Phase II study in children and adults under 40 years with newly diagnosed Langerhans cell histiocytosis: protocol for an LCH-19-MSMFB clinical trial in Japan

Phase II Study on Langerhans Cell Histiocytosis in Japan

Key Points:

– The study aims to improve outcomes for patients with Langerhans cell histiocytosis (LCH) by addressing recurrence and complications such as central diabetes insipidus and neurodegenerative diseases.

– Dexamethasone is being tested to suppress LCH-associated inflammation, particularly in the central nervous system, while intrathecal chemotherapy is being evaluated to reduce CNS complications.

– Zoledronate is being administered to patients with multifocal bone LCH based on promising results from a small case series.

Practical Solutions and Value:

– The study focuses on evaluating the effectiveness of dexamethasone and intrathecal chemotherapy for multisystem disease and zoledronate for multifocal bone disease in previously untreated children, adolescents, and adults under 40 years.

– The primary endpoint is the 3-year event-free survival rate, providing valuable insights into the potential benefits of these treatments.

Ethics and Dissemination:

– The study has been approved by the Central Review Board of the National Hospital Organisation Nagoya Medical Centre and is registered in the Japan Registry of Clinical Trials.

– Written informed consent will be obtained from all patients and/or their guardians, ensuring ethical conduct of the trial.

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