The rationale of this study is to provide an overview on PCL (Primary Cardiac Lymphoma) in Italy, trying to shed light on unknown aspects of the disease and on unanswered questions about its management that could be helpful in clinical practice.
Primary cardiac lymphoma (PCL), an extranodal lymphoma involving only the heart (with possible involvement of the pericardium) is a rare entity, accounting for 2% of primary cardiac tumors and 0.5% of extranodal lymphomas. It is more frequent in males; clinical presentation is predominated by cardiac symptoms. The most common histology is Diffuse Large B Cell Lymphoma (DLBCL). Being DLBCL the most frequent histology, patients are usually treated with R-CHOP (rituximab - cyclophosphamide, doxorubicin, vincristine and prednisone) or R-CHOP-like chemoimmunotherapy regimens, with an historically poor outcome, although in the last years survival rates significantly increased. Due to the rarity of this condition, isolated case reports and a few reviews have been published so far, that in most cases included a population collected in a wide period of time, heterogeneously managed both in terms of treatments received and follow-up, and who often did not strictly respect the criteria of PCL. Indeed, while some aspects of PCL are well-known, especially the ones concerning its clinical presentation, a few topics deserve more in-depth analysis. The rationale of this study is to provide an overview on PCL in Italy, trying to shed light on unknown aspects of the disease and on unanswered questions about its management that could be helpful in clinical practice.
Study Type
OBSERVATIONAL
Enrollment
43
Presidio ospedaliero "A. TORTORA" - U.O. Onco-ematologia
Pagani, Salerno, Italy
NOT_YET_RECRUITINGOverall survival (OS)
Overall survival, the percentage of patients alive of the cohort (patients with cardiac lymphoma diagnosed from 01/01/2000 to 31/12/2020).
Time frame: The endpoint will be evaluated within 2 months from the end of data collection. The end of data collection is scheduled within the Q4 (fourth quarter) of 2023.
Complete remission (CR)
The Complete Remission is defined as the lack of detectable evidence of tumor in the cohort of patients (patients with cardiac lymphoma diagnosed from 01/01/2000 to 31/12/2020).
Time frame: The endpoint will be evaluated within 2 months from the end of data collection. The end of data collection is scheduled within the Q4 (fourth quarter) of 2023.
Overall Response Rate (ORR)
The Overall Response Rate is defined as the proportion of patients who have a partial or complete response to therapy (patients with cardiac lymphoma diagnosed from 01/01/2000 to 31/12/2020).
Time frame: The endpoint will be evaluated within 2 months from the end of data collection. The end of data collection is scheduled within the Q4 (fourth quarter) of 2023.
Progression-Fee Survival (PFS)
The Progression-Free Survival is the length of time during and after the treatment that patients live with the disease, but it does not get worse (patients with cardiac lymphoma diagnosed from 01/01/2000 to 31/12/2020).
Time frame: The endpoint will be evaluated within 2 months from the end of data collection. The end of data collection is scheduled within the Q4 (fourth quarter) of 2023.
Frequencies of the type of chemo(immuno)therapy and of the number of cycles received as first and second line.
The numbers of treatment types and numbers of cycles of therapy received by the cohort of patients (patients with cardiac lymphoma diagnosed from 01/01/2000 to 31/12/2020).
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AOU di Sassari - Ematologia
Sassari, SS, Italy
RECRUITINGAzienda Sanitaria Universitaria Giuliano Isontina (ASUGI) - SC Ematologia
Trieste, TS, Italy
RECRUITINGOspedale Dell'angelo - U.O. Ematologia
Mestre, Venezia, Italy
NOT_YET_RECRUITINGAzienda Ospedaliera Papa Giovanni XXIII - Ematologia
Bergamo, Italy
RECRUITINGASST Spedali Civili di Brescia - Ematologia
Brescia, Italy
RECRUITINGAzienda Ospedaliero-Universitaria di Ferrara - Arcispedale Sant'Anna - Ematologia e fisiopatologia della coagulazione
Ferrara, Italy
RECRUITINGIstituto Scientifico San Raffaele - Unitа Linfomi - Dipartimento Oncoematologia
Milan, Italy
RECRUITINGFondazione IRCCS Istituto Nazionale dei Tumori di Milano - Ematologia
Milan, Italy
RECRUITINGASST Grande Ospedale Metropolitano Niguarda - SC Ematologia
Milan, Italy
RECRUITING...and 7 more locations
Time frame: The endpoint will be evaluated within 2 months from the end of data collection. The end of data collection is scheduled within the Q4 (fourth quarter) of 2023.
Frequencies of the type of Central Nervous System (CNS) prophylaxis
The numbers of treatment prophylaxis types for Central Nervous System administered to the cohort of patients (patients with cardiac lymphoma diagnosed from 01/01/2000 to 31/12/2020).
Time frame: The endpoint will be evaluated within 2 months from the end of data collection. The end of data collection is scheduled within the Q4 (fourth quarter) of 2023.
Cumulative incidence rate of Central Nervous System (CNS) relapse detected during treatment or follow-up.
The proportion of patients with disease relapse on Central Nervous System (CNS)
Time frame: The endpoint will be evaluated within 2 months from the end of data collection. The end of data collection is scheduled within the Q4 (fourth quarter) of 2023.
Characteristics of patients
Analysis of the following characteristics: Age, gender, disease localization (atria, ventricles, cardiac arteries and veins, pericardium), HIV positivity, type of symptoms at diagnosis.
Time frame: The endpoint will be evaluated within 2 months from the end of data collection. The end of data collection is scheduled within the Q4 (fourth quarter) of 2023.