ChiCGB vs BEAM in High-risk or R/R Lymphomas

NCT ID: NCT05466318

Last Updated: 2022-07-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

306 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-07-01

Study Completion Date

2025-12-30

Brief Summary

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High-dose chemotherapy (HDT) with autologous stem cell transplantation (ASCT) plays a vital role in treating high-risked or relapsed/refractory lymphoma. Our previous study showed chidamide combined with cladribine, gemcitabine, and busulfan (ChiCGB) as conditioning therapy improved the survival of these patients. So we designed this trial to verify if ChiCGB were better than BCNU, etoposide, cytarabine, and melphalan (BEAM). Patients with diffuse large B cell or extra-nodal NK/T cell Lymphoma who consent to this study will be randomized into the trial group who receive ChiCGB or the control group whom receive BEAM. Patients will be followed for up to 2 years after the hematopoietic cell transplantation (HCT).

Detailed Description

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Conditions

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Lymphoma, Large B-Cell, Diffuse Lymphoma, T-Cell

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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ChiCGB

Treated with chidamide, cladribine, gemcitabine and busulfan(ChiCGB) therapy followed by autologous hematopoietic stem cell transplantation.

Group Type EXPERIMENTAL

Chidamide

Intervention Type DRUG

30 mg oral twice weekly for 2 weeks

Cladribine

Intervention Type DRUG

6 mg/m2 intravenously once daily @ Day -7 \~ -3

Gemcitabine

Intervention Type DRUG

2500 mg/m2 intravenously @ Day -7, -3

Busulfan

Intervention Type DRUG

3.2 mg/kg intravenously once daily @ Day -7 \~ -4

Autologous hematopoietic stem cell transplant

Intervention Type PROCEDURE

autologous hematopoietic stem cells infusion after ChiCGB or BEAM chemotherapy

BEAM

Treated with BCNU, etoposide, cytarabine and melphalan (BEAM) therapy followed by autologous hematopoietic stem cell transplantation.

Group Type ACTIVE_COMPARATOR

Carmustine

Intervention Type DRUG

300 mg/m2 intravenously @ Day -8

Etoposide

Intervention Type DRUG

200 mg/m2 intravenously once daily @ Day -7 \~ -4

Cytarabine

Intervention Type DRUG

400 mg/m2 intravenously once daily @ Day -7 \~ -4

Melphalan

Intervention Type DRUG

140 mg/m2 intravenously @ Day -3

Autologous hematopoietic stem cell transplant

Intervention Type PROCEDURE

autologous hematopoietic stem cells infusion after ChiCGB or BEAM chemotherapy

Interventions

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Chidamide

30 mg oral twice weekly for 2 weeks

Intervention Type DRUG

Cladribine

6 mg/m2 intravenously once daily @ Day -7 \~ -3

Intervention Type DRUG

Gemcitabine

2500 mg/m2 intravenously @ Day -7, -3

Intervention Type DRUG

Busulfan

3.2 mg/kg intravenously once daily @ Day -7 \~ -4

Intervention Type DRUG

Carmustine

300 mg/m2 intravenously @ Day -8

Intervention Type DRUG

Etoposide

200 mg/m2 intravenously once daily @ Day -7 \~ -4

Intervention Type DRUG

Cytarabine

400 mg/m2 intravenously once daily @ Day -7 \~ -4

Intervention Type DRUG

Melphalan

140 mg/m2 intravenously @ Day -3

Intervention Type DRUG

Autologous hematopoietic stem cell transplant

autologous hematopoietic stem cells infusion after ChiCGB or BEAM chemotherapy

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients with primary refractory or recurrent diffuse large B cell lymphoma or extra-nodal NK/T cell lymphoma that do not qualify for treatment protocols of higher priority.
* Relapsed patients should respond to 2nd or 3rd line salvage chemotherapy and attain at least partial response before recruitment.
* Adequate renal function, as defined by estimated serum creatinine clearance \>/=50 ml/min and/or serum creatinine \</= 1.8 mg/dL.
* Adequate hepatic function, as defined by serum glutamate oxaloacetate transaminase (SGOT) and/or serum glutamate pyruvate transaminase (SGPT) \</= 3 x upper limit of normal; serum bilirubin and alkaline phosphatase \</= 2 x upper limit of normal.
* Adequate pulmonary function with forced expiratory volume at one second (FEV1), forced vital capacity (FVC) and diffusing capacity of lung for carbon monoxide (DLCO) \>/= 50% of expected corrected for hemoglobin.
* Adequate cardiac function with left ventricular ejection fraction \>/= 50%. No uncontrolled arrhythmias or symptomatic cardiac disease.
* Performance status 0-1. 10. Negative Beta diffusing capacity of the lung for carbon monoxide (HCG) text in a woman with child-bearing potential, defined as not post-menopausal for 12 months or no previous surgical sterilization

Exclusion Criteria

* Central nervous system lymphoma
* Patients relapsed after autologous stem cell transplantation
* Bone marrow was involved by lymphoma
* Patients with active hepatitis B or C(HBV DNA \>/=10,000 copies/mL).
* Active infection requiring parenteral antibiotics
* HIV infection, unless the patient is receiving effective antiretroviral therapy with undetectable viral load and a normal cluster of differentiation 4 (CD4) counts
* Evidence of either cirrhosis or stage 3-4 liver fibrosis in patients with chronic hepatitis C or positive hepatitis C serology.
* Patients with a corrected QT interval(QTc) longer than 500 ms
Minimum Eligible Age

16 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sichuan University

OTHER

Sponsor Role lead

Responsible Party

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Jie Ji

Principle Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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People's Hospital of Deyang City

Deyang, Deyang, China

Site Status NOT_YET_RECRUITING

Chengdu Third People's Hospital

Chengdu, Sichuan, China

Site Status NOT_YET_RECRUITING

West China Hospital, Sichuan University

Chengdu, Sichuan, China

Site Status RECRUITING

Chengdu First People's Hospital

Chengdu, Sichuan, China

Site Status RECRUITING

PLA Western Theater Command General Hospital

Chengdu, Sichuan, China

Site Status RECRUITING

Dazhou Central Hospital

Dazhou, Sichuan, China

Site Status NOT_YET_RECRUITING

Southwest Medical University

Luzhou, Sichuan, China

Site Status RECRUITING

Central Hospital of Mianyang City

Mianyang, Sichuan, China

Site Status RECRUITING

Affiliated Hospital of North Sichuan Medical College

Nanchong, Sichuan, China

Site Status NOT_YET_RECRUITING

Zigong First People's Hospital

Zigong, Sichuan, China

Site Status RECRUITING

Guangyuan Central Hospital

Guangyuan, Sihcuan, China

Site Status RECRUITING

Countries

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China

Facility Contacts

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Jie Zhou, MD

Role: primary

86-0838-2418820

Jing Tan, MD

Role: primary

86-28-84446038

Jie Ji, MD

Role: primary

86-28-85422373

Kaiji Zhang, MD

Role: primary

+86 028-85311726

Hai Yi, MD

Role: primary

86-028-86570211

Yaqiong Li, MD

Role: primary

86-0818-2371651

Hongyun Xing, MD

Role: primary

86-0830-3161222

Fang Xu, MD

Role: primary

+86 816 222 2566

Xingli Zou, MD

Role: primary

86-0817-2239379

Jian Xiao, MD

Role: primary

+86 813 210 0694

Ying Yuan, MD

Role: primary

86-0839-3611120

Other Identifiers

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ChiCGB 2.0

Identifier Type: -

Identifier Source: org_study_id

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