Valemetostat Tosylate (DS-3201b), un potenziatore di Zeste Homolog (EZH) 1/2 doppio inibitore, per linfoma a cellule T periferico recidivante/refrattario (VALENTINE-PTCL01)
Studio di fase 2 a braccio singolo sulla monoterapia con valemetostat tosilato in soggetti con linfoma a cellule T periferico recidivante/refrattario (VALENTINE-PTCL01)
This study will characterize the safety and clinical benefit of valemetostat tosylate in participants with relapsed/refractory peripheral T-cell lymphoma, including relapsed/refractory adult T-cell leukemia/lymphoma.
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
Intervento / Trattamento
Intervento / Trattamento
Descrizione dettagliata
This study was designed to evaluate the efficacy and safety of valemetostat tosylate monotherapy. The primary objective will evaluate objective response rate of valemetostat tosylate monotherapy as measured by blinded independent central review (BICR) in relapsed/refractory peripheral T-cell lymphoma.
Tipo di studio
Tipo di studio
Iscrizione (Effettivo)
Iscrizione
Fase
Fase
- Fase 2
Contatti e Sedi
Luoghi di studio
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Richmond, Australia, 3121
- Epworth Healthcare
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Ottawa, Canada, K1H 8L6
- Ottawa Hospital Research Institute
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Toronto, Canada, M5G 1Z5
- University Health Network Princess Margaret Hospital
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British Columbia
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Vancouver, British Columbia, Canada, V5Z 4E6
- BC Cancer - Vancouver Centre
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Seoul, Corea del Sud, 06591
- The Catholic University of Korea, Seoul St. Mary's Hospital
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Seoul, Corea del Sud, 03080
- Seoul National University Hospital - Department of Internal
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Seoul, Corea del Sud, 05505
- Asan Medical Center - Oncology
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Seoul, Corea del Sud, 06351
- Samsung Medical Center - Hematology-Oncology
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Seoul Teugbyeolsi
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Seoul, Seoul Teugbyeolsi, Corea del Sud, 03722
- Severance Hospital, Yonsei University Health System
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Dijon, Francia, 21079
- CHU de Dijon
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Lille, Francia, 59037
- CHRU de Lille - Hôpital Claude Huriez - Maladies du Sang
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Lyon, Francia, 69008
- Centre Lyon Berard - Medical Oncology
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Paris, Francia, 75010
- APHP - Hopital Saint Louis
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Paris, Francia, 75015
- Hôpital Necker
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Pierre-Bénite, Francia, 69495
- Centre Hospitalier Lyon Sud - Hématologie
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Toulouse, Francia, 31100
- Institut Universitaire du Cancer de Toulouse-Oncopole (IUCT-Oncopole)
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Halle, Germania, 06120
- Universitätsklinikum Halle (Saale) - Klinik und Poliklinik für Innere Medizin IV
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Fukuoka, Giappone, 812-0054
- Kyushu University Hospital
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Kagoshima, Giappone, 890-8520
- Kagoshima University Hospital
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Kyoto, Giappone, 602-8566
- University Hospital - Kyoto Prefectural University of Medicine
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Nagasaki, Giappone, 852-8501
- Nagasaki University Hospital
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Okayama, Giappone, 700-8558
- Okayama University Hospital
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Aichi-ken
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Nagoya, Aichi-ken, Giappone, 467-8602
- Nagoya City University Hospital
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Nagoya, Aichi-ken, Giappone, 460-0001
- National Hospital Organization Nagoya Medical Center - Hematology
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Chiba
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Kashiwa, Chiba, Giappone, 277-8577
- National Cancer Center Hospital East
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Hokkaido
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Sapporo, Hokkaido, Giappone, 060-8648
- Hokkaido University Hospital - Medical Oncology Center
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Tokyo
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Chuo Ku, Tokyo, Giappone, 104-0045
- National Cancer Center Hospital
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Bergamo, Italia, 24127
- ASST Papa Giovanni XXIII - Medicina Trasfusionale ed Ematologia - Bergamo
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Bologna, Italia, 40138
- A.O.di Bologna Policl.S.Orsola
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Monza, Italia, 20900
- PO San Gerardo, ASST Monza
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Naples, Italia, 80131
- Fondazione Pascale, IRCCS, Istituto Nazionale dei Tumori
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Perugia, Italia, 06132
- Ospedale S.Maria della Misericordia, AO di Perugia, Università degli Studi di Perugia
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Leiden, Olanda, 2333ZA
- Leids Universitair Medisch Centrum (LUMC) (Leiden University Medical Center)
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Maastricht, Olanda, 6229 HX
- Universiteit Maastricht Academisch Ziekenhuis Maastricht
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London, Regno Unito, NW1 2PG
- University College London Hospital
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Nottingham, Regno Unito, NG5 1PB
- Nottingham City Hospital - Clinical Haematology
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Oxford, Regno Unito, OX3 7LE
- Churchill Hospital
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Barcelona, Spagna, 08029
- ICO Hospital Duran i Reynals
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Barcelona, Spagna, 08035
- Hospital Universitario Vall d'Hebrón
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Madrid, Spagna, 28040
- Hospital Universitario Fundación Jiménez Díaz
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Madrid, Spagna, 28046
- Hospital Universitario La Paz
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Seville, Spagna, 41013
- Hospital Universitario Virgen del Rocio
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California
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Duarte, California, Stati Uniti, 91010
- City Of Hope National Medical Center
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Palo Alto, California, Stati Uniti, 94304
- Stanford University Medical Center - Cancer Clinical Trials Office - ONCOLOGY
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San Francisco, California, Stati Uniti, 94143
- University of California San Francisco
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Colorado
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Aurora, Colorado, Stati Uniti, 80045
- University Of Colorado Cancer Center
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Georgia
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Atlanta, Georgia, Stati Uniti, 30322
- Emory University Hospital - Winship Cancer Institute
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Illinois
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Chicago, Illinois, Stati Uniti, 60611
- Northwestern University - Feinberg School of Medicine
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Massachusetts
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Boston, Massachusetts, Stati Uniti, 02115
- Dana Farber Cancer Institute
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Minnesota
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Rochester, Minnesota, Stati Uniti, 55901
- Mayo Clinic - Rochester
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Missouri
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St Louis, Missouri, Stati Uniti, 63110
- Washington University School of Medicine
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New Jersey
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Hackensack, New Jersey, Stati Uniti, 07601
- Hackensack University Medical Center - John Theurer Cancer Center
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New York
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New York, New York, Stati Uniti, 10065
- Weill Cornell Medicine
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New York, New York, Stati Uniti, 10065
- Memorial Sloan-Kettering Cancer Center at Memorial Hospital
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North Carolina
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Durham, North Carolina, Stati Uniti, 27710
- Duke Cancer Center
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Pennsylvania
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Philadelphia, Pennsylvania, Stati Uniti, 19104
- University of Pennsylvania Perelman Center for Advanced Medicine
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Kaohsiung City, Taiwan, 83301
- Chang Gung Medical Foundation - Kaohsiung Chang Gung Memorial Hospital - Hemato-Oncology
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Tainan, Taiwan, 70403
- National Cheng Kung University Hospital - Internal Medicine
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Taipei, Taiwan, 10002
- National Taiwan University Hospital - Hematology And Oncology
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Taoyuan City, Taiwan, 33305
- Chang Gung Medical Foundation - LinKou Chang Gung Memorial Hospital - Hematology and Oncology - Hematology and Oncology
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Criteri di partecipazione
Criteri di ammissibilità
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Sessi ammissibili allo studio
Descrizione
Inclusion Criteria:
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Written informed consent
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Participants ≥18 years of age or the minimum legal adult age (whichever is greater) at the time the informed consent form is signed.
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Eastern Cooperative Oncology Group performance status of 0, 1, or 2
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Cohort 1 relapsed/refractory peripheral T-cell lymphoma (PTCL):
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Diagnosis should be confirmed by the local pathologist; local histological diagnosis will be used for eligibility determination. Participants with the following subtypes of PTCL are eligible according to 2016 WHO classification prior to the initiation of study drug. Any T-cell lymphoid malignancies not listed are excluded. Eligible subtypes include:
- Enteropathy-associated T-cell lymphoma
- Monomorphic epitheliotropic intestinal T-cell lymphoma
- Hepatosplenic T-cell lymphoma
- Primary cutaneous γδ T-cell lymphoma
- Primary cutaneous CD8+ aggressive epidermotropic cytotoxic T-cell lymphoma
- PTCL, not otherwise specified
- Angioimmunoblastic T-cell lymphoma
- Follicular T-cell lymphoma
- Nodal PTCL with T-follicular helper (TFH) phenotype
- Anaplastic large cell lymphoma (ALCL), anaplastic lymphoma kinase (ALK) positive
- ALCL, ALK negative
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Cohort 2 relapsed/refractory adult T-cell leukemia/lymphoma (ATL) acute, lymphoma, or unfavorable chronic type. Relapsed/refractory ATL should be confirmed by the local pathologist; local diagnosis will be used for eligibility determination. The positivity of anti-human T-cell leukemia virus type 1 (HTLV-1) antibody will be locally determined for eligibility.
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Must have at least one lesion which is measurable in 2 perpendicular dimensions on computed tomography (or magnetic resonance imaging) based on local radiological read
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Documented refractory, relapsed, or progressive disease after at least 1 prior line of systemic therapy.
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Refractory is defined as:
- Failure to achieve complete response (CR) (or uncertified CR [CRu] for ATL) after first-line therapy
- Failure to reach at least partial response (PR) after second-line therapy or beyond
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Must have at least 1 prior line of systemic therapy for PTCL or ATL.
- Participants must be considered hematopoietic cell transplantation (HCT) ineligible during screening due to disease status (active disease), comorbidities, or other factors; the reason for HCT ineligibility must be clearly documented.
- In the PTCL cohort, participants with ALCL must have prior brentuximab vedotin treatment.
Exclusion Criteria:
Participants meeting any exclusion criteria for this study will be excluded from this study. Below is a list of the key exclusion criteria:
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Diagnosis of mycosis fungoides, Sézary syndrome and primary cutaneous ALCL, and systemic dissemination of primary cutaneous ALCL
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Diagnosis of precursor T-cell leukemia and lymphoma (T-cell acute lymphoblastic leukemia and T-cell lymphoblastic lymphoma), T-cell prolymphocytic leukemia, or T-cell large granular lymphocytic leukemia
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Prior malignancy active within the previous 2 years except for locally curable cancer that is currently considered as cured, such as cutaneous basal or squamous cell carcinoma, superficial bladder cancer, or cervical carcinoma in situ, or an incidental histological finding of prostate cancer.
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Presence of active central nervous system involvement of lymphoma
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History of autologous HCT within 60 days prior to the first dose of study drug
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History of allogeneic HCT within 90 days prior to the first dose of study drug
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Clinically significant graft-versus-host disease (GVHD) or GVHD requiring systemic immunosuppressive prophylaxis or treatment
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Inadequate washout period from prior lymphoma-directed therapy before enrollment, defined as follows:
- Prior systemic therapy (eg, chemotherapy, immunomodulatory therapy, or monoclonal antibody therapy) within 3 weeks prior or 5 half-lives of the drug, whichever is longer, to the first dose of study drug
- Had curative radiation therapy or major surgery within 4 weeks or palliative radiation therapy within 2 weeks prior to the first dose of study drug
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Uncontrolled or significant cardiovascular disease, including:
- Evidence of prolongation of QT/QTc interval (eg, repeated episodes of QT corrected for heart rate using Fridericia's method >450 ms) (average of triplicate determinations)
- Diagnosed or suspected long QT syndrome or known family history of long QT syndrome
- History of clinically relevant ventricular arrhythmias, such as ventricular tachycardia, ventricular fibrillation, or Torsade de Pointes
- Uncontrolled arrhythmia (subjects with asymptomatic, controllable atrial fibrillation may be enrolled) or asymptomatic persistent ventricular tachycardia
- Participant has clinically relevant bradycardia of <50 bpm, unless the participant has a pacemaker
- History of second- or third-degree heart block. Candidates with a history of heart block may be eligible if they currently have pacemakers and have no history of fainting or clinically relevant arrhythmia with pacemakers within 6 months prior to Screening
- Myocardial infarction within 6 months prior to Screening
- Angioplasty or stent craft implantation within 6 months prior to Screening
- Uncontrolled angina pectoris within 6 months prior to Screening
- New York Heart Association Class 3 or 4 congestive heart failure
- Coronary/peripheral artery bypass graft within 6 months prior to Screening
- Uncontrolled hypertension (resting systolic blood pressure >180 mmHg or diastolic blood pressure >110 mmHg)
- Complete left bundle branch block
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History of treatment with other EZH inhibitors
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Current use of moderate or strong cytochrome P450 (CYP)3A inducers
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Systemic treatment with corticosteroids (>10 mg daily prednisone equivalents). Note: Short-course systemic corticosteroids (eg, prevention/treatment for transfusion reaction) or use for a non-cancer indication (eg, adrenal replacement) is permissible.
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Known or suspected hypersensitivity to valemetostat tosylate or any of the excipients
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Non randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Nessuno (etichetta aperta)
Numero di armi
Armi e interventi
Gruppo di partecipanti / ArmGruppo di partecipanti / Arm |
Intervento / TrattamentoIntervento / Trattamento |
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Sperimentale: Cohort 1: Relapsed/Refractory Peripheral T-Cell Lymphoma
Participants who will receive 200 mg/day valemetostat tosylate and had an eligible peripheral T-cell lymphoma subtype that was confirmed by independent hematopathology central review. |
Oral administration of valemetostat tosylate at a dose of 200 mg once daily starting at Cycle 1, Day 1 (continuous for 28-day cycles), until disease progression or unacceptable toxicity
Altri nomi:
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Sperimentale: Cohort 2: Relapsed/Refractory Adult T-cell Leukemia/Lymphoma
Participants who will receive 200 mg/day valemetostat tosylate and had an eligible adult T-cell leukemia/lymphoma subtype that was confirmed by the local pathologist/investigators and by documented positive anti-human T-cell leukemia virus type 1 (HTLV-1) antibody. |
Oral administration of valemetostat tosylate at a dose of 200 mg once daily starting at Cycle 1, Day 1 (continuous for 28-day cycles), until disease progression or unacceptable toxicity
Altri nomi:
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
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Percentage of Participants With Objective Response As Assessed by Blinded Independent Central Review After Administration of Valemetostat Tosylate Monotherapy (Cohort 1)
Lasso di tempo: From baseline until disease progression or death (whichever occurs first), up to approximately 23 months
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For the relapsed/refractory peripheral T-cell lymphoma (PTCL) cohort, objective response rate (ORR) is defined as the proportion of participants with a best overall response (BOR) of complete response (CR) or partial response (PR), assessed by blinded independent central review (BICR), among participants with centrally confirmed PTCL eligible histology. |
From baseline until disease progression or death (whichever occurs first), up to approximately 23 months
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Number of Participants With Treatment-emergent Adverse Events After Administration of Valemetostat Tosylate Monotherapy (Cohort 2)
Lasso di tempo: From the time the informed consent form is signed up to 30 days after last dose, up to 23 months
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Treatment-emergent adverse events (TEAEs) were defined as new AEs or pre-existing conditions that worsen in National Cancer Institute - Common Terminology Criteria for Adverse Events (NCI-CTCAE) grade after the first dose of study drug and up to 30 days after the last dose of study drug. |
From the time the informed consent form is signed up to 30 days after last dose, up to 23 months
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Misure di risultato secondarie
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
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Numero di partecipanti con eventi avversi emergenti dal trattamento dopo la somministrazione della monoterapia con valemetostat tosilato (coorte 1)
Lasso di tempo: Dal momento della sottoscrizione del modulo di consenso informato fino a 30 giorni dopo l'ultima dose
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Dal momento della sottoscrizione del modulo di consenso informato fino a 30 giorni dopo l'ultima dose
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Plasma Concentrations of DS-3201a and CALZ-1809a After Administration of Valemetostat Tosylate Monotherapy
Lasso di tempo: Cycle 1 Day 1, 8, 15 Predose; Cycle 1 Day 1 (1, 2, 4, 5 hours Postdose); Cycle 2 Day 1 Predose; Cycle 3 Day 1 to Cycle 5 Day 1 Predose (each cycle is 28 days)
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Total and unbound DS-3201a (free form of valemetostat tosylate) and total CALZ-1809a (major metabolite) concentration in plasma will be assessed. |
Cycle 1 Day 1, 8, 15 Predose; Cycle 1 Day 1 (1, 2, 4, 5 hours Postdose); Cycle 2 Day 1 Predose; Cycle 3 Day 1 to Cycle 5 Day 1 Predose (each cycle is 28 days)
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Duration of Response After Administration of Valemetostat Tosylate Monotherapy (Cohort 1)
Lasso di tempo: Time from the date of first documented response (CR or PR) until documented disease progression (progressive or relapsed disease) based on BICR assessments or death from any cause (whichever occurs first), up to approximately 56 months
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Duration of response (DoR) is defined as the time from the date of the first documentation of objective response (CR or PR) to the date of the first documentation of disease progression (progressive or relapsed disease) based on BICR assessments or to death due to any cause, whichever occurs first. |
Time from the date of first documented response (CR or PR) until documented disease progression (progressive or relapsed disease) based on BICR assessments or death from any cause (whichever occurs first), up to approximately 56 months
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Percentage of Participants With Complete Response After Administration of Valemetostat Tosylate Monotherapy (Cohort 1)
Lasso di tempo: From baseline to date of first documented objective response of CR, up to approximately 56 months
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Complete response rate is the percentage of participants achieving CR as the BOR based on BICR assessments. |
From baseline to date of first documented objective response of CR, up to approximately 56 months
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Duration of Complete Response After Administration of Valemetostat Tosylate Monotherapy (Cohort 1)
Lasso di tempo: Time from the date of first documented CR until documented disease progression (progressive or relapsed disease) based on BICR assessments or death from any cause (whichever occurs first), up to approximately 56 months
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Duration of complete response is defined as the time from the date of the first documentation of CR to the date of the first documentation of disease progression (progressive or relapsed disease) based on BICR assessments or to death due to any cause, whichever occurs first. |
Time from the date of first documented CR until documented disease progression (progressive or relapsed disease) based on BICR assessments or death from any cause (whichever occurs first), up to approximately 56 months
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Percentage of Participants With Partial Response After Administration of Valemetostat Tosylate Monotherapy (Cohort 1)
Lasso di tempo: From baseline to date of first documented objective response of PR, up to approximately 56 months
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Partial response rate is the percentage of participants achieving PR as the BOR based on BICR assessment. |
From baseline to date of first documented objective response of PR, up to approximately 56 months
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Collaboratori e investigatori
Sponsor
Sponsor
Investigatori
Investigatori
- Direttore dello studio: Global Clinical Leader, Daiichi Sankyo
Pubblicazioni e link utili
Studiare le date dei record
Studia le date principali
Inizio studio (Effettivo)
Inizio studio
Completamento primario (Effettivo)
Completamento primario
Completamento dello studio (Stimato)
Completamento dello studio
Date di iscrizione allo studio
Primo inviato
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Primo Inserito
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento pubblicato
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
- Neoplasie
- Malattie del sistema immunitario
- Neoplasie per tipo istologico
- Malattie ematologiche
- Malattie linfatiche
- Malattie linfoproliferative
- Disturbi immunoproliferativi
- Linfoma non Hodgkin
- Linfoma
- Leucemia, linfoide
- Leucemia
- Linfoma, cellule T
- Leucemia-linfoma linfoblastico a cellule precursori
- Malattie emiche e linfatiche
- Linfoma, cellule T, periferiche
- Leucemia-linfoma linfoblastico a cellule T precursore
Altri numeri di identificazione dello studio
Altri numeri di identificazione dello studio
- DS3201-A-U202
- 2020-004954-31 (Numero EudraCT)
- 2023 (Sovvenzione/contratto NIH degli Stati Uniti)
- jRCT2071200095 (Altro identificatore: jRCT)
- 2023-507381-13-00 (Ctis)
Piano per i dati dei singoli partecipanti (IPD)
Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?
Descrizione del piano IPD
De-identified individual participant data (IPD) and applicable supporting clinical trial documents may be available upon request at https://vivli.org/. In cases where clinical trial data and supporting documents are provided pursuant to our company policies and procedures, Daiichi Sankyo will continue to protect the privacy of our clinical trial participants. Details on data sharing criteria and the procedure for requesting access can be found at this web address: https://vivli.org/ourmember/daiichi-sankyo/
Periodo di condivisione IPD
Studies for which the medicine and indication have received European Union (EU) and United States (US), and/or Japan (JP) marketing approval on or after 01 January 2014 or by the US or EU or JP Health Authorities when regulatory submissions in all regions are not planned and after the primary study results have been accepted for publication.
Criteri di accesso alla condivisione IPD
Formal request from qualified scientific and medical researchers on IPD and clinical study documents from clinical trials supporting products submitted and licensed in the United States, the European Union and/or Japan from 01 January 2014 and beyond for the purpose of conducting legitimate research. This must be consistent with the principle of safeguarding study participants' privacy and consistent with provision of informed consent.
Tipo di informazioni di supporto alla condivisione IPD
- STUDIO_PROTOCOLLO
- LINFA
- RSI
Informazioni su farmaci e dispositivi, documenti di studio
Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti
Studia un dispositivo regolamentato dalla FDA degli Stati Uniti
Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .