The experimental group included patients diagnosed with T-ALL/LBL (T-lymphoblastic leukemia/ lymphoma) at initial diagnosis, who received treatment with BCL-2 inhibitors combined with the Hyper CVAD regimen. The control group consisted of patients diagnosed with T-ALL/LBL from multiple centers, for whom basic information, disease information, treatment details, and efficacy data were collected. Propensity score matching was conducted with historical data (matching factors included age, gender, initial LDH levels, and the presence or absence of a large mediastinal mass at diagnosis) to compare the advantages and disadvantages of the experimental regimen with previous induction treatment protocols. The primary endpoint was the complete remission (CR) rate after induction chemotherapy, while secondary endpoints included duration of remission (DOR), progression-free survival (PFS), overall survival (OS), and the occurrence of adverse events. This study aims to provide a more effective and safer treatment option for patients with T-LBL.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
206
BCL-2 inhibitors combined with the HyperCVAD regimen for newly diagnosed adult T-ALL/LBL
Propensity score matching was conducted with historical data (matching factors included age, gender, initial LDH levels, and the presence or absence of a large mediastinal mass at diagnosis) to compare the advantages and disadvantages of the experimental regimen with previous induction treatment protocols.
Shanghai General Hospital
Shanghai, China
RECRUITINGAE
adverse events during research
Time frame: at the end of cycle 2(each cycle is 28 days)
The best overall response rate
complete remission and partial remission
Time frame: at the end of cycle 2(each cycle is 28 days)
Evaluate the best complete remission rate (CR)
Time frame: at the end of cycle 4 of chemotherapy(each cycle is 28 days)
Duration of remission
Duration of remission
Time frame: 1 year
OS
1 year overall survival
Time frame: 1 year
OS
2 year overall survival
Time frame: 2 year
PFS
1 year progression free survival
Time frame: 1 year
PFS
2 year progression free survival
Time frame: 2 year
the proportion of successful bridging to allogeneic hematopoietic stem cell transplantation
he proportion of successful bridging to allogeneic hematopoietic stem cell transplantation
Time frame: the end of the study
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