Skip to main content
OpenTrials
Recruiting

NCT Number: NCT05682755

Chidamide Prevents Recurrence of High-risk AML After Allo-HSCT

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.

Recruiting

Interested in participating?

Request Info

Key information

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

West China Hospital of Sichuan University

Chengdu, Sichuan, 610044, China

Location status: Recruiting

Location contact

Jie Ji, MD

CONTACT

[email protected]

86-28-85422370

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 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);
  • Reach the standard of hematopoietic reconstitution (neutrophil count ≥ 0.5×10^9/L for 3 consecutive days without G-CSF application, platelet count ≥ 20×10^9/L for 7 consecutive days without platelet transfusion, Hb ≥ 80 g /L without red blood cell transfusion); and neutrophil count ≥ 1.5×10^9/L, platelet count ≥ 50×10^9/L within 45 days after transplantation;
  • No central nervous system involvement or clinical symptoms after transplantation;
  • Those who have no serious functional damage to important organs of the body;
  • Fully understand and be informed of this study and sign the ICF; willing to follow and have the ability to complete all test procedures;
  • Females of childbearing age must afford a serum pregnancy test within 7 days before the first dose, and the result should be negative; female participants and their partners should agree to use effective contraception from signing the ICF until 6 months after the last dose.

Exclusion criteria

  • 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;
  • Combined with other malignant tumors and require treatment;
  • Active GVHD;
  • Have a history of allergy to Chidamide;
  • Pregnant or lactating females;
  • Patients with known history of human immunodeficiency virus (HIV) virus infection and/or acquired immunodeficiency syndrome;
  • Patients with active chronic hepatitis B or active hepatitis C;
  • History of prolonged QT syndrome;
  • Patients considered by other researchers to be unsuitable for this study.

Treatment and study plan

Chidamide

Drug

initial 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

Primary outcomes

  1. Progression free survival (PFS)

    Time frame: 2 years

    Progression free survival of this group of patients at the end of 2 year

Secondary outcomes

  1. 100 day adverse events (AE)

    Time frame: Day +100

    non-hematologic adverse events

  2. Non-relapse mortality (NRM)

    Time frame: 6 months

    Non-relapse mortality of this group of patients at the end of 6 month

  3. Overall survival (OS)

    Time frame: 2 years

    Overall survival of this group of patients at the end of 2 year

  4. Relapse rate

    Time frame: 2 years

    Relapse rate of this group of patients at the end of 2 year

  5. Cumulative incidence of acute graft versus host disease (aGVHD)

    Time frame: Day +100

    Cumulative incidence of acute graft versus host disease (aGVHD) of this group of patients at day+100

  6. Cumulative incidence of chronic graft versus host disease (cGVHD)

    Time frame: 2 years

    Cumulative incidence of chronic graft versus host disease (cGVHD) of this group of patients at the end of 2 year

Sponsors and collaborators

Lead sponsor

Sichuan University

Other

Registry information

Official study title

Chidamide Prevents the Recurrence of High-risk Acute Myeloid Leukemia After Allogeneic Hematopoietic Stem-cell Transplantation: A Prospective, Single-centered, Single-arm, Phase I/II Clinical Study

Important dates

Study start
2022
Primary completion
2023
Study completion
2026
First posted
Jan 12, 2023
Registry last updated
Jan 12, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.