A Multicenter, Single-arm, Open II Phase Clinical Trial Evaluating the Efficacy of Chidamide Combined With Prednisone, Cyclophosphamide, Etoposide, and Methotrexate (PECM) in Relapsed or Refractory Peripheral T-cell Lymphoma (PTCL)
试验速览
- 阶段
- 2 期
- 发起方
- 入组人数
- 102
- 试验地点
- 1
- 主要终点
- Objective response rate
研究概览
简要总结
To observe the efficacy and safety of Chidamide combined with prednisone, cyclophosphamide, etoposide and methotrexate in relapsed or refractory PTCL.
详细描述
Prednisone, cyclophosphamide, etoposide, and methotrexate regimens are derived from a "metronidazole, etoposide, procarbazine and cyclophosphamide (PEPC) regimen" regimen that differs from the traditional "maximal Tolerance "chemotherapy, and the use of low-dose chemotherapy, frequent drug therapy, the purpose is to anti-angiogenesis and reduce drug resistance. At present, the program in our treatment of relapsed or refractory PTCL patients effective, safe and controllable, but also look forward to other joint treatment, so as to achieve better curative effect. To provide new treatment options for such patients.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 75 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Histopathologically confirmed peripheral T-cell lymphoma (PTCL) patients;
- •Patients who have had at least one systemic treatment (including chemotherapy, hematopoietic stem cell transplantation, etc.) who have not remission or relapsed after remission;
- •For various reasons can not be hematopoietic stem cell transplantation in patients;
- •The age of 18-75 years old, male, female open;
- •ECOG (Eastern Cooperative Oncology Group) physical scoring 0-1 points;
- •Absolute value of neutrophil≥1.5 × 109 / L, platelet≥90 × 109 / L, hemoglobin≥90g / L;
- •The expected survival time ≥ 3 months;
- •No radiotherapy, chemotherapy, targeted therapy or hematopoietic stem cell transplantation were performed within 4 weeks prior to enrollment.
- •Voluntary signature of written informed consent.
排除标准
- •Pregnancy, breastfeeding women and unwilling to take contraceptive measures of reproductive age patients;
- •B-mode ultrasonography showed that the width of end-diastolic pericardial dark area was ≥10mm;
- •Patients receiving organ transplants;
- •Patients receiving symptomatic treatment of pre-bone marrow toxicity within 7 days prior to enrollment;
- •Patients with active bleeding;
- •Liver function abnormalities (total bilirubin> 1.5 times the upper limit of normal, ALT( alanine aminotransferase) / AST (Aspartate aminotransferase)> 2.5 times the upper limit of normal or hepatic involvement of ALT / AST> 5 times the upper limit of normal), renal dysfunction Creatinine> 1.5 times the upper limit of normal), electrolyte abnormalities;
- •Persons with mental disabilities / those who can not obtain informed consent;
- •Patients with drug abuse and long-term alcohol abuse that may affect the evaluation of test results;
- •The investigators determined that they were not fit to participate in the trial.
研究组 & 干预措施
Combination therapy regimen
Chidamide + prednisone+cyclophosphamide+etoposide+methotrexate
干预措施: Chidamide (Drug)
Combination therapy regimen
Chidamide + prednisone+cyclophosphamide+etoposide+methotrexate
干预措施: prednisone (Drug)
Combination therapy regimen
Chidamide + prednisone+cyclophosphamide+etoposide+methotrexate
干预措施: Cyclophosphamide (Drug)
Combination therapy regimen
Chidamide + prednisone+cyclophosphamide+etoposide+methotrexate
干预措施: etoposide (Drug)
Combination therapy regimen
Chidamide + prednisone+cyclophosphamide+etoposide+methotrexate
干预措施: Methotrexate (Drug)
结局指标
主要结局
Objective response rate
时间窗: every 8 weeks until 2 years after last patient's enrollment
the total proportion of patients with complete response(CR or CRu)and partial response(PR)
次要结局
- Progress Free Survival(PFS)(2 years)
- Duration of response(every 8 weeks until 2 years after last patient's enrollment)
- Overall Survival(2 years)
研究者
Li Zhiming
Principal Investigator
Sun Yat-sen University
