Linperlisib Combined With Chidamide in Patients With PTCL

Last updated: December 4, 2025
Sponsor: Yanyan Liu
Overall Status: Active - Recruiting

Phase

1/2

Condition

Non-hodgkin's Lymphoma

Lymphoma

T-cell Lymphoma

Treatment

Linperlisib and chidamide

cyclophosphamide, doxorubicin/epirubicin, vincristine, and prednisone

Clinical Study ID

NCT06421948
HNSZLYYML08
  • Ages 18-80
  • All Genders

Study Summary

The phase Ib part of this study aims to determine the recommended phase II dose (RP2D)of linperlisib in combination with chidamide for the treatment of peripheral T-cell lymphoma (PTCL).

The phase IIa part is designed to evaluate the preliminary efficacy and safety of the linperlisib plus chidamide regimen in newly diagnosed PTCL patients.

The phase IIb part compares the efficacy and safety of linperlisib combined with chidamide versus the standard CHOP (CHOP-like) regimen in newly diagnosed PTCL patients.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Age 18-75 years at the time of inclusion (Age 18-80 years for phase Ib and IIastudy)

  • Patients with a newly diagnosed and histologically confirmed PTCL (phase Ib studyincludes both newly diagnosed and relapsed/refractory PTCL). Anaplastic large celllymphoma, NK/T-cell lymphoma, and primary cutaneous T-cell lymphoma are notincluded.

  • ECOG PS 0-2 at protocol entry

  • Estimated life expectancy of 6 months or longer

  • Measurable disease

  • Hemoglobin ≥ 8 g/dL (≥5 mmol/l); Platelets ≥ 75 x 10E9/L; Absolute neutrophil count ≥ 1.0 x 10E9/L; Platelets ≥ 50 x 10E9/L permitted if documented bone marrowinvolvement; Serum bilirubin ≤ 1.5 x upper limit of normal (ULN); Serumglutamic-oxaloacetic transaminase (AST) and/or serum glutamic-pyruvic transaminase (ALT) ≤ 2.5 x ULN, or ≤ 5 x ULN if elevation is due to hepatic involvement bylymphoma; Serum creatinine ≤ 1.5 x ULNb; left ventricular ejection fraction (LVEF) ≥ 50%

  • Women of childbearing potential must use safe anticonception (e.g. contraceptivepills, intrauterine devices etc.) during the study and 12 months after the lastadministration of study drugs; Male patients must use contraception for the durationof the study and 6 months after the last administration of study drugs if hispartner is of childbearing potential

  • Written informed consent

Exclusion

Exclusion Criteria:

  • Patients previously treated with PI3K inhibitor

  • Patients previously treated with chidamide (phase Ib study is not limited by thisitem)

  • Suspected or documented central nervous system involvement by lymphoma

  • Patients with positive HIV and/or active hepatitis B and/or hepatitis C infection

  • Patients with active, uncontrolled infections

  • Unwillingness or inability to comply with the protocol

  • Deemed 'unfit' by the treating physician

  • Pregnant and/or breastfeeding women

  • Concurrent severe and/or uncontrolled medical disease which is not lymphoma-related

  • Patients with contraindications to chemotherapy

  • Known hypersensitivity to one or more of the study drugs

Study Design

Total Participants: 134
Treatment Group(s): 2
Primary Treatment: Linperlisib and chidamide
Phase: 1/2
Study Start date:
May 25, 2024
Estimated Completion Date:
December 31, 2027

Study Description

In the phase Ib trial, participants with newly diagnosed or relapsed/refractory PTCL will receive fixed dose of chidamide (20 mg, twice a week) and escalating dose of linperlisib (40 mg, 60 mg, or 80 mg, once a day), to find out the RP2D.

The phase IIa study is an exploratory efficacy study enrolling newly diagnosed PTCL patients who receive linperlisib in combination with chidamide to evaluate the efficacy and safety of the regimen.

In the phase IIb study, participants with newly diagnosed PTCL will be randomized into experimental arm (arm A) to receive linperlisib in combination with chidamide, or control arm (arm B) to receive standard CHOP (or CHOP-like) regimen chemotherapy.

Interim efficacy assessment will be performed after three cycles of treatment. Responded participants will receive another three cycles of treatment. After a total of 6 cycles of treatment, participants can choose autologous hematopoietic stem cell transplantation, maintenance treatment with linperlisib and/or chidamide, or watch and wait.

Connect with a study center

  • Affiliated Cancer Hospital of Zhengzhou University

    Zhengzhou, Henan 450008
    China

    Site Not Available

  • Affiliated Cancer Hospital of Zhengzhou University

    Zhengzhou 1784658, Henan 1808520 450008
    China

    Active - Recruiting

  • Liling Zhang

    Wuhan 1791247, Hubei 1806949 430022
    China

    Active - Recruiting

  • Yajun Li

    Changsha 1815577, Hunan 1806691 410003
    China

    Active - Recruiting

  • Ming Jiang

    Chengdu 1815286, Sichuan 1794299 610041
    China

    Active - Recruiting

  • Huilai Zhang

    Tianjin 1792947, Tianjin Municipality 1792943 300060
    China

    Active - Recruiting

  • Cong Li

    Hangzhou 1808926, Zhejiang 1784764 310000
    China

    Active - Recruiting

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