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RecruitingNCT05466318Updated Jul 25, 2022

ChiCGB vs BEAM in High-risk or R/R Lymphomas

A Phase 3 interventional study of Chidamide and Cladribine in Lymphoma, Large B-Cell, Diffuse and Lymphoma, T-Cell, sponsored by Sichuan University. Recruiting at 11 sites in China. Open to participants aged 16 Years to 65 Years. Per ClinicalTrials.gov, last updated 2022-07-25.

Sponsored by Sichuan University · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Dec 2025, 9 months ago, but the record still lists the study as recruiting.
  • Started Jul 2022; still recruiting 4 years 3 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
306
Allocation
Randomized
Ages
16 Years to 65 Years
Sex
All
01

Study summary

High-dose chemotherapy (HDT) with autologous stem cell transplantation (ASCT) plays a vital role in treating high-risked or relapsed/refractory lymphoma. Our previous study showed chidamide combined with cladribine, gemcitabine, and busulfan (ChiCGB) as conditioning therapy improved the survival of these patients. So we designed this trial to verify if ChiCGB were better than BCNU, etoposide, cytarabine, and melphalan (BEAM). Patients with diffuse large B cell or extra-nodal NK/T cell Lymphoma who consent to this study will be randomized into the trial group who receive ChiCGB or the control group whom receive BEAM. Patients will be followed for up to 2 years after the hematopoietic cell transplantation (HCT).

02

Conditions studied

  • Lymphoma, Large B-Cell, Diffuse
  • Lymphoma, T-Cell
03

In context

Lymphoma

5,578 studies on the registry are indexed under Lymphoma; 825 are open to participants now.

This study's planned enrollment of 306 is above the median of 40 across 4,508 interventional studies indexed under Lymphoma.

Browse Lymphoma studies →

Lead sponsor

Sichuan University is the lead sponsor of 106 studies on the registry; 65 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
16 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients with primary refractory or recurrent diffuse large B cell lymphoma or extra-nodal NK/T cell lymphoma that do not qualify for treatment protocols of higher priority.
  • Relapsed patients should respond to 2nd or 3rd line salvage chemotherapy and attain at least partial response before recruitment.
  • Adequate renal function, as defined by estimated serum creatinine clearance >/=50 ml/min and/or serum creatinine \</= 1.8 mg/dL.
  • Adequate hepatic function, as defined by serum glutamate oxaloacetate transaminase (SGOT) and/or serum glutamate pyruvate transaminase (SGPT) \</= 3 x upper limit of normal; serum bilirubin and alkaline phosphatase \</= 2 x upper limit of normal.
  • Adequate pulmonary function with forced expiratory volume at one second (FEV1), forced vital capacity (FVC) and diffusing capacity of lung for carbon monoxide (DLCO) >/= 50% of expected corrected for hemoglobin.
  • Adequate cardiac function with left ventricular ejection fraction >/= 50%. No uncontrolled arrhythmias or symptomatic cardiac disease.
  • Performance status 0-1. 10. Negative Beta diffusing capacity of the lung for carbon monoxide (HCG) text in a woman with child-bearing potential, defined as not post-menopausal for 12 months or no previous surgical sterilization

Exclusion criteria

Exclusion Criteria:

  • Central nervous system lymphoma
  • Patients relapsed after autologous stem cell transplantation
  • Bone marrow was involved by lymphoma
  • Patients with active hepatitis B or C(HBV DNA >/=10,000 copies/mL).
  • Active infection requiring parenteral antibiotics
  • HIV infection, unless the patient is receiving effective antiretroviral therapy with undetectable viral load and a normal cluster of differentiation 4 (CD4) counts
  • Evidence of either cirrhosis or stage 3-4 liver fibrosis in patients with chronic hepatitis C or positive hepatitis C serology.
  • Patients with a corrected QT interval(QTc) longer than 500 ms
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
306 participants (estimated)

Study arms

  • Experimental
    ChiCGB

    Treated with chidamide, cladribine, gemcitabine and busulfan(ChiCGB) therapy followed by autologous hematopoietic stem cell transplantation.

    Drug: Chidamide · Drug: Cladribine · Drug: Gemcitabine · Drug: Busulfan · Procedure: Autologous hematopoietic stem cell transplant

  • Active comparator
    BEAM

    Treated with BCNU, etoposide, cytarabine and melphalan (BEAM) therapy followed by autologous hematopoietic stem cell transplantation.

    Drug: Carmustine · Drug: Etoposide · Drug: Cytarabine · Drug: Melphalan · Procedure: Autologous hematopoietic stem cell transplant

Interventions

  • DrugChidamide

    30 mg oral twice weekly for 2 weeks

  • DrugCladribine

    6 mg/m2 intravenously once daily @ Day -7 \~ -3

  • DrugGemcitabine

    2500 mg/m2 intravenously @ Day -7, -3

  • DrugBusulfan

    3.2 mg/kg intravenously once daily @ Day -7 \~ -4

  • DrugCarmustine

    300 mg/m2 intravenously @ Day -8

  • DrugEtoposide

    200 mg/m2 intravenously once daily @ Day -7 \~ -4

  • DrugCytarabine

    400 mg/m2 intravenously once daily @ Day -7 \~ -4

  • DrugMelphalan

    140 mg/m2 intravenously @ Day -3

  • ProcedureAutologous hematopoietic stem cell transplant

    autologous hematopoietic stem cells infusion after ChiCGB or BEAM chemotherapy

06

What researchers measure

Primary outcomes

  1. Progression free survival (PFS)

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

    Time frame: 2 years

Secondary outcomes

  1. Overall survival (OS)

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

    Time frame: 2 years

  2. 100 day adverse events (AE)

    non-hematologic adverse events @ Day +100

    Time frame: 100 days from transplant

  3. 100 day complete response (CR) rate

    Complete response @ Day +100

    Time frame: 100 days from transplant

07

Study locations

7 of 11 sites recruiting
  • People's Hospital of Deyang City
    Deyang, Deyang 618000, China
    Not yet recruiting
  • Chengdu Third People's Hospital
    Chendu, Sichuan 610015, China
    Not yet recruiting
  • West China Hospital, Sichuan University
    Chendu, Sichuan 610041, China
    Recruiting
  • Chengdu First People's Hospital
    Chengdu, Sichuan 610071, China
    Recruiting
  • PLA Western Theater Command General Hospital
    Chengdu, Sichuan 610083, China
    Recruiting
  • Dazhou Central Hospital
    Dazhou, Sichuan 635000, China
    • Yaqiong Li, MD · Contact · yqli@163.com · 86-0818-2371651
    Not yet recruiting
  • Southwest Medical University
    Luzhou, Sichuan 646000, China
    Recruiting
  • Central Hospital of Mianyang City
    Mianyang, Sichuan 621000, China
    Recruiting
  • Affiliated Hospital of North Sichuan Medical College
    Nanchong, Sichuan 637000, China
    Not yet recruiting
  • Zigong First People's Hospital
    Zigong, Sichuan 643011, China
    Recruiting
  • Guangyuan Central Hospital
    Guangyuan, Sihcuan 628099, China
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Release after the publication of results of this trial

Supporting information: Study protocol

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 25, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05466318
Lead sponsor
Sichuan University
Responsible party
Jie Ji (Principle Investigator, Sichuan University) — Principal investigator
First posted
Jul 20, 2022
Start date
Jul 1, 2022
Primary completion
Dec 30, 2025 (estimated)
Completion
Dec 30, 2025 (estimated)
Last update
Jul 25, 2022

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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