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Ruxolitinib Combined With Dexamethasone for HLH

Phase 1
Conditions
Hemophagocytic Lymphohistiocytosis
Interventions
Registration Number
NCT03795909
Lead Sponsor
Capital Research Institute of Pediatrics
Brief Summary

A protocol named as "HLH-DR" for patients with refractory and secondary hemophagocytic lymphohistiocytosismay.

Detailed Description

A modified protocol about ruxolitinib combined with dexamethasone which includes oral ruxolitinib (2.5 mg twice daily for patients if the age\<14 years and the weight \<25kg,5 mg twice daily for patients if the age\<14 years and the weight≥25kg, 10mg twice daily for patients if the age ≥14 years and\<18 years). Dexamethasone (10mg/m2.d) delayes for the first 2 weeks (form week 1 to 2),(5mg/m2.d) from week 3 to 4,(2.5mg/m2.d) from week 5 to 6),1.25mg/m2.d for week 7,and dropped off on week 8. Every 2 weeks, patients can be evaluated based the diagnosed index

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
50
Inclusion Criteria
  • Secondary and refractory HLH.
Exclusion Criteria
  • Family HLH.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
Ruxolitinib and PlaceboRuxolitinibRuxolitinib 2.5 mg twice daily by oral
Placebo and RuxolitinibDexamethasoneSugar pill 2.5 mg twice daily by oral
Ruxolitinib and PlaceboDexamethasoneRuxolitinib 2.5 mg twice daily by oral
Placebo and RuxolitinibRuxolitinibSugar pill 2.5 mg twice daily by oral
Primary Outcome Measures
NameTimeMethod
Severity of disease2 weeks

Serum ferritin\>2000ng/ml, disease actvie; serum ferritin\<2000ng/ml, disease control;

Secondary Outcome Measures
NameTimeMethod
Axillary temperature2 weeks

36\<Axillary temperature\<37.2, disease control; 37.2\<Axillary temperature\<38.2, disease partly control; Axillary temperature\>38.2, disease active

Trial Locations

Locations (1)

Yan Yue

🇨🇳

Beijing, China

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