Healthy Lifestyle Plan for Lymphoma Survivors
Lifestyles Implemented-Survivorship Care Plan In Lymphoma Survivors: A Randomized Non-pharmacological Clinical Trial By The Fondazione Italiana Linfomi (FIL)
This study is testing whether a special health plan that includes lifestyle changes and nutrition advice can help lymphoma survivors feel better after they've been in remission for a while.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 552 (estimated) |
| Ages | 18 Years to 50 Years |
| Sex | All |
| Sponsor | Fondazione Italiana Linfomi - ETS Academic / other |
| Drugs / interventions | rituximab, chemotherapy, cyclophosphamide, doxorubicin, prednisone |
| Locations | 40 sites (Ancona, Ancona and 39 other locations) |
| Trial ID | NCT05934084 on ClinicalTrials.gov |
What this trial studies
This clinical trial evaluates the effectiveness of a Survivorship Care Plan (SCP) that includes lifestyle modifications, nutritional guidance, and physical activity for long-term lymphoma survivors. Participants will be randomly assigned to either the intervention group, which follows the SCP for six months, or a control group that receives standard follow-up care without the SCP. Quality of life will be assessed using validated questionnaires at baseline, 6 months, and 12 months post-randomization. The study aims to determine if the SCP can improve the overall well-being of lymphoma survivors who have been in remission for at least three years.
Who should consider this trial
Good fit: Ideal candidates are adults aged 18-50 who have been in complete remission from classical Hodgkin lymphoma, DLBCL, or PMBCL for 3 to 10 years.
Not a fit: Patients who are not in remission or who have not completed at least 3 years since their last treatment may not benefit from this study.
Why it matters
Potential benefit: If successful, this approach could significantly enhance the quality of life for lymphoma survivors.
How similar studies have performed: Other studies have shown promising results with lifestyle interventions in cancer survivorship, suggesting potential for success in this approach.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age 18-50 at initial treatment; * Diagnosis of classical Hodgkin lymphoma (cHL), Diffuse Large B-cell lymphoma (DLBCL) or Primary mediastinal large B-cell lymphoma (PMBCL); * Patients in Complete Remission (CR) after first-line therapy \[ABVD (doxorubicin, bleomycin, vinblastine, dacarbazine) or BEACOPP (bleomycin, etoposide, doxorubicin , cyclophosphamide, vincristine, procarbazine and prednisone) or ABVD-BEACOPP Pet-2 guided treatment for cHL; R-CHOP (rituximab-cyclophosphamide, doxorubicin, vincristine and prednisone) for DLBCL; R-CHOP or R-DA-EPOCH (rituximab- Dose Adapted etoposide, prednisone, vincristine, cyclophosphamide, doxorubicin) for PMBCL); * Patients in remission for a minimum 3 years since the last treatment and a maximum of 10 years; * Cumulative doxorubicin/ adriamycin dose received of at least 200 mg/mq (4 cycles of chemotherapy); * Availability echocardiogram (ECG) and 2D-STE-echocardiography (Two-dimensional speckle strain echocardiography) performed no later than three months prior to enrollment; * Signature of a written informed consent form indicating that the patient understands the purpose of and procedures required for the study and is willing to participate voluntarily in the study. Exclusion Criteria: * Diagnosis of secondary cancer at baseline, except non-melanoma skin cancers and adequately treated cone-biopsied in situ carcinoma of the cervix; * Second line chemotherapy of stem cell transplant; * Not able to perform physical activity; * Grade \>/=3 neuropathy; * Vertebral fractures or stenosis of the vertebral canal; other bone fracture; * Cardiovascular disease: arrhythmia \>/= grade 2, hypertension \>/ grade 2, left ventricular dysfunction \>/= grade 2 pericardial disease/effusion any grade, myocarditis any grade, pulmonary hypertension any grade, restrictive cardiomyopathy any grade valvular hearth disease \>/= grade 2, right ventricular dysfunction \>/= grade 2; * Venous thromboembolism or arterial thrombosis during last 6 months; * Hemorrhage/ bleeding \>/= grade 2 during last 6 months; * Chronic lymphedema (arms and/ or limbs); * Rheumatic disease or inflammatory bowel disease in systemic treatment; * Any pleural effusion; * If female, the patient is pregnant; * Unwilling to comply to all required visits and procedures for the duration of study participation
Where this trial is running
Ancona, Ancona and 39 other locations
- Ancona - AOU Ospedali Riuniti - Clinica di Ematologia — Ancona, Ancona, Italy (Recruiting)
- Aviano - IRCCS Centro di Riferimento Oncologico di Aviano - Divisione di Oncologia e dei Tumori immuto-correlati — Aviano, Aviano, Italy (Recruiting)
- Istituto Tumori Bari Giovanni Paolo II, U.O. di Ematologia e Terapia Cellulare — Bari, Bari, Italy (Recruiting)
- Ospedale S. Martino - UOC Oncologia — Belluno, Belluno, Italy (Not_yet_recruiting)
- Ospedale "Monsignor Raffaele Dimiccoli" - Ematologia — Barletta, Italy (Recruiting)
- Ospedale Centrale di Bolzano - Divisione di Ematologia e T.M.O. — Bolzano, Italy (Recruiting)
- ASST Spedali Civili di Brescia - Ematologia — Brescia, Italy (Recruiting)
- Ospedale Antonio Perrino - U.O. Ematologia e Trapianti di Midollo — Brindisi, Italy (Recruiting)
- PO Sant'Elia ASP Caltanisetta - UOC Ematologia — Caltanissetta, Italy (Not_yet_recruiting)
- Arnas Nuovo Ospedale Garibaldi Nesima - U.O.C. Ematologia — Catania, Italy (Recruiting)
- Azienda Ospedaliera Universitaria Policlinico - S. Marco - UOC di Emtologia — Catania, Italy (Recruiting)
- Ospedale Generale di zona Valduce - Oncoematologia — Como, Italy (Recruiting)
- Azienda Ospedaliera Universitaria Careggi - Unitа funzionale di Ematologia — Florence, Italy (Recruiting)
- Ospedale Vito Fazzi - Ematologia — Lecce, Italy (Not_yet_recruiting)
- ASST Ovest Milanese - Legnano - U.O.C. Ematologia Ospedale Civile di Legnano — Legnano, Italy (Recruiting)
- AOU G. Martino - U.O.C. Ematologia — Messina, Italy (Not_yet_recruiting)
- ASST Grande Ospedale Metropolitano Niguarda - SC Ematologia — Milan, Italy (Recruiting)
- IEO Istitito Europeo di Oncologia - Divisione Ematoncologia — Milan, Italy (Recruiting)
- Ospedale Maggiore Policlinico - Fondazione IRCCS Ca Granda - Ematologia — Milan, Italy (Recruiting)
- Azienda Ospedaliero-Universitaria Policlinico di Modena - U.O. Oncologia — Modena, Italy (Recruiting)
- AOU Maggiore della Caritа di Novara - SCDU Ematologia — Novara, Italy (Not_yet_recruiting)
- AOU di Padova - Ematologia — Padova, Italy (Recruiting)
- I.R.C.C.S. Istituto Oncologico Veneto - Oncologia 1 — Padova, Italy (Recruiting)
- Presidio ospedaliero "A. TORTORA" - U.O. Onco-ematologia — Pagani, Italy (Recruiting)
- AOU Policlinico Giaccone - Ematologia — Palermo, Italy (Recruiting)
- P.O. Spirito Santo di Pescara - UOS Dipartimentale - Centro di diagnosi e Terapia dei linfomi — Pescara, Italy (Recruiting)
- Ospedale Guglielmo da Saliceto - U.O.Ematologia — Piacenza, Italy (Recruiting)
- AOU Pisana - U.O. Ematologia — Pisa, Italy (Not_yet_recruiting)
- A.O.R. "San Carlo" - U.O. Ematologia — Potenza, Italy (Not_yet_recruiting)
- Azienda Unità Sanitaria Locale-IRCCS - Arcispedale Santa Maria Nuova - Ematologia — Reggio Emilia, Italy (Recruiting)
- Ospedale degli Infermi di Rimini - U.O. di Ematologia — Rimini, Italy (Recruiting)
- AO Sant'Andrea - Ematologia — Roma, Italy (Recruiting)
- Ospedale S. Eugenio - UOC Ematologia — Roma, Italy (Recruiting)
- Policlinico Tor Vergata - Ematologia — Roma, Italy (Not_yet_recruiting)
- Policlinico Universitario Campus Bio-Medico - Ematologia - Trapianto cellule staminali - Medicina Trasfusionale e Terapia cellulare — Roma, Italy (Recruiting)
- Istituto Clinico Humanitas - U.O. Ematologia — Rozzano, Italy (Withdrawn)
- AOU di Sassari - Ematologia — Sassari, Italy (Not_yet_recruiting)
- Nuovo Ospedale Civile di Sassuolo - Day Hospital Oncologico — Sassuolo, Italy (Recruiting)
- A.O.U. Citta della Salute e della Scienza di Torino - Ematologia Universitaria — Torino, Italy (Recruiting)
- Ospedale Ca Foncello - S.C di Ematologia — Treviso, Italy (Recruiting)
Study contacts
- Principal investigator: Carla Minoia, MD — Bari, IRCCS Istituto Tumori Giovanni Paolo II - U.O.C Ematologia
- Study coordinator: Uffici Studi FIL
- Email: startup@filinf.it
- Phone: 0599769918
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.