T-Cell Leukemia/Lymphoma, Adult
Conditions
Keywords
T-cell lymphoblastic leukemias (T-ALL), T-cell non-Hodgkin's lymphomas (T-NHL), NK cell neoplasia, ROS, apoptosis
Brief summary
This multicenter translational study, with prospective and retrospective samples, aims to identify new strategies to selectively eliminate neoplastic T cells by modulating intracellular ROS levels. Interactions between drugs capable of activating the apoptotic process (e.g., Venetoclax) and drugs capable of altering ROS homeostasis (e.g., inhibitors of the enzyme glucose-6-phosphate dehydrogenase) will be examined. The most promising compounds will be selected based on results obtained in vitro on cell lines and PDX already available in the laboratory, and then will be assayed ex vivo in cells obtained from patients with resistant/refractory T-cell neoplasms.
Interventions
Novel strategies to selectively eliminate neoplastic T cells by modulating intracellular ROS levels.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with pre- and post-thymic T-cell leukemia/lymphoma * Patients of both sexes * Age of patients older than 18 years * Patient is willing to provide written and signed informed consent for participation in the study
Exclusion criteria
-Serious illness or medical condition that does not allow the patient to be managed according to standard treatment protocols, including uncontrolled active infection.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Primary outcome | Through study completion, an average of 2 years | Response of leukemic cells to treatments that remodulate redox state and apoptosis from a molecular point of view, ex vivo,through the development of a multidimensional approach aimed at reducing the chemoresistance of T neoplasms |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Secondary outcome | Through study completion, an average of 2 years | Development of drug combinations that can selectively eliminate T-cell leukemia/lymphoma cells |
Countries
Italy