RecruitingPhase 2NCT05088226

Ruxolitinib and Chidamide Intensified Bu/CY Conditioning Regimen

Ruxolitinib and Chidamide Intensified Bu/CY Conditioning Regimen for Patients With Acute B Cell Lymphoblast Leukemia Underwenting Haploidenticl Peripheral Blood Stem Cell Transplantation


Sponsor

Chinese PLA General Hospital

Enrollment

50 participants

Start Date

Dec 1, 2021

Study Type

INTERVENTIONAL

Conditions

Summary

The purpose of this study is to determine the efficacy and safety of Ruxolitinib and Chidamide intensified conditioning regimen in patients with Acute B cell Lymphoblast leukemia Underwenting Haploidenticl Peripheral blood Stem Cell Transplantation.


Eligibility

Min Age: 12 YearsMax Age: 65 Years

Inclusion Criteria8

  • high risk acute B cell lymphoblastic leukemia with the indications for allogeneic transplantation;
  • Have matched sibling donors, ≥8/10 HLA matched unrelated donors or haploidentical donors
  • All patients should aged 12 to 65 years;
  • Liver function: ALT and AST≤2.5 times the upper limit of normal , bilirubin≤2 times the upper limit of normal;
  • Renal function: creatinine ≤the upper limit of normal;
  • Patients without any uncontrolled infections , without organ dysfunction or without severe mental illness;
  • Eastern Cooperative Oncology Group (ECOG) performance status ≤2;
  • Have signed informed consent.

Exclusion Criteria3

  • pregnant women;
  • Patients with mental illness or other states unable to comply with the protocol;
  • ALL patients with Ph positive;

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Interventions

DRUGRuxolitinib combined with Chidamide.

Drug: modified By/Cy conditioning regimen intensified by Ruxolitinib and Chidamide . Day -15 # Ruxolitinib 70mg bid, Chidamide 30 mg once; Day -14 # Ruxolitinib 70mg bid; Day -13 # Ruxolitinib 70mg bid; Day -12 # Ruxolitinib 70mg bid, Chidamide 30 mg once; Day -11 # Ruxolitinib 70mg bid; Day-10# Cytarabine 4g/m2/day CI , Ruxolitinib 60mg bid; Day- 9# Cytarabine 4g/m2/day CI, Ruxolitinib 60mg bid; Day- 8 # Busulfan 0.8mg/ kg Q6h iv, Ruxolitinib 50mg bid, Chidamide 30 mg once; Day- 7# Busulfan 0.8mg/ kg Q6h iv, Ruxolitinib 50mg bid; Day-6# Busulfan 0.8mg/kg Q6h iv, Ruxolitinib 40mg bid; Day-5# Cyclophosphamide 1.8 g/m2/day CI, Ruxolitinib 30mg bid, Chidamide 30 mg once; Day-4# Cyclophosphamide 1.8 g/m2/day CI,Ruxolitinib 20mg bid; Day-3# Carmustine 250mg/m2/ day iv, Ruxolitinib 10mg bid; Day-2# Ruxolitinib 5mg bid, Chidamide 30 mg/day; Day-1# Ruxolitinib 5mg qd;


Locations(1)

Chinese PLA General Hospital

Beijing, Beijing Municipality, China

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NCT05088226


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