T-cell Lymphoma
Conditions
Keywords
Tucidinostat, Azacitidine, CHOP
Brief summary
This is a prospective, multicenter, phase III study of Tucidinostat, Azacitidine combined with CHOP versus CHOP in patients with untreated peripheral T-cell lymphoma
Detailed description
Tucidinostat, a novel histone deacetylase inhibitor has been approved for the treatment of relapsed or refractory peripheral T-cell lymphoma in China. Azacytidine is a hypomethylating agent. The aim of this study is to compare the efficacy and safety of azacytidine, tucidinostat combined with CHOP regimen and classical CHOP regimen in the treatment of primary PTCL
Interventions
Azacitidine: 200 mg D1200 mg D2100 mg D3 subcutaneous injection Tucidinostat: 20mg / time, D1, 4, 8, 11; Take medicine with 200ml warm boiled water 30 minutes after breakfast. CHOP chemotherapy: * Cyclophosphamide (CTX) 750mg / m2 intravenous infusion, day 1; * Epirubicin (EPI) 70mg / m2 intravenous infusion, day 1; * Vinoresin (VDS) 4mg intravenous infusion, day 1; * Prednisone 100mg orally, day 1-5. Every 21 days is a course of treatment
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with peripheral T-cell lymphoma confirmed by primary pathology; * Age 18-70 years; * ECOG performance status ≤ 2; * Adequate bone marrow hematopoietic function: WBC \> 3.5 × 10\*9/L,ANC\>1.5 × 10\*9/L,HGB\>90g/L,PLT\>80 × 10\*9/L; * Adequate organ function: cardiac function grade 0-2 (NYHA); SpO2 \> 88% (natural condition); ALT\<3UNL,TBil\<2ULN; SCr\>60ml/min/m2; * Patients have signed the Informed Consent Form
Exclusion criteria
* ALK positive anaplastic T-cell lymphoma; * NK / T cell lymphoma, nasal type; * Uncontrolled active infection; * Acute myocardial infarction or unstable angina pectoris within 6 months; uncontrolled hypertension, symptomatic arrhythmia, etc; * Subjects who are known or suspected to be unable to comply with the study protocol; * Pregnant or lactating women
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Overall response rate (ORR) | 6 course of treatment (each cycle is 21 days) | the total proportion of patients with complete response (CR) and partial response (PR) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 2-year progression-free survival(PFS) | 2 years | Time from treatment until disease progression or death |
| 2-year overall survival(OS) | 2 years | Time from treatment until death from any cause |
| Incidence and severity of adverse events, serious adverse events and other safety parameters | 2 years | Incidence, nature, and severity of adverse events graded according to the NCI CTCAE v5.0 |
Countries
China