NCT02520895

Brief Summary

RIPAL is a prospective cohort study, which main goal is to define T and B immune repertoire diversity and magnitude in patients with non-Hodgkin lymphoma of high and low grade and chronic lymphocytic leukemia before and after treatment, and to evaluate the association of these parameters with clinical patient data and outcomes.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
98

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started Sep 2010

Typical duration for all trials

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

September 1, 2010

Completed
3.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2013

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2013

Completed
12 months until next milestone

First Submitted

Initial submission to the registry

September 15, 2014

Completed
11 months until next milestone

First Posted

Study publicly available on registry

August 13, 2015

Completed
Last Updated

August 13, 2015

Status Verified

July 1, 2015

Enrollment Period

3.1 years

First QC Date

September 15, 2014

Last Update Submit

August 7, 2015

Conditions

Keywords

Chronic Lymphocytic LeukemiaNon-Hodgkin lymphomaFollicular LymphomaDiffuse Large B Cell LymphomaMALT LymphomaT Cell LymphomaImmune RepertoireInfectionrelapsesurvivaltreatment responseVJ rearrangement

Outcome Measures

Primary Outcomes (1)

  • change in variations of the T and B cell repertoire in patients with lymphoid blood disease under treatment

    results given by the technical Immun'IgH® Human and Human ImmunTraCkeR® and score NDL® The 2 criteria for obtaining the data are the diversity and intensity of the immune repertoire: The intensity of the signal corresponds to the frequency of VJ rearrangements detected in the samples. It is expressed in Arbitrary Units. The diversity corresponds to the number of different VJ rearrangements detected compared to all theoretical VJ rearrangement. It is expressed in percentage.

    from D0 to 18 months

Secondary Outcomes (4)

  • performance of the mapping of the immune repertoire to predict treatment response

    from D0 to 18 months

  • performance of the mapping of the immune repertoire to predict progression free survival

    from D0 to progression

  • performance of the mapping of the immune repertoire to predict the risk of infection

    from D0 to 18 months

  • sensitivity of detection of the circulating clones

    from D0 to 18 months

Study Arms (8)

large B lymphoma cells (group 1)

30 patients with large B lymphoma cells at diagnosis and who will receive an immunochemotherapy treatment patients will have blood samplings

Biological: blood samplings

indolent B-cell lymphomas (group 2)

30 patients with indolent B-cell lymphomas without invasion excess blood lymphoma 1 giga / L at diagnosis and who will receive an immunochemotherapy treatment- patients will have blood samplings

Biological: blood samplings

indolent B-cell lymphomas (group 3)

20 Patients with indolent B-cell lymphomas with lymphocytosis (\> 1 Giga / L) at diagnosis and who will receive an immunochemotherapy treatment- patients will have blood samplings

Biological: blood samplings

Lymphocytic Leukemia Chronic (LLC) (group 4)

20 patients with LLC never treated before and will receive an immunochemotherapy treatment (fludarabine +/- endoxan +/- rituximab or alemtuzumab)- patients will have blood samplings

Biological: blood samplings

T-cell lymphoma (group 5)

10 Patients with T-cell lymphoma in 1st line therapy and will receive a combination of chemotherapy- patients will have blood samplings

Biological: blood samplings

follicular lymphoma (group 6)

6 patients with follicular lymphoma in first line or relapsed and will receive a single immunotherapy treatment (rituximab)- patients will have blood samplings

Biological: blood samplings

Lymphocytic Leukemia Chronic (LLC) (group 7)

6 patients with LLC never treated and will receive a combination of rituximab, fludarabine, endoxan- patients will have blood samplings

Biological: blood samplings

Lymphocytic Leukemia Chronic (LLC) (group 8)

6 patients with LLC stage A followed for a period of 18 months without treatment- patients will have blood samplings

Biological: blood samplings

Interventions

blood samplingsBIOLOGICAL

patients will have blood samplings at different time : D0: day of inclusion = day of the first course of chemotherapy or the 1st day of the confirmation of the diagnosis (group 8) M3: 3 months (+/- 1 month) after the start of treatment (except for group 8) M6: 6 months (+/- 1 month) after the start of treatment or after the 1st day of the confirmation of the diagnosis (group 8) M12 : 12 months after the start of treatment (group 6 and 7) M18: 18 months (+/- 1 month) after the start of treatment or after the 1st day of the confirmation of the diagnosis (group 8) R: to relapse if it occurs before 18 months or at the time of first treatment if it occurs before 18 months (group 8)

Lymphocytic Leukemia Chronic (LLC) (group 4)Lymphocytic Leukemia Chronic (LLC) (group 7)Lymphocytic Leukemia Chronic (LLC) (group 8)T-cell lymphoma (group 5)follicular lymphoma (group 6)indolent B-cell lymphomas (group 2)indolent B-cell lymphomas (group 3)large B lymphoma cells (group 1)

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

patients with lymphoma or chronic lymphocytic leukemia

You may qualify if:

  • Years and older
  • Subjects with a diagnosis of large B-cell lymphoma, follicular lymphoma, mantle cell lymphoma, MALT, marginal zone, Waldenstrom's disease, chronic lymphocytic leukemia, T-cell lymphoma, anaplastic, cytotoxic or peripheral unspecified angioimmunoblastic.
  • Have signed an informed consent for participation in the study and preservation of blood samples for biomedical research.
  • Accept to appear in consultation biological samples at the sampling points corresponding to its group.
  • The benefits of social security.

You may not qualify if:

  • Subjects with a diagnosis of Hodgkin disease
  • Subjects with a diagnosis of T-prolymphocytic leukemia
  • Subjects with a diagnosis of Burkitt's lymphoma
  • Subjects with a diagnosis of lymphoblastic lymphoma
  • Subjects who had prior-treatment for hematological disease
  • Patients under judicial safeguards

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Service d'Hématologie Clinique, Centre Hospitalier Lyon Sud

Pierre-Bénite, 69310, France

Location

MeSH Terms

Conditions

LymphomaLeukemia, Lymphocytic, Chronic, B-CellLymphoma, Non-HodgkinLymphoma, FollicularLymphoma, Large B-Cell, DiffuseLymphoma, B-Cell, Marginal ZoneLymphoma, T-CellInfectionsRecurrence

Interventions

Cordocentesis

Condition Hierarchy (Ancestors)

Neoplasms by Histologic TypeNeoplasmsLymphoproliferative DisordersLymphatic DiseasesHemic and Lymphatic DiseasesImmunoproliferative DisordersImmune System DiseasesLeukemia, B-CellLeukemia, LymphoidLeukemiaHematologic DiseasesChronic DiseaseDisease AttributesPathologic ProcessesPathological Conditions, Signs and SymptomsLymphoma, B-Cell

Intervention Hierarchy (Ancestors)

Blood Specimen CollectionSpecimen HandlingClinical Laboratory TechniquesDiagnostic Techniques and ProceduresDiagnosisParacentesisPuncturesTherapeuticsSurgical Procedures, OperativeInvestigative Techniques

Study Officials

  • Gilles SALLES, MD

    Service d'Hématologie Clinique, Centre Hospitalier Lyon Sud, France

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 15, 2014

First Posted

August 13, 2015

Study Start

September 1, 2010

Primary Completion

October 1, 2013

Study Completion

October 1, 2013

Last Updated

August 13, 2015

Record last verified: 2015-07

Locations