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Transplantation After Complete Response In Patients With T-cell Lymphoma
Sponsor: Hospices Civils de Lyon
Summary
Peripheral T-cell lymphoma (PTCL) encompasses a broad range of post-thymic (i.e., mature) sub-entities as defined by the 2017 WHO classification. The most common entities are angioimmunoblastic T-cell lymphoma (AITL) and other Tfh-phenotype PTCL or PTCL not otherwise specified (NOS), each representing approximately 20 to 25% of mature T- and NK/T-cell lymphomas. Compared to their B-cell counterparts, most PTCL confer dismal prognosis. In fact, except for anaplastic lymphoma kinase (ALK)-positive systemic anaplastic large cell lymphoma (sALCL), 10-year overall survival for patients with PTCL barely exceeds 30%. Given the infrequency and the heterogeneity of these malignancies, no real consensus on first-line treatment has been established for most PTCL. The place of autologous stem cell transplantation (ASCT) as a consolidation procedure for patients with PTCL achieving a complete metabolic response after induction is still highly debated. ESMO recommendations and recent guidelines from a committee of the American Society for Blood and Marrow Transplantation currently propose ASCT as first-line therapy for transplant-eligible patients for all patients reaching at least a partial response (PR) after induction. NCCN guidelines (version 2.2017) recommend ASCT or observation in case of metabolic CR but salvage regimen in case of residual disease after induction.
Key Details
Gender
All
Age Range
18 Years - 70 Years
Study Type
INTERVENTIONAL
Enrollment
204
Start Date
2022-08-01
Completion Date
2028-04-01
Last Updated
2023-09-28
Healthy Volunteers
No
Conditions
Interventions
Chemotherapy + follow up
* Chemotherapy administrated every 3 weeks for 6 cycles according to local investigator's choice based on usual practices. * An intermediate evaluation will be performed after four cycles by PET-CT (or CT-Scan for non-avid PTCL) * A post-induction evaluation by PET-CT or CT-Scan will be done between 3 and 5 weeks after the last chemotherapy drug administration for all patients * A last evaluation by PET-CT or CT-Scan will be done between 08 and 12 weeks after the post-induction for all patients
Chemotherapy + ASCT + follow up
* Chemotherapy administrated every 3 weeks for 6 cycles according to local investigator's choice based on usual practices. * An intermediate evaluation will be performed after four cycles by PET-CT (or CT-Scan for non-avid PTCL) * The fifth or sixth cycles should be used as stem-cell mobilizing chemotherapy for patients with ASCT strategy * A post-induction evaluation by PET-CT or CT-Scan will be done between 3 and 5 weeks after the last chemotherapy drug administration for all patients * Patients with in Complete Response after 6 cycles will receive a High Dose Therapy as conditioning regimen before transplantation * A last evaluation by PET-CT or CT-Scan will be done between 08 and 12 weeks after the post-induction for all patients
Locations (48)
Chu D'Amiens - Hopital Sud
Amiens, France
Chu D'Angers
Angers, France
Ch Victor Dupouy
Argenteuil, France
Ch D'Avignon - Hopital Henri Duffaut
Avignon, France
Ch de La Cote Basque
Bayonne, France
Service d'Onco-radiolothérapie, Polyclinique Bordeaux Nord Aquitaine
Bordeaux, France
Ch Metropole Savoie - Site Chambery
Chambéry, France
Chu Estaing
Clermont-Ferrand, France
Ch Alpes Leman
Contamine-sur-Arve, France
Hopital Henri Mondor
Créteil, France
René Olivier Casasnovas
Dijon, France
CHU Francois MITTERRAND
Dijon, France
Ch de Dunkerque
Dunkirk, France
Chd de Vendee
La Roche-sur-Yon, France
Ch de Versailles - Hopital Andre Mignot
Le Chesnay, France
CHU du Mans
Le Mans, France
Service Oncologie médicale, HOPITAL SAINT VINCENT-DE-PAUL
Lille, France
Service Hématologie Clinique et Thérapie Cellulaire, CHU DE LIMOGES - HOPITAL DUPUYTREN,
Limoges, France
Centre Leon Berard
Lyon, France
Chu de Montpellier
Montpellier, France
Chu de Nantes
Nantes, France
Centre Antoine Lacassagne
Nice, France
Chu de Nimes - Hopital Caremeau
Nîmes, France
Chr Orleans
Orléans, France
Hopital Cochin
Paris, France
Hopital de La Pitie Salpetriere
Paris, France
Hopital Necker
Paris, France
Hopital Saint Antoine
Paris, France
Ch de Perpignan
Perpignan, France
Chu de Bordeaux - Hopital Haut-Leveque
Pessac, France
Ch Perigueux
Périgueux, France
Chu Lyon-Sud
Pierre-Bénite, France
Ch Annecy Genevois
Pringy, France
Chu Pontchaillou_Rennes
Rennes, France
Ch de Roubaix - Hopital Victor Provo
Roubaix, France
Centre Henri Becquerel
Rouen, France
Service Hématologie, Institut Curie - Hôpital René HUGUENIN
Saint-Cloud, France
Chu de La Reunion - Hopital Felix Guyon
Saint-Denis, France
Chu de La Reunion - Ghsr
Saint-Pierre, France
Institut Cancerologie & Hematologie St-Etienne
Saint-Priest-en-Jarez, France
Ch de Saint-Quentin
Saint-Quentin, France
Hôpitaux Universitaires de Strasbourg
Strasbourg, France
Institut Universitaire du Cancer
Toulouse, France
Chu Bretonneau
Tours, France
Ch de Valence
Valence, France
Ch de Valenciennes - Hopital Jean Bernard
Valenciennes, France
Chu Brabois
Vandœuvre-lès-Nancy, France
Institut Gustave Roussy
Villejuif, France