Camrelizumab Plus R-CHOP Regimen in Untreated Primary Extranodal DLBCL
CREDIT
Anti-PD-1 Antibody (Camrelizumab) Plus R-CHOP Regimen for the Primary Extranodal Treatment-Naive Diffuse Large B Cell Lymphoma (CREDIT): a Prospective, Multicenter, Single-Arm, Phase II Trial
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Primary Completion
June 2023
Estimated (date passed)
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Study Completion
December 2024
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Brief Summary
To assess the efficacy and safety of camrelizumab combined with rituximab, vincristine, doxorubicin, cyclophosphamide and prednisone in the treatment of untreated primary extranodal DLBCL
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
unknown
Estimated enrollment
30 participants
Study completion date
December 2024
Estimated (date passed)
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Listed locations
0 countries · 0 sites
Trial Relationships
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
First Submitted
October 11, 2021
Actual (reported)
First Posted
October 26, 2021
Actual (reported)
Study Start
June 1, 2022
Estimated (date passed)
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Primary Completion
June 2023
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Study Completion
December 2024
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Induction therapy: camrelizumab in combination with rituximab Immunochemotherapy: rituximab, cyclophosphamide, hydroxyldaunorubicin, vincristine, prednisone Maintenance therapy: camrelizumab in patients achieved CR after immunotherapy
Drug: Camrelizumab
Interventions
CamrelizumabDrug
Induction therapy:
Camrelizumab 200mg, ivd, D1, Rituximab 375mg/m2, ivd, D1 every 3 weeks up to 2 cycles
Immunochemotherapy:
Rituximab: 375mg/m2, ivd, D1; Cyclophosphamide: 750mg/m2, iv or ivd, D1; Hydroxyldaunorubicin: 50mg/m2, iv or ivd, D1; Vincristine: 1.4 mg/m2 , iv(max:2mg), D1; Prednisone: 60mg/m2, po, d1-5 every 3 weeks up to 6 cycles Maintenance therapy: Camrelizumab 200mg, ivd, D1 every 4 weeks up to 6 cycles
Also known as: Rituximab, Cyclophosphamide, Hydroxyldaunorubicin, Vincristine, Prednisone
camrelizumab+R-CHOP
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Primary extranodal lymphoma, histologically-confirmed DLBCL( including but not limited to follicular lymphoma grade 3B, or transformed DLBCL, EBV(+) DLBCL, ALK(+) DLBCL, high grade lymphoma). The primary site is limited to the gastrointestinal tract, nasal cavity and breast, and central nervous system( CNS) involvement must be excluded. Gastrointestinal tract involvement of DLBCL can be included in the group after evaluation without bleeding or perforation risk.
ECOG physical condition score: 0-2 points for patients.
The patients must be with at least one evaluable or measurable lesion meeting Lugano 2014 criteria, the evaluable lesion was: 18F fluorodeoxyglucose / positron emission tomography (18FDG-PET) examination showed that the uptake of extranodal areas was increased (higher than that of liver) and pet and / or computed. The features of tomography (CT) were in accordance with lymphoma. The measurable lesions were nodal lesions with a length of \> 15 mm or extranodal lesions with a length of \> 10 mm, accompanied by an increase in 18-FDG uptake. It is necessary to exclude the case where there is no measurable lesion and the diffuse 18-FDG uptake increase in the liver.
Hematology values must be within the following limits at baseline:
Absolute neutrophil count (ANC) ≥1,500 cells/μL. In case bone marrow involvement, ANC≥1,000 cells/μL.
Platelets≥75,000 cells/μL. In case bone marrow involvement, platelets≥50,000 cells/μL
Hemoglobin≥90 g/L
Biochemical values must be within the following limits at baseline:
Alanine aminotransferase(ALT)≤3×upper limit of normal (ULN).
Aspartate aminotransferase (AST) ≤3×ULN
Total bilirubin≤1.5×ULN, unless bilirubin rise is due to Gilbert's syndrome or of non-hepatic origin.
Serum creatinine ≤2×ULN or estimated Glomerular Filtration Rate ≥40/mL/min/1.73m2
LVEF within institutional normal limits, as determined by echocardiography or multiple uptake gated acquisition (MUGA) scan.
+3 more criteria
You may not qualify if:
\- • Primary DLBCL arise in lymph nodes or other lymphatic tissues.
Primary central nervous system lymphoma or secondary central nervous system involvement, known primary mediastinal lymphoma.
A history of severe allergies or allergic reactions to humanized or murine monoclonal antibodies.
In the past five years, patients with other malignant tumors have undergone radical treatment, except for basal cell carcinoma of skin, squamous cell carcinoma of skin, carcinoma in situ of breast and carcinoma in situ of cervix. History of human immunodeficiency virus (HIV) infection and/or patients with acquired immunodeficiency syndrome are known
Patients with active hepatitis B or active hepatitis C. Patients who are positive for hepatitis B Surface Antigen (HBsAg) or hepatitis C Virus (HCV) antibodies at screening stage must pass further detection of hepatitis B Virus (HBV) DNA titer (no more than 2500 copies/mL or 1000 IU/mL) and HCV RNA (no more than the lower limit of the detection method) in the row. In addition to active hepatitis B or hepatitis C infections requiring treatment, group trials can be conducted. Hepatitis B carriers, stable hepatitis B (DNA titer should not be higher than 2500 copies/mL or 1000 IU/mL) after drug treatment, and cured hepatitis C patients can be enrolled in the group.
Patients with any active infections requiring systemic anti-infective treatment within 14 days of treatment.
Received systemic antineoplastic therapy within 28 days before treatment, including chemotherapy, immunotherapy, biotherapy (cancer vaccine, cytokines, or growth factors that control cancer), etc..
Received major surgery within 28 days before treatment or radiotherapy within 90 days before treatment.
Received live vaccination (except influenza attenuated vaccine) within 28 days before treatment.
Patients requiring long-term systemic glucocorticoid therapy or other immunosuppressive therapy (\>prednisone 10mg/qd or equivalent dose of other glucocorticoid therapy). Allowing subjects to use local, ocular, intra-articular, intranasal and inhaled glucocorticoid therapy.
Patients suffering from uncontrollable comorbid diseases, including but not limited to symptomatic congestive heart failure, uncontrollable hypertension, unstable angina, active peptic ulcer or bleeding disorders.
Pregnant or lactating women.
Patients with a history of interstitial lung disease or non-infectious pneumonia. Subjects who have previously had drug-induced or radioactive non-infectious pneumonia but asymptomatic are allowed to enroll.
Any life-threatening disease, physical condition or organ dysfunction according to the researchers' judgment may endanger the safety of the subject or put the clinical research at excessive risk.
Contact the study team to confirm eligibility.
Globulins
Phosphoramide Mustards
Nitrogen Mustard Compounds
Mustard Compounds
Hydrocarbons, Halogenated
Hydrocarbons
Organic Chemicals
Phosphoramides
Organophosphorus Compounds
Daunorubicin
Anthracyclines
Naphthacenes
Polycyclic Aromatic Hydrocarbons
Hydrocarbons, Aromatic
Hydrocarbons, Cyclic
Polycyclic Compounds
Aminoglycosides
Glycosides
Carbohydrates
Vinca Alkaloids
Secologanin Tryptamine Alkaloids
Indole Alkaloids
Alkaloids
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Heterocyclic Compounds, Fused-Ring
Indolizidines
Indolizines
Pregnadienediols
Pregnadienes
Pregnanes
Steroids
Fused-Ring Compounds
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Study Completion
December 2024
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Last Updated
April 7, 2022
Record last verified: 2022-04
Data Sharing
IPD Sharing
Will not share
Source record
Download the complete ClinicalTrials.gov record imported by Syfrah, including fields not shown in this page. The registry may contain a newer revision.
Source: ClinicalTrials.gov.
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