UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000002747
Receipt number R000003342
Scientific Title Phase II study of SMILE chemotherapy for relapsed/refractory mature T-cell lymphoma
Date of disclosure of the study information 2009/11/18
Last modified on 2014/05/12 08:25:54

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Basic information

Public title

Phase II study of SMILE chemotherapy for relapsed/refractory mature T-cell lymphoma

Acronym

Phase II study of SMILE chemotherapy for relapsed/refractory mature T-cell lymphoma

Scientific Title

Phase II study of SMILE chemotherapy for relapsed/refractory mature T-cell lymphoma

Scientific Title:Acronym

Phase II study of SMILE chemotherapy for relapsed/refractory mature T-cell lymphoma

Region

Japan Asia(except Japan)


Condition

Condition

Mature T cell lymphoma

Classification by specialty

Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To establish a more effective therapy for mature T-cell lymphoma with relapsed/refractory state, we plan a safety and efficacy study of SMILE (Steroid=dexamethasone, Methotrexate, Ifosfamide, L-asparaginase and Etoposide) regimen.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Overall response rate

Key secondary outcomes

complete response rate (%CR), 1-year overall survival, response stratified by relapsed/refractory categorization,
response stratified by disease subtype, and the rate of adverse events


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Two cycles of SMILE chemotherapy consisting from steroid, methotrexate, ifosfamide, L-asparaginase, and etoposide.

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

15 years-old <=

Age-upper limit

69 years-old >=

Gender

Male and Female

Key inclusion criteria

1) Histological or cytological diagnosis of mature T-cell lymphoma, according to the WHO classification 4th edition. The following 8 disease categories are eligible.( Peripheral T-cell lymphoma,not otherwise specified, Angioimmunoblastic T-cell lymphoma, Anaplastic large cell lymphoma,ALK-positive, Anaplastic large cell lymphoma,ALK-negative, Hepatosplenic T-cell lymophoma, Enteropathy-associated T-cell lymphoma,Primary cutaneous ganmma-delta T-cell lymphoma, Primary cutaneous CD8 positive aggressive epidermotropic cytotoxic T-cell lymphoma
2) Disease state must be either of the following:
i) First relapsed/recurrent cases after remission (complete or partial). No chemotherapy or radiotherapy are given within 21 days before registration.
ii) Refractory (either SD or PD) cases with first-line chemotherapy. No chemotherapy or radiotherapy are given within 21 days before registration.
3) Age 15-69 years
4) Performance status (ECOG) 0-2
5) At least one evaluable lesion
6) Patients who received corticosteroids alone are eligible for this study, but those under treatment must be discontinued before registration
7) Patients with sufficient hematopoietic (except for cases with bone marrow involvement or HPS), hepatic, renal, cardiac, and pulmonary function
8) Patient's written informed consent before registration.

Key exclusion criteria

(1) History of hematopoietic stem cell transplant within 12 months
(2) History of allogeneic transplantation
(3) Clinical symptoms of CNS involvement (CSF cytology or brain MRI imaging are not required)
(4) Need for radiation more than 15 Gy including palliation at the time of registration
(5) History of serious adverse reaction(s) by agents including SMILE chemotherapy
(Example: allergy for L-asparaginase, delayed excretion of methotrexate, etc.)
(6) Pleural effusion or ascites except for those with little amount, which cannot be performed pleural or abdominal puncture
(7) Uncontrollable hypertension
(8) History of myocardial infarction or angina or cardiomyopathy
(9) HBs antigen positive
(10) HIV antibody positive
(11) Accompanying interstitial pneumonitis, pulmonary fibrosis, or severe emphysema (all apparently diagnosed by chest X-ray)
(12) Severe infections
(13) Liver cirrhosis, either biopsy proven or clinically diagnosed
(14) Active double cancer: overlapping cancer or asynchronous cancer within 5 years. Carcinoma in situ, intramucosal cancers, and other equivalent lesions are not included for the active double cancer.
(15) Women during pregnancy, lactation period or of childbearing potentials not using a reliable contraceptive method
(16) Use of major tranquilizer, antidepressant, or antimanic
(17) Severe psychosis

Target sample size

42


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Ritsuro Suzuki

Organization

Nagoya University School of Medicine

Division name

Department of HSCT Data Management & Biostatistics

Zip code


Address

1-1-20 Daiko-minami,Higashi-ku,Nagoya 461-0047,Japan

TEL


Email



Public contact

Name of contact person

1st name
Middle name
Last name Ritsuro Suzuki

Organization

Nagoya University School of Medicine

Division name

Department of HSCT Data Management & Biostatistics

Zip code


Address


TEL

052-719-1973

Homepage URL


Email

r-suzuki@med.nagoya-u.ac.jp


Sponsor or person

Institute

NK-cell Tumor Study Group

Institute

Department

Personal name



Funding Source

Organization

Ministry of Health, Labour and Welfare

Organization

Division

Category of Funding Organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



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

2009 Year 11 Month 18 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2009 Year 09 Month 05 Day

Date of IRB


Anticipated trial start date

2009 Year 11 Month 01 Day

Last follow-up date

2015 Year 11 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2009 Year 11 Month 11 Day

Last modified on

2014 Year 05 Month 12 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000003342


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name