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Drugs was too expensive eligible for inclusion
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| Name | Class |
|---|---|
| Nanfang Hospital, Southern Medical University | OTHER |
| Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University | OTHER |
| Third Affiliated Hospital, Sun Yat-Sen University | OTHER |
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Allogeneic hematopoietic stem cell transplantation (allo-HSCT) improves the long-term outcomes for Philadelphia chromosome-positive acute lymphoblastic leukemia (Ph+ ALL) and BC-CML. Relapse remains a major cause of treatment failure even after allo-HSCT. The prevention of relapse is essential for improving the outcome of Ph+ ALL. Pre-emptive tyrosine kinase inhibitor (TKIs) administration based on minimal residual disease (MRD) and BCR-ABL mutation after allo-HSCT might reduce the incidence of relapses and improve survival for patients with Ph+ luekemia. In this study, we will evaluate the safety and efficacy of newly third TKI-HQP1351 therapy post-transplants on Ph+ leukemia after allo-HSCT with MRD positive pre-transplants.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| HQP1351 prophylactic therapy | Experimental | HQP1351 prophylactic therapy after allo-hct on days 30 to 60 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| HQP1351( Olverembatinib dimesylate) | Drug | HQP1351 was initiated at a dose of 40mg every two days |
|
| Measure | Description | Time Frame |
|---|---|---|
| Disease Free Survival(DFS) | The time from the date of transplantation to leukemia relapse | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Overall survival(OS) | the time from the date of transplantation to relapse or death or the last day of follow-up the time from the date of transplantation to relapse or death or the last day of follow-up the time from the date of transplantation to relapse or death or the last day of follow-up the time from the date of transplantation to relapse or death or the last day of follow-up the time from the date of transplantation to relapse or death or the last day of follow-up the time from the date of transplantation to relapse or death or the last day of follow-up The time from the date of transplantation to death or the last day of follow-up |
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Inclusion Criteria:
Patient age of 18-65 years
Ph+ luekemia(includ Ph+ALL and CML) undergoing allo-HSCT with MRD positive pre-transplants
Survival > 30 days post-transplants
Laboratory parameters as defined below:
Serum creatinine less than or equal to 2.0 x ULN AST and ALT less than or equal to 3 x ULN (less than or equal to 5 x ULN if unequivocal liver GvHD),Total bilirubin less than or equal to 3 x ULN
Ability to understand and willingness to sign a written informed consent form
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Hematology, Nanfang Hospital, Southern Medical University, | Guanzhou | China |
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| ID | Term |
|---|---|
| C579813 | olverembatinib |
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| Guangdong Second Provincial General Hospital |
| OTHER |
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| 2 years |
| Relapse rate | the cumulative relapse rate of leukemia | 2 years |
| Adverse effects of TKI therapy | Number of participants with treatment-related adverse events | 2 years |