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Soquelitinib vs standard di cura in partecipanti con linfoma periferico a cellule T recidivante/refrattario non altrimenti specificato, linfomi a cellule T helper follicolari o linfoma anaplastico sistemico a grandi cellule

22 settembre 2026 aggiornato da: Corvus Pharmaceuticals, Inc.

Uno studio di fase 3, randomizzato, in aperto per indagare l'efficacia e la sicurezza dell'inibitore di ITK soquelitinib rispetto al trattamento standard di cura scelto dal medico (agente singolo selezionato) in partecipanti con linfoma periferico a cellule T recidivante/refrattario non altrimenti specificato, helper follicolare T Linfomi a cellule monocellulari o linfoma anaplastico sistemico a grandi cellule

A Phase 3, randomized, 2-arm, open-label, multicenter, stratified study of soquelitinib versus physician's choice standard of care (SOC) treatment (selected single agents) in participants with relapsed/refractory (R/R) peripheral T-cell lymphoma not otherwise specified (PTCL-NOS), follicular helper T-cell lymphomas (FHTCLs), or systemic anaplastic large-cell lymphoma (sALCL).

Panoramica dello studio

Stato

Reclutamento

Condizioni

Intervento / Trattamento

Descrizione dettagliata

This is a Phase 3, randomized, 2-arm, open-label, multicenter, stratified study of soquelitinib, an oral interleukin-2-inducible T cell kinase (ITK) inhibitor, versus physician's choice standard of care (SOC) treatment of either belinostat or pralatrexate in participants with relapsed/refractory (R/R) peripheral T-cell lymphoma not otherwise specified (PTCL-NOS), follicular helper T-cell lymphomas (FHTCLs), or systemic anaplastic large-cell lymphoma (sALCL). Approximately 150 participants will be randomized at a 1:1 ratio to the 2 treatment arms (soquelitinib or SOC) and will be stratified by region of the world, age, and time to relapse for the most recent prior therapy. Participants will receive study treatment for up to a maximum of 2 years, unacceptable toxicity, or disease progression, whichever is earlier. Participants randomized to receive SOC who have confirmation of progressive disease may have the opportunity to crossover to receive treatment with soquelitinib.

Tipo di studio

Interventistico

Iscrizione (Stimato)

150

Fase

  • Fase 3

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Contatto studio

Luoghi di studio

    • New South Wales
    • Queensland
    • South Australia
      • Adelaide, South Australia, Australia, 5000
        • Reclutamento
        • Royal Adelaide Hospital
        • Investigatore principale:
          • Pratyush Giri
        • Contatto:
      • Bedford Park, South Australia, Australia, 5042
        • Reclutamento
        • Flinders Medical Center
        • Investigatore principale:
          • Kate Manos
        • Contatto:
    • Tasmania
      • Hobart, Tasmania, Australia, 7000
        • Reclutamento
        • Royal Hobart Hospital
        • Investigatore principale:
          • Anna Johnston
        • Contatto:
    • Victoria
      • Box Hill, Victoria, Australia, 3128
        • Reclutamento
        • Box Hill Hospital
        • Contatto:
        • Investigatore principale:
          • Tamara Marconi
      • Heidelberg, Victoria, Australia, 3084
        • Reclutamento
        • Austin Hospital
        • Contatto:
        • Investigatore principale:
          • Eliza Hawkes
      • Richmond, Victoria, Australia, 3121
    • Western Australia
    • British Columbia
      • Vancouver, British Columbia, Canada, V5Z4E6
        • Reclutamento
        • BC Cancer Research Institute
    • Ontario
      • Ottawa, Ontario, Canada, K1H8L6
        • Reclutamento
        • The Ottawa Hospital - General Campus
      • Toronto, Ontario, Canada, M5G2C4
        • Reclutamento
        • The Princess Margaret Cancer Centre
        • Investigatore principale:
          • Anca Prica
    • California
      • Duarte, California, Stati Uniti, 91010
        • Reclutamento
        • City of Hope National Medical Center
        • Investigatore principale:
          • Christina Poh, MD
        • Contatto:
          • Christina Poh, MD
          • Numero di telefono: 626-713-7102
          • Email: cpoh@coh.org
      • Irvine, California, Stati Uniti, 92697
        • Reclutamento
        • University of California, Irvine
        • Contatto:
      • San Francisco, California, Stati Uniti, 94143
        • Reclutamento
        • University of California San Francisco
        • Contatto:
        • Investigatore principale:
          • Weiyun Ai, MD
    • Connecticut
      • New Haven, Connecticut, Stati Uniti, 06520
        • Reclutamento
        • Yale University
        • Contatto:
        • Investigatore principale:
          • Francine Foss, MD
    • Florida
      • Miami, Florida, Stati Uniti, 33136
        • Reclutamento
        • Sylvester Comprehensive Cancer Center University of Miami Miller School of Medicine
        • Contatto:
          • Numero di telefono: 305-242-5302
    • Georgia
      • Atlanta, Georgia, Stati Uniti, 30322
        • Reclutamento
        • Emory University
        • Contatto:
    • Illinois
      • Chicago, Illinois, Stati Uniti, 60611
        • Reclutamento
        • North Western University Robert H. Lurie Comprehensive Cancer Center RHLCCC
        • Investigatore principale:
          • Jonathan Moreira, MD
    • Iowa
      • Iowa City, Iowa, Stati Uniti, 52242
        • Reclutamento
        • University of Iowa
        • Investigatore principale:
          • Eric Mou, MD
        • Contatto:
    • Maryland
      • Baltimore, Maryland, Stati Uniti, 21201
        • Reclutamento
        • University of Maryland Medical Center
        • Contatto:
        • Investigatore principale:
          • Kathryn Kline, MD
    • Massachusetts
      • Boston, Massachusetts, Stati Uniti, 02114
        • Reclutamento
        • Massachusetts General Hospital
        • Investigatore principale:
          • Salvia Jain, MD
        • Contatto:
    • Michigan
      • Ann Arbor, Michigan, Stati Uniti, 48109
        • Reclutamento
        • Roger Cancer Center University of Michigan Health
        • Investigatore principale:
          • Ryan Wilcox, MD
        • Contatto:
    • Missouri
      • St Louis, Missouri, Stati Uniti, 63130
        • Reclutamento
        • Washington University in St. Louis
        • Investigatore principale:
          • Neha Mehta-Shah, MD
        • Contatto:
    • New Jersey
      • Hackensack, New Jersey, Stati Uniti, 07601
        • Reclutamento
        • Hackensack University Medical Center
        • Investigatore principale:
          • Tatyana Feldman, MD
        • Contatto:
    • New York
      • New York, New York, Stati Uniti, 10065
        • Reclutamento
        • Weill Cornell Medicine
        • Contatto:
        • Investigatore principale:
          • Jia Ruan, MD, PHD
      • New York, New York, Stati Uniti, 10065
        • Reclutamento
        • Memorial Sloan Kettering Cancer Center
        • Investigatore principale:
          • Jasmine Zain, MD
        • Contatto:
      • New York, New York, Stati Uniti, 10029
        • Reclutamento
        • Icahn School of Medicine at Mount Sinai
        • Investigatore principale:
          • Roshan Asrani, MD
        • Contatto:
    • North Carolina
      • Chapel Hill, North Carolina, Stati Uniti, 27514
        • Reclutamento
        • North Carolina Cancer Hospital
        • Investigatore principale:
          • Anne Beaven, MD
        • Contatto:
    • Ohio
      • Columbus, Ohio, Stati Uniti, 43210
        • Reclutamento
        • The Ohio State University
        • Contatto:
        • Investigatore principale:
          • John Reneau, MD, PHD
    • Oregon
      • Portland, Oregon, Stati Uniti, 97239
        • Reclutamento
        • Oregon Health & Science University; Knight Cancer Institute
        • Contatto:
          • Clinical Trials Office
          • Numero di telefono: 503-494-1080
          • Email: trials@ohsu.edu
        • Investigatore principale:
          • Dr. Craig Okada, MD
    • Pennsylvania
      • Pittsburgh, Pennsylvania, Stati Uniti, 15213
        • Reclutamento
        • University of Pittsburgh Medical Center
        • Contatto:
        • Investigatore principale:
          • Dr. Oleg Akilov, MD, PHD
    • Texas
      • Dallas, Texas, Stati Uniti, 75235
        • Reclutamento
        • UT Southwestern Medical Center
        • Contatto:
        • Investigatore principale:
          • Dr. Elif Yilmaz, MD
      • Houston, Texas, Stati Uniti, 77030
        • Reclutamento
        • MD Anderson Cancer Center
        • Investigatore principale:
          • Swaminathan Iyer, MD
        • Contatto:
    • Washington
      • Seattle, Washington, Stati Uniti, 98109
        • Reclutamento
        • University of Washington Fred Hutch Cancer Center
        • Investigatore principale:
          • Stephen Smith, MD
        • Contatto:
    • Wisconsin
      • Madison, Wisconsin, Stati Uniti, 53792
        • Reclutamento
        • University of Wisconsin Carbone Cancer Center
        • Contatto:

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

18 anni e precedenti (Adulto, Adulto più anziano)

Accetta volontari sani

No

Sessi ammissibili allo studio

Tutto

Descrizione

Inclusion Criteria:

  1. Adult participants ≥18 years of age on the day of signing the informed consent form.

  2. Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 to 2.

  3. Histologically confirmed PTCL-NOS, FHTCLs or sALCL per The International Consensus Classification of Mature Lymphoid Neoplasms.

  4. Progressed on, be refractory to, relapsed, or intolerant to standard therapy for their cancer. At least 1 but not more than 3 prior systemic therapies.

  5. Fluorodeoxyglucose-avid disease by positron emission tomography and measurable disease of at least 1.5 cm by computed tomography, as assessed by the site radiologist.

  6. Life expectancy >12 weeks.

  7. Adequate organ function as determined by:

    • Absolute neutrophil count ≥ 1.0×10^9/L (1000/mm3) (without receiving granulocyte-colony stimulating factor)
    • Platelet count ≥ 100×10^9/L (without transfusion)
    • Hemoglobin ≥ 9.0 g/dL, without packed red blood cell transfusion within the last 1 week of starting study drug
    • Prothrombin time international normalized ratio and partial thromboplastin time ≤1.5 × upper limit of normal (ULN), unless participant is receiving anticoagulant therapy and prothrombin time or activated partial thromboplastin time is within therapeutic range of intended use of anticoagulants
    • Calculated creatinine clearance (CrCl) according to Cockcroft-Gault formula and based on ideal body weight or 24-hour urine CrCl ≥ 50 mL/minute
    • Total bilirubin ≤ 1.5 × ULN or direct bilirubin ≤ ULN for participants with total bilirubin levels > 1.5 × ULN. For participants with Gilbert's disease: ≤ 3.0 mg/dL or discussion with the Medical Monitor
    • Aspartate aminotransferase and alanine transaminase ≤ 2.5 × ULN (≤ 5 × ULN for participants with liver metastases)
    • Serum albumin > 2.5 g/dL
    • Serum calcium < 12 mg/dL or corrected serum calcium < ULN
  8. Must have recovered from all AEs due to previous therapies to Grade ≤ 1 or baseline except for the following:

    • Grade ≤ 2 neuropathy
    • Alopecia and non-acute toxicities
    • If major received major surgery, then must have recovered adequately per the investigator from the toxicity and/or complications from the intervention prior to starting study treatment
  9. Female participants of childbearing potential who are sexually active with a non-sterilized male partner must agree to use at least 1 highly effective method of contraception from the time of screening and must agree to continue using such precautions for 120 days after the last dose of study drug for participants who receive soquelitinib, or 6 months after the last dose for participants who receive either belinostat or pralatrexate.

  10. Non-sterilized males who are sexually active with a female partner of childbearing potential must use a condom plus spermicide from Day 1 through 120 days after the last dose of study drug.

Exclusion Criteria:

  1. Participants who have T-cell lymphoma with active central nervous system involvement.
  2. Any significant medical condition, laboratory abnormality, or psychiatric illness that would prevent the participant from participating in the study.
  3. History of primary immunodeficiency or sold organ transplantation.
  4. History of opportunistic infection within 30days of screening requiring active systemic treatment or active infection requiring IV therapy.
  5. Any active infection requiring IV therapy.
  6. History of invasive prior malignancy that required systemic therapy within last 3 years.
  7. Any condition that confounds the ability to interpret data from the study.
  8. Known to be positive for HIV, or positive test for chronic hepatitis B virus (HBV) infection (defined as positive hepatitis B surface antigen [HBsAg]) or positive test for hepatitis C antibody.
  9. Monoclonal antibody therapy for cancer, radiotherapy, or chemotherapy within 3 weeks and targeted therapy within 2 weeks prior to the first dose of study treatment.
  10. Prior administration of an ITK inhibitor.
  11. Participants who need immediate cytoreductive therapy.
  12. Participants requiring the concomitant use of strong inhibitors or inducers of CYP3A or who have received these within 5 half-lives or 14 days prior to the start of study treatment.
  13. History of allogeneic hematopoietic stem cell transplantation.
  14. Candidate for hematopoietic stem cell transplantation at screening.
  15. History of progressive disease within 6 months of autologous hematopoietic stem cell transplantation.
  16. Concurrent enrollment in another clinical study
  17. Females who are pregnant, lactating, or intend to become pregnant during their participation in the study, starting with the screening visit through 6 months after the last dose of study treatment.
  18. Participants who cannot ingest medications orally or who have malabsorption.

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

  • Scopo principale: Trattamento
  • Assegnazione: Randomizzato
  • Modello interventistico: Assegnazione parallela
  • Mascheramento: Nessuno (etichetta aperta)

Armi e interventi

Gruppo di partecipanti / Arm
Intervento / Trattamento
Sperimentale: Soquelitinib

Participants will administer soquelitinib 200 mg orally twice daily for up to 2 years

Soquelitinib 200 mg tablets will be taken by mouth two times a day

Altri nomi:
  • CPI-818
Comparatore attivo: Standard of Care

Participants will receive physician's choice standard of care treatment of either pralatrexate or belinostat for up to 2 years

Belinostat (1000 mg/m2) will be administered by intravenous infusion once daily on Days 1 through 5 of each 21-day cycle

Altri nomi:
  • Beleodaq®

Pralatrexate (30 mg/m2) will be administered intravenously over 3 to 5 minutes once weekly for 6 weeks in each 7-week cycle

Altri nomi:
  • Folotyn®

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Progression-free survival
Lasso di tempo: Up to 4 years post study treatment initiation

Time from first study treatment to first occurrence of progression (as assessed by the Independent Review Committee) or death, whichever occurs first

Up to 4 years post study treatment initiation

Misure di risultato secondarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Objective response rate
Lasso di tempo: Up to 2 years post study treatment initiation

The rate of participants who achieve a partial response or complete response as assessed by the Independent Review Committee according to the Revised Criteria for Response Assessment of Malignant Lymphoma (Lugano Classification 2014), and modified Severity Weighted Assessment Tool (mSWAT) for participants with skin involvement

Up to 2 years post study treatment initiation
Overall survival
Lasso di tempo: Up to 4 years post study treatment initiation

Time from first study treatment to death from any cause

Up to 4 years post study treatment initiation

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Sponsor

Investigatori

  • Direttore dello studio: Suresh Mahabhashyam, MD, MPH, Corvus Pharmaceuticals, Inc.

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio (Effettivo)

2 ottobre 2024

Completamento primario (Stimato)

1 novembre 2027

Completamento dello studio (Stimato)

1 dicembre 2028

Date di iscrizione allo studio

Primo inviato

16 agosto 2024

Primo inviato che soddisfa i criteri di controllo qualità

16 agosto 2024

Primo Inserito (Effettivo)

19 agosto 2024

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

25 settembre 2026

Ultimo aggiornamento inviato che soddisfa i criteri QC

22 settembre 2026

Ultimo verificato

1 aprile 2026

Maggiori informazioni

Termini relativi a questo studio

Informazioni su farmaci e dispositivi, documenti di studio

Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti

Sì

Studia un dispositivo regolamentato dalla FDA degli Stati Uniti

No

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 .