Clinical trial
Prospective Observational Study Investigating the Cardiotoxicity of Anthracyclines in Patients With Diffuse Large B-Cell
Name
FIL_Cardio-DLBCL
Description
All patients enrolled in the study will have to be treated with a chemo immunotherapy scheme R-CHOP with doxorubicin, with doxorubicin analogue or non pegylated liposomal anthracycline (R-COMP; Sec. 648 DM) administered every 21 days for 6 cycles. In unfavourable patients (stage II-IV) are allowed 2 additional cycles of rituximab at the end of the 6 cycles of R-CHOP.
Trial arms
Trial start
2014-02-12
Estimated PCD
2020-12-30
Trial end
2031-02-01
Status
Active (not recruiting)
Treatment
R-CHOP with doxorubicin
Chemoimmunotherapy every 21 days for 6 cycles. In unfavourable patients (stage II-IV) are allowed 2 additional cycles of rituximab at the end of the 6 cycles of R-CHOP.
Arms:
Chemo immunotherapy
Other names:
R-CHOP with doxorubicin analogue, R-COMP
Size
127
Primary endpoint
Cardiotoxicity
1 year from enrollment
Eligibility criteria
Inclusion Criteria:
* Histologically confirmed Diffuse Large B-Cell Lymphoma diagnosis
* Patient eligible to receive 6 cycles of R-CHOP or R-CHOP like chemotherapy at full doses
* Age ≥ 18
* Stage I-IV
* Written informed consent
* ECOG Performance Status 0-3
* Ventricular Ejection Fraction (VEF) ≥40%
* No previous treatment for lymphoma (except for RT-IF)
* Negative β-HCG pregnancy test result at diagnosis for female of childbearing potential
* Use of acceptable method of contraception during the study and for 3 months after receiving the last dose of study drug for patients with childbearing potential
* Availability of the patient to be followed for all the phases of the chemotherapy treatment and for the subsequent follow-up
Exclusion Criteria:
* Inability to schedule a treatment at full doses of chemoimmunotherapy R-CHOP or R-CHOP-like for different reasons
* Central nervous system involvement due to lymphoma
* HIV
* Active cardiac pathology including heart failure, left ventricular dysfunction documented by a LVEF \<40%, arrhythmias (rapid atrial fibrillation, frequent ventricular arrhythmias), valvular aortic or mitral disfunction \> moderate, ischemic heart disease (myocardial infarction or acute coronary syndrome for over 6 months, angina at rest or with mild efforts)
* Previous treatment for lymphoma
* Other malignancy in the 3 years prior to the diagnosis of lymphoma with exception of non-melanoma skin cancer or in situ carcinoma
* Any other co-existing medical condition that would preclude participation in the study (uncontrolled bacterial or viral or fungal infection)
* Pregnant, or lactating and breastfeeding female
Protocol
{'studyType': 'OBSERVATIONAL', 'patientRegistry': False, 'designInfo': {'observationalModel': 'COHORT', 'timePerspective': 'PROSPECTIVE'}, 'enrollmentInfo': {'count': 127, 'type': 'ACTUAL'}}
Updated at
2023-12-15
1 organization
1 product
3 indications
Organization
Fondazione Italiana LinfomiProduct
R-CHOPIndication
lymphomaIndication
Large B-CellIndication
Diffuse Large B-Cell