A Randomized Study of Dexrazoxane or Liposomal Doxorubicin in Newly Diagnosed Diffuse Large B-cell Lymphoma at High Risk for Heart Failure Events: the CARDIOPROTECT Trial
Beth Israel Deaconess Medical Center
Summary
This trial is to evaluate if dexrazoxane is safer and more effective than liposomal doxorubicin in preventing heart failure events in participants with diffuse large B-cell lymphoma (DLBCL) undergoing either standard of care R-CHOP or pola-R-CHP treatment regiments. The names of the study drugs involved in this study are: * Dexrazoxane (a type of Topoisomerase II Inhibitor) * Liposomal Doxorubicin (a type of Topoisomerase II Inhibitor) * Standard of care R-CHOP treatment regimen (Cyclophosphamide, doxorubicin, vincristine, prednisone, rituximab) * Standard of care pola-R-CHP treatment regimen: Cyclophosphamide, doxorubicin, polatuzumab vedotin-piiq, prednisone, rituximab
Description
This phase II, multicenter, randomized, double-blind, double-dummy trial is to evaluate if dexrazoxane is safer and more effective than liposomal doxorubicin in preventing heart failure events in participants with diffuse large B-cell lymphoma (DLBCL) undergoing either standard of care R-CHOP or pola-R-CHP treatment regiments. Participants will be assigned by the study doctor to standard of care R-CHOP or standard of care pola-R-CHP therapy regimens. R-CHOP Participants will be randomized into 1 of 2 study groups: Group A: Dexrazoxane, cyclophosphamide, doxorubicin, vincristine, prednisone,…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Participants must have histologically confirmed diffuse large B-cell lymphoma, histologically transformed large B cell lymphoma from a prior indolent lymphoma, or other high-grade B-cell lymphoma for which R-CHOP or pola-R-CHP are planned. Any cancer stage is permitted. * Participants must not have received any prior chemotherapy for this malignancy. Pre-phase steroids are allowed. Prior treatment for a different malignancy is allowed, including prior treatment for indolent lymphoma. * Age ≥18 years. Diffuse large B cell lymphoma is rare in participants \<18 years of age…
Interventions
- DrugDexrazoxane
Topoisomerase II Inhibitor, single-dose vial, via intravenous infusion per protocol.
- DrugDexrazoxane placebo
Dexrazoxane placebo via intravenous infusion per protocol.
- DrugDoxorubicin
Topoisomerase II Inhibitors, single-dose vial, via intravenous infusion per protocol.
- DrugLiposomal Doxorubicin
Topoisomerase II Inhibitors, single-dose vial, via intravenous infusion per protocol.
- DrugCyclophosphamide
Lymphodepleting chemotherapy, multi-dose vial, via intravenous infusion per standard of care.
- DrugVincristine
vinca alkaloid, single-dose vial, via intravenous infusion per standard of care.
Location
- Beth Israel Deaconess Medical CenterBoston, Massachusetts