About this trial
To determine the efficacy and safety of Chidamide combined with Duvalisib in the treatment of refractory/relapsed peripheral T-cell lymphoma.
Eligibility criteria
Qualifiers
Peripheral T-cell lymphoma (PTCL) or NK/T-cell lymphoma confirmed by histopathology/cytology according to the classification standard of the World Health Organization in 2008
Relapsed and refractory patients who have received at least first-line systemic treatment with anthracycline-containing drugs in the past. Recurrence is defined as relapse after CR or progression after PR, SD. The refractory disease was defined as previous systemic chemotherapy, PD in response evaluation for 2 cycles or SD in response evaluation for 4 cycles.
There must be at least one evaluable or measurable lesion meeting Lugano2014 standard: lymph node lesion and the measurable lymph node length should be > 1.5cm;
Patients aged at 18-75 years old;
Disqualifiers
Patients with central nervous system (CNS) or meningeal invasion
Any of the following laboratory abnormalities: absolute neutrophil count (ANC) < 1.5× 10*9/L, Hb< 80 g/L, PLT < 75×10 9 /L, organ dysfunction, are defined as follows: total bilirubin (TBiL) > 1.5 upper limit of normal value (ULN), or AST or ALT >2.5ULN, except the following situations. if patients with liver infiltrated by lymphoma cells, AST and ALT < 5ULN could be enrolled.
International normalized ratio (INR)>1.5ULN or partially activated prothrombin time (APTT) > 1.5 ULN
The active infection of human immunodeficiency virus (HIV), hepatitis B virus (HBV), or hepatitis C virus (HCV) should be excluded except for the following patients: patients with HBV infection (HBsAg or HBcAg positive) but HBV DNA negative. These patients need continuous antiviral treatment and HBV DNA PCR detection every cycle. additionally, patients with HCV serology positive but HCV RNA negative can be enrolled.
Trial design
Treatments tested in this trial
- Chidamide combined with Duvillisib
Treatment groups
Sponsors and collaborators
The First Affiliated Hospital of Xiamen University
Lead sponsor
Fujian Cancer Hospital
Collaborator
Zhangzhou Affiliated Hospital of Fujian Medical University
Collaborator
Dongguan People's Hospital
Collaborator
Huizhou Municipal Central Hospital
Collaborator
The First Affiliated Hospital with Nanjing Medical University
Collaborator
Sun Yat-sen University
Collaborator
Shanxi Province Cancer Hospital
Collaborator