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Towards Personalized Medicine for Refractory/Relapsed Follicular Lymphoma Patients: the Cantera/Lupiae Registry (LUPIAE)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT04587388
Recruitment Status : Recruiting
First Posted : October 14, 2020
Last Update Posted : October 14, 2020
Sponsor:
Collaborators:
Associazione Angela Serra per la ricerca sul cancro
Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
Information provided by (Responsible Party):
European Hematology Association - Lymphoma Group

Brief Summary:
The optimal treatment strategy in patients with early progressive disease is not well known. In recent years, novel insights into the biology of Follicular Lymphoma (FL), and especially the role of the microenvironment, have resulted in the development of multiple novel treatment modalities. These new agents may ultimately improve the outlook for patients with FL with an unfavorable course, but for the development of the optimal therapeutic strategy, knowledge on the clinical and biological determinants of early refractory FL is needed.

Condition or disease
Follicular Lymphoma Relapsed/Refractory Follicular Lymphoma

Detailed Description:

Patients with histologically confirmed follicular lymphoma are registered in the study at the time of the first event after first line treatment. An event is defined as refractory/relapsed disease documented by biopsy, imaging, or clinical evaluation. Registration is based on the locally established histological diagnosis, with exclusion of cases diagnosed on fine needle aspiration cytology, while tru-cut core-needle biopsies are permitted in the study. Registration will be done on-line on a key restricted accessible web-database: the Investigator must complete the on-line registration form after obtaining informed consent dated and signed by the patient.

Investigators are requested to register consecutive cases diagnosed at each participating Institution (all patients satisfying Inclusion criteria without any further selection). A patient number (Patient ID) will be assigned strictly sequentially in ascending order as patient's eligibility is verified. In case a patient's eligibility is not confirmed and the patient is withdrawn from the study, the patient number will not be reused. The assigned number will be used as the identification code for the subject.

Every registered case has to undergo histopathology review by a panel of experts. The reference pathologist will collect and review the pathology material sent by the participating centers, without knowledge of the clinical outcome of the patient. Both material obtained at diagnosis, and at relapse will be reviewed. Classification will be performed according to the World Health Organization recently published.

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Study Type : Observational [Patient Registry]
Estimated Enrollment : 500 participants
Observational Model: Cohort
Time Perspective: Prospective
Target Follow-Up Duration: 5 Years
Official Title: Towards Personalized Medicine for Refractory/Relapsed Follicular Lymphoma Patients: the Cantera/Lupiae Registry
Actual Study Start Date : May 22, 2019
Estimated Primary Completion Date : May 22, 2023
Estimated Study Completion Date : May 22, 2026

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Lymphoma




Primary Outcome Measures :
  1. Rate of Progression of disease within 24 months from start of second line treatment (second POD24) [ Time Frame: 24 months ]
    Second POD24 is defined as the rate of progression of disease at 24 months after the second line treatment.


Secondary Outcome Measures :
  1. Overall Survival (OS) [ Time Frame: 3 and 5 years ]
    Overall Survival is measured from the date of diagnosis until death from any cause.

  2. Progression-free survival after second line therapy (second PFS) [ Time Frame: 3 and 5 years ]
    Second PFS is measured from the date of study entry until the date of disease progression or death from any cause.

  3. Complete response rate at 30 months (CR30) from start of second line treatment (second CR30) [ Time Frame: 30 months ]
    Second CR30 is defined as the rate of complete remissions at 30 months from start of second line treatment.


Biospecimen Retention:   Samples Without DNA
Histological block or slides for confirming the diagnosis. This analysis will be conducted retrospectively.


Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Patients with initial diagnosis of follicular lymphoma, refractory/relapsed/transformed after first line therapy.
Criteria

Inclusion Criteria:

  • Patients with initial diagnosis of follicular lymphoma, refractory/relapsed/transformed after first line therapy;
  • All stages at the time of relapse;
  • Histological grade 1-3a at the time of initial diagnosis;
  • Age over 18 years;
  • Availability of clinical data, including baseline information, comorbidities, data on disease localization, laboratory parameters at staging, features of treatment adopted and assurance of follow-up updating as requested
  • Diagnostic material available for review;
  • Written informed consent.

Exclusion Criteria:

• Age < 18 years


Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04587388


Contacts
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Contact: Sanne Tonino, MD 020 56 64447 ext 0031 hemat.trial@amc.nl
Contact: Irene Dogliotti, MD 3351732128 ext 0039 irenedogl@hotmail.com

Locations
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Croatia
Klinički Bolnički Centar Split Recruiting
Split, Croatia, 21000
Contact: Antonija Miljak, MD       antonija.miljak003@gmail.com   
Italy
AOU Città della Salute e della Scienza di Torino Recruiting
Torino, Italy, 10126
Contact: Federica Cavallo, MD    0039 011 6334301    f.cavallo@unito.it   
Netherlands
Academic Medical Center Recruiting
Amsterdam, Netherlands, 1105 AZ
Contact: Sanne Tonino, MD    0031 020 56 64447 ext 28135    hemat.trial@amc.nl   
University Medical Center Groningen Recruiting
Groningen, Netherlands, 9713 GZ
Contact: Marcel Nijland, MD       m.nijland@umcg.nl   
Portugal
Instituto Português de Oncologia Francisco Gentil Recruiting
Lisboa, Portugal
Contact: Filipa Moita, MD       filipamoita@gmail.com   
Spain
Hospital Clinic de Barcelona Recruiting
Barcelona, Spain, 08036
Contact: Alfredo Rivas Delgado, MD    0034 93 227 45 31    ARIVAS@clinic.cat   
Hospital 12 de Octubre Recruiting
Madrid, Spain, 28041
Contact: Ana Jimenez Ubieto, MD       anitiju@hotmail.com   
Hospital Jose Maria Morales Meseguer Recruiting
Murcia, Spain, 30008
Contact: José Javier Sanchez Blanco, MD       josej.sanchez3@carm.es,   
Hospital de Son Llàtzer Recruiting
Palma, Spain, 07198
Contact: Raquel del Campo Garcia, MD       rcampo@hsll.es   
Hospital Universitario de Salamanca Recruiting
Salamanca, Spain, 37007
Contact: Almudena Navarro Bailon, MD       anavarrobailon@gmail.com   
Ukraine
Kiev National Cancer Institute Recruiting
Kiev, Ukraine, 03022
Contact: Iryna Kriachok, MD       hematology@unci.org.ua   
Sponsors and Collaborators
European Hematology Association - Lymphoma Group
Associazione Angela Serra per la ricerca sul cancro
Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
Additional Information:
Publications:
Cheson BD, Fisher RI, Barrington SF, Cavalli F, Schwartz LH, Zucca E, Lister TA; Alliance, Australasian Leukaemia and Lymphoma Group; Eastern Cooperative Oncology Group; European Mantle Cell Lymphoma Consortium; Italian Lymphoma Foundation; European Organisation for Research; Treatment of Cancer/Dutch Hemato-Oncology Group; Grupo Español de Médula Ósea; German High-Grade Lymphoma Study Group; German Hodgkin's Study Group; Japanese Lymphorra Study Group; Lymphoma Study Association; NCIC Clinical Trials Group; Nordic Lymphoma Study Group; Southwest Oncology Group; United Kingdom National Cancer Research Institute. Recommendations for initial evaluation, staging, and response assessment of Hodgkin and non-Hodgkin lymphoma: the Lugano classification. J Clin Oncol. 2014 Sep 20;32(27):3059-68.

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Responsible Party: European Hematology Association - Lymphoma Group
ClinicalTrials.gov Identifier: NCT04587388    
Other Study ID Numbers: W18_431
First Posted: October 14, 2020    Key Record Dates
Last Update Posted: October 14, 2020
Last Verified: October 2020
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Yes
Plan Description:

We plan to share with other involved researchers the minimum information on IPD for publication.

It is responsibility of the Study Coordinators to publish the study results after the completion of the study. It will be ensured that the data from one center are not published before the publication of the whole study. All publications regarding the results of the study will be marked with the sentence "on behalf of the EHA-LyG/Cantera-Lupiae study group". Participating centers and sites will be mentioned according to their overall contribution to the study, while all members of the study group will be included as authors of the manuscripts for their active contribution on the study design and procedures. No publication can occur without agreement of the study sponsor. Study results will be submitted for publication in peer-reviewed journals and for presentation at appropriate scientific meetings and conferences.

Supporting Materials: Study Protocol
Statistical Analysis Plan (SAP)
Clinical Study Report (CSR)
Time Frame: Preliminary analysis results will be made available during the study. Final results will be made available 6-12 months after the end of the study.

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by European Hematology Association - Lymphoma Group:
follicular lymphoma
relapsed/refractory disease
survival
Additional relevant MeSH terms:
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Lymphoma
Lymphoma, Follicular
Neoplasms by Histologic Type
Neoplasms
Lymphoproliferative Disorders
Lymphatic Diseases
Immunoproliferative Disorders
Immune System Diseases
Lymphoma, Non-Hodgkin