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OncoMatch/Clinical Trials/NCT06468267

RIC With Thiotepa Combined With Bu/Flu/Ara-C in Allo-HSCT for Relapsed or Refractory PTCL.

Is NCT06468267 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies Thiotepa for peripheral t cell lymphoma.

Phase 2RecruitingXianmin Song, MDNCT06468267Data as of May 2026

Treatment: ThiotepaThis study is a single-center, single-arm, prospective phase II clinical trial that evaluates the efficacy and safety of an reduced-intensity conditioning (RIC) regimen with thiotepa combined with busulfan, fludarabine, and cytarabine for allogeneic hematopoietic stem cell transplantation in the treatment of relapse and refratory peripheral T-cells lymphoma. The conditioning regimen includes thiotepa at a dose of 5mg/kg/d at d -7 (1 day), fludarabine at 30mg/m2/d from d -6 to d -2 (5 days), cytarabine at 1g/m2/d from d -6 to d -2 (5 days), and busulfan at 3.2mg/kg/d from d -4 to d -3 (2 days). Conditioning begins on day -7, and donor hematopoietic stem cell infusion is performed on day 0. All patients will undergo bone marrow examination on day 14 and day 28 post-transplant, followed by bone marrow examinations every 30 days within the first year after transplantation, and every 60 days within the second year after transplantation. FDG-PET/CT imaging will be adopted every 6 months after transplantation. If disease relapse is suspected during the follow-up period, bone marrow and relapse site examinations will be conducted at any time. The primary study endpoints are the 1-year and 2-year progression-free survival (PFS) rates post-transplant. Secondary study endpoints include the incidence of acute graft-versus-host disease (GVHD) within 180 days post-transplant, cumulative relapse rates at 1 year and 2 years post-transplant, 1-year and 2-year overall survival (OS), graft-versus-host disease-free, relapse-free survival (GRFS), non-relapse mortality (NRM), cumulative incidence of chronic GVHD, and the incidence of Cytomegalovirus (CMV)and Epstein-Barr virus(EBV)reactivation within 1 year.

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Extracted eligibility criteria

Cancer type

Non-Hodgkin Lymphoma

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

Must have received: standard chemotherapy

CR was achieved by standard chemotherapy but disease progressed, and relapse after hematopoietic stem cell transplantation; ...the tumor shrank < 50% or progressive disease after 4 courses of standard chemotherapy, or not achieve CR after 6 courses of standard chemotherapy

Cannot have received: autologous hematopoietic stem cell transplantation

Exception: not suitable for or refusing autologous hematopoietic stem cell transplantation

Not suitable for or refusing autologous hematopoietic stem cell transplantation

Lab requirements

Kidney function

Serum creatinine ≤ 1.5x ULN

Liver function

Total bilirubin ≤ 2.0 x ULN; ALT and AST ≤ 2.0 x ULN,AKP ≤ 2.0 x ULN

Cardiac function

Ejection fraction ≥ 50%

Adequate liver, kidney, and cardiopulmonary function, meeting the following requirements: Serum creatinine ≤ 1.5x ULN; Cardiac function: Ejection fraction ≥ 50%; Baseline oxygen saturation > 92%; Total bilirubin ≤ 2.0 x ULN; ALT and AST ≤ 2.0 x ULN,AKP ≤ 2.0 x ULN; Pulmonary function: DLCO (corrected for hemoglobin) ≥ 40% and FEV1 ≥ 50%

Structured fields extracted by AI. May contain errors — verify against the official protocol.

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