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Updated May 2026 · ClinicalTrials.gov

RECRUITINGPhase 2INTERVENTIONAL

CR-CHOP+X in Previously Untreated DEL

A Prospective, Open-label Phase II Study of Chidamide Plus R-CHOP + X in Previously Untreated Diffuse Large B-cell Lymphoma with Double Expression of MYC and BCL2.

CR-CHOP+X in Previously Untreated DEL (NCT06701357) is a Phase 2 interventional studying DLBCL, sponsored by Ruijin Hospital. RECRUITING as of the most recent ClinicalTrials.gov update. Talk to your doctor before contacting the trial site.

Important: This information is not medical advice. Talk to your doctor about whether a clinical trial is right for you.

About This Trial

This is a prospective, single-arm, open-label phase II clinical trial that evaluates the efficacy and safety of CR-CHOP regimen combined with different targeted drugs based on different molecular subtypes in newly diagnosed DEL patients.

What Stage of Research Is This?

Phase 2 trials evaluate whether a treatment actually works against DLBCL and continue monitoring side effects. Phase 2 enrolls larger groups (typically 100–300 patients) and produces the first real efficacy signal. A successful Phase 2 readout is what unlocks the much larger Phase 3 confirmatory trials needed for FDA approval.

This trial is currently recruiting participants. The sponsor has registered the study with ClinicalTrials.gov as actively enrolling, which means new applicants who meet the eligibility criteria can be considered for screening. Trial status can change between updates — confirm current recruiting status with the study contact before traveling for a screening visit.

With a target enrollment of 49 participants, this is a small study — typical of early-phase research, rare-disease trials, or pilot studies designed to generate preliminary signal before a larger study is launched.

Who May Be Eligible (Plain English)

Who May Qualify: - 1\. diagnosed by tissue sample (biopsy-confirmed) diffuse large B-cell lymphoma with CD20 positive; - 2\. MYC and BCL2 are expressed simultaneously, WHO immunohistochemical standards: MYC≥40%, BCL2 ≥50%; - 3\. Age ≥ 18 years old, ≦75 years old; - 4\. ECOG physical status score of 0, 1 or 2; - 5\. No previous history of malignant tumors; No other tumors occurred simultaneously; - 6\. Patients judged by the investigator to have a expected to live at least 6 months; - 7\. The patient or his legal representative must provide written willing to sign a consent form prior to any research special examination or procedure; - 8\. International prognostic Index (IPI) \>1 score. Who Should NOT Join This Trial: - 1\. Have previously received systemic or local treatment including chemotherapy; - 2\. Previously received autologous stem cell transplantation; - 3\. Previous history of other malignant tumors, except skin basal cell carcinoma and cervical carcinoma in situ; - 4\. Accompanied by uncontrolled cardiovascular and cerebrovascular diseases, coagulation disorders, connective tissue diseases, serious infectious diseases and other diseases; - 5\. Primary central nervous system lymphoma; - 6\. Left ventricular ejection fraction ≤ 50%; - 7\. Laboratory test values at the time of screening (unless due to lymphoma): A. Neutrophils \<1.5\*109/L; B. Platelet \<75\*109/L; C. ALT or AST were 2 times higher than the upper limit of normal, AKP and bilirubin were 1.5 times higher than the upper limit of normal; D. Creatinine levels higher than 1.5 times the upper limit of normal; - 8\. Other concurrent and uncontrolled medical conditions that the investigator believes will affect patient participation in the study; - 9\. Patients with mental illness or other patients known or suspected to be unable to fully comply with the study protocol; - 10\. Pregnant or lactating women; - 11\. People living with HIV; ...See full criteria on ClinicalTrials.gov Always talk to your doctor about whether this trial is right for you.

These are translations of the protocol\'s inclusion and exclusion criteria, simplified for patients and caregivers. The original clinical text appears below. Eligibility is ultimately confirmed by the trial site\'s screening process — this summary is a starting point for a conversation with your doctor, not a final determination.

Original Eligibility Criteria

View original clinical language
Inclusion Criteria: * 1\. Histologically confirmed diffuse large B-cell lymphoma with CD20 positive; * 2\. MYC and BCL2 are expressed simultaneously, WHO immunohistochemical standards: MYC≥40%, BCL2 ≥50%; * 3\. Age ≥ 18 years old, ≦75 years old; * 4\. ECOG physical status score of 0, 1 or 2; * 5\. No previous history of malignant tumors; No other tumors occurred simultaneously; * 6\. Patients judged by the investigator to have a life expectancy of at least 6 months; * 7\. The patient or his legal representative must provide written informed consent prior to any research special examination or procedure; * 8\. International prognostic Index (IPI) \>1 score. Exclusion Criteria: * 1\. Have previously received systemic or local treatment including chemotherapy; * 2\. Previously received autologous stem cell transplantation; * 3\. Previous history of other malignant tumors, except skin basal cell carcinoma and cervical carcinoma in situ; * 4\. Accompanied by uncontrolled cardiovascular and cerebrovascular diseases, coagulation disorders, connective tissue diseases, serious infectious diseases and other diseases; * 5\. Primary central nervous system lymphoma; * 6\. Left ventricular ejection fraction ≤ 50%; * 7\. Laboratory test values at the time of screening (unless due to lymphoma): A. Neutrophils \<1.5\*109/L; B. Platelet \<75\*109/L; C. ALT or AST were 2 times higher than the upper limit of normal, AKP and bilirubin were 1.5 times higher than the upper limit of normal; D. Creatinine levels higher than 1.5 times the upper limit of normal; * 8\. Other concurrent and uncontrolled medical conditions that the investigator believes will affect patient participation in the study; * 9\. Patients with mental illness or other patients known or suspected to be unable to fully comply with the study protocol; * 10\. Pregnant or lactating women; * 11\. People living with HIV; * 12\. Patients with positive HbsAg test results need to undergo HBV DNA test, and can be enrolled before turning negative. In addition, if the HBsAg test result is negative, but the HBcAb test is positive (regardless of the HBsAb status), HBV DNA test should also be performed. If the result is positive, the treatment should also be negative before admission.

Treatments Being Tested

DRUG

CR-CHOP+PD1 inhibitor

Rituximab 375 mg/m2 D1; Cyclophosphamide 750mg/m2 D2; Doxorubicin 50mg/m2 D2; Vincristine 1.4 mg/m2 D2; Prednisone 60 mg/m2 D2-6; Chidamide 20mg/d D1,4,8,11; PD1 200mg D1

DRUG

CR-CHOP + Orelabrutinib

Rituximab 375 mg/m2 D1; Cyclophosphamide 750mg/m2 D2; Doxorubicin 50mg/m2 D2; Vincristine 1.4 mg/m2 D2; Prednisone 60 mg/m2 D2-6; Chidamide 20mg/d D1,4,8,11; Orelabrutinib 150mg/qd D1-21

DRUG

CR-CHOP + decitabine

Rituximab 375 mg/m2 D1; Cyclophosphamide 750mg/m2 D2; Doxorubicin 50mg/m2 D2; Vincristine 1.4 mg/m2 D2; Prednisone 60 mg/m2 D2-6; Chidamide 20mg/d D1,4,8,11; Decitabine 10mg/m2 D-5 - -1

Locations (1)

Trial sites listed on ClinicalTrials.gov for this study. Site activation status can vary — confirm with the specific site before traveling for a screening visit.

No. 197 Ruijin 2nd Road, Huangpu District, Shanghai
Shanghai, Shanghai Municipality, China

How to Talk to Your Doctor About This Trial

Bring the printable summary of this trial — including the NCT ID (NCT06701357), the sponsor (Ruijin Hospital), and the key eligibility criteria — to your next appointment. Your doctor can review the inclusion and exclusion criteria against your medical history, lab values, and current treatments to assess whether you are likely to qualify. They can also help you weigh whether trial participation makes sense alongside your existing care plan.

Useful questions to walk through together: What does the trial protocol require beyond standard care? How long is the active treatment phase, and how long is follow-up? Are there study visits at sites I can reach? Who pays for the trial-specific procedures, and who pays for standard-of-care portions? See our 25 questions to ask about clinical trials guide for a more complete checklist.

Authoritative Sources

The official record for this trial lives on ClinicalTrials.gov — the federal registry maintained by the National Library of Medicine at NIH. For background on how this trial fits into the FDA approval pathway, see the FDA drug approval process. For oncology-specific guidance for patients considering trials, the National Cancer Institute publishes patient-oriented overviews. International trial registries are aggregated by the WHO ICTRP.

Frequently Asked Questions

What is the NCT06701357 clinical trial studying?

This is a prospective, single-arm, open-label phase II clinical trial that evaluates the efficacy and safety of CR-CHOP regimen combined with different targeted drugs based on different molecular subtypes in newly diagnosed DEL patients. The full protocol is registered on ClinicalTrials.gov and includes the primary outcome measures, eligibility criteria, and study endpoints.

Who can participate in NCT06701357?

Eligibility for this trial depends on the specific inclusion and exclusion criteria set by the sponsor. The plain-English summary above translates the most important criteria into accessible language; the official clinical text is preserved in the collapsible section underneath. Whether you fit any specific trial is a medical decision your doctor needs to confirm — bring the trial information to your treating physician for a full review against your medical history.

How do I contact the trial site for NCT06701357?

Contact information registered with ClinicalTrials.gov is shown in the sidebar of this page. Before reaching out, confirm with your treating physician that this trial is appropriate for your situation. The trial site will then walk you through the screening process to determine final eligibility.

Is participating in a clinical trial safe?

Clinical trials in the United States are regulated by the FDA and overseen by Institutional Review Boards (IRBs) that review the protocol for safety. Risk varies by trial — Phase 1 studies test new treatments in humans for the first time, while Phase 3 trials use treatments that have already passed earlier safety screening. The informed consent document for any specific trial details the known risks and what to expect. Discuss those risks with your physician before deciding whether to participate.

Where can I verify the data on this page?

Every detail on this page comes directly from the ClinicalTrials.gov API. Click "View on ClinicalTrials.gov" in the sidebar to see the official, unmodified record. The federal record is always authoritative; this page is a structured presentation with a plain-English eligibility translation. For background on how clinical trials are regulated, see the FDA drug approval process documentation.

How This Page Is Built

Every field on this page is pulled directly from the ClinicalTrials.gov API v2 — no estimates, no proxies. The plain-English eligibility translation is generated from the original protocol text and reviewed for fidelity to the underlying clinical criteria. The original clinical text remains visible in the collapsible section above so users and clinicians can verify the translation. Read the full methodology for the data pipeline and known limitations.

Source: ClinicalTrials.gov API v2 record for NCT06701357. Maintained by the National Library of Medicine at NIH. Public domain. Cite as: "TrialFinderData. NCT06701357. Data: ClinicalTrials.gov."

Medical disclaimer: This page is informational, not medical advice. Talk to your doctor about whether a clinical trial is right for you.

Last updated 2026-05-08 · Data from ClinicalTrials.gov.