Epstein-Barr virus positive T or NK cell lymphoproliferative disease (Chronic active Epstein-Barr virus infection)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Patients who were diagnosed as EBV-T/NK-LPDs according to the following criteria. 1. EBV-DNA load in the peripheral blood more than 1X10e2.5 copies maicro/gDNA 2. Detection of EBV infected T of NK cells in the tissue or in the peripheral blood 3. Persistent infectious mononucleosis-like symptoms with fever, liver dysfenction and lymphadenopathy at least for 3 months. 4. Monoclonal proliferation of EBV-infected cells 1, 2 and 3 or 4 2) Age 19-69 years old 3) Performance status (ECOG) 0-2 4) Patients with sufficient hepatic, renal, cardiac, and pulmonary function 5) Patients whose written informed consents are available before registration
Exclusion criteria
Exclusion criteria: (1) Need for radiation more than 15 Gy including palliation at the time of registration (2) Uncontrollable hypertension (3) History of myocardial infarction or angina or cardiomyopathy (4) HBs antigen positive (5) Severe infection except EBV (6) Liver cirrhosis, either biopsy proven or clinically diagnose (7) Active double cancer: overlapping cancer or asynchronous cancer within 5 years. Carcinoma in situ, intramucosal cancers, and other equivalent lesions are not included for the active double cancer. (8) Women during pregnancy, lactation period or of childbearing potentials not using a reliable contraceptive method (9) Use of major tranquilizer, antidepressant, or antimanic (10) Severe psychosis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Decrease rate of EBV-DNA titer in peripheral blood (whole blood) | — |
Secondary
| Measure | Time frame |
|---|---|
| Overall response rate; ORR (rate of complete response (CR) or partial response (PR)), the rate of adverse events, and decrease rate of EBV-DNA titer in peripheral blood (plasma) | — |
Countries
Japan
Contacts
Tokyo Medical and Dental University Department of Hematology