Title
A Study for Aggressive Adult T-cell Leukemia-lymphoma (ATLL)
Phase III Study of VCAP-AMP-VECP vs. Biweekly CHOP in Aggressive Adult T-cell Leukemia-lymphoma (ATLL): Japan Clinical Oncology Group Study, JCOG9801.
Phase
Phase 3Lead Sponsor
Japan Clinical Oncology GroupStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Adult T-cell Leukemia LymphomaIntervention/Treatment
prednisone doxorubicin vincristine cyclophosphamide sargramostim ...Study Participants
130To test the superiority of VCAP-AMP-VECP regimen over biweekly-CHOP in aggressive ATLL in terms of survival benefit.
Nothing to describe.
Inclusion Criteria: Diagnosis of ATL was made based on seropositivity for HTLV-I by either enzyme-linked immunosorbent assay or particle agglutination assay, and histologically- and/or cytologically-proven peripheral T-cell malignancy Aggressive ATL, i.e., acute-, lymphoma- or unfavorable chronic-type ATL Aged 15-69 years No prior chemotherapy or radiotherapy Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0-3 or 4 as a result of hypercalcemia Preserved organ (bone marrow, liver, kidney, heart and lung) functions All patients were required to provide written informed consent Exclusion Criteria: Diabetes mellitus necessitating treatment with insulin Active systemic infection Cardiac disorders expected to become worse as a result of the DOX-containing regimen Acute hepatitis, chronic hepatitis or liver cirrhosis Positive for HBs Ag or anti-HCV Ab Active concurrent malignancy Other serious medical or psychiatric conditions Pregnancy or breast feeding Central nervous system involvement by ATL cells