ClinicalTrials.gg
Status unknownNCT06509945Updated Aug 1, 2024

Allo-PBSCT as the First-line Treatment for Patients With the High-risk PTCL

An interventional study of allogeneic peripheral blood stem cell transplantation in Peripheral T Cell Lymphoma, sponsored by Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine. Status unknown at 1 site in China. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2024-08-01.

Sponsored by Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jul 2024), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Not applicable
Ages
18 Years to 70 Years
Sex
All
01

Study summary

This study is a single-center, single-arm, prospective phase II clinical trial that evaluates the efficacy and safety of allogeneic peripheral blood stem cell transplantation in the treatment of high-risk peripheral T-cells lymphoma patients achieved complete response (CR) or partial response (PR). Conventional conditioning regimen is adopted while the reduced-intensity conditioning regimens will be preferred. Donor hematopoietic stem cell infusion is performed on day 0. All patients will undergo bone marrow examination on day 14 and day 28 post-transplant, followed by bone marrow examinations every 30 days within the first year after transplantation, and every 60 days within the second year after transplantation. Positron emission tomography with 2-deoxy-2-[fluorine-18]fluoro-D-glucose integrated with computed tomography (18F-FDG PET/CT) imaging will be performed every 6 months after transplantation. If disease relapse is suspected during the follow-up period, bone marrow and relapse site examinations will be conducted at any time. The primary study endpoints are the 1-year and 2-year progression-free survival (PFS) rates post-transplant. Secondary study endpoints include the incidence of acute graft-versus-host disease (GVHD) within 180 days post-transplant, cumulative relapse rates at 1 year and 2 years post-transplant, 1-year and 2-year overall survival (OS), graft-versus-host disease-free, relapse-free survival (GRFS), non-relapse mortality (NRM), cumulative incidence of chronic GVHD, and the incidence of Cytomegalovirus (CMV)and Epstein-Barr virus(EBV)reactivation within 1 year.

02

Conditions studied

  • Peripheral T Cell Lymphoma

Keywords

  • peripheral T cell lymphoma
  • allogeneic peripheral blood stem cell transplantation
  • high-risk
03

In context

Lymphoma, T-Cell, Peripheral

607 studies on the registry are indexed under Lymphoma, T-Cell, Peripheral; 133 are open to participants now.

This study's planned enrollment of 50 is above the median of 39 across 529 interventional studies indexed under Lymphoma, T-Cell, Peripheral.

Browse Lymphoma, T-Cell, Peripheral studies →

Lead sponsor

Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine is the lead sponsor of 182 studies on the registry; 108 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 to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

1. Age between 18 and less than 70 years, regardless of gender 2. Peripheral T-cell lymphoma (PTCL) was diagnosed according to the 2016 WHO criteria and met any of the following criteria:

  1. High risk: IPI(International Prognostic Index) score ≥ 3 or aaIPI(age-adjusted International Prognostic Index) score ≥ 2 ( aaIPI is suitable for patients younger than 60 years old).
  2. Patients who achieved complete response (CR) or partial response (PR) after first-line chemotherapy (PET-CT or CT examination was performed according to the patient 's economic conditions) 3.Patients must have a suitable hematopoietic stem cell donor:

Related donors must have at least 5/10 matches for HLA-A, -B, -C, -DQB1, and - DRB1.

Unrelated donors must have at least 8/10 matches for HLA-A, -B, -C, -DQB1, and -DRB1.

4.Hematopoietic cell transplantation comorbidity index (HCT-CI) score ≤ 2. 5.ECOG (Eastern Cooperative Oncology Group) performance status: 0-2. 6.Adequate liver, kidney, and cardiopulmonary function, meeting the following requirements:

  1. Serum creatinine ≤ 1.5x ULN (the upper limit of normal).
  2. Cardiac function: Ejection fraction ≥ 50%.
  3. Baseline oxygen saturation > 92%.
  4. Total bilirubin ≤ 2.0 x ULN; ALT and AST ≤ 2.0 x ULN,AKP ≤ 2.0 x ULN
  5. Pulmonary function: DLCO (corrected for hemoglobin) ≥ 40% and FEV1 (Forced Expiratory Volume in 1 second) ≥ 50%.

    7.Patients must have the ability to understand and be willing to participate in this study and sign an informed consent form.

Exclusion criteria

Exclusion Criteria:

  1. PTCL patients did not meet the criteria of high-risk.
  2. PTCL ALK + patients with CR after first-line treatment.
  3. History of malignancies other than lymphoid tumors within the 5 years prior to screening, except for adequately treated in situ cervical cancer, basal cell carcinoma, squamous cell carcinoma of the skin, and curatively treated localized prostate cancer or ductal carcinoma in situ
  4. ECOG ≥ 3.
  5. HCT-CI score ≥ 3.
  6. Any unstable systemic diseases, including but not limited to unstable angina, recent cerebrovascular accidents or transient ischemic attacks within the 3 months prior to screening, myocardial infarction within the 3 months prior to screening, congestive heart failure (New York Heart Association [NYHA] class ≥ III), severe arrhythmias requiring drug treatment after pacemaker implantation, significant liver, kidney, or metabolic diseases, and pulmonary arterial hypertension.
  7. Active, uncontrolled infections, including those associated with hemodynamic instability, new or worsening infection symptoms or signs, new infectious lesions on imaging, or persistent unexplained fever without signs or symptoms of infection.
  8. HIV-infected individuals.
  9. Active hepatitis B (HBV) or active hepatitis C (HCV) requiring antiviral therapy.
  10. History of autoimmune diseases
  11. Pregnant or breastfeeding women.
  12. Fertile males and females unwilling to use contraception during the treatment period and for 12 months after treatment.
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
50 participants (estimated)

Study arms

  • Experimental
    intervention arm

    Participants will receive allogeneic peripheral blood stem cell transplantation.

    Other: allogeneic peripheral blood stem cell transplantation

Interventions

  • Otherallogeneic peripheral blood stem cell transplantation

    Patients achieved response to treatment will receive allogeneic peripheral blood stem cell transplantation.

06

What researchers measure

Primary outcomes

  1. 1y and 2y-progression-free survival (PFS)

    1-year and 2-year progression-free survival (PFS) rates post-transplant

    Time frame: up to 1 years for the 1y-PFS and up to 2 years for the 2y-PFS

Secondary outcomes

  1. acute graft-versus-host disease (aGVHD)

    acute graft-versus-host disease (aGVHD) within 180 days post-transplant

    Time frame: up to 180 days

  2. 1y and 2y-cumulative relapse rates (CIR)

    cumulative relapse rates (CIR) at 1 year and 2 years post-transplant

    Time frame: up to 1 years for the 1y-CIR and up to 2 years for the 2y-CIR

  3. 1y and 2y-overall survival (OS)

    overall survival (OS) at 1 year and 2 years post-transplant

    Time frame: up to 1 years for the 1y-OS and up to 2 years for the 2y-OS

  4. graft-versus-host disease-free and relapse-free survival (GRFS)

    graft-versus-host disease-free and relapse-free survival (GRFS) at 2 years post-transplant

    Time frame: up to 2 years

  5. non-relapse mortality (NRM)

    non-relapse mortality (NRM) at 2 years post-transplant

    Time frame: up to 2 years

  6. cumulative incidence of chronic graft-versus-host disease (cGVHD)

    cumulative incidence of chronic graft-versus-host disease (cGVHD) at 2 years post-transplant

    Time frame: up to 2 years

  7. Cytomegalovirus (CMV) and Epstein-Barr virus (EBV) reactivation

    the incidence of CMV and EBV reactivation within 1 year

    Time frame: up to 1 year

07

Study locations

1 of 1 sites recruiting
  • Shanghai General Hospital
    Shanghai, Shanghai Municipality 200080, China
    Recruiting
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References and documents

Publications

  • Cao C, Feng J, Gu H, Tang H, Xu L, Dong H, Dong B, Shu M, Bai Q, Liang R, Zhang T, Yang L, Wang Z, Chen X, Gao G. Distribution of lymphoid neoplasms in Northwest China: Analysis of 3244 cases according to WHO classification in a single institution. Ann Diagn Pathol. 2018 Jun;34:60-65. doi: 10.1016/j.anndiagpath.2017.05.005. Epub 2017 May 12. PubMed 29661730 ↗
  • Yang QP, Zhang WY, Yu JB, Zhao S, Xu H, Wang WY, Bi CF, Zuo Z, Wang XQ, Huang J, Dai L, Liu WP. Subtype distribution of lymphomas in Southwest China: analysis of 6,382 cases using WHO classification in a single institution. Diagn Pathol. 2011 Aug 22;6:77. doi: 10.1186/1746-1596-6-77. PubMed 21854649 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jul 2024 (actual). Primary completion is estimated for Jul 2026, 24 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 15, 2024
First posted
Jul 19, 2024
StartActual
Jul 15, 2024
Primary completionEst.
Jul 15, 2026
CompletionEst.
Jul 15, 2026
Last update
Aug 1, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 1, 2024, 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
NCT06509945
Responsible party
Xianmin Song, MD (Professor, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine) — Principal investigator
First posted
Jul 19, 2024
Start date
Jul 15, 2024
Primary completion
Jul 15, 2026 (estimated)
Completion
Jul 15, 2026 (estimated)
Last update
Aug 1, 2024

Study contacts

xianmin song, MD
Contact
shongxm@139.com
+862163240090
xianmin Song, MD
principal investigator · Shanghai General HospitalShanghai General Hospital, Shanghai Jiao Tong University School of Medicine

Oversight

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

Not currently enrolling

This study is status unknown, as verified in Jul 2024. You cannot join it, but the record below documents what was studied.

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