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This is a single-center, open, randomized parallel group design study to investigate the pharmacokinetic characteristics of Mitoxantrone Hydrochloride liposome injection in the treatment of relapsed/refractory lymphoma after the first administration, and the safety and efficacy.
The study was divided into three dosage groups: 12 mg/m2, 16 mg/m2 and 20 mg/m2,and three dosage groups were randomly divided into parallel groups.Every 28 days is a administration cycle, a total of 4 cycles.Until the subject's PD or intolerable or withdrawal (whichever occurs first).
In the study before administration of the first cycle to cycle second will set up 16 blood points,to calculate the pharmacokinetic parameters of total mitoxantrone and free mitoxantrone after the first administration.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Mitoxantrone Hydrochloride Liposome Injection(12 mg/m2) | Experimental | itoxantrone Hydrochloride Liposome Injection(12 mg/m2) |
|
| Mitoxantrone Hydrochloride Liposome Injection(16 mg/m2) | Experimental | itoxantrone Hydrochloride Liposome Injection(16 mg/m2) |
|
| Mitoxantrone Hydrochloride Liposome Injection(20mg/m2) | Experimental | itoxantrone Hydrochloride Liposome Injection(20 mg/m2) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mitoxantrone Hydrochloride Liposome Injection | Drug | Every 28 days is a administration cycle, a total of 4 cycles.Until the subject's PD or intolerable or withdrawal (whichever occurs first). 5% Glucose Injection drugs dissolved in 250 ml, intravenous drip for 60 minutes. |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetic indexes, Cmax Maximum concentration (Cmax) | aximum concentration (Cmax) of Mitoxantrone Hydrochloride Liposome | Up to 28 days |
| Pharmacokinetic indexes, Tmax | Time to Cmax (Tmax) of Mitoxantrone Hydrochloride Liposome | Up to 28 days |
| Pharmacokinetic indexes, Maximum concentration (Cmax,u) | Maximum concentration (Cmax,u) of Mitoxantrone Hydrochloride Liposome | Up to 28 days |
| Measure | Description | Time Frame |
|---|---|---|
| progression-free survival(PFS) | progression-free survival(PFS) of Mitoxantrone Hydrochloride Liposome | From date of randomization until the date of first documented progression or date of death from any cause, whichever came first(assessed up to 100 months) |
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with Adverse Events (AEs) | Adverse Events will be coded using Medical Dictionary for Regulatory Activities (MedDRA). An AE is any untoward medical occurrence in a patient or clinical study participant temporally associated with the use of study investigational product (IP), whether or not considered related to the study IP. "Adverse event" means any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related |
Inclusion criteria
Subjects must satisfy all the following conditions before enrollment:
Fully understand the clinical trail and sign the Informed Consent Form (ICF).
Ages range from 18 to 70 years (including 18 and 70 years), men and women are not limited.
Histopathologically and/or cytologically diagnosed relapsed/refractory lymphoma patients must undergo at least a first-line standard treatment for relapse or no remission and no better choice for advanced patients.
ECOG≤2.
The estimated survival time was at least 3 months.
The screening period of laboratory examination meet the following conditions, and 7 days before hematological evaluation during screening,subjects did not receive growth factor (long-acting granulocyte colony-stimulating factor needs 2 weeks interval), platelet or granulocyte transfusion:
The toxicity of previous antineoplastic treatments was restored to ≤ 1 (except hair loss and pigmentation).
Female subjects were HCG negative in urine or blood (excluding menopause and hysterectomy),men and women of childbearing age of the subjects take effective contraception during the experiment and 30 days of the end of last treatment.
Ability to visit on time and follow the procedures, limitations and requirements of the scheme.
Exclusion criteria
Subjects consistent with any one of the following conditions:
Subjects are consistent with one of the following conditions in the previous anti-tumor treatment history:
Those with other malignant tumors previously or currently (except the non-melanoma skin basal cell carcinoma under effective control, breast/cervical carcinoma in situ, and other malignant tumors not treated but under effective control in the past five years).
Subjects with known or existing primary or metastatic central nervous system lymphoma or active brain metastasis
Cardiac dysfunction
Subjects with known history of immediate or delayed hypersensitivity to the similar drug and excipient of the study drug.
Hepatitis B and hepatitis C active infection (HBsAg positive and HBsDNA more than 1000 copies / mL; HCV RNA more than 1000 copies / mL).
Human immunodeficiency virus (HIV) infection.
Uncontrollable systemic diseases (such as uncontrollable hypertension, diabetes, etc.).
Pregnant or lactating women.
Investigator believe that subjects have any conditions that are not suitable for participating in the experiment.
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| Name | Affiliation | Role |
|---|---|---|
| Yunhong Huang, Master | Cancer Hospital of Guizhou Province | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Guizhou Cancer Hospita | Guiyang | Guizhou | 550000 | China |
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| From the initiation of the first dose to 28 days after the last dose |
| ID | Term |
|---|---|
| D008223 | Lymphoma |
| ID | Term |
|---|---|
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
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