Status:

UNKNOWN

Study of Chidamide as a Single-agent Treatment for Patients With Relapse or Refractory B-NHL

Lead Sponsor:

Sun Yat-sen University

Conditions:

Relapsed or Refractory B-cell Non-Hodgkin's Lymphoma (NHL)

Eligibility:

All Genders

18-75 years

Phase:

PHASE2

Brief Summary

This is a prospective phase II clinical trial to observe the efficacy and safety of Chidamide as a single-agent treatment in patients with relapsed or refractory B-cell Non-Hodgkin's Lymphoma (NHL).

Detailed Description

Patients with relapsed /refractory aggressive B cell lymphoma usually have a poor prognosis. These patients cannot be treated successfully or tolered with the conventional chemotherapy. Epigenetic cha...

Eligibility Criteria

Inclusion

  • Diagnosed as B-cell Non-Hodgkin's Lymphoma (NHL) according to "2008 WHO classification of tumors of haematopoietic and lymphoid tissues", including Diffuse Large B-Cell Lymphoma (DLBCL), Mantle Cell Lymphoma (MCL), transformed indolent lymphoma (TL), and other subtypes that investigators consider to be appropriate to be enrolled;
  • Patients achieved CR or PR in previous cytotoxic chemotherapy, and relapsed later than 6 months after remission;
  • Patients with DLBCL, FL grade3, MALT, LPL and SLL received at least two chemotherapy regimens, and Patients with FL grade1-2 received at least three chemotherapy regimens;
  • At least one measurable lesion with a longest diameter \>1.5cm or a short axis \>1.0cm;
  • Age18-75 years;
  • ECOG performance status 0-2;
  • Life expectancy no less than 3 months;
  • Functions within 7 days prior to enrollment: Blood routine test: Hb ≥ 80g/L, absolute neutrophil count ≥1.5 × 109/L, platelet ≥60 × 109/L; Total bilirubin ≤ 1.5 times of normal maximum, ALT/AST≤ 2.5 times of normal maximum, for patients with liver metastasis ALT/AST≤ 5 times of normal maximum; serum creatinin≤1.5 times of normal maximum or CCr≥ 60ml/min;
  • LVEF ≥ 50% by echocardiography;
  • Contraception during and 4 weeks after the study for patients at child bearing age;
  • Patients have signed the Informed Consent Form.

Exclusion

  • Patients received Chidamide treatment within 6 months prior to enrollment;
  • Patients with Burkitt Lymphoma, B-lymphoblastic lymphoma, central nervous system lymphoma and HIV-Associated Lymphoma;
  • Patients with a "currently active" second malignancy;
  • Patients not recovered from non-hematologic toxicities within 4 weeks prior to enrollment due to chemotherapy, radiation and immunotherapy;
  • Patients receiving or received corticosteroids within 2 weeks prior to enrollment;
  • Patients with cumulative life time dose of Doxorubicin \> 450mg/m2;
  • Patients who have been treated with any investigational drug within 4 weeks prior to enrollment;
  • Women during pregnancy or lactation;
  • Patients with active infection, medical conditions, or mental disorders;
  • Patients with active infection of HBV, HCV or HIV;
  • Congestive heart failure (NYHA grade III/IV), myocardial infarction within 6 months, QTc elongation with clinical significance (≥480ms), hypertension BP≥150/100 mmHg and symptomatic coronary heart disease that require treatment;
  • Patients with drug abuse, long term alcoholism that may impact the results of the trial;
  • Non-appropriate patients for the trial according to the judgment of the investigators.

Key Trial Info

Start Date :

August 20 2017

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 31 2021

Estimated Enrollment :

100 Patients enrolled

Trial Details

Trial ID

NCT03245905

Start Date

August 20 2017

End Date

December 31 2021

Last Update

March 16 2021

Active Locations (1)

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1

Department of Medical Oncology, Sun Yat-sen University Cancer Center,

Guangzhou, Guangdong, China, 510060