A Phase II Study of Dexamethasone, Azacitidine, Pegaspargase and Tislelizumab Plus Radiotherapy for Patients With Stage I/II Extranodal NK/T-cell Lymphoma

Peking University Cancer Hospital & Institute

Status and phase: Enrolling; Phase 2

Conditions: NK/T Cell Lymphoma

Treatments: Drug: DAPT regimen plus radiotherapy

Study type: Interventional

Funder types: Other

Identifiers

NCT07000617

2024-1-2151

Details and patient eligibility

About

The goal of this clinical trial is to learn if the regimen of dexamethasone, azacitidine, pegaspargase and tislelizumab (DAPT regimen) combined with radiotherapy works to treat stage I or II NK/T cell lymphoma in adults. It will also learn about the safety of the DAPT regimen. The main questions it aims to answer are:

What are the efficacy of the DAPT regimen plus radiotherapy in participants with extranodal NK/T-cell lymphoma? What medical problems do participants have when taking the DAPT regimen?

Participants will:

Receive the DAPT regimen every 21 days for 6 cycles and radiotherapy Visit the clinic according to clinical trial requirement for checkups and tests Receive blood tests and radiological imaging tests according to the clinical trial requirement

Enrollment: 57 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Pathologically confirmed diagnosis of extranodal NK/T-cell lymphoma
2. Age ≥18 years
3. Ann Arbor stage I or II
4. Presence of at least 1 measurable lesion according to the 2014 Lugano revised criteria for response assessment
5. ECOG-PS 0~2
6. Peripheral blood absolute neutrophil count ≥1.5×10E9/L, platelet count ≥75×10E9/L and hemoglobin ≥90g/L
7. Expected survival of at least 3 months
8. Capable of understanding the content of this study, agreeing to participate in this study and signing the informed consent.

Exclusion criteria

1. Unconfirmed pathological diagnosis of NK/T-cell lymphoma
2. Pregnant or lactating women, or patients of childbearing age unwilling to take contraceptive measures during the study period.
3. Patients with clinically significant prolonged QTc interval (>470ms in males, >480ms in females), ventricular tachycardia, atrial fibrillation, second or third degree atrioventricular block, acute myocardial infarction, congestive heart failure, severe or symptomatic coronary artery disease requiring medical treatment.
4. Patients with large amount of pericardial effusions shown by echocardiogram.
5. Patients who received supportive care for anemia, neutropenia or thrombocytopenia within 7 days prior to start of study treatment.
6. Patients with severe active bleeding.
7. Patients with pulmonary embolism, intracranial hemorrhage or acute cerebral infarction.
8. Patients with active infectious disease.
9. Patients who are mentally disabled or unable to understand or sign the informed consent form.
10. Patients with other conditions judged as ineligible for this study by the investigators.

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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57 participants in 1 patient group

DAPT regimen plus radiotherapy

Experimental group

Description:

Patients receive 6 cycles of DAPT regimen plus concurrent radiotherapy. The DAPT regimen consists of dexamethasone, azacitidine, pegaspargase and tislelizumab.

Treatment:

Drug: DAPT regimen plus radiotherapy