Chidamide combines with VP-16 and methylprednisolone in HLH
This study aimed to investigate the efficacy and safety of Chidamide together with Etoposide and methylprednisolone for hemophagocytic lymphohistiocytosis
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
20
Chidamide 30mg TIW po,etoposide 100 mg/m2 was administered day1; methylprednisolone 2mg/kg days 1 to 3,then 0.75mg/kg day 4 to 6,0.25mg/kg day 7 to 9,and 0.1mg/kg day 10 to 21
Beijing Friendship Hospital
Beijing, Beijing Municipality, China
RECRUITINGEvaluation of treatment response
A complete response was defined as normalization of all of the quantifiable symptoms and laboratory markers of HLH, including levels of sCD25, ferritin, and triglyceride; hemoglobin; neutrophil counts; platelet counts; and alanine aminotransferase (ALT). A partial response was defined as at least a 25% improvement in 2 or more quantifiable symptoms and laboratory markers as follows: sCD25 response was\>1.5-fold decreased; ferritin and triglyceride decreased at least 25%; for patients with an initial neutrophil count of\<0.5 ×109/L, a response was defined as an increase by at least 100% to\>0.5× 109/L; for patients with a neutrophil count of 0.5 to 2.0 × 109/L, an increase by at least 100% to \>2.0 × 109/L was considered a response; and for patients with ALT \>400 U/L, response was defined as an ALT decrease of at least 50%.Overall response rate (ORR) is defined as the ratio of patients with CR and PR to overall patients
Time frame: 4 weeks after Chidamide combines with VP-16 and methylprednisolone was used
EBV-DNA copies
EBV-DNA copies in peripheral blood for patients with EBV positive when they enrolled
Time frame: 4 weeks after Chidamide combines with VP-16 and methylprednisolone was used
relapsed rate of HLH
Time frame: 4 weeks after Chidamide combines with VP-16 and methylprednisolone was used
the response rate of lymphoma
lymphoma associated HLH
Time frame: 4 weeks after Chidamide combines with VP-16 and methylprednisolone was used
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