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NCT01622439: VALFRID
Valproate as First Line Therapy in Combination With Rituximab and CHOP in Diffuse Large B-cell Lymphoma
Phase 1/Phase 2 trial testing Valproate in Diffuse Large B-cell Lymphoma in 50 participants. Completed in 1 March 2018.
1 March 2018
Quick facts
| Lead sponsor | Lund University Hospital |
|---|---|
| Phase | Phase 1/Phase 2 |
| Status | Completed |
| Study type | INTERVENTIONAL |
| Allocation | na |
| Design | single group |
| Masking | none |
| Primary purpose | treatment |
| Enrollment | 50 |
| Start date | 1 June 2012 |
| Primary completion | 1 March 2018 |
| Estimated completion | 1 March 2018 |
| Sites | 1 location across Sweden |
Drugs / interventions tested
- Valproate — full drug profile →
- Rituximab — full drug profile →
- Cyclophosphamide (cyclophosphamide) — full drug profile →
- Doxorubicin
- Vincristine (vincristine) — full drug profile →
- Prednisone (prednisone) — full drug profile →
Conditions studied
- Diffuse Large B-cell Lymphoma — all drugs for Diffuse Large B-cell Lymphoma →
Sponsor
Lund University Hospital
Who can join
Adults 18 to 80, any sex, with Diffuse Large B-cell Lymphoma. Patients with the condition only — healthy volunteers not accepted.
What's being measured
Primary outcomes are the specific endpoints the trial is designed to prove or disprove.
-
Establishment of maximum tolerable dose of valproate.
Time frame: Participating patients will be followed during study treatment (6 cycles of chemotherapy); 12 weeks or 18 weeks depending on cycle length (14 or 21 days).
Sponsor's own description
Patients with previously untreated diffuse large B-cell lymphoma will receive standard treatment with R-CHOP (rituximab,cyclosphosphamide, doxorubicin, vincristine, and prednison) for 6 cycles, cycle length is 14 or 21 days. In addition, valproate is given three times daily day 1-3 in escalated doses. The rationale for adding valproate to standard treatment is invitro data indicating a sensitizing effect to chemotherapy, and an increase in CD 20-expression. Patients are included in 3+3 cohorts with escalation of valproate dose, planned dos levels are 30, 60, 80, 100, 120, 140 mg/kg/day. A total of 20 patients will be treated at the MTD.
Publications & conference data
8 peer-reviewed publications reference this trial (live from Europe PMC):
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Targeting epigenetic regulators for cancer therapy: mechanisms and advances in clinical trials.
Cheng Y, He C, Wang M, Ma X, et al · · 2019 · cited 760× · PMID 31871779 · DOI 10.1038/s41392-019-0095-0 -
The epigenetic hallmarks of immune cells in cancer.
Ji Y, Xiao C, Fan T, Deng Z, et al · · 2025 · cited 28× · PMID 40038722 · DOI 10.1186/s12943-025-02255-4 -
Valproate in combination with rituximab and CHOP as first-line therapy in diffuse large B-cell lymphoma (VALFRID).
Drott K, Hagberg H, Papworth K, Relander T, et al · · 2018 · cited 24× · PMID 29903707 · DOI 10.1182/bloodadvances.2018019240 -
Recent Advances in the Targeting of Epigenetic Regulators in B-Cell Non-Hodgkin Lymphoma.
Ribeiro ML, Reyes-Garau D, Armengol M, Fernández-Serrano M, et al · · 2019 · cited 20× · PMID 31681423 · DOI 10.3389/fgene.2019.00986 -
The histone deacetylase inhibitor valproic acid sensitizes diffuse large B-cell lymphoma cell lines to CHOP-induced cell death.
Ageberg M, Rydström K, Relander T, Drott K. · · 2013 · cited 18× · PMID 23573362 -
Epimutational profile of hematologic malignancies as attractive target for new epigenetic therapies.
Fratta E, Montico B, Rizzo A, Colizzi F, et al · · 2016 · cited 17× · PMID 27329599 · DOI 10.18632/oncotarget.10033 -
Pharmacologically relevant doses of valproate upregulate CD20 expression in three diffuse large B-cell lymphoma patients in vivo.
Damm JK, Gordon S, Ehinger M, Jerkeman M, et al · · 2015 · cited 17× · PMID 25973343 · DOI 10.1186/2162-3619-4-4 -
Histone Modifications and Their Targeting in Lymphoid Malignancies.
Fernández-Serrano M, Winkler R, Santos JC, Le Pannérer MM, et al · · 2021 · cited 10× · PMID 35008680 · DOI 10.3390/ijms23010253
Verify or expand the search:
- PubMed search for NCT01622439
- Europe PMC full search
- ASCO Meeting Library
- ESMO Meeting Library
- bioRxiv preprints
- medRxiv preprints
- Google Scholar
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Other recruiting trials for Diffuse Large B-cell Lymphoma
Currently open trials in the same condition.
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Verify against primary sources
- ClinicalTrials.gov — authoritative US registry record
- WHO ICTRP — international registry index
- EU Clinical Trials Register
- Sponsor press releases (Google)
- Trial protocol + status: ClinicalTrials.gov NCT01622439 (US National Library of Medicine, public domain)
- Publications: Europe PMC API search by NCT ID, retrieved 9 June 2026
- Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
- Sponsor: as reported to ClinicalTrials.gov by Lund University Hospital
- Last refreshed: 9 March 2018
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01622439.
Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing