About this trial
This is a prospective clinical study to evaluate the safety and efficacy of R-CMOP in patients with newly diagnosed diffuse large B-cell lymphoma
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥18 years;
Histologically confirmed newly diagnosed diffuse large B-cell lymphoma;
Patients must have been untreated, including chemotherapy, targeted therapy, immunotherapy, radiotherapy;
There must be at least one measurable lesion per the Lugano2014 criteria;
Disqualifiers
Primary central nervous system DLBCL, Primary testicular large B-cell lymphoma, Primary mediastinal (thymic) large B-cell lymphoma, Lymphomatoid granulomatosis, ALK-positive large B-cell lymphoma, Plasmablastic lymphoma, HHV8-positive DLBCL, Primary effusion lymphoma, Intravascular large B-cell lymphoma, B-cell lymphoma unclassifiable between DLBCL and classical Hodgkin lymphoma, T-cell/histiocyte-rich large B-cell lymphoma, and High-grade B-cell lymphoma;
transformed indolent lymphoma ;
Patients with active central nervous system involvement;
History of hematopoietic stem cell transplantation;
Trial design
Single group
Treatments tested in this trial
Mitoxantrone Hydrochloride Liposome
Drugassigned dose according to the 3+3 dose-escalation design in part 1, RP2D in part 2, D2
Rituximab (R)
Drug375mg/m2, D2
Cyclophosphamide (CTX)
Drug750mg/m2, D2
Vincristin
Drug1.2mg/m2, maximum 2mg, D2
Prednisolone
Drug60mg/m2, D2-6
Treatment groups
Trial outcomes
Primary outcomes
Phase I:Maximum tolerated dose (MTD)
Maximum tolerated dose (MTD) of liposomal mitoxantrone hydrochloride in R-CMOP
Phase I: Recommended phaseII dose (RP2D)
The Recommended Phase II Dose (RP2D) is defined as the optimal dose of liposomal mitoxantrone hydrochloride for use in Phase II trials, as determined by the outcomes of the Phase I study.
Phase II:Complete remission rate (CRR)
Response is assessed according to the lugano criteria
Phase I: Dose limited toxicities (DLTs)
adverse events defined as DLT events per protocol
Secondary outcomes
Phase I: The incidence rates of adverse events (AEs)
AE or severe adverse events (SAE) occur since the first dose of therapy is given
Phase I: Objective response rate (ORR)
Response is assessed according to the lugano criteria
Phase I: Complete remission rate (CRR)
Response is assessed according to the lugano criteria
Phase II: Overall response rate (ORR)
Response is assessed according to the lugano criteria
Sponsors and contacts
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