Chidamide and Duvalisibon for the Treatment of Refractory/Relapsed Peripheral T-cell Lymphoma

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18-75
SponsorThe First Affiliated Hospital of Xiamen University

About this trial

To determine the efficacy and safety of Chidamide combined with Duvalisib in the treatment of refractory/relapsed peripheral T-cell lymphoma.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Peripheral T-cell lymphoma (PTCL) or NK/T-cell lymphoma confirmed by histopathology/cytology according to the classification standard of the World Health Organization in 2008

Relapsed and refractory patients who have received at least first-line systemic treatment with anthracycline-containing drugs in the past. Recurrence is defined as relapse after CR or progression after PR, SD. The refractory disease was defined as previous systemic chemotherapy, PD in response evaluation for 2 cycles or SD in response evaluation for 4 cycles.

There must be at least one evaluable or measurable lesion meeting Lugano2014 standard: lymph node lesion and the measurable lymph node length should be > 1.5cm;

Patients aged at 18-75 years old;

Disqualifiers

Patients with central nervous system (CNS) or meningeal invasion

Any of the following laboratory abnormalities: absolute neutrophil count (ANC) < 1.5× 10*9/L, Hb< 80 g/L, PLT < 75×10 9 /L, organ dysfunction, are defined as follows: total bilirubin (TBiL) > 1.5 upper limit of normal value (ULN), or AST or ALT >2.5ULN, except the following situations. if patients with liver infiltrated by lymphoma cells, AST and ALT < 5ULN could be enrolled.

International normalized ratio (INR)>1.5ULN or partially activated prothrombin time (APTT) > 1.5 ULN

The active infection of human immunodeficiency virus (HIV), hepatitis B virus (HBV), or hepatitis C virus (HCV) should be excluded except for the following patients: patients with HBV infection (HBsAg or HBcAg positive) but HBV DNA negative. These patients need continuous antiviral treatment and HBV DNA PCR detection every cycle. additionally, patients with HCV serology positive but HCV RNA negative can be enrolled.

Trial design

Design model

Single group

Treatments tested in this trial

  • Chidamide combined with Duvillisib

    Drug

    Specified dose on specified days

Treatment groups

33 Participants
are divided into 1 treatment group
Group A: Chidamide combined with DuvillisibExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Overall Response Rate

Percentage of participants with best overall response of partial response (PR) and complete response (CR), using the Lugano criteria.

Time frame
Up to 27 months
2

Complete Response Rate

Complete response (CR) is evaluated according to the Lugano criteria for lymphoma response.

Time frame
Up to 27 months

Secondary outcomes

1

Partial Response Rate

Partial response (PR) is evaluated according to the Lugano criteria for lymphoma response.

Time frame
Up to 27 months
2

Progression Free Survival

Progression-free survival was defined as the time from the date of diagnosis 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.

Time frame
Up to 27 months
3

Overall Survival

OS will be measured from the date of registration to the date of the event (i.e., death) or the date of last follow-up to evaluate that event. Patients who are event-free at their last follow-up evaluation will be censored at that time point.

Time frame
Up to 27 months

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

The First Affiliated Hospital of Xiamen University

Lead sponsor

Fujian Cancer Hospital

Collaborator

Zhangzhou Affiliated Hospital of Fujian Medical University

Collaborator

Dongguan People's Hospital

Collaborator

Huizhou Municipal Central Hospital

Collaborator

The First Affiliated Hospital with Nanjing Medical University

Collaborator

Sun Yat-sen University

Collaborator

Shanxi Province Cancer Hospital

Collaborator