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Trial Title: Decitabine and Anti-PD-1 in R/R DLBCL

NCT ID: NCT05816746

Condition: Diffuse Large B Cell Lymphoma
Relapse/Recurrence
Extranodal Extension
Central Nervous System Lymphoma

Conditions: Official terms:
Lymphoma
Lymphoma, B-Cell
Lymphoma, Large B-Cell, Diffuse
Extranodal Extension
Recurrence
Decitabine

Study type: Interventional

Study phase: Phase 2

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: Low-Dose Decitabine plus anti-PD-1
Description: Decitabine 10mg/d,VD d1-5; PD-1 200mg,d8
Arm group label: Treatment group

Other name: DP

Summary: Patients with relapsed/refractory diffuse large B cell lymphoma with extranodal (esp. central nervous system) involvement treated with Low-Dose Decitabine plus anti-PD-1 regimen. 3 weeks for a cycle, with a total of 2 years or until the disease progress esor unacceptable toxicity occurs, or the patient decides to withdraw from the trial.

Detailed description: To evaluate the effectiveness and safety of patients with relapsed/refractory diffuse large B cell lymphoma with extranodal (esp. central nervous system) involvement treated with Low-Dose Decitabine plus anti-PD-1 regimen. 3 weeks for a cycle, with a total of 2 years or until the disease progress esor unacceptable toxicity occurs, or the patient decides to withdraw from the trial. Enrollment was planned to be completed within 2 years, and all trials were followed up for 12 months after the last enrolled patient completed treatment. All cases will be followed up and the long-term curative effect will be observed and recorded.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - 14-80 years old, male or female; - Pathologically confirmed relapsed/refractory diffuse large B cell lymphoma with extranodal (central nervous system) involvement; - Expected survival of more than 3 months; - AST and ALT ≤ 3.0 ULN; TBIL and CCr ≤ 1.0 ULN; - Inactive infection and severe mental illness - ECOG score 0~2 - According to the New York Heart Association (NYHA) cardiac function grading standards, the heart function grading should be grade I or Grade II; Cardiac ejection fraction >50% or not lower than the lower limit of the range of laboratory test values at the study center; No pathological abnormality was found in ECG; There was no clinically significant pericardial effusion or pleural effusion - The serum pregnancy test of female subjects must be negative - Signed informed consent Exclusion Criteria: - Subjects with any autoimmune disease requiring long-term use of corticosteroids or immunosuppressive drugs or with a history of other tumors; - Severe uncontrolled medical disease or active infection (including HIV+); - Active gastrointestinal bleeding or 1 month history of gastrointestinal bleeding; - Received allogeneic hematopoietic stem cell transplantation within 6 months or are participating in other clinical studies; - Pregnant or nursing women; - Subjects who must be forcibly detained for the treatment of mental or physical diseases (e.g. infectious diseases); - The researcher thinks it is not suitable for this clinical study (such as poor compliance, drug abuse, etc.) - The situation that the researcher judged was not suitable for inclusion

Gender: All

Minimum age: 14 Years

Maximum age: 80 Years

Healthy volunteers: No

Locations:

Facility:
Name: ChinaPLAGH

Address:
City: Beijing
Zip: 100853
Country: China

Status: Recruiting

Contact:
Last name: Yu Zhao, Graduate

Phone: 010-66937232
Email: zhaoyu301@126.com

Contact backup:
Last name: Sai Huang, Graduate

Phone: 010-66937232
Email: helinahs@qq.com

Investigator:
Last name: Yu Zhao, Graduate
Email: Principal Investigator

Investigator:
Last name: Sai Huang, Graduate
Email: Principal Investigator

Start date: May 15, 2023

Completion date: March 1, 2026

Lead sponsor:
Agency: Chinese PLA General Hospital
Agency class: Other

Source: Chinese PLA General Hospital

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05816746

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