Combining Azacitidine with R-CHOP for treating TP53-mutated DLBCL
Official title: A Single-arm Clinical Study of Azacitidine in Combination With R-CHOP (ARCHOP) for the Treatment of TP53-mutated Previously Untreated Diffuse Large B-cell Lymphoma
Run by The First Affiliated Hospital of Xiamen University · NCT06158399 · Data updated 2026-11-12
This study is testing if adding Azacitidine to the standard R-CHOP treatment can help people with untreated Diffuse Large B-cell Lymphoma who have TP53 mutations feel better and live longer.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 70 Years |
| Sex | All |
| Enrollment | 52 (estimated) |
| Sponsor | The First Affiliated Hospital of Xiamen University Academic / other |
| Locations | 1 site (Xiamen, Fujian) |
| Status | Recruiting |
| Started | November 22, 2023 |
| Main results expected | May 31, 2026 |
| Study ends | May 31, 2026 |
| Registry record updated | February 19, 2025 |
| Trial ID | NCT06158399 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 18-70 with newly diagnosed TP53-mutated DLBCL and an ECOG performance status of 0-2.
✕Probably not a fit
Patients with primary or secondary central DLBCL, active HIV or HCV infections, or significant cardiovascular disease may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This Phase 2 open-label clinical trial evaluates the effectiveness and safety of Azacitidine in combination with R-CHOP for patients with previously untreated Diffuse Large B-cell Lymphoma (DLBCL) that have TP53 mutations. The study aims to measure outcomes such as complete response rates, overall survival, and progression-free survival while monitoring adverse effects. Eligible participants will be closely monitored throughout the treatment process to assess the combined therapy's impact on their condition.
Why it matters
Potential benefit: If successful, this treatment could improve outcomes for patients with a challenging mutation in DLBCL.
How similar studies have gone: While there is ongoing research in this area, the combination of Azacitidine with R-CHOP specifically for TP53-mutated DLBCL is a novel approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: (1)18-70 years old; 2) New-onset TP53 mutant DLBCL; 3) ECOG 0-2; 4) LVEF \>45%; 5) HBV-positive serology (occult carriers: anti-HBeAg +, HbsAg-, anti-HBsAg +/-) only if HBV-DNA test is negative before enrollment; (6) Liver function: serum bilirubin ≤ 2.0 × ULN, serum ALT and AST ≤ 2.5 × ULN. Renal function: serum Cr ≤ 2.0 × ULN; (unless due to lymphoma); 7) Life expectancy ≥ 6 months; 8) Informed consent. Exclusion Criteria: 1. Primary and secondary central DLBCL; 2. HIV-positive patients and or HCV active infection; (3) Clinically significant secondary cardiovascular disease; 4\) Combined hypoxemia severe chronic obstructive pulmonary disease; 5) Active bacterial, fungal, and, or viral infections not controlled by systemic therapy; 6) Apart from cured basal cell carcinoma of the skin or cervical cancer in situ or early prostate cancer not requiring systemic therapy or early breast cancer requiring only surgery alone. Within the last 3 years or concurrently with other malignant tumors; 7) Known hypersensitivity or allergic reaction to antibodies or proteins of the murine family
Where it's running
-
Bing Xu
Xiamen, Fujian, China Recruiting
Study contacts
- Principal investigator: Bing Xu — The First Aiffiliated hosptical of xiamen University
- Study coordinator: Bing Xu
- Email: xubingzhangjian@126.com
- Phone: +8618750918842
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.