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Chidamide + R-GemOx Regimen as Salvage Treatment for Transplant-ineligible Patients With Relapsed/Refractory DLBCL

Phase 2
Completed
Conditions
Lymphoma, Large B-Cell, Diffuse
Interventions
Drug: Chidamide, Rituximab, Gemcitabine,Oxaliplatin
Registration Number
NCT04022005
Lead Sponsor
Sun Yat-sen University
Brief Summary

The purpose of this multi-center,single arm,phase Ⅱ clinical trail is to determine the safety and efficacy of Chidamide with R-GemOx(rituximab、gemcitabine plus oxaliplatin) regimen in the treatment of transplant-ineligible patients with relapsed/refractory diffuse large B-cell lymphoma.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
54
Inclusion Criteria
  • biopsy proved CD20+ DLBCL;
  • relapse or refractory DLBCL#
  • previously received systemic chemotherapy with anthracycline#
  • not eligible for autologous hematopoietic stem cell transplantation#
  • at least one evaluable lesion#
  • ECOG PS 0-1;
  • 18-75 years; without other malignancy;
  • proper functioning of the major organs.
Exclusion Criteria
  • double-hit lymphoma;
  • previously received treatment of HDAC inhibitor;
  • plan to receive autologous stem cell transplantation;
  • involvement of central nervous system;
  • previously received gemcitabine within the past 6 months;
  • patients who received treatment for hematologic toxicity caused by previous chemotherapy within 7 days before enrollment;

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Chidamide combined with R-GemOxChidamide, Rituximab, Gemcitabine,OxaliplatinChidamide, 20 mg,twice per week; Rituximab 375mg/m2, d1, intravenous drip; Gemcitabine 1000mg/m2, d2, intravenous drip; Oxaliplatin 100mg/m2, d2,intravenous drip; All patients received up to 6 treatment cycles of 21 days. Patients with CR or PR will receive chidamide maintenance therapy.
Primary Outcome Measures
NameTimeMethod
ORR4-years

the proportion of patients who had CR, and PR according to the revised 2014 Lugano criteria for response assessment of lymphoma.

Secondary Outcome Measures
NameTimeMethod
PFS4-years

the time from the date of enrollment until either PD or death.

OS4-years

the time from the date of enrollment until death

DOR4-years

the time from the first CR or PR to the first documented progressive disease (PD) or death, whichever occurred earlier.

Trial Locations

Locations (1)

Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University

🇨🇳

Guangzhou, Guangdong, China

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