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| Name | Class |
|---|---|
| Peking University People's Hospital | OTHER |
| Ruijin Hospital | OTHER |
| West China Hospital | OTHER |
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To compare the effectiveness of autologous hematopoietic stem cell transplantation and chemotherapy as first-line consolidation therapy after obtaining a complete therapeutic response in T-cell lymphoma through a multicenter retrospective real-world study in China.
T-cell lymphoma is characterized by high molecular heterogeneity, high disease aggressiveness, and high chemotherapy resistance rate, and the prognosis is extremely poor. Autologous hematopoietic stem cell transplantation (ASCT) is an important consolidation therapy for patients with T-cell lymphoma who have achieved therapeutic response to chemotherapy, but it is still controversial whether the efficacy of ASCT is significantly better than that of chemotherapy consolidation in patients who have achieved a complete therapeutic response. In this study, the investigators compared the efficacy of ASCT with that of chemotherapy as a first-line consolidation therapy for T-cell lymphoma patients who had achieved a complete therapeutic response in a multicenter real-world study in China. This study included patients with primary T-cell lymphoma diagnosed during 2015-2021 at Shanghai Ruijin Hospital, Peking University People's Hospital, and Wuhan Tongji Hospital, and based on electronic case information, the investigators retrieved the diagnosis, staging, extranodal and bone marrow involvement, and induced and consolidated the efficacy of chemotherapy. The participants were divided into ASCT group and consolidation chemotherapy group according to the consolidation therapy adopted after obtaining complete therapeutic response, and the primary endpoint was adopted as progression-free survival, and the secondary endpoints included overall survival, non-recurrent death, and disease progression/recurrence, so as to explore the efficacy of ASCT and chemotherapy as a first-line consolidation therapy after obtaining a complete therapeutic response in T-cell lymphoma.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Consoliation with ASCT | consolidation therapy with first-line ASCT in PTCL patients who achieved CR after first-line treatment. |
| |
| non-ASCT | consolidation therapy without first-line ASCT in PTCL patients who achieved CR after first-line treatment. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| consolidation with ASCT | Drug | high dose chemotherapy (BCNU, etoposide, cytarabine and melphalan))and auto stem cells transfusion |
|
| Measure | Description | Time Frame |
|---|---|---|
| overall survival | death as a result of any cause | through study completion, an average of 2 year |
| Measure | Description | Time Frame |
|---|---|---|
| progression-free survival | disease progression or death as a result of any cause | through study completion, an average of 2 year |
| incidence of relapse rate | disease relapse |
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Inclusion Criteria:
Exclusion Criteria:
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A preliminary count of approximately 80 patients who received ASCT autologous transplantation and 250 patients who received chemotherapy was conducted as a retrospective cohort study, and all eligible patients were proposed to be included in this study.
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| Name | Affiliation | Role |
|---|---|---|
| Xiaodong Mo | Peking University | Principal Investigator |
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| through study completion, an average of 2 year |
| incidence of treatment related mortality rate | death without disease progression or relapse | through study completion, an average of 2 year |