseases. * Patients with a definitive pathological diagnosis of primary cutaneous lymphoma by skin biopsy.
Exclusion criteria
* Patients who fail to provide informed consent form. * Patients who cannot complete the questionnaire independently or under the guidance of investigators.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time to treatment failure (TTF) | At the time of treatment failure, through study completion, an average of 3 months. | Date of initiation of treatment until abandonment of therapy, causes of abandonment of therapy may include inadequate response to therapy, intolerable side effects or toxicity, disease progression, and patient withdrawal for whatever reason. |
| Clinical response to significant therapies | At the each scheduled follow-up visit through study completion, an average of 3 months | Clinical response are assessed by consensus response criteria in PCLs (Olsen, Elise A et al. Primary cutaneous lymphoma: recommendations for clinical trial design and staging update from the ISCL, USCLC, and EORTC. Blood vol. 140,5 (2022): 419-437. ), recorded as CR, PR, SD or PD. |
| Objective response rate(ORR) | Through study completion, an average of 1 year. | Proportion of patients with CR and PR. |
| Time-to-next treatment (TTNT) | At the time of treatment change, through study completion, an average of 3 months. | Date of initiation of primary treatment to date of new significant treatment. |
| Time to response (TTR) | At the time of response, through study completion, an average of 3 months. | Date of initiation of treatment to date when criteria for response (PR or CR) first met. |
| Type of significant therapies | At time of initiation of first significant treatment and at the each scheduled follow-up visit, through study completion, an average of 3 months | The significant therapies of primary cutaneous lymphoma includes all topical and systemic therapies, radiotherapy, or phototherapy. |
| Duration of significant therapies | At time of initiation of first significant treatment and at the each scheduled follow-up visit, through study completion, an average of 3 months | The significant therapies of primary cutaneous lymphoma includes all topical and systemic therapies, radiotherapy, or phototherapy. Recorded as month. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Progression Free Survival (PFS) | Baseline and the time of occurrence of PD or death as a result of any cause, through study completion, an average of 1 year. | Date of diagnosis to first date meets criteria for PD or death as a result of any cause |
| Disease Specific Survival (DSS) | Baseline and the time of death due to disease, through study completion, an average of 1 year. | Date of diagnosis to death as a result of disease |
| Disease Free Survival (DFS) | Date when criteria for CR first met and date when criteria for relapse/recurrence or or death from any cause, through study completion, an average of 1 year. | Date when criteria for CR first met until time of relapse/recurrence (if global CR, recurrence of disease in any one category) or death from any cause |
| Overall survival (OS) | Baseline and at time of occurrence of death, through study completion, an average of 1 year. | Date of diagnosis to death from any cause. |
Countries
China