MRD-Adapted Radiation for Diffuse Large B-Cell Lymphoma

This study is looking at a new way to treat diffuse large B-cell lymphoma (DLBCL), a type of cancer that starts in white blood cells. It combines standard chemotherapy (like R-CHOP or similar treatments) with a special approach using low-dose radiation therapy (LDRT). After two cycles of chemotherapy, doctors will check your blood for minimal residual disease (MRD), which means a very small amount of cancer cells that might still be present, and also use PET imaging to see if any cancer remains. If MRD is found, you might receive low-dose radiation to those areas. If no MRD is found, you'll continue with standard chemotherapy. The main goal is to see if this approach is practical and safe. You can join if you are an adult aged 19 or older with newly diagnosed DLBCL and are planning to receive 6 cycles of standard chemotherapy.

Study design
This is a single-arm study, meaning all participants receive the same general treatment approach. It aims to enroll 50 participants and is evaluating a new treatment strategy.
What's involved
You would receive standard chemotherapy and have blood tests and PET scans after two cycles of treatment. If needed, you might also receive low-dose radiation therapy.
Compensation
Not stated in the trial record.
Follow-up
The feasibility of the treatment strategy will be measured from the start of treatment through its completion, which is approximately 6 months.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT07517705

MRD-Adapted Low-Dose Radiation Therapy During Frontline Chemoimmunotherapy for Diffuse Large B-Cell Lymphoma

Not Yet Recruiting
PHASE2Ages 19+InterventionalTreatment
University of Nebraska
~50 participants
Updated 2026-05-13 on ClinicalTrials.gov
What's tested:Low-Dose Radiation Therapy (LDRT)Standard Frontline Chemoimmunotherapy

At a glance

Recruiting sites
0 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Feasibility of Real-Time MRD-Guided Treatment Strategy
Measured over From initiation of study treatment through completion of frontline therapy (approximately 6 months)
Diffuse Large B-Cell Lymphoma
1 sites across 1 states
Nebraska1
  • Snegha Ananth, MBBS · PRINCIPAL_INVESTIGATOR · University of Nebraska

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  • Feasibility of Real-Time MRD-Guided Treatment StrategyFrom initiation of study treatment through completion of frontline therapy (approximately 6 months)

    The proportion of enrolled patients who successfully complete protocol-specified ctDNA MRD testing after 2 cycles of frontline chemoimmunotherapy. Among patients with detectable MRD after cycle 2, the proportion who successfully receive protocol-defined low-dose radiation therapy (LDRT).