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NCT01622439: VALFRID

Valproate as First Line Therapy in Combination With Rituximab and CHOP in Diffuse Large B-cell Lymphoma

Completed Phase 1/Phase 2 Last updated 9 March 2018
What this trial tests

Phase 1/Phase 2 trial testing Valproate in Diffuse Large B-cell Lymphoma in 50 participants. Completed in 1 March 2018.

Timeline
1 June 2012
Primary endpoint
1 March 2018
1 March 2018

Quick facts

Lead sponsorLund University Hospital
PhasePhase 1/Phase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment50
Start date1 June 2012
Primary completion1 March 2018
Estimated completion1 March 2018
Sites1 location across Sweden

Drugs / interventions tested

Conditions studied

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.

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):

  1. 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
  2. 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
  3. 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
  4. 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
  5. 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
  6. 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
  7. 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
  8. 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:

Other trials of Valproate

Trials testing the same drug.

Other recruiting trials for Diffuse Large B-cell Lymphoma

Currently open trials in the same condition.

Other Lund University Hospital trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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