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临床试验/NCT06038422
NCT06038422尚未招募3 期

Clinical Study on Efficacy and Safety of GTP Regimen in the Treatment of Refractory/Recurrent Hemophagocytic Lymphohistiocytosis

Beijing Friendship Hospital0 个研究点目标入组 15 人开始时间: 2023年9月15日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
3 期
状态
尚未招募
入组人数
15
主要终点
ORR

研究概览

简要总结

The goal of this clinical trial is to learn about efficacy and safety of GTP regimen in refractory/recurrent hemophagocytic lymphohistiocytosis. The main questions it aims to answer are:

  • Overall remission rate of GTP regimen in R/R HLH
  • Adverse effect of GTP regimen Participants will be treated with GTP regimen

详细描述

Refractory/recurrent hemophagocytic lymphohistiocytosis will be treated with emapalumab combined with teniposide and methylprednisolone. Observed the overall response rate and side effects.

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
1 Month 至 —(Child, Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Male and female patients ≥1 month of age with HLH
  • Definitive diagnosis of HLH: meets the molecular diagnosis of pHLH or has a family history of HLH, or meets at least 5 of the 8 diagnostic criteria of HLH-
  • The investigators assessed the presence of refractory/recurrent HLH disease. Patients must meet one of the following criteria assessed by the investigator:
  • Previous conventional HLH treatment did not respond.
  • The patients were not satisfied with the efficacy of conventional HLH treatment or their condition worsened.
  • HLH reactivation occurs. Reactivation is defined as: worsening of two or more HLH clinical and laboratory criteria (after initial remission).
  • According to the researchers, the expected survival was more than 2 weeks.
  • The informed consent is signed by the patient or his legal guardian (patients under 18 years), or by the patient's legally authorized representative.
  • Women who are fertile are willing to use a highly effective contraceptive method from the start of the study until 6 months after the end of the last course of treatment.

排除标准

  • There is active mycobacterium, histoplasma capsulatus, Salmonella, or leishmania infection.
  • There is uncontrolled active gastrointestinal bleeding.
  • The investigator believes that there are any serious comorbidities or any other conditions that make the patient unsuitable for treatment.
  • A history of hypersensitivity or hypersensitivity to any component of the drug in the study protocol, such as polysorbate.
  • Had received the BCG vaccine within 12 weeks prior to screening.
  • Have received live or attenuated vaccine (except BCG) within 4 weeks prior to screening.
  • Pregnancy patients.
  • Within 4 weeks prior to enrollment in this study, another concurrent clinical intervention study was enrolled.
  • There is any condition or circumstance that the investigator believes may cause the patient to be unable to complete the study or to comply with study procedures or requirements.

研究组 & 干预措施

GTP regimen treated patients

Experimental

R/R HLH patients treated with GTP regimen

干预措施: GTP regimen (Drug)

结局指标

主要结局

ORR

时间窗: 1 year

Overall remission rate

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Zhao Wang

director of department

Beijing Friendship Hospital

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