UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000048724
Receipt number R000055514
Scientific Title A multicenter, phase II study of full-dose THP-COP therapy for elderly patients with newly diagnosed, advanced-stage, aggressive non-Hodgkin lymphoma
Date of disclosure of the study information 2022/08/22
Last modified on 2022/08/22 19:25:24

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Basic information

Public title

A multicenter, phase II study of full-dose THP-COP therapy for elderly patients with newly diagnosed, advanced-stage, aggressive non-Hodgkin lymphoma

Acronym

THP-1

Scientific Title

A multicenter, phase II study of full-dose THP-COP therapy for elderly patients with newly diagnosed, advanced-stage, aggressive non-Hodgkin lymphoma

Scientific Title:Acronym

THP-1

Region

Japan


Condition

Condition

aggressive lymphoma

Classification by specialty

Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

to investigate the THP efficacy and safety in elderly patients with newly diagnosed, advanced-stage, aggressive NHL

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Phase II


Assessment

Primary outcomes

complete response rate

Key secondary outcomes

Failure free survival, progression free survival, safty


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

No need to know


Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

For THP-COP therapy, 50mg/m2 THP, 750 mg/m2 CPA, and 1.4mg/m2 VCR (max 2.0 mg/body) were administered on day 1, and 100mg/body PDN was administered on days 1~5 in accordance with the CHOP regimen regulations. This regimen was administered every 3 weeks for up to six courses. If the THP dose was decreased due to toxicity, up to two courses of additional treatment were administered to permit the cumulative dose of THP to reach 300 mg/m2.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

70 years-old <=

Age-upper limit

80 years-old >

Gender

Male and Female

Key inclusion criteria

70 to 79 years of age, previously untreated, Working Formulation D through H and J , clinical stage I disease with a bulky mass or stage II,III,IV disease according to the Ann Arbor classification , Eastern Cooperative Oncology Group performance status of 0,1

Key exclusion criteria

any other malignancies, mental illness, myocardial infarction or angina history, central nervous system infiltration, uncontrollable diabetes, human immunodeficiency virus infection, hepatitis B virus surface antigen, and/or hepatitis C virus antibody positivity were excluded.

Target sample size

27


Research contact person

Name of lead principal investigator

1st name Tomomitsu
Middle name
Last name Hotta

Organization

Nagoya medical center

Division name

Division of hematology

Zip code

460-0001

Address

Nagoya

TEL

052-951-1111

Email

hottat@nnh.hosp.go.jp


Public contact

Name of contact person

1st name Ken
Middle name
Last name Ohmachi

Organization

Tokai university, school of medicine

Division name

hematology

Zip code

259-1193

Address

Kanagawa

TEL

0463-93-1121

Homepage URL


Email

8jmmd004@is.icc.u-tokai.ac.jp


Sponsor or person

Institute

the Hematological Malignancy Clinical Study Group

Institute

Department

Personal name



Funding Source

Organization

none

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Tokai university, school of medicine

Address

Kanagawa

Tel

0463-93-1121

Email

8jmmd004@is.icc.u-tokai.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2022 Year 08 Month 22 Day


Related information

URL releasing protocol

http://www.hmcsg.umin.jp/

Publication of results

Partially published


Result

URL related to results and publications

http://www.hmcsg.umin.jp/

Number of participants that the trial has enrolled

30

Results

The CR rate was 65.5% (95% confidence interval, 45.7~82.1%). The 3-year failure-free and overall survival rates were 54.1% and 53.9%, respectively.

Results date posted

2022 Year 08 Month 22 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

The age of the registered patients ranged from 70 to 79 years old, with a median of 72 years old. Out of the 30 patients in total, 20 (65.5%) patients were 70~74 years of age, and 10 (34.5%) were 75~79 years of age. Fourteen patients (46.7%) were PS 0, and 16 patients (53.3%) were PS 1. Regarding histopathological type, 19 patients (63.3%) had diffuse large B-cell lymphoma (DLBCL). Regarding the clinical stage, 16 (53.3%) patients had stage II disease, 14 (46.7%) had stage III~IV disease, and three patients (10.0%) had a bulky mass. When the 29 eligible patients were stratified into four groups on the IPI basis, 8 patients (26.7%) were in the low-risk group, 10 patients (33.3%) were in the low-intermediate-risk group, 12 patients (40.0%) were in the high-intermediate-risk group, and no patient was in the high-risk group.

Participant flow

A total of 30 patients (19 males and 11 females) from 6 hospitals belonging to the Hematological Malignancy Clinical Study Group (HMCSG) were registered between January 1999 and June 2000.

Adverse events

The most frequent observed grade 3 or 4 toxicity was neutropenia, which occurred in 80% of the patients. Grade 3 cardiac dysfunction was observed in one patient.

Outcome measures

primary endpoint was met

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

1999 Year 01 Month 01 Day

Date of IRB

1998 Year 12 Month 01 Day

Anticipated trial start date

1999 Year 01 Month 01 Day

Last follow-up date

2005 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2022 Year 08 Month 22 Day

Last modified on

2022 Year 08 Month 22 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000055514