Efficacy and Safety of Linperlisib in Relapsed/Refractory Large Granular T Lymphocytic Leukemia
- Conditions
- Relapsed/Refractory Large Granular T Lymphocytic Leukemia
- Interventions
- Registration Number
- NCT06224257
- Brief Summary
This is a prospective, multicenter, single-arm, phase 2 study. This study aims to evaluate the efficacy and safety of Linperlisib, the PI3K delta inhibitor for patients with relapsed/refractory large granular T lymphocytic leukemia.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 41
- Male or female age ≥ 18 years
- Diagnosis of T-cell large granular lymphocytic leukemia (T-LGLL)
- Meet any of the following indications for treatment： 1. Hemoglobin < 100g/L or RBC transfusion dependence 2. Neutrophil count <0.5×10^9/L or neutrophil count decreased with recurrent infection 3. Progressive splenomegaly and/or Massive Splenomegaly 4. Combined with autoimmune diseases requiring treatment, such as rheumatoid arthritis, autoimmune thyroiditis, etc. 5. Severe B symptoms
- Failure or intolerance to a first-line therapy
- ECOG performance status ≤2
- Expected survival ≥ 6 months
- Willing and able to comply with the requirements for this study and written informed consent
- History of other lymphoproliferative neoplasms
- Had malignant tumor within 5 years before enrollment, exclusive of cured basal or squamous cell skin cancer, superficial bladder cancer, prostate intraepithelial tumor, cervical carcinoma in situ or other indolent tumors
- Previously received organ or stem cell transplantation
- Patients with active infection within 2 weeks before giving the first dose of medication
- Patients with HBV, HCV, HIV or other infections that require treatment
- History of immunodeficiency, or congenital immunodeficiency disorders
- Any severe and/or uncontrolled medical conditions or other conditions that could affect their participation in the study, including clinically significant cardiac diseases, refractory hypertension, metabolic disorders and other diseases that seriously affect the function of the gastrointestinal tract.
- Abnormal liver function: two consecutive examinations with an interval of ≥1 week suggest that ALT and AST are 2.5 times higher than the upper limit of normal values
- Renal impairment: creatinine clearance <30ml/min
- History of mental illness
- History of pulmonary fibrosis, interstitial pneumonia, pneumoconiosis, radiation pneumonitis, drug-related pneumonia, severe impairment of lung function, etc.
- Received attenuated vaccine 4 in weeks before enrollment
- Participation in another clinical trial within 4 weeks before the start of this trial
- Have an allergy to Linperlisib or any other part of this medicine.
- Pregnant or breast-feeding patients
- Patients considered to be ineligible for the study by the investigator for reasons other than the above
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Linperlisib Linperlisib Linperlisib was administered at 80 mg every day, orally in a 28-day cycle until disease progression or intolerable toxicity occurred.
- Primary Outcome Measures
Name Time Method Proportion of patients with hematologic remission 8-12 weeks Hematological response is evaluated by hemoglobin (Hb), absolute neutrophil count (ANC), platelet count (PLT), absolute lymphocyte count (ALC), absolute large granular lymphocyte count, and blood transfusion.
- Secondary Outcome Measures
Name Time Method Incidence of the adverse event 8-12 weeks Use Common Terminology Criteria for Adverse Events (CTCAE) Version 5 to assess the adverse event Use Common Terminology Criteria for Adverse Events (CTCAE) Version 5 to assess the adverse event Use Common Terminology Criteria for Adverse Events (CTCAE) Version 5 to assess the adverse event
Trial Locations
- Locations (3)
Zhoukou Central Hospital
🇨🇳Zhoukou, Henan, China
Regenerative Medicine Center
🇨🇳Tianjin, Tianjin, China
Anhui Provincial Hospital
🇨🇳Hefei, Anhui, China