Primary Mediastinal Large B Cell Lymphoma
Conditions
Keywords
primary mediastinal large B cell lymphoma, sintilimab, R-CHOP
Brief summary
The purpose of this multi-center, single arm, phase Ⅱ clinical trail is to evaluate the efficacy and toxicity of sintilimab combined with R-CHOP regimen as first-line treatment for primary mediastinal large B-cell Lymphoma (PMBCL)
Interventions
Sintilimab,200mg, d1, intravenous drip; Rituximab,375mg/㎡, d1,intravenous drip; Cyclophosphamide,750mg/㎡,d2,intravenous drip; Doxorubicin,50mg/㎡ (or Liposome doxorubicin ,40 mg/㎡),d2,intravenous drip; Vincristine,1.4mg/㎡, d2(Maximum dose 2mg),intravenous drip; Prednisone, 60mg/ m2 , d1-d5,oral administration.
Sponsors
Study design
Eligibility
Inclusion criteria
* Pathological diagnosis of PMBCL , and did not receive any previous treatment for PMBCL ; * Predicted survival time ≥ 6 months ; * 18-75 years ; * IPI score 0-3; * ECOG performance status 0-2 ; * Clinicians judge that the patient is suitable for the treatment of primary mediastinal large B-cell lymphoma ; * After the patient was enrolled in the trial, other drugs that may have therapeutic effects on primary mediastinal large B-cell lymphoma were not acceptable ; * WBC ≥ 3 × 109 / L, NE ≥ 1.5 × 109 / L, PLT ≥ 100 × 109 / L ; * Serum creatinine ≤ 1.5mg / dL, creatinine clearance rate ≥ 50mL / min ; * ALT, AST ≤ 3 × ULN ( normal upper limit ) ; total bilirubin ≤ 2 × ULN ; * Sign the informed consent.
Exclusion criteria
* Other malignant diseases except PMBCL were diagnosed within 5 years;·Participating in other interventional clinical studies, or has received chemotherapy, radiotherapy, immunotherapy or biotherapy for lymphoma; * Known allergies to test drugs or any excipient component of these products;·Allogeneic organ transplantation or allogeneic hematopoietic stem cell transplantation has been performed; * Women in pregnancy or lactation; * Severe infectious diseases, such as HIV infection, untreated active hepatitis B, active hepatitis C; * The researchers believe that there are other potential risks that are not suitable for participation in this study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| complete remission (CR) | 2years | — |
| overall response rate (ORR) | 2 years | The proportion of patients with a PR and CR |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| overall survival (OS) | 2 years | The time calculated from enrollment until death from any cause, with living patients censored at the last known survival date |
| progression survival (PFS) | 2 years | The time from enrollment until tumor progression or death from any cause, whichever occurred first |
| bio-marker analysis | 2 years | Correlation between programmed death-ligand 1 expression and efficacy |