About this trial
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 criteria
Qualifiers
Diagnosed with non-Hodgkin's lymphoma before enrollment.
Indication for autologous stem cell transplantation (ASCT).
Eastern Cooperative Oncology Group (ECOG) performance status of 0~1.
Achieved complete remission after multiple courses of chemotherapy.
Disqualifiers
Cardiac function class II or higher or cardiac ejection fraction < 40%.
Serum direct bilirubin (DBIL) more than twice of the upper limit of normal (ULN).
Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) more than three times the upper limit of normal (ULN).
Serum creatinine clearance rate ≤ 50%.
Trial design
Treatments tested in this trial
- Etoposide
- Cytarabine
- PEG-rhG-CSF
- G-CSF
- CHOP
- Hyper-CVAD
- ID-MTX + Ara-C
- DA-EPOCH
- GDP
- GDPE
- ICE
- DICE
- G-CSF
Treatment groups
Sponsors and collaborators
The Affiliated People's Hospital of Ningbo University
Lead sponsor
First Affiliated Hospital of Zhejiang University
Collaborator
First Affiliated Hospital of Wenzhou Medical University
Collaborator
Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University
Collaborator
Jinhua People's Hospital
Collaborator
The Central Hospital of Lishui City
Collaborator
Shaoxing People's Hospital
Collaborator
Shaoxing Second Hospital
Collaborator
Zhejiang Provincial Tongde Hospital
Collaborator
Taizhou Hospital
Collaborator
Dongyang People's Hospital
Collaborator
Affiliated Hospital of Jiaxing University
Collaborator
Huzhou Central Hospital
Collaborator
Second Affiliated Hospital of Wenzhou Medical University
Collaborator
Ningbo Medical Center Lihuili Hospital
Collaborator
Jinhua Municipal Central Hospital
Collaborator