About this trial
To evaluate the efficacy and adverse effects of Azacitidine in combination with R-CHOP (ARCHOP) for the treatment of TP53-mutated previously untreated Diffuse large B-cell lymphoma
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
None
Disqualifiers
Primary and secondary central DLBCL;
HIV-positive patients and or HCV active infection; (3) Clinically significant secondary cardiovascular disease;
Trial design
Single group
Treatments tested in this trial
Azacitidine in combination with R-CHOP
DrugSpecified dose on specified days: Azacitidine (A) 100mg subcutaneous d-1 to d-5 Rituximab (R) 375mg/m2 IV d0 Cyclophosphamide (C) 750mg/m2 IV d1 epirubicin (H) 75mg/m2 IV d1 or liposomal adriamycin (D) 25-30mg/m2 IV d1 Vincristine (O) 1.4mg/m2 (max 2mg) IV d1 Prednisone (P) 100mg orally d1-5
Treatment groups
Trial outcomes
Primary outcomes
Complete remission rate (CR)
CR is evaluated according to the Lugano criteria for lymphoma response.
Secondary outcomes
Partial remission rate (PR)
PR is evaluated according to the Lugano criteria for lymphoma response.
Overall response rate (ORR)
Percentage of participants with best overall response of partial response (PR) and complete response (CR), using the Lugano criteria.
Progression Free Survival (PFS)
The Kaplan-Meier method will be used to estimate the rate of PFS. PFS was defined as the time from the date of treatment initiation until the date of the first documented day of disease progression or relapse, using 2014 Lugano criteria, or death from any cause, whichever occurred first.
Sponsors and contacts
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The First Affiliated Hospital of Xiamen University
Lead sponsor
Jiangsu Provincial People's Hospital
Collaborator
Sun Yat-sen University
Collaborator
Chinese Academy of Medical Sciences
Collaborator
Shanxi Province Cancer Hospital
Collaborator