Status:

NOT_YET_RECRUITING

Application of PD-1 Inhibitors Combined With Tenofovir, Chidamide and Lenalidomide in the Treatment of EBV-associated Diseases.

Lead Sponsor:

The Affiliated Hospital of Xuzhou Medical University

Conditions:

Epstein-Barr Virus (EBV) Infection

PD-1 Inhibitor

Eligibility:

All Genders

Up to 75 years

Phase:

PHASE1

PHASE2

Brief Summary

Currently, treatment options for Epstein-Barr virus (EBV) infection are limited, with unsatisfactory efficacy and no established standard therapy. Therefore, our center is conducting a prospective, mu...

Eligibility Criteria

Inclusion

  • Diagnosed with EBV infectious diseases, including infectious mononucleosis, chronic active EBV infection, or other EBV infectious diseases;
  • EBV DNA ≥ 10⁴ copies/mL in whole blood or plasma;
  • Age ≤ 75 years with ECOG performance status ≤ 2;
  • Estimated life expectancy over 3 months;
  • Patients must be able to undergo follow-up. They should understand the nature of their disease and voluntarily agree to participate in this study for treatment and follow-up.

Exclusion

  • Patients with impaired liver or kidney function, specifically defined as serum direct bilirubin, indirect bilirubin, and/or ALT, AST, or serum creatinine \>2 times the upper limit of normal (ULN), unless such abnormalities are attributed to lymphoma;
  • Patients with bone marrow failure, defined as absolute neutrophil count (ANC) \<1.5×10⁹/L or platelets \<75×10⁹/L;
  • Patients who have experienced grade III or higher neurotoxicity within the past 2 weeks;
  • Patients with chronic heart failure classified as NYHA class III or IV, or left ventricular ejection fraction (LVEF) \<50%, or those with a history of the following cardiac events within the past 6 months: acute coronary syndrome, acute heart failure (NYHA class III or IV), or significant ventricular arrhythmias (sustained ventricular tachycardia, ventricular fibrillation, or resuscitated sudden cardiac arrest);
  • Patients with AIDS, syphilis, or active hepatitis B (HBV DNA \>1×10⁴ copies/mL) or hepatitis C infection;
  • Patients with coexisting hematologic disorders (e.g., hemophilia, myelofibrosis) deemed unsuitable for inclusion by the investigator;
  • Patients with severe concurrent infections;
  • Patients who have undergone grade II or higher surgery within 3 weeks prior to treatment;
  • Patients with substance abuse, medical, psychological, or social conditions that may interfere with study participation or the evaluation of study outcomes;
  • Patients deemed unsuitable for enrollment by the investigator;
  • Patients with known hypersensitivity to components of the investigational drug.

Key Trial Info

Start Date :

September 1 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

September 1 2027

Estimated Enrollment :

30 Patients enrolled

Trial Details

Trial ID

NCT07133776

Start Date

September 1 2025

End Date

September 1 2027

Last Update

August 21 2025

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