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临床试验/CTRI/2023/11/060108
CTRI/2023/11/060108已完成2 期

Chemotherapy with low dose immune therapy as salvage regimen in relapsed/ refractory Hodgkins Lymphoma: A phase II study

Jawaharlal Institute of Postgraduate Medical Education and Research JIPMER3 个研究点 分布在 1 个国家目标入组 37 人开始时间: 2023年12月15日最近更新:

试验速览

阶段
2 期
状态
已完成
发起方
入组人数
37
试验地点
3
主要终点
complete response rate in all evaluable patients

研究概览

简要总结

This is a trial of salvage chemotherapy in patients with relapsed Hodgkins lymphoma. Patients will receive therapy with salvage chemotherapy (physician’s choice from one of the following regimens: (ICE, GVDex, DHAP, GDP, BeGEV) along with low dose nivolumab 40mg with first and 3rd cycles. Response will be assessed after 3 cycles.

研究设计

研究类型
Interventional
分配方式
Na
盲法
None

入排标准

年龄范围
5.00 Year(s) 至 65.00 Year(s)(—)
性别
All

入选标准

  • Relapsed/ refractory Hodgkins Lymphoma having previously received at least 1-2 lines of standard chemotherapy.
  • Demonstrated disease recurrence or progression or refractoriness by clear evidence on PET-CT or other imaging studies with or without biopsy confirmation
  • ECOG performance status 0 to 1
  • Written informed consent for adults over 18 years of age and consent from parents/ legal guardians for those below
  • Written assent for those 12-18 years and verbal assent for those 7-12 years old.
  • Negative urine/ serum pregnancy test in women of childbearing potential (WOCBP)
  • Female patients in the reproductive age group MUST AGREE TO use suitable contraception during therapy
  • Acceptable bone marrow and organ function at screening
  • Measurable disease must be present either on physical examination or imaging studies.

排除标准

  • Any anti-cancer therapy (other than palliative radiation and steroids) within the last three weeks
  • CNS involvement by disease
  • Inter-current severe illness or medical condition such as active uncontrolled infection, uncontrolled diabetes, or significant cardiac dysfunction would preclude safe administration of the protocol treatment.
  • Prior therapy with immune checkpoint inhibitors
  • Prior therapy with auto SCT/ alloSCT
  • Human Immunodeficiency Virus (HIV) infection/and/or Anti-retroviral therapy and/or HCV infection (patients who are anti-HCV positive but have been treated and have undetectable viral load would be permitted to be part of the study).
  • Active Hepatitis B infection (in patients who are Hepatitis B carriers, the markers of active infection such as HBeAg and HBV DNA titers must be negative, and patients would be continued on appropriate prophylaxis with antivirals throughout the study).
  • Uncontrolled medical conditions, including but not limited to uncontrolled diabetes mellitus and hypertension which may interfere with the safe delivery of salvage chemotherapy or immune therapy.
  • History of significant autoimmune or connective tissue disorders, which may be exacerbated by the use of nivolumab.

结局指标

主要结局

complete response rate in all evaluable patients

时间窗: 9 weeks from start of treatment

次要结局

  • Progression Free survival(1 year)

研究者

发起方
Jawaharlal Institute of Postgraduate Medical Education and Research JIPMER
申办方类型
Research institution and hospital
责任方
Principal Investigator
主要研究者

Prasanth Ganesan

Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER)

研究点 (3)

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