NCT07279584
Not yet recruiting
Phase 2
An Open-Label, Single-Arm Study to Evaluate the Safety and Efficacy of Golidocitinib Combined With GemOx in the Treatment of Relapsed or Refractory Peripheral T-Cell Lymphoma
Overview
- Phase
- Phase 2
- Status
- Not yet recruiting
- Sponsor
- Ruijin Hospital
- Enrollment
- 31
- Primary Endpoint
- Overall Response Rate
Overview
Brief Summary
The objective of this study is to evaluate the efficacy and safety of golidocitinib in combination with the GemOx regimen in r/r PTCL
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •fully understood and voluntarily signed the ICF for this study
- •aged ≥ 18 years;
- •patients with R/R PTCL who have received at least one prior systemic therapy.
- •Patients must have at least one measurable lesion by computed tomography (CT)/magnetic resonance imaging (MRI) (longest diameter of lymph node lesions \> 1.5 cm or longest diameter of extranodal lesions \> 1 cm); evaluable lesions: PET-CT examination showed increased local uptake in lymph nodes or extranodal sites (higher than liver) and imaging characteristics consistent with lymphoma performance
- •Eastern Cooperative Oncology Group (ECOG) performance status score of 0 to 2;
- •Adequate bone marrow function, renal function, liver function: ANC ≥ 1.0 × 109/L, hemoglobin ≥ 8.0 g/dL, platelets ≥ 75 × 109/L Note: if the investigator believes that the patient 's above test values are below the lower limit of the protocol due to lymphoma invading the bone marrow, the patient can be enrolled after assessment.Creatinine clearance \> 40 mL/min, calculated by Cockcroft-Gault method: • serum total bilirubin ≤ 1.5 x upper limit of normal (ULN), except for unconjugated bilirubinemia in Gilbert 's syndrome; • ALP (in the absence of bone disease), ALT, and AST ≤ 3.0 × ULN (in the presence of liver metastases, ≤ 5 × ULN); • international normalized ratio (INR) ≤ 1.5 × ULN, or activated partial thromboplastin time (APTT) ≤ 1.5 × ULN;
- •Current negative for human immunodeficiency virus (HIV), hepatitis B virus (HBV), hepatitis C virus (HCV), or cytomegalovirus (CMV), and inactive if positive:
- •HBV infected patients with positive hepatitis B surface antigen (HbsAg) or hepatitis B core antibody (HbcAb)\] but negative results of HBV DNA polymerase chain reaction (PCR) test can be enrolled; these patients require continuous antiviral therapy after enrollment and HBV DNA PCR test is performed every cycle;
- •Patients with positive HCV serology but negative HCV RNA test may be enrolled;
- •CMV IgM antibody positive,However, patients who tested negative for CMV DNA could be enrolled;
Exclusion Criteria
- •Patients who meet any of the following exclusion criteria must be excluded from this study:
- •previously used drugs in the treatment regimen may affect the efficacy evaluation of this study (assessed by the investigator)
- •previous bone marrow malignancies, including MDS, AML, MPN, etc.
- •and have clinically significant abnormal test results as judged by the investigator;
- •inability to be orally administered, previous surgical history or severe gastrointestinal diseases such as dysphagia, active gastric ulcer, etc., which the investigator believes may affect the absorption of the study drug;
- •major surgery within 4 weeks before the first study drug administration (referring to grade 3 and 4 surgery as specified in the Measures for the Administration of Clinical Application of Medical Technology implemented on May 1, 2009);
- •current clinically significant active cardiovascular disease, such as uncontrolled arrhythmia, congestive heart failure, any grade 3 or 4 heart disease defined by the New York Heart Association functional classification, or a history of myocardial infarction within 6 months after screening.Left ventricular ejection fraction \< 50% measured by echocardiography
- •Venous thrombosis or pulmonary embolism within 3 months before study drug administration;
- •History of stroke or intracranial hemorrhage within 6 months before the first study drug administration;
- •Active infection requiring systemic treatment;
Arms & Interventions
Golidocitinib Combined with GemOx
Experimental
Intervention: golidocitinib (Drug)
Golidocitinib Combined with GemOx
Experimental
Intervention: GEMOX (Drug)
Outcomes
Primary Outcomes
Overall Response Rate
Time Frame: Tumor evaluation was assessed at screening and at the end of treatment (around 3 cycles) then every 12-24 weeks until disease progression (each cycle is 21 days) through study completion, an average of 1 year.
Percentage of participants with complete response partial response was determined on the basis of investigator assessments according to 2014 Lugano criteria.
Secondary Outcomes
- Progression-free survival(Baseline up to data cut-off(up to approximately 2 years))
- Complete Response Rate(Tumor evaluation was assessed at screening and at the end of treatment (around 3 cycles) then every 12-24 weeks until disease progression (each cycle is 21 days) through study completion, an average of 1 year.)
- Duration of Response(Baseline up to data cut-off(up to approximately 2 years))
- Overall survival(Baseline up to data cut-off(up to approximately 2 years))
- Adverse Events(Baseline up to data cut-off(up to approximately 3 years))
Investigators
Zhao Weili
Professor and Director，Shanghai Institute of Hematology
Ruijin Hospital
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