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Pulmonary Langerhans Cell Histiocytosis (PLCH) Clinical Trials

Also called PLCH, Langerhans Cell Histiocytosis of the Lung

Pulmonary Langerhans Cell Histiocytosis results from clonal proliferation of Langerhans cells (a type of dendritic cell) in the lungs, causing inflammation and progressive parenchymal destruction. Recent molecular studies have identified somatic mutations in BRAF and MAPK pathway genes in many PLCH cases, suggesting this is a clonal neoplastic process rather than purely inflammatory.

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About Pulmonary Langerhans Cell Histiocytosis

Pulmonary Langerhans Cell Histiocytosis results from clonal proliferation of Langerhans cells (a type of dendritic cell) in the lungs, causing inflammation and progressive parenchymal destruction. Recent molecular studies have identified somatic mutations in BRAF and MAPK pathway genes in many PLCH cases, suggesting this is a clonal neoplastic process rather than purely inflammatory. The accumulation of Langerhans cells leads to nodular infiltration, ground-glass opacities, and characteristic cyst formation with upper and middle lobe predominance. The inflammatory microenvironment involves recruitment of other immune cells including eosinophils, lymphocytes, and macrophages, creating a complex pathologic milieu.

Clinical presentation varies widely, from asymptomatic disease detected incidentally on imaging to severely progressive respiratory disease. Early disease may be asymptomatic or cause mild dyspnea and cough. Progressive cases show increasing respiratory compromise due to cystic lung destruction and air trapping, leading to air flow obstruction. Spontaneous pneumothorax occurs in about 15-20% of patients due to rupture of lung cysts. Some patients show spontaneous remission or slow progression over years, while others experience rapid decline requiring transplantation. High-resolution CT imaging shows characteristic findings of upper/middle lobe nodules, cysts, and ground-glass opacities. Diagnosis requires bronchoscopy with BAL showing elevated Langerhans cells or lung biopsy confirming Langerhans cell infiltration.

Common Symptoms of Pulmonary Langerhans Cell Histiocytosis

Recognizing the signs of Pulmonary Langerhans Cell Histiocytosis early can lead to faster diagnosis and better outcomes. Symptoms may vary in severity from person to person. If you or a loved one are experiencing any of the following, consider speaking with a specialist.

  • Progressive dyspnea on exertion
  • Chronic cough, often dry initially
  • Chest pain or discomfort
  • Fatigue and reduced exercise tolerance
  • Spontaneous pneumothorax from lung cyst rupture
  • Hemoptysis in some cases

Who Pulmonary Langerhans Cell Histiocytosis Affects

Typically affects young to middle-aged adults, with peak incidence in 30s to 50s. Much more common in smokers; cigarette smoking increases risk 200-fold. Affects males and females with slight male predominance. Rare in children but can occur. Occurs in all populations.

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Trusted Pulmonary Langerhans Cell Histiocytosis Resources

Reputable organizations and medical references for learning more about Pulmonary Langerhans Cell Histiocytosis, including disease registries, foundation resources, and clinical guidelines.

Active Clinical Trials for Pulmonary Langerhans Cell Histiocytosis

Use this Pulmonary Langerhans Cell Histiocytosis clinical trial finder to see the 18 studies recruiting patients and 1 opening soon in the United States and worldwide, with eligibility criteria in plain English. These studies play a critical role in advancing care for pulmonary & respiratory conditions and may offer access to treatments not yet widely available. Each trial below is sourced directly from ClinicalTrials.gov, with eligibility criteria translated into plain English to help patients and caregivers evaluate whether a study may be a fit.

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Note: Trial recruitment statuses on ClinicalTrials.gov may not immediately reflect recent FDA decisions, sponsor announcements, or enrollment changes. Always confirm a trial's current status directly with the study coordinator before making plans.

24 active trials worldwide
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RECRUITINGPHASE2Recently updatedNCT05828069

A Study With Tovorafenib (DAY101) as a Treatment Option for Progressive, Relapsed, or Refractory Langerhans Cell Histiocytosis

Intervention: Biospecimen Collection, Bone Marrow Aspiration, Bone Marrow Biopsy, Computed Tomography, Echocardiography Test, FDG-Positron Emission Tomography and Computed Tomography Scan, Lumbar Puncture, Multigated Acquisition Scan, Tovorafenib

Sponsor: National Cancer Institute (NCI)

This phase II trial tests the safety, side effects, best dose and activity of tovorafenib (DAY101) in treating patients with Langerhans cell histiocytosis that is growing, spreading, or getting worse (progressive), has come back (relapsed) after previous treatment, or does not re...

Ages 180 Days – 22 Years120 locations
Started Mar 2024Updated todayEst. Sep 2028 (~2 years)
RECRUITINGPHASE2Recently updatedNCT06153173

Mirdametinib in Histiocytic Disorders

Intervention: Mirdametinib

Sponsor: Children's Hospital Medical Center, Cincinnati

The purpose of this study is to see if treatment with mirdametinib in patients with Langerhans cell histiocytosis (LCH) or other histiocytic disorders will be better than current treatments and with fewer side effects.

Ages 2 Years+1 location
Started Feb 2024Updated 1 week agoEst. Mar 2030 (~3y 6m)
RECRUITINGPHASE3Recently updatedNCT04943211

Determination of Molecular Status, the Efficacy and Safety of Fluorodeoxyglucose in PET-CT Imaging

Intervention: fluorodeoxyglucose (18F-FDG)

Sponsor: Anna Raciborska

Prospective, low intervention, open, single-center, non-commercial clinical trial to improve diagnostics in patients with histiocytosis by assessing the molecular profile of the tumor tissues, monitoring its presence in free-circulating DNA, and determining the efficacy of fluoro...

Ages 1 Year – 18 Years1 location
Started Apr 2021Updated 1 month agoEst. Jun 2027 (~9 months)
RECRUITINGPHASE2, PHASE3Recently updatedNCT07440290

DETERMINE Trial Treatment Arm 07: Dabrafenib in Combination With Trametinib in Adult, Paediatric and Teenage/Young Adult Patients With BRAF V600 Mutation-Positive Cancers.

Intervention: Dabrafenib, Trametinib

Sponsor: Cancer Research UK

This clinical trial is looking at two drugs called dabrafenib and trametinib. Dabrafenib and trametinib are approved as standard of care treatment for adult patients with melanoma (a type of skin cancer) or lung cancer and in children with glioma (a type of brain tumour). This me...

Ages 1 Year+27 locations
Started Apr 2026Updated 1 month agoEst. Oct 2029 (~3y 1m)
NOT YET RECRUITINGPHASE2Recently updatedNCT07728201

Response-adapted Luvometinib With or Without Cytarabine in Langerhans Cell Histiocytosis

Intervention: Luvometinib, Luvometinib, Cytarabine.

Sponsor: Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong University · Shanghai Fosun Pharmaceutical Industrial Development Co. Ltd.

This single-center, prospective, interventional phase 2 study evaluates a response-adapted treatment strategy for patients aged 10 years and older with histologically confirmed Langerhans cell histiocytosis requiring systemic therapy. All participants receive six 35-day cycles of...

Ages 10 Years+1 location
Started Jun 2026Updated 2 months agoEst. Jul 2028 (~1y 10m)
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Data from ClinicalTrials.gov, U.S. National Library of Medicine.
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Related Pulmonary & Respiratory Conditions

Other rare diseases in the pulmonary & respiratory category. Patients with Pulmonary Langerhans Cell Histiocytosis may find relevant research, shared treatment pathways, or overlapping clinical trials among these related conditions.

Frequently Asked Questions About Pulmonary Langerhans Cell Histiocytosis