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DEFINITIONS
Trial Review
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Trial registered on ANZCTR
Registration number
ACTRN12607000111471
Ethics application status
Approved
Date submitted
22/12/2003
Date registered
22/12/2003
Date last updated
27/11/2015
Type of registration
Retrospectively registered
Titles & IDs
Public title
A prospective, non-randomised study of chemotherapy and radiotherapy for osteolymphoma (OL)
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Scientific title
Trans Tasman Radiation Oncology Group (TROG) 99.04 - A prospective, non-randomised study of chemotherapy (cyclophosphamide, doxorubicin, vincristine, prednisolone) and radiotherapy for osteolymphoma (OL) to determine the outcome of optimal treatment on low grade follicular lymphoma progression.
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Secondary ID [1]
69
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National Clinical Trials Registry: NCTR473
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Secondary ID [2]
70
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ClinicalTrials.gov: NCT00141648
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Secondary ID [3]
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The Australasian Leukaemia and Lymphoma Group: ALLG LY-02
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Universal Trial Number (UTN)
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Trial acronym
TROG 99.04
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Osteolymphoma
45
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Condition category
Condition code
Cancer
52
52
0
0
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Bone
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Chemotherapy
Given Intravenously on days 1, 22, 43:
- Cyclophosphamide 750 mg per metre squared
- Doxorubicin 50 mg per metre squared
- Vincristine 1.4mg per metre squared
Prednisolone 50 mg per metre squared. Given orally for five days on each of these occassions. ie days 1-5, 22-27 etc.
A total of three 21 day cycles of chemotherapy should be administered.
Radiotherapy
should be given 3 weeks after the last cycle of chemotherapy (day 64).
Fractions should be given daily - 9-10 times per fortnight. Phase I (large volume): 36Gy in 20 fractions and Phase II (small volume): 9 GY in 5 fractions to the boost volume (area of tumour that requires a boost of radiotherapy). Total dose 45 Gy in 25 fractions. Phase I and II are given over the course of one fortnight.
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Intervention code [1]
1499
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Treatment: Drugs
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Comparator / control treatment
No comparator.
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Control group
Historical
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Outcomes
Primary outcome [1]
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Overall Survival.
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Assessment method [1]
3381
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Timepoint [1]
3381
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Main analysis when accrual is complete at approx. 10 years.
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Secondary outcome [1]
211
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1.Tumor progression. Defined as an increase in diameter for solitary lesions, multifocal disease or any new lesion.
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Assessment method [1]
211
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Timepoint [1]
211
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Formal assessment will be done four weeks after completion of the radiotherapy. Follow-up thereafter should consist of three-monthly appointments with repetition of individually-selected imaging at six months. After 18 months, follow-up will reduce to six-monthly without imaging, and from five years, annual follow-up without imaging until death.
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Secondary outcome [2]
212
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2. Pathological fracture rate. Presence of a pathological fracture.
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Assessment method [2]
212
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Timepoint [2]
212
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Formal assessment will be done four weeks after completion of the radiotherapy. Follow-up thereafter should consist of three-monthly appointments with repetition of individually-selected imaging at six months. After 18 months, follow-up will reduce to six-monthly without imaging, and from five years, annual follow-up without imaging until death.
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Secondary outcome [3]
213
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3. Toxicity.
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Assessment method [3]
213
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Timepoint [3]
213
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Formal assessment will be done four weeks after completion of the radiotherapy. Follow-up thereafter should consist of three-monthly appointments with repetition of individually-selected imaging at six months. After 18 months, follow-up will reduce to six-monthly without imaging, and from five years, annual follow-up without imaging until death.
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Eligibility
Key inclusion criteria
Histologically confirmed non-Hodgkin’s lymphoma in a bony site - Limited extraosseous disease - Ann Arbor stage IE Age >17- ECOG performance status >3 - Expected survival > 6 months - Written informed consent
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Minimum age
17
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Previous radiotherapy or chemotherapy- Previous malignancy - Medically unfit to undergo treatment
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/09/2000
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Actual
15/09/2000
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Date of last participant enrolment
Anticipated
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Actual
28/02/2007
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
70
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Accrual to date
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Final
32
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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The Royal Adelaide Hospital - Adelaide
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Recruitment hospital [2]
4752
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Royal Hobart Hospital - Hobart
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Recruitment hospital [3]
4753
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Westmead Private Hospital - Westmead
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Recruitment hospital [4]
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Wollongong Hospital - Wollongong
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Recruitment hospital [5]
4755
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Liverpool Hospital - Liverpool
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Recruitment hospital [6]
4756
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Princess Alexandra Hospital - Woolloongabba
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Recruitment hospital [7]
4757
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Peter MacCallum Cancer Institute - East Melbourne
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Recruitment hospital [8]
4758
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Mater Adult Hospital - South Brisbane
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Recruitment outside Australia
Country [1]
7382
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New Zealand
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State/province [1]
7382
0
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Funding & Sponsors
Funding source category [1]
74
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Commercial sector/Industry
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Name [1]
74
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Wesley Research Institute
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Address [1]
74
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Level B2, Moorlands Wing
The Wesley Hospital
451 Coronation Drive
Auchenflower
Qld 4066
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Country [1]
74
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Australia
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Primary sponsor type
Individual
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Name
David Christie
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Address
East Coast Cancer Centre Inland Drive, Tugun QLD 4224
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Country
Australia
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Secondary sponsor category [1]
60
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Other Collaborative groups
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Name [1]
60
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Trans Tasman Radiation Oncology Group (TROG)
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Address [1]
60
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Edith St Waratah NSW 2298
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Country [1]
60
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Australia
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Secondary sponsor category [2]
61
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Other Collaborative groups
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Name [2]
61
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The Australasian Leukaemia and Lymphoma Group (ALLG)
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Address [2]
61
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Peter MacCallum Cancer Centre
St Andrew's Place
East Melbourne
Victoria 3002
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Country [2]
61
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
721
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Auckland Hospital
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Ethics committee address [1]
721
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Auckland, NZ
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Ethics committee country [1]
721
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New Zealand
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Date submitted for ethics approval [1]
721
0
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Approval date [1]
721
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01/01/2001
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Ethics approval number [1]
721
0
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Ethics committee name [2]
722
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Geelong Hospital
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Ethics committee address [2]
722
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Geelong, VIC
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Ethics committee country [2]
722
0
Australia
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Date submitted for ethics approval [2]
722
0
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Approval date [2]
722
0
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Ethics approval number [2]
722
0
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Ethics committee name [3]
723
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John Flynn Hospital
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Ethics committee address [3]
723
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Ethics committee country [3]
723
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Australia
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Date submitted for ethics approval [3]
723
0
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Approval date [3]
723
0
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Ethics approval number [3]
723
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Ethics committee name [4]
724
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Launceston Hospital
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Ethics committee address [4]
724
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Lanuceston, TAS
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Ethics committee country [4]
724
0
Australia
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Date submitted for ethics approval [4]
724
0
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Approval date [4]
724
0
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Ethics approval number [4]
724
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Ethics committee name [5]
725
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Liverpool Hospital
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Ethics committee address [5]
725
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Liverpool, NSW
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Ethics committee country [5]
725
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Australia
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Date submitted for ethics approval [5]
725
0
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Approval date [5]
725
0
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Ethics approval number [5]
725
0
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Ethics committee name [6]
726
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Calvary Mater Newcastle
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Ethics committee address [6]
726
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Waratah, NSW
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Ethics committee country [6]
726
0
Australia
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Date submitted for ethics approval [6]
726
0
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Approval date [6]
726
0
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Ethics approval number [6]
726
0
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Ethics committee name [7]
727
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Princess Alexandra Hospital
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Ethics committee address [7]
727
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Wooloongabba, QLD
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Ethics committee country [7]
727
0
Australia
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Date submitted for ethics approval [7]
727
0
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Approval date [7]
727
0
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Ethics approval number [7]
727
0
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Ethics committee name [8]
728
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Palmerston North
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Ethics committee address [8]
728
0
Papaioea, Manawatu-Wanganui, NZ
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Ethics committee country [8]
728
0
New Zealand
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Date submitted for ethics approval [8]
728
0
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Approval date [8]
728
0
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Ethics approval number [8]
728
0
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Ethics committee name [9]
729
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Peter MacCallum Cancer Centre
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Ethics committee address [9]
729
0
Melbourne, VIC
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Ethics committee country [9]
729
0
Australia
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Date submitted for ethics approval [9]
729
0
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Approval date [9]
729
0
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Ethics approval number [9]
729
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Ethics committee name [10]
730
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Mater Centre, QRI
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Ethics committee address [10]
730
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South Brisbane, QLD
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Ethics committee country [10]
730
0
Australia
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Date submitted for ethics approval [10]
730
0
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Approval date [10]
730
0
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Ethics approval number [10]
730
0
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Ethics committee name [11]
731
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Royal Adelaide Hospital
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Ethics committee address [11]
731
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Aelaide, SA
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Ethics committee country [11]
731
0
Australia
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Date submitted for ethics approval [11]
731
0
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Approval date [11]
731
0
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Ethics approval number [11]
731
0
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Ethics committee name [12]
732
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Royal Brisbane Hospital
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Ethics committee address [12]
732
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Brisbane, QLD
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Ethics committee country [12]
732
0
Australia
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Date submitted for ethics approval [12]
732
0
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Approval date [12]
732
0
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Ethics approval number [12]
732
0
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Ethics committee name [13]
733
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Royal Hobart Hospital
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Ethics committee address [13]
733
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Hobart, TAS
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Ethics committee country [13]
733
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Australia
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Date submitted for ethics approval [13]
733
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Approval date [13]
733
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Ethics approval number [13]
733
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Ethics committee name [14]
734
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Royal Prince Alfred Hospital
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Ethics committee address [14]
734
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Camperdown, NSW
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Ethics committee country [14]
734
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Australia
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Date submitted for ethics approval [14]
734
0
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Approval date [14]
734
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Ethics approval number [14]
734
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Ethics committee name [15]
735
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Sir Charles Gairdner Hospital
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Ethics committee address [15]
735
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Nedlands, WA
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Ethics committee country [15]
735
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Australia
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Date submitted for ethics approval [15]
735
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Approval date [15]
735
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Ethics approval number [15]
735
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Ethics committee name [16]
736
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Townsville Hospital
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Ethics committee address [16]
736
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Townsville, QLD
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Ethics committee country [16]
736
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Australia
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Date submitted for ethics approval [16]
736
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Approval date [16]
736
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Ethics approval number [16]
736
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Ethics committee name [17]
737
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Waikato Hospital
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Ethics committee address [17]
737
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Hamilton, NZ
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Ethics committee country [17]
737
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New Zealand
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Date submitted for ethics approval [17]
737
0
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Approval date [17]
737
0
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Ethics approval number [17]
737
0
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Ethics committee name [18]
738
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Westmead Hospital
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Ethics committee address [18]
738
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Wentworthville, NSW
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Ethics committee country [18]
738
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Australia
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Date submitted for ethics approval [18]
738
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Approval date [18]
738
0
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Ethics approval number [18]
738
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Ethics committee name [19]
739
0
Premion - Wesley
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Ethics committee address [19]
739
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Auchenflower, QLD
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Ethics committee country [19]
739
0
Australia
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Date submitted for ethics approval [19]
739
0
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Approval date [19]
739
0
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Ethics approval number [19]
739
0
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Ethics committee name [20]
740
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Wollongong Hospital
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Ethics committee address [20]
740
0
Wollongong, NSW
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Ethics committee country [20]
740
0
Australia
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Date submitted for ethics approval [20]
740
0
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Approval date [20]
740
0
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Ethics approval number [20]
740
0
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Summary
Brief summary
Osteolymphoma is a cancer of the bone marrow that responds well to radiation therapy and chemotherapy but may come back in other parts of the body. This trial will determine the results of combining radiation therapy and chemotherapy in a standardised way.
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Trial website
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Trial related presentations / publications
Christie DR, Gabriel GS and Dear K. Adverse effects of a multicentre system for ethics approval on the progress of a prospective multicentre trial of cancer treatment: how many patients die waiting? J Intern Med. 2007; 37: 680-686. Christie D, Le T, Watling K, Cornes D, O’Brien P, Hitchins R. Quality assurance audit: A prospective non-randomised trial of chemotherapy and radiotherapy for osteolymphoma (TROG 99.04/ALLG LY02). J Med Imag Radiat Oncol. 2009; 53 (2): 203–206. Christie D, Dear K, Le T, Barton M, Wirth A, Porter D, Roos D, Pratt G. Limited Chemotherapy and Shrinking Field radiotherapy for Osteolymphoma (primary bone lymphoma): Results from the Trans Tasman radiation Oncology Group 99.04 and Australasian Leukemia and Lymphoma Group LY02 Prospective Trial. Int J Radiat Oncol Biol Phys. 2011; 80 (4):1164-1170.
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Public notes
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Contacts
Principal investigator
Name
27433
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Prof David Christie
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Address
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East Coast Cancer Centre Inland Drive, Tugun QLD 4224
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Country
27433
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Australia
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Phone
27433
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+61 2 4014 3912
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Fax
27433
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Email
27433
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[email protected]
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Contact person for public queries
Name
10688
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Thai Le
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Address
10688
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The Wesley Radiation Oncology Pty Ltd
Suite 1
40 Chasely Street
Auchenflower QLD 4066
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Country
10688
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Australia
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Phone
10688
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+61 7 3326 9505
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Fax
10688
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+61 7 3326 9506
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Email
10688
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[email protected]
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Contact person for scientific queries
Name
1616
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David Christie
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Address
1616
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East Coast Cancer Centre
Inland Drive, Tugun QLD 4224
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Country
1616
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Australia
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Phone
1616
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+61 7 5598 0366
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Fax
1616
0
+61 7 5598 0377
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Email
1616
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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