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Recruiting NCT07470996

NCT07470996 T Cell Lymphoma -Stratified Therapy After Response to First-line Treatment-NR

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Clinical Trial Summary
NCT ID NCT07470996
Status Recruiting
Phase
Sponsor Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine
Condition Peripheral T Cell Lymphoma
Study Type OBSERVATIONAL
Enrollment 58 participants
Start Date 2025-10-01
Primary Completion 2029-05-30

Trial Parameters

Condition Peripheral T Cell Lymphoma
Sponsor Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine
Study Type OBSERVATIONAL
Phase N/A
Enrollment 58
Sex ALL
Min Age 18 Years
Max Age 70 Years
Start Date 2025-10-01
Completion 2029-05-30
Interventions
Allogenic stem cell transplant (ASCT)Salvage Therapy

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Brief Summary

This study is a multicenter, two-arm, prospective clinical trial, comprising two groups: the allogeneic hematopoietic stem cell transplantation group (Allo-HSCT) and the alternative salvage regimens. It aims to evaluate the efficacy and safety of Allo-HSCT and alternative salvage regimens in the treatment of peripheral T-cell lymphoma that has achieved no response (NR) after first-line therapy. During the screening/baseline period, informed consent will be obtained, and inclusion/exclusion criteria will be verified. Group assignment (Allo-HSCT vs. alternative salvage regimens) will be determined taking into account the availability of a matched donor and the patient's preference. The study plans to enroll 29 patients in each group. Data on demographics and medical history will be collected, and assessments including vital signs, physical examination, PET-CT, bone marrow aspiration smear, flow cytometry, and bone marrow pathology will be performed.

Eligibility Criteria

Inclusion Criteria: 1. At the time of ICF signing, the subject must be 18-70 years of age, inclusive, regardless of gender. 2. The subject must have achieved Stable Disease (SD) or Progressive Disease (PD) as assessed per the Lugano 2014 classification criteria after first-line systemic standard therapy (CHOP or a CHOP-like regimen). This includes subjects who failed to achieve a response after at least 4 cycles of standard chemotherapy or who experienced disease progression during treatment. 3. The subject must have a histologically confirmed diagnosis of PTCL according to the 2016 revised WHO classification of lymphoid neoplasms (Swerdlow SH et al. 2016). Eligible histological subtypes are restricted to the following: Not Otherwise Specified (PTCL-NOS); ALK-negative Anaplastic Large Cell Lymphoma (ALK- ALCL); Follicular Helper T-cell Lymphoma or PTCL with a TFH phenotype (FTCL or PTCL-TFH). Additionally, they must meet the following condition: Patients scheduled for allogeneic hemato

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