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Brief Title: GA101-miniCHOP Regimen for the Treatment of Elderly Unfit Patients With Diffuse Large B-cell Non-Hodgkin's Lymphoma
Official Title: GA101-miniCHOP Regimen for the Treatment of Elderly Unfit Patients With Diffuse Large B-cell Non-Hodgkin's Lymphoma A Phase II Study of the Fondazione Italiana Linfomi (FIL)
Study ID: NCT02495454
Brief Summary: GA101-miniCHOP regimen for the treatment of elderly unfit patients with diffuse large B-cell non-Hodgkin's lymphoma.
Detailed Description: Considering that the treatment of elderly unfit patients with DLBCL cannot be based on a full course of R-CHOP (Rituximab, Cyclophosphamide, Doxorubicin, Vincristine, Prednisone), and that using a less intense R-miniCHOP (an attenuated version of the standard R-CHOP: Rituximab, Cyclophosphamide, Doxorubicin, Vincristine, Prednisone) combination an acceptable cure rate can be achieved this study is designed to try to improve the cure rate in unfit patients with DLBCL (Diffuse Large B Cell Lymphoma) by adopting the R-miniCHOP scheme substituting Rituximab with the more active GA101 monoclonal antibody. The study hypothesis is that a higher activity of the treatment can be achieved without modifying the cytotoxic part of the treatment but using a more active immunotherapy. Differently from the previous experience with R-miniCHOP eligible patient are not only identified using anagraphic criteria but adopting CGA (Comprehensive Geriatric Assessment) as part of initial assessment and considering as eligible unfit patients.
Minimum Age: 65 Years
Eligible Ages: OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
A.O. Spedali Civili, Brescia, BS, Italy
AUSL di Ravenna, Ravenna, RA, Italy
Asmn-Irccs, Reggio Emilia, RE, Italy
Ematologia 1U - AO Città della Salute e della Scienza, Torino, TO, Italy
A.O. S. Maria di Terni, Terni, TR, Italy
A.O. SS. Antonio e Biagio e C. Arrigo, Alessandria, , Italy
A.O. Universitaria Ospedali Riuniti - Ospedale Umberto I Di Ancona, Ancona, , Italy
A.O. Ospedale Degli Infermi, Biella, , Italy
Area Vasta Romagna e IRST, Meldola (FC), , Italy
IRCCS, Istituto Nazionale dei Tumori, Milano, , Italy
A.O. Universitaria Policlinico Di Modena, Modena, , Italy
SCDU Ematologia - Università del Piemonte Orientale, Novara, , Italy
Irccs Istituto Oncologico Veneto (Iov), Padova, , Italy
Oncoematologia e TMO Dopartimento Oncologia La Maddalena, Palermo, , Italy
Ausl Di Rimini, Rimini, , Italy
Ematologia - OSPEDALE DI CIRCOLO E FONDAZIONE MACCHI, Varese, , Italy
Name: Francesco Merli, MD
Affiliation: Ematologia - IRCCS Arcispedale Santa Maria Nuova
Role: PRINCIPAL_INVESTIGATOR