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RecruitingNCT06008691FIL_MABUpdated Dec 29, 2025

A Prospective, Observational Cohort Study on the Clinical Impact of Novel Monoclonal Antibodies in B-cell Non-Hodgkin Lymphoma in Italian Clinical Practice

An observational study in Non-Hodgkin Lymphoma, B-cell, sponsored by Fondazione Italiana Linfomi - ETS. Recruiting at 61 sites in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-12-29.

Sponsored by Fondazione Italiana Linfomi - ETS · Observational

From the registry’s dates

  • Started Dec 2023; still recruiting 2 years 9 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
1,500
Ages
18 Years and older
Sex
All
01

Study summary

This is a prospective, observational cohort study to evaluate the clinical impact of novel Monoclonal AntiBodies (MAB) in B-cell Non-Hodgkin Lymphoma (NHL) in Italian clinical practice.

Read the detailed description

This is a large prospective, observational cohort study aimed at collecting clinical information on use, feasibility, short- and long-term efficacy and short- and long-term toxicity of novel MAB that have received approval from EMA since 2020 and are prescribed according to the indications for use authorized for marketing in Italy.

Patients entering the study will be subdivided into different cohorts based on approved treatment indications, type of antibody employed and histological subtype. Additional sub-cohorts will be defined if needed.

Final outputs will be based according to:

  • Per indication analysis;
  • Pooled analyses by type of antibody and subtype and other parameters;
  • A general analysis of the whole cohort.
02

Conditions studied

  • Non-Hodgkin Lymphoma, B-cell

Keywords

  • Non-Hodgkin Lymphoma
  • B-cell
  • monoclonal antibodies
  • novel antibodies
03

In context

Lymphoma, Non-Hodgkin

1,989 studies on the registry are indexed under Lymphoma, Non-Hodgkin; 307 are open to participants now.

This study's planned enrollment of 1,500 is above the median of 150 across 159 observational studies indexed under Lymphoma, Non-Hodgkin.

Browse Lymphoma, Non-Hodgkin studies →

Lead sponsor

Fondazione Italiana Linfomi - ETS is the lead sponsor of 89 studies on the registry; 23 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Patients with diagnosis of B-cell NHL both first-line and relapsed or refractory aimed to be treated in indication with a "novel" MAB (alone or in combination) based on presence of an EMA clinical indication since 2020 and prescribed according to the indications for use authorized for marketing in Italy.

Inclusion criteria

  • Patients with diagnosis of B-cell NHL and need of treatment (as per guideline indications), both first-line and relapsed or refractory.
  • Patients aimed to be treated in indication with a "novel" MAB (alone or in combination) based on presence of an EMA clinical indication since 2020 and prescribed according to the indications for use authorized for marketing in Italy.
  • Signed written informed consent.

Exclusion criteria

Exclusion Criteria:

  • Being involved in a prospective interventional trial outside indication.
  • Patients treated outside approved indications:

    • 648-approved indication.
    • 5% AIFA support.
    • Compassionate use.
  • Age less than 18 years.
  • Inability to provide an informed consent.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
1,500 participants (estimated)
Patient registry
No

Groups and cohorts

  • B-cell NHL patients treated with novel MAB in Italian real life (approved by EMA and AIFA).

    B-cell NHL patients treated with novel MAB in Italian real life (approved by EMA since 2020 and prescribed according to the indications for use authorized for marketing in Italy). Patients first-line and relapsed or refractory who had received at least 1 dose of MAB. Different cohorts will be analyzed according to approved treatment indications, type of antibody employed and NHL hystotypes.

    Drug: "novel" MAB (alone or in combination)

Interventions

  • Drug"novel" MAB (alone or in combination)

    "novel" MAB (alone or in combination) based on presence of an EMA clinical indication since 2020 and prescribed according to the indications for use authorized for marketing in Italy

06

What researchers measure

Primary outcomes

  1. Overall response rate (ORR)

    ORR will be defined according to Lugano 2014 criteria as the proportion of patients who have a partial response (PR) or complete response to therapy (CR+PR).

    Time frame: At least 5 years

  2. Complete Response rate (CRR)

    CRR will be defined according to Lugano 2014 criteria and will include only patients who achieved a CR at the end of treatment program. The best overall response will be defined as the best response between the date of beginning of therapy and the last restaging. Patients without response assessment (due to whatever reason) will be considered as non-responders.

    Time frame: At least 5 years

  3. Progression free survival (PFS)

    PFS is defined as the time between the date of enrollment and the first documentation of recurrence, progression or death from any cause; responding patients and patients who are lost to follow up will be censored at their last assessment date.

    Time frame: At least 5 years

  4. Overall survival (OS)

    OS is defined as the time between the start of treatment until death from any cause; patients who are lost at follow up will be censored at their last assessment date.

    Time frame: At least 5 years

  5. Event free survival (EFS)

    ESFS is defined as the time from start of treatment to disease progression, death, or discontinuation of treatment for any reason (e.g. toxicity, patient preference), or initiation of a new treatment without documented progression.

    Time frame: At least 5 years

  6. Time-to-next treatment (TTNT)

    TTNT represents the interval from commencement of one treatment to initiation of the next line of therapy.

    Time frame: At least 5 years

  7. non-relapse mortality (NRM)

    NRM is defined as death without recurrent or progressive disease after treatment.

    Time frame: At least 5 years

  8. Duration of response (DOR)

    DOR is defined as the time from the first documentation of tumor response (CR/PR) to disease progression or death according to Lugano 2014 criteria.

    Time frame: At least 5 years

  9. Incidence of Early/Late Adverse Events

    Toxicities will be recorded and classified according to the definitions of the latest version of the NCI CTCAE. Toxicity events will be determined by the incidence of severe, life-threatening (CTCAE grade 3, 4 and 5) and/or serious adverse events (SAEs) commencing after the first induction dose or at any time during therapy. Early and toxic deaths and cause of any death. Special focus on second tumors, infections and autoimmune complications. Particularly: * Hematological and extra-hematological toxicities Grade \> 2 * Infusional adverse events, will be recorded any Grade * Toxicities of specific interest on second tumors, infections and autoimmune complications will be recorded any Grade * Early and toxic deaths and cause of any death.

    Time frame: At least 5 years

07

Study locations

50 of 61 sites recruiting
  • Istituto Oncologico del Mediterraneo SPA - Oncologico
    Viagrande, Catania, Italy
    Not yet recruiting
  • Ospedale SS. Cosma e Damiano - Ospedale San Jacopo - SOS Oncoematologia ed ematologia clinica
    Pescia, Pistoia, Italy
    Recruiting
  • A.O. SS. Antonio e Biagio e Cesare Arrigo - S.C. Ematologia
    Alessandria, Italy
    Recruiting
  • AOU Ospedali Riuniti - Clinica di Ematologia
    Ancona, Italy
    Recruiting
  • Azienda Ospedaliera S.Giuseppe Moscati - S.C. Ematologia e Trapianto emopoietico
    Avellino, Italy
    Recruiting
  • IRCCS Centro di Riferimento Oncologico di Aviano - Divisione di Oncologia e dei Tumori immuto-correlati
    Aviano, Italy
    Recruiting
  • IRCCS Istituto Tumori Giovanni Paolo II - U.O.C Ematologia
    Bari, Italy
    Recruiting
  • Ospedale "Monsignor Raffaele Dimiccoli" - Ematologia
    Barletta, Italy
    Not yet recruiting
  • Azienda Ospedaliera Papa Giovanni XXIII - Ematologia
    Bergamo, Italy
    Recruiting
  • Nuovo Ospedale degli Infermi - SSD Ematologia
    Biella, Italy
    Recruiting
  • Policlinico S. Orsola-Malpighi - Istituto di Ematologia "Seragnoli"
    Bologna, Italy
    Recruiting
  • ASST Spedali Civili di Brescia - Ematologia
    Brescia, Italy
    Recruiting
  • Ospedale Businco - SC Ematologia e CTMO
    Cagliari, Italy
    Not yet recruiting
  • Fondazione del Piemonte per l'Oncologia - IRCCS - Ematologia
    Candiolo, Italy
    Recruiting
  • Osp. civile di Carrara - Oncologia Medica
    Carrara, Italy
    Recruiting
  • Ospedale di Castelfranco Veneto - Ematologia
    Castelfranco Veneto, Italy
    Recruiting
  • Arnas Nuovo Ospedale Garibaldi Nesima - U.O.C. Ematologia
    Catania, Italy
    Recruiting
  • Azienda Ospedaliera Universitaria Policlinico - S. Marco - UOC di Emtologia
    Catania, Italy
    Recruiting
  • Ospedale di Civitanova Marche - UOSD EMATOLOGIA AREA VASTA 3 MACERATA
    Civitanova Marche, Italy
    Recruiting
  • ASST Cremona - Ematologia e CRTO
    Cremona, Italy
    Recruiting
  • A.O. S. Croce e Carle - S.C. di Ematologia e Trapianto di Midollo Osseo
    Cuneo, Italy
    Recruiting
  • Azienda Ospedaliera Universitaria Careggi - Unità funzionale di Ematologia
    Florence, Italy
    Recruiting
  • Presidio Ospedaliero F. Spaziani - UOC Ematologia
    Frosinone, Italy
    Recruiting
  • Ospedale Versilia USL NORDOVEST Toscana - UOS Ematologia
    Lido di Camaiore, Italy
    Recruiting
  • Ospedale di Livorno - Ematologia
    Livorno, Italy
    Recruiting
  • Ospedale Apuane - Oncoematologia
    Massa, Italy
    Recruiting
  • ASST Grande Ospedale Metropolitano Niguarda - SC Ematologia
    Milan, Italy
    Recruiting
  • ASST Santi Paolo e Carlo - Onco - Ematologia
    Milan, Italy
    Recruiting
  • Fondazione IRCCS Istituto Nazionale dei Tumori di Milano - Ematologia
    Milan, Italy
    Recruiting
  • Istituto Scientifico San Raffaele - Unità Linfomi - Dipartimento Oncoematologia
    Milan, Italy
    Recruiting
  • Fondazione IRCCS San Gerardo dei Tintori - Ematologia
    Monza, Italy
    Recruiting
  • AOU Federico II - Ematologia
    Naples, Italy
    Not yet recruiting
  • AOU Maggiore della Carità di Novara - SCDU Ematologia
    Novara, Italy
    Recruiting
  • I.R.C.C.S. Istituto Oncologico Veneto - Oncologia 1
    Padova, Italy
    Recruiting
  • Presidio ospedaliero "A. TORTORA" - U.O. Onco-ematologia
    Pagani, Italy
    Not yet recruiting
  • A.O. Ospedali Riuniti Villa Sofia-Cervello - Divisione di Ematologia
    Palermo, Italy
    Not yet recruiting
  • IRCCS Policlinico S. Matteo di Pavia - Div. di Ematologia
    Pavia, Italy
    Not yet recruiting
  • P.O. Spirito Santo di Pescara - UOS Dipartimentale - Centro di diagnosi e Terapia dei linfomi
    Pescara, Italy
    Recruiting
  • Ospedale Guglielmo da Saliceto - U.O. Ematologia
    Piacenza, Italy
    Recruiting
  • A.O.R. "San Carlo" - U.O. Ematologia
    Potenza, Italy
    Not yet recruiting
  • Ospedale S.Stefano SOS Oncoematologia
    Prato, Italy
    Recruiting
  • Ospedale delle Croci - Ematologia
    Ravenna, Italy
    Recruiting
  • Azienda Unità Sanitaria Locale-IRCCS - Arcispedale Santa Maria Nuova - Ematologia
    Reggio Emilia, Italy
    Recruiting
  • IRCCS-Centro di Riferimento Oncologico - UO di ematologia e Trapianto Cellule Staminali
    Rionero in Vulture, Italy
    Recruiting
  • AO Sant' Andrea - Ematologia
    Roma, Italy
    Recruiting
  • Policlinico Umberto I - Università "La Sapienza" - Istituto Ematologia -Dipartimento di Medicina Traslazionale e di Precisione
    Roma, Italy
    Recruiting
  • Policlinico Universitario Campus Bio-Medico - Ematologia - Trapianto cellule staminali - Medicina Trasfusionale e Terapia cellulare
    Roma, Italy
    Recruiting
  • Istituto Clinico Humanitas - U.O. Ematologia
    Rozzano, Italy
    Recruiting
  • AOU di Sassari - Ematologia
    Sassari, Italy
    Not yet recruiting
  • Nuovo Ospedale Civile di Sassuolo - Day Hospital Oncologico
    Sassuolo, Italy
    Recruiting
  • AOU Senese - U.O.C. Ematologia
    Siena, Italy
    Recruiting
  • Ospedale "G. Mazzini" - UOS Ematologia
    Teramo, Italy
    Not yet recruiting
  • A.O. S. Maria di Terni - S.C. Oncoematologia
    Terni, Italy
    Not yet recruiting
  • A.O.U. Città della Salute e della Scienza di Torino - Ematologia Universitaria
    Torino, Italy
    Recruiting
  • A.O.U. Città della Salute e della Scienza di Torino - S.C. Ematologia
    Torino, Italy
    Recruiting
  • Ospedale Ca' Foncello - S.C di Ematologia
    Treviso, Italy
    Recruiting
  • A.O. C. Panico - U.O.C Ematologia e Trapianto
    Tricase, Italy
    Recruiting
  • Azienda Sanitaria Universitaria Giuliano Isontina (ASUGI) - SC Ematologia
    Trieste, Italy
    Recruiting
  • Azienda Sanitaria Universitaria Friuli Centrale (ASU FC) - SOC Clinica Ematologica
    Udine, Italy
    Recruiting
  • AOU Integrata di Verona - U.O. Ematologia
    Verona, Italy
    Recruiting
  • ULSS 8 Berica - Ospedale S. Bortolo - Ematologia
    Vicenza, Italy
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 29, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06008691
Lead sponsor
Fondazione Italiana Linfomi - ETS
Collaborators
Roche Pharma AG
Responsible party
Sponsor
First posted
Aug 23, 2023
Start date
Dec 27, 2023
Primary completion
Oct 2038 (estimated)
Completion
Oct 2038 (estimated)
Last update
Dec 29, 2025

Study contacts

Uffici Studi FIL
Contact
startup@filinf.it
+390131033153
Uffici Studi FIL
Contact
gestionestudi@filinf.it
+390599769913
Marco Ladetto, Prof.
principal investigator · AO SS Antonio e Biagio e Cesare Arrigo, Alessandria

Oversight

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

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