Undersøgelse af ONO-4685 hos patienter med recidiverende eller refraktær T-celle lymfom
Et åbent, multicenter, ikke-randomiseret fase I-dosiseskaleringsstudie for at undersøge sikkerheden, tolerabiliteten, farmakokinetikken og den foreløbige effektivitet af ONO-4685 givet som monoterapi hos patienter med recidiverende eller refraktær T-celle lymfom
This study will investigate the safety, tolerability, pharmacokinetics, and preliminary efficacy of ONO-4685 in patients with relapsed or refractory T cell Lymphoma
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 1
Kontakter og lokationer
Studiesteder
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Alabama
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Birmingham, Alabama, Forenede Stater, 35294
- University of Alabama at Birmingham
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California
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Duarte, California, Forenede Stater, 91010
- City of Hope
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Orange, California, Forenede Stater, 92868
- University of California Irvine Medical Center - Chao Family Comprehensive Cancer Center
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Palo Alto, California, Forenede Stater, 94304
- Stanford Cancer Institute
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Connecticut
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New Haven, Connecticut, Forenede Stater, 06519
- Yale Cancer Center
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Georgia
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Atlanta, Georgia, Forenede Stater, 30322
- Winship Cancer Institute of Emory University
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Massachusetts
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Boston, Massachusetts, Forenede Stater, 02215
- Dana Farber Cancer Institute
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Michigan
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Detroit, Michigan, Forenede Stater, 48201
- Karmanos Cancer Institute
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Missouri
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St Louis, Missouri, Forenede Stater, 63110
- Washington University School of Medicine in St. Louis
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New Jersey
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Hackensack, New Jersey, Forenede Stater, 07601
- Hackensack University Medical Center - John Theurer Cancer Center
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New York
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Buffalo, New York, Forenede Stater, 14263
- Roswell Park Cancer Institute
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New York, New York, Forenede Stater, 10065
- Memorial Sloan-Kettering Cancer Center
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New York, New York, Forenede Stater, 10032
- New York-Presbyterian/Columbia University Irving Medical Center - Herbert Irving Comprehensive Cancer Center (HICCC)
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North Carolina
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Charlotte, North Carolina, Forenede Stater, 28204
- Novant Health Presbyterian Medical Center
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Ohio
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Cleveland, Ohio, Forenede Stater, 44195
- Cleveland Clinic
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Oregon
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Portland, Oregon, Forenede Stater, 97239
- Oregon Health & Science University
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Pennsylvania
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Philadelphia, Pennsylvania, Forenede Stater, 19104
- University of Pennsylvania - Perelman Center
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Tennessee
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Nashville, Tennessee, Forenede Stater, 37232
- Vanderbilt University - Ingram Cancer Center
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Texas
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Dallas, Texas, Forenede Stater, 75390
- UT Southwestern Medical Center
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Houston, Texas, Forenede Stater, 77030
- MD Anderson
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Washington
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Seattle, Washington, Forenede Stater, 91809
- Fred Hutchinson Cancer Center
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria
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Patients aged ≥ 18 years at time of screening
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Written informed consent by the patient or the patients' legally authorized representative prior to screening
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Patients with histologically or cytologically confirmed diagnosis of one of the following subtypes of T-cell lymphoma:
- Peripheral T-cell lymphoma (PTCL): Angioimmunoblastic T-cell lymphoma (AITL), PTCL, not otherwise specified (PTCL-NOS), nodal PTCL with T-follicular helper (TFH) and follicular T-cell lymphoma (FTCL)
- Cutaneous T-cell lymphoma (CTCL) (stages II-B, III, and IV): Mycosis fungoides (MF) and Sezary syndrome (SS)
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Patients must have received at least 2 prior systemic therapies
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Patients with PTCL must have at least 1 measurable lesion (Cheson BD, 2014)
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Patients with CTCL must have assessable disease by response criteria for CTCL (Olsen EA, 2011)
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Eastern Cooperative Oncology Group Performance Status (ECOG PS) = 0-2
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Life expectancy of at least 3 months
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Adequate bone marrow, renal and hepatic functions
Exclusion Criteria:
- Patients with central nervous system (CNS) involvement
- Patients with Adult T-cell leukemia/lymphoma (ATLL)
- Prior allogeneic stem cell transplant
- Prior treatment with ONO-4685, anti-PD-1, anti-PD-L1, anticytotoxic T lymphocyte associated protein 4 (CTLA-4) antibody, or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways
- Prior allogeneic and autologous chimeric antigen receptor (CAR) T-cell therapy
- Patients with malignancies (other than T-cell lymphoma) except for completely resected basal cell carcinoma, stage I squamous cell carcinoma, carcinoma in situ, or any other malignancies that has not relapsed for at least 2 years
- History of severe allergy or hypersensitivity to any monoclonal antibodies, other therapeutic proteins or corticosteroid (e.g., dexamethasone)
- History of infection with Mycobacterium tuberculosis within 2 years prior to the first dose of study treatment
- Patients with systemic and active infection including human immunodeficiency virus (HIV), hepatitis B or C virus infection
- Patients not recovered to Grade 1 or stabilized from the adverse effects (excluding alopecia) of any prior therapy for their malignancies
- Women who are pregnant or lactating
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: ONO-4685 monotherapy
Patients with relapsed or refractory T cell Lymphoma who meet eligibility criteria will be enrolled to receive ONO-4685 monotherapy |
ONO-4685 is administered by IV infusion. The administration of ONO-4685 will be continued until disease progression or unacceptable toxicity is observed |
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Incidence, nature, and severity of Treatment-Emergent Adverse Events (TEAEs) and Treatment-Emergent Serious Adverse Events (TESAEs).
Tidsramme: Through study completion, an average of 1 year
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Adverse events with the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v5.0 used as a guide for the grading of severity. |
Through study completion, an average of 1 year
|
|
Estimate of Maximum Tolerate Dose (MTD)
Tidsramme: Up to 3 weeks
|
MTD will be estimated based on Dose limiting toxicity (DLT) observed during the first 3 weeks of treatment |
Up to 3 weeks
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Plasma Concentration of ONO-4685
Tidsramme: Up to 48 weeks
|
Plasma concentration will be assessed to evaluate Pharmacokinetics |
Up to 48 weeks
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|
Plasma Concentration of Anti-Drug Antibody (ADA)
Tidsramme: Up to 48 weeks
|
ADA to ONO-4685 will be assessed to evaluate potential immunogenicity. |
Up to 48 weeks
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|
Antitumor Activity of ONO-4685
Tidsramme: Through study completion, an average of 1 year
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Antitumor Activity of ONO-4685 will be assessed according to the response criteria for Lymphoma. |
Through study completion, an average of 1 year
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Studieleder: Project Leader, Ono Pharmaceutical Co., Ltd.
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
- Patologiske processer
- Neoplasmer
- Sygdomsegenskaber
- Sygdomme i immunsystemet
- Neoplasmer efter histologisk type
- Lymfesygdomme
- Lymfoproliferative lidelser
- Immunproliferative lidelser
- Lymfom, Non-Hodgkin
- Lymfom
- Patologiske tilstande, tegn og symptomer
- Hemiske og lymfatiske sygdomme
- Tilbagevenden
- Lymfom, T-celle
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- ONO-4685-03
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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