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临床试验/NCT03617432
NCT03617432Unknown2 期

Chidamide With Cyclophosphamide, Doxorubicin, Vincristine, Prednisone and Etoposide for Peripheral T Cell Lymphoma Patients : a Prospective, Randomized Controlled, Open Label, Phase II Clinical Trial

Peking University1 个研究点 分布在 1 个国家目标入组 114 人开始时间: 2018年8月28日最近更新:
适应症
干预措施
相关药物

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

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

Experimental

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

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

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

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

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

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

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

Experimental

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

Experimental

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

Experimental

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

Experimental

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

发起方
Peking University
申办方类型
Other
责任方
Principal Investigator
主要研究者

Jun Zhu

Director of lymphoma department

Peking University

研究点 (1)

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