Chidamide With Cyclophosphamide, Doxorubicin, Vincristine, Prednisone and Etoposide for Peripheral T Cell Lymphoma Patients : a Prospective, Randomized Controlled, Open Label, Phase II Clinical Trial
试验速览
- 阶段
- 2 期
- 发起方
- 入组人数
- 114
- 试验地点
- 1
- 主要终点
- complete remission (CR)rate
研究概览
简要总结
Chidamide With Cyclophosphamide, Doxorubicin, Vincristine, Prednisone and Etoposide for Peripheral T Cell Lymphoma Patients : a Prospective, Randomized Controlled, Open Label, Phase II Clinical Trial
详细描述
Chidamide,a novel histone deacetylase inhibitor has been approved for the treatment of relapsed or refractory peripheral T-cell lymphoma in China. The aim of this study was to observe the efficacy and safety of Chidamide With Cyclophosphamide, Doxorubicin, Vincristine, Prednisone and Etoposide for Peripheral T Cell Lymphoma Patients.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 70 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Histopathology / cytology diagnosed as peripheral T cell lymphoma (PTCL) according to WHO 2016 classification criteria(NK/T cell lymphoma and ALK positive anaplastic large cell lymphoma excluded)including:Peripheral T-cell lymphoma, NOS,Angioimmunoblastic T-cell lymphoma,Anaplastic large-cell lymphoma, ALK negative,Enteropathy-associated T-cell lymphoma,Hepatosplenic T-cell lymphoma,Subcutaneous panniculitis T-cell lymphoma,Mycosis fungoides,Other T-cell lymphoma that investigators consider to be appropriate to be enrolled;
- •Patients have received CHOPE regimen for 2 cycles therapy and achieve PR or SD;
- •Patients should have at least one evaluable foci ( lymph nodes with diameter≥1.5cm, or evaluable skin foci);
- •Age 18-70 years, male or female;
- •ECOG performance status 0-2;
- •Absolute neutrophil count ≥1.5×109/L, platelet ≥75×109/L, Hb ≥ 90g/L;
- •ALT and serum creatinine <1.5 times of normal maximum;
- •Life expectancy no less than 3 months;
- •Willing to sign the Informed Consent Form.
排除标准
- •NK/T cell lymphoma or ALK positive anaplastic large cell lymphoma;
- •Female patients in lactation or pregnancy, Childbearing female or male patients unwilling to take contraceptive measures;
- •QTc elongation with clinical significance ( male> 450ms, female> 470ms), ventricular tachycardia, atrial fibrillation, cardiac conducting blockage, myocardial infarction within 1 year, congestive heart failure, symptomatic coronary heart disease that requires treatment;
- •Patients have undergone organ transplantation;
- •Patients received symptomatic treatment for bone marrow toxicity within 7 days prior to enrollment;
- •Patients with active hemorrhage;
- •Patients with or with history of thrombosis, embolism, cerebral hemorrhage, or cerebral infarction;
- •Patients with active infection or continuous fever within 14 days prior to enrollment;
- •Had major organ surgery within 6 weeks prior to enrollment;
- •Impaired liver function ( Total bilirubin > 1.5 times of normal maximum, ALT/AST> 2.5 times of normal maximum, for patients with infiltrative liver disease ALT/AST> 5 times of normal maximum), impaired renal function (serum creatinine> 1.5 times of normal maximum);
- •Patients with mental disorders or those do not have the ability to consent;
- •Patients with drug abuse, long term alcoholism that may impact the results of the trial;
- •Patients with invasion of central nervous system ;
- •Non-appropriate patients for the trial according to the judgment of the investigators.
研究组 & 干预措施
Control group
Control group will be treated by CHOPE (Cyclophosphamide, Doxorubicin, Vincristine, Prednisone and Etoposide ) regimen for 6 cycles.
干预措施: Doxorubicin (Drug)
Experimental group
Experimental group will be treated by Chidamide combined CHOPE (Cyclophosphamide, Doxorubicin, Vincristine, Prednisone and Etoposide ) regimen for 6 cycles.
干预措施: Chidamide (Drug)
Experimental group
Experimental group will be treated by Chidamide combined CHOPE (Cyclophosphamide, Doxorubicin, Vincristine, Prednisone and Etoposide ) regimen for 6 cycles.
干预措施: Cyclophosphamide (Drug)
Experimental group
Experimental group will be treated by Chidamide combined CHOPE (Cyclophosphamide, Doxorubicin, Vincristine, Prednisone and Etoposide ) regimen for 6 cycles.
干预措施: Doxorubicin (Drug)
Experimental group
Experimental group will be treated by Chidamide combined CHOPE (Cyclophosphamide, Doxorubicin, Vincristine, Prednisone and Etoposide ) regimen for 6 cycles.
干预措施: Vincristine (Drug)
Experimental group
Experimental group will be treated by Chidamide combined CHOPE (Cyclophosphamide, Doxorubicin, Vincristine, Prednisone and Etoposide ) regimen for 6 cycles.
干预措施: Etoposide (Drug)
Experimental group
Experimental group will be treated by Chidamide combined CHOPE (Cyclophosphamide, Doxorubicin, Vincristine, Prednisone and Etoposide ) regimen for 6 cycles.
干预措施: Prednisone (Drug)
Control group
Control group will be treated by CHOPE (Cyclophosphamide, Doxorubicin, Vincristine, Prednisone and Etoposide ) regimen for 6 cycles.
干预措施: Cyclophosphamide (Drug)
Control group
Control group will be treated by CHOPE (Cyclophosphamide, Doxorubicin, Vincristine, Prednisone and Etoposide ) regimen for 6 cycles.
干预措施: Vincristine (Drug)
Control group
Control group will be treated by CHOPE (Cyclophosphamide, Doxorubicin, Vincristine, Prednisone and Etoposide ) regimen for 6 cycles.
干预措施: Etoposide (Drug)
Control group
Control group will be treated by CHOPE (Cyclophosphamide, Doxorubicin, Vincristine, Prednisone and Etoposide ) regimen for 6 cycles.
干预措施: Prednisone (Drug)
结局指标
主要结局
complete remission (CR)rate
时间窗: up to 2 years
The rate of patients who achieve complete remission after the treatment.
次要结局
- overall survival(OS)(2 years after the last patient's enrollment.)
- objective response rate(ORR)(up to 2 years)
- progression-free survival(PFS)(2 years)
研究者
Jun Zhu
Director of lymphoma department
Peking University
