EBV-associated Lymphoproliferative Disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. aged 14-70 years old male or female. 2. In accordance with the diagnostic criteria for relapsed/refractory CAEBV or EBV-HLH: (1) Relapsed/Refractory CAEBV: 1) recurrent or consistent IM-like symptoms for at least 3 months; 2) find EBER+ cells in tissue or plasma EBV-DNA > 10^2 copies/ml. (2) Relapsed/Refractory EBV-HLH: 1) meet the criteria of HLH-2004 and plasma EBV-DNA > 10^2 copies/ml; 2) no response to standard ED regimen; 3) total clinical course >3 month; 3. Without other uncontrollable infection; 4. No seizure for at least 4 weeks for CNS involved patients. 5. HBVsAg(-) patients, or undergoing anti-HBV treatment for HBVsAg(+) patients; 6. HIV(-); 7. Informed consent.
Exclusion criteria
Exclusion criteria: 1. Primary HLH; 2. Tumor-related HLH; 3. Patients with autoimmune Disease, undergoing steroid or immunosuppressor agent treatment; 4. After HSCT; 5. Pregnancy or lactating Women; 6. Allergic to PD-1 inhibitor; 7. Patients with severe heart, lung and kidney disease; 8. Active digestive tract bleeding; 9. With uncontrolled bacterial/fungal infection.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Clinical Response Rate;Time to Obtain Complete Clinical Response;Change of Plasma and Intracellular EBV-DNA after Treatment;Overall Survival;Progression Free Survival; | — |
Secondary
| Measure | Time frame |
|---|---|
| Change of Laboratory Markers after Treatment;Epidemiology Characteristics of EBV-LPDs; | — |
Countries
China
Contacts
West China Hospital, Sichuan University