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CompletedNCT03397953Updated Jul 26, 2022

Vinorelbine for Recurrent ACLC

A Phase 2 interventional study of Vinorelbine in Anaplastic Large Cell Lymphoma and Vinorelbine, sponsored by Children's Cancer Group, China. Completed at 1 site in China. Open to participants aged Up to 18 Years. Per ClinicalTrials.gov, last updated 2022-07-26.

Sponsored by Children's Cancer Group, China · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
20
Allocation
Non-randomized
Ages
Up to 18 Years
Sex
All
01

Study summary

The purpose of this study is to assess the efficiency and safety of vinorelbine in the treatment of relapsed / advanced ALCL in children and adolescents.

Read the detailed description

Anaplastic large cell lymphoma (ALCL) is a rare non-Hodgkin's lymphoma, around 30% patients would get relapse. Vinorelbine(Navelbine) is a third-line treatment option for Hodgkin's disease(HD) after transplantation failed, while both HD and ALCL express CD30. When ALCL recurred, vinblastine monotherapy was used and the 5-year EFS up to 30%, 5-year OS up to 60%. In China vinblastine is unavailable. Vinorelbine is very similar to vinblastine in molecular formula, and is available in China. From November 2016 to March 2017, two patients with recurrent ALCL were recruited in the Department of Hematology and Oncology, Shanghai Children's Medical Center. They received vinorelbine monotherapy and achieved clinical remission (PET CR) at 8 weeks. One patient with bone marrow recurrence showed negative ALK / NPM by PCR . Based on this, the investigators will expand the sample to further investigate the therapeutic efficiency and safety of vinorelbine in children and adolescents with ALCL.

02

Conditions studied

  • Anaplastic Large Cell Lymphoma
  • Vinorelbine

Keywords

  • Anaplastic Large Cell Lymphoma
  • Childhood
  • Adolescent
  • Recurrent
  • Treatment
03

Who can participate

Ages eligible
Up to 18 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

Children and adolescents with a clear diagnosis of recurrent / progressive ALCL at Shanghai Children's Medical Center or other centers since September 2017 include:

  • Diagnosed as ALCL, already received first-line treatment, but get disease progression;
  • After receiving ALCL treatment has got CR then diagnosed relapse, need for pathological diagnosis.

Exclusion criteria

Exclusion Criteria:

  • Patients with other systemic diseases, severe infections or critically illness.
04

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    Vinorelbine monotherapy treatment

    Patients will be treated by Vinorelbine. Four weeks as a course. There are 20 courses in total.

    Drug: Vinorelbine

Interventions

  • DrugVinorelbine

    Vinorelbine will be used 25mg/m2/week, rest for 1 week after 3 weeks of continuous use, 4 weeks will be a course. After 1 week there will be a simple assessment, after 2 weeks will be a comprehensive assessment. If the patient got disease progression or partial response/stable disease, he/she would be removed from this trial.

05

What researchers measure

Primary outcomes

  1. Event free survival

    Time frame: 5 years

Secondary outcomes

  1. Overall survival

    Time frame: 5 years

Other outcomes

  1. Safety statistics: adverse reactions during the trial through NCI CTCAE version 4.0.

    The investigators will record the adverse reactions during the trial through NCI CTCAE version 4.0.

    Time frame: 2 years

06

Study locations

1 site
  • Shanghai Children's Medical Center
    Shanghai, Shanghai 200127, China
07

Registry details

Key details

Study ID
NCT03397953
Lead sponsor
Children's Cancer Group, China
Responsible party
Sponsor
First posted
Jan 12, 2018
Start date
Nov 2016
Primary completion
Jul 2022
Completion
Jul 2022
Last update
Jul 26, 2022

Study contacts

Yijin Gao, MD
principal investigator · Shanghai Children's Medical Center

Oversight

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

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This study is completed, as verified in Jul 2022. You cannot join it, but the record below documents what was studied.

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