Hemophagocytic Lymphohistiocytosis
Conditions
Brief summary
A protocol named as HLH-DR for patients with refractory and secondary hemophagocytic lymphohistiocytosismay.
Detailed description
A modified protocol about ruxolitinib combined with dexamethasone which includes oral ruxolitinib (2.5 mg twice daily for patients if the age\<14 years and the weight \<25kg,5 mg twice daily for patients if the age\<14 years and the weight≥25kg, 10mg twice daily for patients if the age ≥14 years and\<18 years). Dexamethasone (10mg/m2.d) delayes for the first 2 weeks (form week 1 to 2),(5mg/m2.d) from week 3 to 4,(2.5mg/m2.d) from week 5 to 6),1.25mg/m2.d for week 7,and dropped off on week 8. Every 2 weeks, patients can be evaluated based the diagnosed index
Interventions
Ruxolitinib (2.5 mg twice daily for patients if the age\<14 years and the weight \<25kg,5 mg twice daily for patients if the age\<14 years and the weight≥25kg, 10mg twice daily for patients if the age ≥14 years and\<18 years)
Dexamethasone (10mg/m2.d) delayes for the first 2 weeks(form week 1 to 2),(5mg/m2.d) from week 3 to 4,(2.5mg/m2.d) from week 5 to 6),1.25mg/m2.d for week 7,and dropped off on week 8.
Sponsors
Study design
Eligibility
Inclusion criteria
* Secondary and refractory HLH.
Exclusion criteria
* Family HLH.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Severity of disease | 2 weeks | Serum ferritin\>2000ng/ml, disease actvie; serum ferritin\<2000ng/ml, disease control; |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Axillary temperature | 2 weeks | 36\<Axillary temperature\<37.2, disease control; 37.2\<Axillary temperature\<38.2, disease partly control; Axillary temperature\>38.2, disease active |
Countries
China