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CompletedNCT03054883Updated Feb 16, 2017

Observational Study for Patients With Newly Diagnosed (MCL) Not Eligible for High-dose Therapy

An observational study in Mantle Cell Lymphoma, sponsored by Czech Lymphoma Study Group. Completed. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-02-16.

Sponsored by Czech Lymphoma Study Group · Observational

Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
73
Ages
18 Years and older
Sex
All
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Study summary

This is an observational study aimed to analyze the effectiveness of treatment of patients with newly dg. mantle cell lymphoma not eligible for high-dose therapy and autologous stem cell transplantation. Scheme of treatment: alternating cycles of R-CHOP (rituximab, cyclophosphamide, hydroxydaunomycin, oncovin, prednison) and R-AraC (rituximab, cytarabin): R-CHOP / R-AraC / R-CHOP / R-AraC / R-CHOP / R-AraC. The study was proposed based on the previously published data in the younger patients, which demonstrated improved outcome after implementation of Ara-C into induction.

Read the detailed description

This is an observational study considered for patients with mantle cell lymphoma meeting the basic inclusion criteria. The study will enrol patients who will be treated according to standard protocol used in the hematologic department. Scheme of treatment: alternating cycles of R-CHOP and R-AraC: R-CHOP / R-AraC / R-CHOP / R-AraC / R-CHOP / R-AraC.

Baseline procedures:

  • CT or PET-CT (positron emission tomography with computed tomography)before starting treatment, after 3 cycles and at the end of treatment (after 6 cycles)
  • bone marrow examination before therapy, after 3 cycles and after completion of induction
  • maintenance rituximab based of standards of each centre

The study was proposed based on the previously published data in the younger patients, which demonstrated improved outcome after implementation of Ara-C into induction.

Primary objectives include response after induction by PET-CT and PFS (progression-free survival).

Secondary objectives include OS (overall survival), and prognostic significance of minimal residual disease detection after completion of induction

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Conditions studied

  • Mantle Cell Lymphoma

Keywords

  • Mantle Cell Lymphoma
  • minimal residual disease
  • cytosine arabinoside
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In context

Lymphoma

5,578 studies on the registry are indexed under Lymphoma; 825 are open to participants now.

This study's enrollment of 73 is below the median of 136 across 625 observational studies indexed under Lymphoma.

Browse Lymphoma studies →

Lead sponsor

Czech Lymphoma Study Group is the lead sponsor of 6 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Elderly and/or comorbid patients with newly dg. mantle cell lymphoma not eligible for high-dose therapy and autologous stem cell transplantation, eligible for R-CHOP or R-COEP (rituximab, cyclophosphamide, oncovin, etoposide, prednison) based therapy.

Inclusion criteria

  • confirmed diagnosis of MCL (hematopathologic examination in the reference centre, with evidence of cyclin D1 or translocation t(11;14) )
  • not eligible for high-dose therapy with autologous stem cell transplantation
  • eligible for R-CHOP or R-COEP-based therapy
  • signed informed consent form with the study and data processing

Exclusion criteria

Exclusion Criteria:

  • non compliance of a patient
  • CNS (central nervous system) involvement with lymphoma
  • ECOG (Eastern Cooperative Oncology Group) >3 or active uncontrolled comorbidities
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Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
73 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna
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What researchers measure

Primary outcomes

  1. Overall response

    PET-CT after induction, and bone marrow examination after induction

    Time frame: After induction for all patients, who can be evaluated; through study completion, an average of 1 year.

Secondary outcomes

  1. Progression-free survival and overall survival

    PFS will be calculated from initiation of therapy until lymphoma relapse / progression or death from any cause; OS will be calculated from initiation of therapy until death from any cause

    Time frame: max. 4 years

  2. Minimal residual disease (MRD) by PCR (polymerase chain reaction) after induction

    After completion of induction MRD will be evaluated by PCR in the peripheral blood and bone marrow in those patients with available disease markers, i.e. primers detecting the translocation t(11;14) or unique IgVH rearrangement.

    Time frame: After induction for all patients, who can be evaluated; through study completion, an average of 1 year.

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Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Klener P, Fronkova E, Belada D, Forsterova K, Pytlik R, Kalinova M, Simkovic M, Salek D, Mocikova H, Prochazka V, Blahovcova P, Janikova A, Markova J, Obr A, Berkova A, Kubinyi J, Vaskova M, Mejstrikova E, Campr V, Jaksa R, Kodet R, Michalova K, Trka J, Trneny M. Alternating R-CHOP and R-cytarabine is a safe and effective regimen for transplant-ineligible patients with a newly diagnosed mantle cell lymphoma. Hematol Oncol. 2018 Feb;36(1):110-115. doi: 10.1002/hon.2483. Epub 2017 Oct 30. PubMed 29083050 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 16, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03054883
Lead sponsor
Czech Lymphoma Study Group
Collaborators
Ministry of Health, Czech Republic
Responsible party
Sponsor
First posted
Feb 16, 2017
Start date
Apr 1, 2012
Primary completion
Dec 31, 2015
Completion
Dec 31, 2016
Last update
Feb 16, 2017

Study contacts

Marek Trneny, prof.,PhD.
principal investigator · Charles University General Hospital in Prague

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2017. You cannot join it, but the record below documents what was studied.

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