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TerminatedNCT03804372CLL1818Updated Feb 27, 2025

The Incidence of Hepatitis B in Diffuse Large B-Cell Lymphoma/Chronic Lymphoid Leukemia HBsAg-positive Treated With Rituximab, Chemotherapy and Tenofovir Alafenamide

A Phase 2 interventional study of Rituximab and Chemotherapy in Large-B-cell Diffuse Lymphoma and Chronic Lymphoid Leukemia, sponsored by Gruppo Italiano Malattie EMatologiche dell'Adulto. Terminated at 31 sites in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-02-27.

Sponsored by Gruppo Italiano Malattie EMatologiche dell'Adulto · Phase 2, Interventional, and Treatment

Why this study was terminated
low enrollment rate
Phase
Phase 2
Study type
Interventional
Enrollment
5
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

In this study, we will evaluate the incidence of hepatitis B virus reactivation within the first 6 months of treatment with rituximab, standard chemotherapy and TAF in patients with diffuse Large B-Cell Lymphoma/Chronic Lymphoid Leukemia HBsAg-positive.

Read the detailed description

This is a prospective, multicenter, interventional, single arm, evaluating the incidence of hepatitis B virus (HBV) reactivation within the first 6 months treatment period in HBsAg positive patients treated for DLBCL/Chronic Lymphoid Leukemia with Rituximab, standard chemotherapy, and TAF.

Approximate duration of the recruitment period based on the number of patients available The duration of the recruitment period has been estimated at 12 months.

Patients will receive Rituximab+Chemotherapy+TAF for 6 months, followed by TAF as monotherapy for further 12 months. All subjects will receive TAF 1-3 weeks before Rituximab+Chemotherapy and withdrawn 12 months after the completion of chemotherapy. Then patients will be also observed for further12 months

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Conditions studied

  • Large-B-cell Diffuse Lymphoma
  • Chronic Lymphoid Leukemia

Keywords

  • diffuse Large B-Cell Lymphoma
  • chronic Lymphoid Leukemia HBsAg-positive
  • Rituximab
  • chemotherapy
  • alafenamide
  • hepatitis B virus reactivation
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In context

Hepatitis B

1,656 studies on the registry are indexed under Hepatitis B; 196 are open to participants now.

This study's enrollment of 5 is below the median of 120 across 1,187 interventional studies indexed under Hepatitis B.

Browse Hepatitis B studies →

Lead sponsor

Gruppo Italiano Malattie EMatologiche dell'Adulto is the lead sponsor of 132 studies on the registry; 34 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

Inclusion criteria

  • Signed written informed consent according to ICH/EU/GCP and national local laws.
  • Male/non-pregnant/non-lactating female subjects >18 years old with newly diagnosed DLBCL/Chronic Lymphoid Leukemia who are going to receive treatment with rituximab in combination with chemotherapy.
  • HBsAg positivity, serum HBV-DNA negative or positive (\<2000/IU), and normal liver function, including alanine aminotransferase(ALT), aspartate aminotransferase(AST) and bilirubin. (inactive carriers).
  • No previous treatment with antiviral drugs for HBV infection.
  • Patients with satisfactory renal function.

Exclusion criteria

Exclusion Criteria:

  • Hepatic insufficiency for any reason
  • History of other liver diseases such as hepatitis C, D, autoimmune hepatitis, primary biliary cirrhosis, Wilsons' disease
  • Positive viral markers, such as IgM antibody to hepatitis A virus, hepatitis C virus, IgG antibody to hepatitis D virus, IgM antibody to hepatitis E virus, or antibody to HIV
  • Pregnant or breastfeeding women
  • Other major systemic diseases, such as active infection, significant cardiac disease, neurological deficit or psychiatric disorder, that the investigators consider being a significant risk
  • Patients with moderate or severe renal failure.
  • Intolerance to any of the components of the therapeutic regimen. Treatment with any investigational medicinal product (unapproved) in the last 30 days.
  • Any other disorder that, in the investigator's opinion, makes the patient ineligible for recruitment or that could interfere in his/her participation or in the conclusion of the study.
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
5 participants (actual)

Study arms

  • Experimental
    Study group

    Patients will receive Rituximab+Chemotherapy+TAF for 6 months, followed by TAF as monotherapy for further 12 months. All subjects will receive TAF 1-3 weeks before Rituximab+Chemotherapy and withdrawn 12 months after the completion of chemotherapy.

    Drug: Rituximab · Drug: Chemotherapy · Drug: Tenofovir alafenamide

Interventions

  • DrugRituximab

    Patients will receive Rituximab+Chemotherapy+TAF for 6 months, followed by TAF as monotherapy for further 12 months. All subjects will receive TAF 1-3 weeks before Rituximab+Chemotherapy and withdrawn 12 months after the completion of chemotherapy.

  • DrugChemotherapy

    Patients will receive Rituximab+Chemotherapy+TAF for 6 months, followed by TAF as monotherapy for further 12 months. All subjects will receive TAF 1-3 weeks before Rituximab+Chemotherapy and withdrawn 12 months after the completion of chemotherapy.

  • DrugTenofovir alafenamide

    Patients will receive Rituximab+Chemotherapy+TAF for 6 months, followed by TAF as monotherapy for further 12 months. All subjects will receive TAF 1-3 weeks before Rituximab+Chemotherapy and withdrawn 12 months after the completion of chemotherapy.

06

What researchers measure

Primary outcomes

  1. Percentage of patients presenting hepatitis B virus reactivation

    Assessment of the percentage of patients presenting HBV reactivation within 6 months following the start of treatment with Rituximab, chemotherapy and TAF in in DLBCL and Chronic Lymphoid Leukemia patients.

    Time frame: Within 6 months following the start of treatment

Secondary outcomes

  1. Percentage of patients presenting hepatitis B virus reactivation

    Assessment of the percentage of patients presenting HBV reactivation during and after the 12-month treatment of TAF as a single agent in in DLBCL and Chronic Lymphoid Leukemia patients

    Time frame: After 12 months following the study entry and start of treatment

  2. Number of patients stratified by DLBCL and Chronic Lymphoid Leukemia with hepatitis related to the HBV infection or with liver failure during their participation in the study.

    Time frame: After 31 months from study entry

  3. Percentage of patients in which chemotherapy is delayed due to HBV-reactivation.

    In terms of percentage of patients with a delay of at least 7 days between chemotherapy cycles stratified by DLBCL and chronic lymphoid leukemia.

    Time frame: After 31 months from study entry

  4. Number of patients with DLBCL and with Chronic Lymphoid Leukemia who survive

    Time frame: After 31 months from study entry

  5. Number of patients experiencing adverse events.

    Time frame: After 31 months from study entry

07

Study locations

31 sites
  • Aon Ss. Antonio E Biagio E C. Arrigo - Alessandria - Soc Ematologia
    Alessandria, Italy
  • Aou Ospedali Riuniti "Umberto I - G.M. Lancisi - G. Salesi"- Ancona - Sod Clinica Ematologica
    Ancona, Italy
  • Area Vasta N. 5 Ascoli Piceno - S. Benedetto Del Tronto, Presidio Ospedaliero Av5 Osp. Gen. Prov.Le "C.G.Mazzoni" - Uoc Ematologia
    Ascoli Piceno, Italy
  • Irccs Centro Di Riferimento Oncologico Di Aviano - Sosd Oncoematologia Trapianti Emopoietici E Terapie Cellulari
    Aviano, Italy
  • Aou Consorziale Policlinico - Bari - Uo Ematologia Con Trapianto
    Bari, Italy
  • Irccs Oncologico Istituto Tumori Giovanni Paolo Ii - Bari - Uo Ematologia
    Bari, Italy
  • Asl Brindisi, Ospedale 'Perrino' - Brindisi - Uo Ematologia
    Brindisi, Italy
  • Ctc U.O Di Ematologia Con Trapianto Di Midollo Osseo - Catania
    Catania, Italy
  • Aou Arcispedale Sant'Anna - Cona (Fe) - Uoc Ematologia E Fisiopatologia Della Coagulazione
    Cona, Italy
  • Aou Ospedali Riuniti - Foggia - Uoc Ematologia
    Foggia, Italy
  • Asl Lecce, Ospedale 'V. Fazzi' - Uo Ematologia
    Lecce, Italy
  • Ao Ospedali Riuniti "Papardo Piemonte" - Po Papardo - Messina - Sc Ematologia
    Messina, Italy
  • Ao Di Rilievo Nazionale Antonio Cardarelli - Napoli - Uoc Ematologia Con Trapianto Di Midollo
    Napoli, Italy
  • Aou Federico Ii - Napoli - Uoc Ematologia
    Napoli, Italy
  • Aou Maggiore Della Carita' Di Novara - Scdu Ematologia
    Novara, Italy
  • Asl Salerno, Presidio Ospedaliero Tortora Pagani - Ematologia
    Pagani, Italy
  • Ao Ospedali Riuniti Villa Sofia Cervello - Palermo - Uo Ematologia Con Utmo
    Palermo, Italy
  • Fondazione Ircss Policlinico San Matteo - Pavia - Uo Ematologia
    Pavia, Italy
  • Asl Pescara, Presidio Ospedaliero 'Spirito Santo' - Uoc Ematologia Clinica
    Pescara, Italy
  • Ausl Di Reggio Emilia - Arcispedale Santa Maria Nuova, Irccs - Sc Ematologia
    Reggio Emilia, Italy
  • Ausl Della Romagna, Ospedale "Infermi" - Rimini - Uo Ematologia
    Rimini, Italy
  • Ao San Camillo Forlanini - Roma - Uoc Ematologia E Trapianto Cellule Staminali
    Roma, Italy
  • Aou Policlinico Tor Vergata - Roma - Uoc Trapianto Cellule Staminali
    Roma, Italy
  • Aou Sant'Andrea - Roma - Uoc Ematologia
    Roma, Italy
  • Asl Roma 2, Ospedale S. Eugenio- Ospedale S.Eugenio - Uoc Ematologia
    Roma, Italy
  • Fondazione Policlinico Universitario Agostino Gemelli Irccs - Roma - Area Ematologica
    Roma, Italy
  • Università degli Studi "Sapienza" - Dip Biotecnologie Cellulari ed Ematologia - Divisione di Ematologia
    Roma, Italy
  • Ente Ecclesiastico Casa Sollievo Della Sofferenza - San Giovanni Rotondo - Ematologia
    San Giovanni Rotondo, Italy
  • Aou Città Della Salute E Della Scienza, Ospedale S. Giovanni Battista Molinette - Torino - Sc Ematologia - Università Degli Studi Di Torino
    Torino, Italy
  • Aou Integrata Di Verona, Policlinico G.B. Rossi - Uoc Ematologia
    Verona, Italy
  • Aulss 8 Berica - Ospedale Di Vicenza - Uoc Ematologia
    Vicenza, Italy
08

References and documents

Publications

  • Picardi M, Giordano C, Della Pepa R, Pugliese N, Leone A, Delle Cave G, Iula R, Pane F, Gentile G. Regarding "Hepatitis B Surface Antigen Positivity Is an Independent Unfavorable Prognostic Factor in Diffuse Large B-Cell Lymphoma in the Rituximab Era". Oncologist. 2021 Jun;26(6):e1083-e1084. doi: 10.1002/onco.13710. Epub 2021 Feb 24. PubMed 33559286 ↗

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 27, 2025, 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
NCT03804372
Lead sponsor
Gruppo Italiano Malattie EMatologiche dell'Adulto
Responsible party
Sponsor
First posted
Jan 15, 2019
Start date
Jul 7, 2020
Primary completion
May 22, 2024
Completion
May 22, 2024
Last update
Feb 27, 2025

Study contacts

Giuseppe Gentile
study chair · Università Sapienza di Roma
Alessandra Micozzi
study director · Università Sapienza di Roma

Oversight

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

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This study is terminated, as verified in Feb 2025. You cannot join it, but the record below documents what was studied.

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