Electronic MonitorIng of Events for dIffuse Large b Cell LYmphoma

N/ANot Yet RecruitingNCT05298293

Weprom160 enrolled

Overview

Diffuse large B cell lymphoma is the most common malignant lymphoid hemopathy. More than half of the patients will be cured with an RCHOP-type immunochemotherapy protocol (Rituximab, Cyclophosphamide, Doxorubicin, Vincristine, Prednisone). Monitoring of adverse effects, risk of relapse and quality of life are essential in overall management. Patients are the best candidates to report them. Managing these events should improve quality of life and reduce costs. The aim of this study is to assess the feasibility of monitoring these events by a web application (Oncolaxy©) and to compare it with a control population in the context of a randomized pilot study including 80 patients per arm with diffuse large cell B lymphoma in first-line treatment with R-CHOP.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

160

Conditions

Diffuse Large B Cell Lymphoma

Interventions

The operation of Oncolaxy© is based on the principle of e-PRO (electronic patient reported outcome) which is able to assess the symptoms declared by patients treated for cancer, to detect an evolution, a recurrence or the toxicity of a therapy. Alerts are sent to the healthcare team if the algorithm detects suspicious symptoms or worsening of these symptoms. Oncolaxy© records symptoms using an electronic questionnaire that allows them to be graded. Questionnaires are sent out on a regular basis. The algorithm analyzes the responses and processes them taking into account the score of the response and its evolution over time. The combination of the results makes it possible to send information to the healthcare teams in charge of the patient that will alert them, enlighten them and help them guide their decisions which remain under their sole control. The summary of the results can be viewed at any time on a dashboard.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Patient with untreated large B cell lymphoma requiring a first line treatment by RCHOP or R-mini-CHOP 2. Patient aged 18 years or older at the time of signing Informed Consent Form 3. Additional Intrathecal or/and intravenous treatment with Methotrexate allowed, if indicated 4. Eastern Cooperative Oncology Group (ECOG) Performance Status \< 3 5. Patient with internet access (or has someone at home who can help send patients' symptoms or complete the form) 6. Patient enrolled in social security 7. Patient has given his written consent ahead of any specific protocol procedure Exclusion Criteria: 1. Patient with symptomatic brain metastases, 2. Patient deprived of their liberty, under guardianship or trusteeship 3. Patient is being treated for another cancer and has not been cured 4. Patient with dementia, mental disorders or psychological pathology which could compromise patient informed consent and/or the observance of the study protocol 5. Patient cannot submit to the protocol for psychological, social, familial or geographical reasons 6. Patient is pregnant or breastfeeding

Locations (5)

Polyclinique Bordeaux Nord Aquitaine

Bordeaux, France

Clinique Victor Hugo/Centre Jean Bernard/ILC

Le Mans, France

Hôpital Privée du Confluent

Nantes, France

Centre Hospitalier de St Nazaire

Saint-Nazaire, France

Centre de radiothérapie de Robertsau

Strasbourg, France

Outcomes

Primary Outcomes

Description of events

The events will be collected (CTCAE V5.0) per patient

Time frame: 29 months

Delay of taking care of event

The period of management of event will be evaluated between the date of the event and the first action realize to manage this event (patient contact, consultation, hospitalization, prescription, etc.) incremented in the source file

Time frame: 29 months

Description of emergency entry

The number of emergency visits (consultation or hospitalization in the suites) per arm

Time frame: 29 months

Description of hospitalisations

The number and average length of stay of hospitalizations per patient and per arm

Time frame: 29 months

Description of dose/intensity of RCHOP regimen

The dose of treatment received compared to the theoretical dose will assess the dose / intensity

Time frame: 29 months

Description of treatment interruptions

The number of patients having had a treatment interruption will be recorded out of the total number of patients

Time frame: 29 months

Description of the quality of life

Quality of life will be evaluated by the Quality of Life Questionnaire-C30 (QLQ-C30). QLQ-C30 is a generic questionnaire for cancer patients. Score will be calculated according to EORTC guidelines. The scores range from 0 to 100; a higher score represents a higher ("better") level of functioning, or a higher ("worse") level of symptoms. QoL with QLQ-C30 will be evaluated before start of treatment, at the 3rd cycle, 6th and 8th cycles of treatment and then at 12 and 24 months. Score will be calculated according to EORTC guidelines

Time frame: 29 months

Description of anxiety

Anxiety will be evaluated by the State-Trait Anxiety Inventory Form Y (STAI-Y scale). STAI-Y is a specific questionnaire for which reflects the current emotional state (STAI-form Y-A) which makes it possible to assess the nervousness and anxiety of the patient. The scores range from 20 to 80; Higher score is worse. STAI-Y will be evaluated before start of treatment, at the 3rd cycle, 6th and 8th cycles of treatment and then at 12 and 24 months.

Time frame: 29 months

Description of patient's satisfaction with specific questionnaire dedicated to the use of the web-application

Patient satisfaction will be evaluated by a specific self-evaluation (specific questionnaire dedicated to the use of the web-application) at the end of treatment, 12th and 24th months follow-up visits. The scores range from 14 to 70; Higher score is better.

Time frame: 29 months

Overall survival

Overall survival will be calculated from the date of randomization to the date of death due to any cause or the date last known to be alive if patient is censored

Time frame: 29 months

Progression Free survival

Progression Free survival will be calculated from the date of randomization to the date of first progression of disease based on Investigator assessment per Lugano classification or the date of death or censored at the date of the last valid tumor assessment

Time frame: 29 months

Event-free survival

Event-free survival will be defined as the time between the date of treatment initiation and the date of the first event (relapse, death, unplanned hospitalizations) demonstrated or the date of death if the patient died or the date of the last news if the patient is censored,

Time frame: 29 months

Description of health care team satisfaction by a specific questionnaire dedicated to the use of the web-application

Health care team satisfaction will be evaluated by a specific questionnaire (specific questionnaire dedicated to the use of the web-application) at the 6th and 12th of use of application. The scores range from 8 to 33; Higher score is worse.

Time frame: 29 months

Description of face-to-face consultations

In the application arm the number of face-to-face consultations triggered by an alert

Time frame: 29 months

Description of teleconsultations

In the application arm the number of teleconsultations triggered by an alert

Time frame: 29 months

Description of drug prescriptions

In the application arm the number of drug prescription triggered by an alert

Time frame: 29 months

Description of nursing prescription

In the application arm the number of nursing prescription triggered by an alert

Time frame: 29 months

Central Contacts

Magali BALAVOINE

CONTACT

2 41 68 29 70 m.balavoine@ilcgroupe.fr

Katell LE DÛ, MD

CONTACT

dr.ledu@groupeconfluent.fr