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Trial registered on ANZCTR
Registration number
ACTRN12624000669594p
Ethics application status
Not yet submitted
Date submitted
29/04/2024
Date registered
27/05/2024
Date last updated
27/05/2024
Date data sharing statement initially provided
27/05/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
Evaluate the use of Early-Stage Follicular Lymphoma International ImmunoTherapy Registry and initial analysis plan to describe progression-free survival for patients with stage I-II follicular lymphoma treated with radiotherapy alone compared with radiotherapy plus immunotherapy.
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Scientific title
Evaluate the use of Early-Stage Follicular Lymphoma International ImmunoTherapy Registry and initial analysis plan to describe progression-free survival for patients with stage I-II follicular lymphoma treated with radiotherapy alone compared with radiotherapy plus immunotherapy.
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Secondary ID [1]
312035
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None
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Universal Trial Number (UTN)
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Trial acronym
ES FLIT Registry
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Stage I-II low grade follicular lymphoma
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Condition category
Condition code
Cancer
330327
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0
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Lymphoma (non Hodgkin's lymphoma) - Low grade lymphoma
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Intervention/exposure
Study type
Observational
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Patient registry
False
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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
This is a retrospective multicentre registry-based study on patients with stage I-II follicular lymphoma (FL), designed to compare outcomes for patients treated with either radiotherapy (RT) alone or RT plus adjuvant systemic therapy that contains immunotherapy (primarily anti-CD20 therapy). This is to observe the effects of combined RT and immunotherapy for progression free survival for a minimum follow up of 3 months, from date of commencement of treatment to therefore characterise in a substantial cohort. This will be a retrospective analysis of previously collected data, therefore all relevant study assessments, including follow up status will have been completed before patient data are submitted and analysed. Information such as demographics, staging procedures (CT, PET imaging, bone marrow) disease characteristics and radiation treatment delivered, will be collected by review of medical records.
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Intervention code [1]
328482
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Not applicable
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Comparator / control treatment
Non-PET staged ESFL patients treated with RT + immunotherapy
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Control group
Active
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Outcomes
Primary outcome [1]
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Report progression free survival for patients with early-stage follicular lymphoma (ESFL) treated with RT and immunotherapy vs RT alone.
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Assessment method [1]
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Compare outcomes of follow up data for patients with (ESFL). Eligible patients will be identified using local patient databases, and local medical records will be reviewed.
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Timepoint [1]
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Survival analysis as per institutional practice's follow up duration, for a minimum of 3 months
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Secondary outcome [1]
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The interval from the date of commencement of 1st line treatment to last follow up as per institutional practice, this may be a minimum of 3 months.
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Assessment method [1]
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Observing data of the interval from the date of commencement of 1st line treatment for ESFL (either local or systemic) to the date of death from any cause. Surviving patients are censored at the date of last follow up.
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Timepoint [1]
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The interval from the date of commencement of 1st line treatment to last follow up as per institutional practice, this may be up to a maximum of 5 years
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Eligibility
Key inclusion criteria
1. Male or female, > 18 years of age.
2. Patients with histologically WHO grade 1, 2 or 3a FL.
3. Treated with curative intent RT to any dose
4. Intended to receive either no further treatment or adjuvant treatment containing anti-CD20 antibody therapy or other immunotherapy
5. Minimum follow up of 3 months from commencement of treatment.
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Minimum age
18
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
1. Previous treatment for FL
2. Composite lymphoma
3. Previous diagnosis of lymphoma
4. Treated with wide-field RT (RT involving both sides of the diaphragm targeting uninvolved nodal sites)
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Study design
Purpose
Natural history
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Duration
Longitudinal
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Selection
Convenience sample
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Timing
Both
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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
1/07/2024
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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
300
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,NT,QLD,SA,TAS,WA,VIC
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Address [1]
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Country [1]
316385
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Primary sponsor type
Hospital
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Name
Peter MacCallum Cancer Centre
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Address
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
318642
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Country [1]
318642
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
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Peter MacCallum Cancer Centre Human Research Ethics Committee
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Ethics committee address [1]
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https://www.petermac.org/research/doing-research-us/ethics-governance
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
315191
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31/05/2024
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Approval date [1]
315191
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Ethics approval number [1]
315191
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Summary
Brief summary
The primary purpose of this study is to describe progression-free survival for patients with stage I-II follicular lymphoma treated with radiotherapy alone compared with radiotherapy plus immunotherapy. Who is it for? The registry will collect information on patients with stage I-II low grade follicular lymphoma treated with curative intent radiotherapy after staging, who received either no additional therapy or systemic therapy containing immunotherapy as part of planned combined modality therapy. Study details: Eligible patients will be identified using local patient databases, and local medical records will be reviewed. Information on demographics, staging procedures (bone marrow, CT, PET imaging), disease characteristics including WHO tumour grade (1-3b) and extranodal site, radiation treatment delivered (RT dose and method, e.g. IFRT, Involved Site RT(ISRT)), systemic therapy delivered (immunotherapy details if given and other systemic therapies if given) and follow-up information will be collected and contained within a RedCap database. It is anticipated that in coming years, new cohorts of patients with stage I-II follicular lymphoma treated with immunotherapy will become available for inclusion and that outcomes for existing cohorts will be updated. For this reason, a registry will be established, both to enable research to be conducted on retrospectively acquired data from cohorts of patients already documented and to enable updated outcome data to be uploaded for these existing cohorts. The registry will also accommodate new patient cohorts as they become available as immunotherapy becomes more widely used. Hence the registry will ultimately include a combination of retrospective and prospective elements. The registry's utilization can contribute to demonstrating the efficacy of systemic therapy in reducing the risk of death or progression and informing therapeutic decisions to enhance health outcomes in managing follicular lymphoma, where immunotherapy's historical underutilization in stage I-II FL has resulted in a lack of notable improvement in overall survival.
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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
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Dr Michael MacManus
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Address
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Peter MacCallum Cancer Centre, 305 Grattan Street, Melbourne Victoria 3000
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Country
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Australia
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Phone
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+6199288924
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Michael MacManus
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Address
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Peter MacCallum Cancer Centre, 305 Grattan Street, Melbourne Victoria 3000
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Country
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Australia
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Phone
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+6199288924
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Michael MacManus
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Address
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Peter MacCallum Cancer Centre, 305 Grattan Street, Melbourne Victoria 3000
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Country
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Australia
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Phone
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+6199288924
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Fax
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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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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