Evidence map›Paper›PMID 40318003›Full record

Trial reportCancer medicine2025

Chidamide, a Histone Deacetylase Inhibitor, Combined With R-GemOx in Relapsed/Refractory Diffuse Large B-Cell Lymphoma (TRUST): A Multicenter, Single-Arm, Phase 2 Trial.

Qihua Zou, Yuchen Zhang, Hui Zhou, Yulin Lai, Yi Cao, Zhiming Li, Ning Su, Wenyu Li, Huiqiang Huang, Panpan Liu and 15 more

Registry-linked trialAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Cancer medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04022005 (Chidamide Combined With R-GemOx), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04022005 phase2completednot on this map

Chidamide Combined With R-GemOx(Rituximab、Gemcitabine Plus Oxaliplatin) Regimen as Salvage Treatment for Transplant-ineligible Patients With Relapsed/Refractory Diffuse Large B-cell Lymphoma: a Multi-center, Single Arm, Phase II Study

TypeinterventionalSponsorSun Yat-sen UniversityRan2019 to 2023Enrolled54ConditionsLymphoma, Large B-Cell, DiffuseArmsChidamide, Rituximab, Gemcitabine,Oxaliplatin
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
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  5. Review
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

25 authors.

Qihua ZouState Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, China.
Yuchen ZhangState Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, China.
Hui ZhouDepartment of Lymphoma and Hematology, Hunan Cancer Hospital, Changsha, China.
Yulin LaiState Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, China.
Yi CaoState Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, China.
Zhiming LiState Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, China.ORCID https://orcid.org/0000-0001-9730-9917
Ning SuDepartment of Oncology, Guangzhou Chest Hospital, Guangzhou, China.
Wenyu LiDivision of Lymphoma, Department of Clinical Oncology, Guangdong Provincial People's Hospital, Guangzhou, China.
Huiqiang HuangState Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, China.
Panpan LiuState Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, China.ORCID https://orcid.org/0000-0002-7447-7026
Xu YeDepartment of Hematology, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Yudan WuDepartment of Hematology, Sun Yat-sen Memorial Hospital, Guangzhou, China.
Huo TanDepartment of Hematology, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Runhui ZhengDepartment of Hematology, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Bingyi WuState Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, China.
Hui YangDepartment of Hematology, Shunde Hospital of Southern Medical University, Foshan, China.
Liye ZhongDivision of Lymphoma, Department of Clinical Oncology, Guangdong Provincial People's Hospital, Guangzhou, China.
Yuhong LuInternational Cancer Medical Center, Jinshazhou Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Yang LiangState Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, China.
Peng SunState Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, China.ORCID https://orcid.org/0000-0003-3811-0371
Lirong LiState Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, China.
Yingxian LiuState Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, China.
Danling DaiState Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, China.
Yi XiaState Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, China.
Qingqing CaiState Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, China.ORCID https://orcid.org/0000-0001-5447-3282

Funding

Beijing Xisike Clinical Oncology Research Foundation Y-SY2021ZD-0110Beijing Xisike Clinical Oncology Research Foundation Y-XD2019-124Guangzhou Science and Technology Program 2024B03J1291National Key Research and Development Program of China 2022YFC2502602National Natural Science Foundation of China 82230001National Natural Science Foundation of China 82270199Sun Yat-Sen University Clinical Research 5010 Program 2020009
6 · The paper itself

Abstract

backgroundHistone deacetylase (HDAC) inhibitors demonstrated a synergistic anti-tumor effect with rituximab and chemotherapy in preclinical studies on diffuse large B-cell lymphoma (DLBCL). This phase 2 trial aimed to evaluate the efficacy and safety of chidamide, an orally active HDAC inhibitor, plus the R-GemOx regimen for relapsed/refractory (R/R) DLBCL.

methodsPatients with transplantation-ineligible R/R DLBCL received chidamide (20 mg, oral, days 1, 4, 8, 11, 15, and 18), rituximab (375 mg/m

resultsBetween June 19, 2019 and July 5, 2022, 54 patients were enrolled. The ORR was 59.3% (95% CI: 45.0-72.4). With a median follow-up of 38.1 months (interquartile range: 19.5-48.2), the median progression-free survival and overall survival were 7.4 (95% CI: 5.2-14.2) and 23.9 (95% CI: 15.2-not reached) months, respectively. The most common grade 3/4 treatment-emergent adverse events (TEAEs) were neutropenia (40.7%), thrombocytopenia (33.3%), and leukopenia (27.8%). Whole-exome sequencing showed that CREBBP mutations and BTG2 mutations were associated with poor response and survival.

conclusionChidamide plus R-GemOx demonstrated promising anti-tumor activity with acceptable toxicities in transplantation-ineligible R/R DLBCL patients. Patients with CREBBP mutations and BTG2 mutations had inferior response and survival.

trial registrationClinicalTrials.gov identifier: NCT04022005.

Indexed as

AminopyridinesAntineoplastic Combined Chemotherapy ProtocolsBenzamidesDeoxycytidineHistone Deacetylase InhibitorsLymphoma, Large B-Cell, DiffuseNeoplasm Recurrence, LocalAdultAgedAged, 80 and overDrug Resistance, NeoplasmFemaleGemcitabineHumansMaleMiddle AgedAminopyridinesBenzamidesDeoxycytidineGemcitabineHistone Deacetylase InhibitorsN-(2-amino-5-fluorobenzyl)-4-(N-(pyridine-3-acrylyl)aminomethyl)benzamideOxaliplatinRituximabchidamidediffuse large B‐cell lymphomarefractory or relapsedR‐GemOxtransplantation‐ineligible

Identifiers

PMID40318003
PMCPMC12046501

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.