RecruitingPhase 3NCT06520163

Comparison Study of EAP and Disease-Specific Chemotherapy Regimens in Hematopoietic Stem Cell Mobilization for Lymphoma

A Prospective, Multicenter, Randomized Controlled Trial Comparing the Efficacy and Safety of Etoposide, Cytarabine, and PEG-rhG-CSF Combination Therapy vs. Disease-Specific Chemotherapy for Hematopoietic Stem Cell Mobilization in Lymphoma


Sponsor

The Affiliated People's Hospital of Ningbo University

Enrollment

99 participants

Start Date

Aug 1, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

This study utilizes a prospective, multicenter, randomized two-arm design to evaluate the efficacy and safety of the etoposide, cytarabine, and pegylated recombinant human granulocyte colony-stimulating factor (PEG-rhG-CSF) combination therapy (EAP regimen) in mobilizing hematopoietic stem cells in patients with non-Hodgkin's lymphoma (NHL). A total of 99 NHL patients will be enrolled as research subjects and will be randomly allocated in a 2:1 ratio to compare the EAP regimen versus disease-specific chemotherapy mobilization regimen. The primary endpoint is the proportion of patients achieving the ideal collection value after a single collection (CD34+ cells ≥5×10\^6/kg).


Eligibility

Min Age: 18 YearsMax Age: 75 Years

Plain Language Summary

Simplified for easier understanding

This trial is comparing different chemotherapy regimens to help collect stem cells from the blood (a process called mobilization) in people with non-Hodgkin's lymphoma who need a stem cell transplant. It compares a general regimen (EAP) against disease-specific chemotherapy. **You may be eligible if...** - You have been diagnosed with non-Hodgkin's lymphoma - You need an autologous stem cell transplant (using your own stem cells) - You are in complete remission after chemotherapy - You are in good general health (ECOG 0–1) with a life expectancy of at least 3 months **You may NOT be eligible if...** - You have significant heart problems (low ejection fraction or heart failure class II or higher) - Your liver function is significantly impaired - Your kidney function is significantly reduced - You have an active infection - You have previously had a stem cell collection attempt Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGEtoposide

Day 1\~Day 2: 75mg/m\^2

DRUGCytarabine

Day 1\~Day 2: 200g/m\^2, q12h

DRUGPEG-rhG-CSF

Day 6: 6mg

DRUGG-CSF

Starting from the 9th day, if the white blood cell count is less than 20,000/μL, administer G-CSF at a dose of 5μg/kg by subcutaneous injection until the collection is completed.

COMBINATION_PRODUCTCHOP

\[Cyclophosphamide (Cy) + Doxorubicin (ADM) + Vincristine (VDS) + Prednisone (Pred) \]± Rituximab (R)

COMBINATION_PRODUCTHyper-CVAD

\[Cyclophosphamide + Doxorubicin + Vincristine + Dexamethasone (DXM)\] ± Rituximab

COMBINATION_PRODUCTID-MTX + Ara-C

\[High-Dose Methotrexate (MTX) + Cytarabine\] ± Rituximab

COMBINATION_PRODUCTDA-EPOCH

\[Etoposide + Doxorubicin + Vincristine + Cyclophosphamide + Prednisone\] ± Rituximab

COMBINATION_PRODUCTGDP

\[Gemcitabine (G) + Cisplatin (P) + Dexamethasone (DXM)\] ± Rituximab

COMBINATION_PRODUCTGDPE

\[Gemcitabine + Cisplatin + Dexamethasone + Etoposide\] ± Rituximab

COMBINATION_PRODUCTICE

\[Etoposide + Ifosfamide (IFO) + Carboplatin\] ± Rituximab

COMBINATION_PRODUCTDICE

\[Dexamethasone + Ifosfamide + Ifosfamide + Etoposide\] ± Rituximab

DRUGG-CSF

From Day 6, administer G-CSF at a dose of 5μg/kg by subcutaneous injection until the collection is completed.


Locations(17)

Dongyang People's Hospital

Dongyang, Zhejiang, China

The Affiliated Hangzhou First People's Hospital

Hangzhou, Zhejiang, China

The First Affiliated Hospital, College of Medicine, Zhejiang University

Hangzhou, Zhejiang, China

Tongde Hospital of Zhejiang Province

Hangzhou, Zhejiang, China

Huzhou central hospital

Huzhou, Zhejiang, China

The First Hospital of Jiaxing

Jiaxing, Zhejiang, China

Jinhua Municipal Central Hospital

Jinhua, Zhejiang, China

Jinhua People's Hospital

Jinhua, Zhejiang, China

Lishui Central Hospital

Lishui, Zhejiang, China

Ningbo Medical Center Lihuili Hospital

Ningbo, Zhejiang, China

The Affiliated People's Hospital of Ningbo University

Ningbo, Zhejiang, China

Shaoxing People's Hospital

Shaoxing, Zhejiang, China

Shaoxing Second Hospital

Shaoxing, Zhejiang, China

Taizhou Central Hospital

Taizhou, Zhejiang, China

Taizhou Hospital of Zhejiang Province

Taizhou, Zhejiang, China

The Second Affiliated Hospital of Wenzhou Medical University

Wenzhou, Zhejiang, China

The First Affiliated Hospital of Wenzhou Medical University

Wenzhou, China

View Full Details on ClinicalTrials.gov

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NCT06520163


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