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Trial registered on ANZCTR
Registration number
ACTRN12610000748011
Ethics application status
Approved
Date submitted
6/09/2010
Date registered
8/09/2010
Date last updated
8/09/2010
Type of registration
Prospectively registered
Titles & IDs
Public title
Inflammation and treatment tolerance in Non Hodgkin Lymphoma
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Scientific title
Data analysis on selected previous clinical trials looking at inflammation and treatment tolerance in Non Hodgkin Lymphoma
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Secondary ID [1]
252644
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nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
non hodgkin lymphoma
258134
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Condition category
Condition code
Cancer
258316
258316
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0
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Lymphoma (non Hodgkin's lymphoma) - High grade lymphoma
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
No intervention- retrospective data analysis of clinical trial data combined from two previously conducted clincial trials employing chemotherapy in patients with Non Hodgkin's Lymphoma (NHL).
Deidentified data will be collated from existing clincial trial databases and analysed using pred-determined statistical testing. This is expected to take approx. 6 months.
The two previous clincial trials are:
1) NHL7- Phase III randomised trial of high-dose CEOP + filgrastim versus standard dose CEOP in patients with Non-Hodgkin’s Lymphoma. Not registered. Accrual years- 1994-1999
2) NHL11- A phase-II study of a modified “Hyper-CVAD” frontline therapy for patients with poor prognosis diffuse large B-cell and peripheral T-cell non-Hodgkin’s lymphoma - Registered on ANZCTR, ACTRN12605000105640 Accrual years- 2005-2010
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Intervention code [1]
257151
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Not applicable
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Comparator / control treatment
N/A
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
259164
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To evaluate the associations of the neutrophil to lymphocyte ratio (NLR) and the presence of B symptoms at baseline with the incidence and grades of haematological and non-haematological toxicity after chemotherapy
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Assessment method [1]
259164
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Timepoint [1]
259164
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Originally collected at baseline and after chemotherapy, data analysed at the conclusion of this data mining study
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Primary outcome [2]
259165
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To evaluate the associations of the NLR and presence of B symptoms at baseline with the requirement for dose reduction and delay in chemotherapy
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Assessment method [2]
259165
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Timepoint [2]
259165
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Originally collected at baseline and after chemotherapy, data analysed at the conclusion of this data mining study
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Primary outcome [3]
259166
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To evaluate the associations of the NLR and presence of B symptoms at baseline with the requirement and duration of hospitalization for treatment-related toxicities.
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Assessment method [3]
259166
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Timepoint [3]
259166
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Originally collected at baseline and after chemotherapy, data analysed at the conclusion of this data mining study
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Secondary outcome [1]
265496
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To evaluate the associations of the presence of NLR and B symptoms at baseline with response rates, progression free and overall survival
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Assessment method [1]
265496
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Timepoint [1]
265496
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Originally collected at baseline and at trial closure, data analysed at the conclusion of this data mining study
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Secondary outcome [2]
265497
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To correlate the baseline neutrophil to lymphocyte ratio (NLR) with other baseline prognostic factors in NHL including B symptoms, International Prognostic Index, disease stage, beta 2 microglobulin and others.
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Assessment method [2]
265497
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Timepoint [2]
265497
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Originally collected at baseline, data analysed at the conclusion of this data mining study
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Secondary outcome [3]
265498
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To correlate plasma levels of inflammatory proteins with B symptoms, NLR and other prognostic markers.
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Assessment method [3]
265498
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Timepoint [3]
265498
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Originally collected at baseline, data analysed at the conclusion of this data mining study
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Eligibility
Key inclusion criteria
high grade NHL, participation in either NHL7 or NHL11 Australasian leukaemia and Lymphoma Group trial
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Minimum age
15
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
nil
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Study design
Purpose
Natural history
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Retrospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/12/2010
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
250
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
257604
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Self funded/Unfunded
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Name [1]
257604
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Address [1]
257604
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Country [1]
257604
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Australia
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Primary sponsor type
Other Collaborative groups
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Name
Australasian Leukaemia and Lymphoma Group
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Address
Level 2/10 St Andrews place,
East Melbourne, Vic, 3002
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Country
Australia
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Secondary sponsor category [1]
256830
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None
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Name [1]
256830
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Address [1]
256830
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Country [1]
256830
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Other collaborator category [1]
251483
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Individual
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Name [1]
251483
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Stephen Clarke
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Address [1]
251483
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Concord Hospital
Hospital Road
Concord, NSW, 2139
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Country [1]
251483
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
259624
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CONCORD REPATRIATION GENERAL HOSPITAL
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Ethics committee address [1]
259624
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CONCORD REPATRIATION GENERAL HOSPITAL HOSPITAL ROAD CONCORD, NSW, 2139
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Ethics committee country [1]
259624
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Australia
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Date submitted for ethics approval [1]
259624
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21/09/2010
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Approval date [1]
259624
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Ethics approval number [1]
259624
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Summary
Brief summary
Our research has shown that patients with inflammatory symptoms (fevers, sweats and weight loss) and/or elevated inflammatory markers have slower clearance of chemotherapy and experience worse toxicity, as well as worse response and survival. We recently confirmed that UK based lymphoma patients with inflammatory (also known as B) symptoms experienced worse chemotherapy related leucopenia and thrombocytopenia, however we were not able to explore whether this resulted in more neutropenia, febrile neutropenia, treatment related hospitalisation or deaths, because of gaps in the UK data set. We plan to evaluate these issues in Australian lymphoma patients by re-evaluating stored de-identified data collected as part of several ALLG national lymphoma trials. Using the same data, we will also evaluate the prognostic significance of a new inflammatory marker (the neutrophil/lymphocyte ratio (NLR)) in lymphoma patients. We have shown this marker to be prognostic for survival in mesothelioma and colorectal and lung cancer patients. To our knowledge, it has not been evaluated in patients with NHL.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
31611
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Address
31611
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Country
31611
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Phone
31611
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Fax
31611
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Email
31611
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Contact person for public queries
Name
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Professor Stephen Clarke
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Address
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Department of Medicine
Concord Hospital
Hospital Road
Concord, NSW, 2139
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Country
14858
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Australia
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Phone
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+61297676587
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Fax
14858
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Email
14858
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[email protected]
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Contact person for scientific queries
Name
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Professor Stephen Clarke
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Address
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Department of Medicine
Concord Hospital
Hospital Road
Concord, NSW, 2139
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Country
5786
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Australia
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Phone
5786
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+61297676587
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Fax
5786
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Email
5786
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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