NCT02449278

The Palliative Benefit of Involved-site Radiotherapy Following Effective Chemotherapy for Patients With Advanced-stage Diffuse Large B-cell Lymphoma: Wuhan University Cancer Center - NHL04 Trial

Extracted Fields (from Registry)
Protocol IDNCT02449278
Registration Date2015-05-20
StatusUnknown Status
SponsorWuhan University
CountryChina
Industrynot industry
Blindingunblinded
Center Typesingel-center RCT
Scopenational RCT
First Patient In2015-10-01
Last Patient Out2025-10-01
Publicationn
Gender %ALL
Mean Age18 Years - 65 Years
LLM Classifications (Side-by-Side)
Field CLAUDE
claude-sonnet-4-20250514
Thinking: claude-opus-4-20250514
5671ms / 11536 tok
GLM
glm-5.1
7257ms / 10070 tok
OPENAI
gpt-4o
Thinking: o3
3239ms / 9890 tok
Review
rct_type parallel RCT parallel RCT parallel RCT OK
cancer_status Cancer Cancer Cancer OK
non_cancer_spec N/A N/A N/A OK
setting_patient outpatient outpatient outpatient OK
setting_place hospital other → hospital
shaky reasoning
✓ Unanimous Initial: other Requery: hospital — This is a radiation therapy trial requiring specialized equipment and facilities for delivering precise radiotherapy treatments (ISRT and IFRT), which are typically only available in hospital-based cancer centers.
hospital hospital → hospital
shaky reasoning
✓ Unanimous Initial: hospital Requery: hospital — The intervention requires 21-day inpatient cycles of chemotherapy followed by consolidation radiotherapy, both of which are typically administered in a hospital cancer center.
hospital hospital → hospital
shaky reasoning
✓ Unanimous Initial: hospital Requery: hospital — The intervention involves radiotherapy, which is typically delivered in a hospital setting, and patients likely need to be physically present for the treatment.
OK
feasibility fully powered RCT fully powered RCT fully powered RCT OK
intervention_pharmacologic yes yes yes OK
intervention_chemo_immuno_radio yes yes yes OK
intervention_complementary no no no OK
intervention_device no no no OK
intervention_psychological no no no OK
intervention_complex yes yes → yes → no
shaky reasoning
✗ No consensus Initial: yes Requery: yes — The intervention combines chemotherapy (pharmacologic) with consolidation radiotherapy (physical/radiation therapy), representing two distinct treatment modalities working together in sequence for advanced-stage DLBCL. Thinking: no — Standard oncology combined modality therapy (chemotherapy followed by consolidation radiation) comparing radiation field sizes, not a complex multicomponent intervention.
no no → no
shaky reasoning
✗ No consensus Initial: no Requery: no — The intervention consists of standard combination chemotherapy (a single pharmacologic modality) followed sequentially by a single radiation modality to compare field sizes, which represents co-administered treatments rather than interacting, multi-component complex intervention.
no no → no → yes
shaky reasoning
✗ No consensus Initial: no Requery: no — The intervention consists of a standard chemotherapy regimen followed by radiotherapy, which is a common sequential treatment approach in oncology and does not combine multiple distinct types of interventions. Thinking: yes — Patients receive both systemic chemotherapy (drugs) and subsequent consolidation radiotherapy, integrating two distinct treatment categories into one regimen.
intervention_acp no no no OK
intervention_music no no no OK
intervention_screening no no no OK
intervention_palliative no no no OK
intervention_education no no no OK
intervention_digital no no no OK
intervention_other no no no OK
outcome_symptom no no → no
shaky reasoning
✓ Unanimous Initial: no Requery: no — Primary outcomes focus on progression-free survival and adverse events, while secondary outcomes measure overall survival and disease progression rates, with no validated symptom assessment instruments mentioned.
no yes
shaky reasoning
✓ Unanimous Initial: yes
no no → no
shaky reasoning
✓ Unanimous Initial: no Requery: no — The trial's primary and secondary outcomes focus on progression-free survival, overall survival, and adverse events, none of which are direct symptom measures using validated symptom instruments.
OK
outcome_qol no no no OK
outcome_dignity no no no OK
outcome_cost no no no OK
outcome_other yes yes yes OK
pharmacologic_sub chemotherapy chemotherapy chemotherapy OK
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