About this trial
The goal of this phase I/II clinical trial is to test in high-risk acute myeloid leukemia (AML) patients undergoing allogeneic hemopoietic stem-cell transplantation (allo-HSCT). The main question it aims to answer is:
• The efficacy and safety of chidamide maintenance therapy in reducing the recurrence rate and GVHD incidence in high-risk AML patients after allo-HSCT.
Participants will take oral chidamide (Epidaza) until 180 days after allo-HSCT.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥ 18 years old and ≤ 65 years old when signing the Informed Consent Form (ICF);
KPS score > 60 or ECOG score 0-2;
The expected survival period > 3 months;
Received allo-HSCT and achieved complete remission (CR);
Disqualifiers
Serious basic diseases of important organs: such as myocardial infarction, chronic cardiac insufficiency, decompensated hepatic insufficiency, renal function, gastrointestinal insufficiency, etc.;
Uncontrolled active infection (including bacterial, fungal, or viral infection), and drug treatment is ineffective;
Participating in other clinical studies, or planning to start treatment in this study and less than 4 weeks before the end of treatment in the previous clinical study;
Poor graft function (PGF) occurred after allo-HSCT;
Trial design
Single group
Treatments tested in this trial
Chidamide
Druginitial time:platelet count ≥50×10\^9/L after allo-HSCT initial dose: 5 mg oral twice weekly initial adjustment: according to the platelet count tested weekly platelet count ≥50×10\^9/L-increased by 5 mg 20×10\^9/L≤ platelet count \<50×10\^9/L-remains unchanged platelet count \<50×10\^9/L- reduced by 5 mg maximum dose: 20 mg oral twice weekly terminal time: 180 days after allo-HSCT
Treatment groups
Trial outcomes
Primary outcomes
Progression free survival (PFS)
Progression free survival of this group of patients at the end of 2 year
Secondary outcomes
100 day adverse events (AE)
non-hematologic adverse events
Non-relapse mortality (NRM)
Non-relapse mortality of this group of patients at the end of 6 month
Overall survival (OS)
Overall survival of this group of patients at the end of 2 year
Relapse rate
Relapse rate of this group of patients at the end of 2 year
Sponsors and contacts
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