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Trial Title: Chidamide Plus Azacitidine for the Treatment of Previously Untreated Nodal TFH Cell Lymphoma

NCT ID: NCT05958719

Condition: Peripheral T Cell Lymphoma
Epigenetic Repression

Conditions: Official terms:
Lymphoma
Lymphoma, T-Cell, Peripheral
Azacitidine

Study type: Interventional

Study phase: Phase 2

Overall status: Recruiting

Study design:

Allocation: Non-Randomized

Intervention model: Crossover Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: Chidamide
Description: chidamide 30mg biw, p.o, 28 days for a cycle.
Arm group label: interim evaluation of CR group
Arm group label: interim evaluation of PR group

Intervention type: Drug
Intervention name: Azacitidine
Description: 75mg/m2, continuous i.h. on day 1-7,28 days for a cycle.
Arm group label: interim evaluation of CR group
Arm group label: interim evaluation of PR group

Summary: Untreated patients with Nodal T-follicular Helper (TFH) Cell Lymphoma will be treated with chidamide combined with azacitidine for four cycles. For patients with interim evaluation of CR, consolidation therapy with ASCT or another eight cycles with chidamide combined with azacitidine can be obtained. For patients with interim evaluation of PR, another two cycles of chidamide combined with azacitidine will be continued, followed by the second efficacy evaluation, and those who achieve CR receive consolidation therapy with ASCT or another six cycles of chidamide combined with azacitidine. Subsequently, chidamide was given as maintenance therapy for 12 months. Patients with SD or PD withdrew from this study.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Subjects must have histological confirmation of nodal T-follicular helper (TFH) cell lymphoma. 2. More than 18 years of age. 3. Proper functioning of the major organs: 1) The absolute value of neutrophils (≥1×10^9/L); 2) platelet count (≥75×10^9/L); 3) Serum total bilirubin ≤ 1.5 times ULN; 4) Aspartate Aminotransferase (AST), Alanine Aminotransferase (ALT) ≤3 times ULN; 5) Serum creatinine (Cr) ≤2 ULN, or glomerular filtration rate ≥40ml/min; 4. Eastern Cooperative Oncology Group (ECOG) Performance status 0-2. 5. LVEF value measured by echocardiography ≥50%. 6. Life expectancy > 3 months. Exclusion Criteria: 1. Patients who have previously received chemotherapy, radiotherapy or other antitumor therapy. 2. Patients with central nervous system involvement by lymphoma. 3. Patients with uncontrolled cardiovascular and cerebrovascular diseases, coagulation disorders, connective tissue diseases, serious infectious diseases and other diseases. 4. Pregnant or breastfeeding women. 5. Presence of human immunodeficiency virus (HIV) virus infection. 6. Previous history of other malignant tumors, unless the disease has been cured for 5 years or more. The following cured tumors are excluded: 1. Basal cell carcinoma of the skin, squamous cell carcinoma of the skin and related localized non-melanoma skin cancers; 2. Carcinoma in situ of the cervix

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Institute of Hematology & Blood Diseases Hospital

Address:
City: Tianjin
Zip: 300020
Country: China

Status: Recruiting

Contact:
Last name: Dehui Zou, Dr.

Phone: 86-022-23909282
Email: zoudehui@ihcams.ac.cn

Contact backup:
Last name: Huimin Liu, Dr.

Phone: 86-022-23909282
Email: liuhuimin@ihcams.ac.cn

Start date: March 2, 2023

Completion date: March 2, 2027

Lead sponsor:
Agency: Institute of Hematology & Blood Diseases Hospital, China
Agency class: Other

Source: Institute of Hematology & Blood Diseases Hospital, China

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05958719

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